Substance use

Question 1

new DSM 5 uses terms

Answer 1

substance use disorder

Question 2

dependence

Answer 2

physiological in nature and is a normal response to repeated doses of many types of medications. Dependence is characterized by both tolerance and withdrawal.

Question 3

high risk drinkers

Answer 3

male under 25 and youth

Question 4

illicit use of drugs is highest among

Answer 4

men aged 18 to 24

Question 5

general population at risk for drinking/drugs

Answer 5

indigenous and youth

Question 6

social practices and acceptability of alcohol

Answer 6

In Canada alcohol use is legal.
Daily consumption of wine with meals is acceptable.
For some groups however it is not: Muslim and certain Christian groups.
So its considered “problematic”

Question 7

negative health affects of alcohol

Answer 7

Substance use has been intertwined and linked to issues of trauma, violence, and chronic pain.
.
So violence, substance use and mental health issues can not be considered separate.

Question 8

assessing substance use disorder

Answer 8

substance use disorder should not be the primary problem

a comprehensive history, and questions about housing,food and money should be the main questions

Question 9

tweak anacroman

Answer 9

help identify high risk woman esp pregnant woman

T: Tolerance
W: Worry
E: Eye-Opener
A: Amnesia
K: (c) Cut down

Question 10

CAGE

Answer 10

For lifetime and alcohol use and dependence ( does not distinguish past problem drinking from present)

C: Cutdown:Have you ever felt you should cut down on your drinking?
A: Annoyed:Have people annoyed you by criticising your drinking?
G: Guilty:Have you ever felt bad or guilty about your drinking?

E: Eye-opener: Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (eye-opener)?

Question 11

Abstinence

Answer 11

which means completely no use of a given substance, is sometimes seen as dichotomous with harm reduction.

Question 12

Harm reduction

Answer 12

“downstream” strategies, such as providing access to safe substances (e.g., providing heroin that is not cut with more harmful substances such as fentanyl), safe supplies

“upstream” approaches, such as safe housing, income supports, and pain-management services.

Question 13

SAC meets monthly to advance discussions on the opioid crisis

Answer 13

supporting harm reduction, (b) improving data/surveillance, and (c) addressing prevention and treatment options.

Question 14

Four interrelated areas of influence shape substance use

Answer 14

social practices and acceptability are the most influential

affordability is an important determinant of both levels of substance use and types of substances consumed

problematic substance use substance use with profoundly negative effects on people’s health and social well-being

mental health and substance use are consistently linked therefore, substance use, violence, and mental health cannot be considered separately

Question 15

relationship between trauma and substance use

Answer 15

Those who are exposed to higher levels of trauma and violence are more likely to experience harms related to substance use, and those levels are related to social inequities.

All forms of interpersonal violence—including intimate partner violence (IPV), child abuse, and sexual assault—consistently have been shown to be related to substance use problems and mental health problems

Question 16

incorporating health assessment for substance use

Answer 16

It should be health promoting

It should take the patient’s and population’s context into account

It should be trauma- and violence-informed

It should minimize harm

Question 17

Five A’s for Integrating Knowledge of Substance Use in Health Assessment

Answer 17

Acquire knowledge

Anticipate harm that may be caused by your practices, reactions, and judgements

Analyze the impact of policies at the level of organizations

Avoid social judgement about substance us

Approach all patients respectfully.

Question 18

stages of withdrawal

Answer 18

Stage I, minor withdrawal symptoms (6 to 12 hours)
Stage II, alcoholic hallucinosis (12 to 24 hours
Stage III, alcohol withdrawal seizures (24 to 48 hours)
Stage IV, delirium tremens (48 to 72 hours