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Psyc 330- Drugs and Behavior > Treatment and Prevention Pt 1 > Flashcards

Treatment and Prevention Pt 1 Flashcards

1
Q

What is treatment?

A
  • planned activities designed to change patterns/lifestyle of an individual or their families
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2
Q

What is the most important thing for successful treatment?

A
  • recognition that there is a problem
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3
Q

How can someone recognize they have a problem?

A
  • from the individual or other sources (family/friends, legal system, employer)
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4
Q

What needs to happen for treatment to work?

A

individual needs to be convinced that there is a problem and is mortivated/committed to change

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5
Q

Why should someone try to be “ready” rather than motivated?

A
  • motivation is essential, but not fruitful… there rare many ways to define/measure it
  • so, better to try to real “ready”/commited to change
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6
Q

Who is the state of change model for?

A
  • people who change on their own or use outside resources
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7
Q

State of change model steps in order

A
  • pre-contemplation
  • contemplation
  • preparation
  • action
  • maintenance
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8
Q

What happens when maintenance is disrupted?

A

relapse, and then the cycle repeats

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9
Q

State of change model: precontemplation

A

complete denial, vast majority of people with SUDs (most common)

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10
Q

State of change model: contemplation

A

idea of questioning if there is a problem and if so, if the individual should make a change

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11
Q

State of change model: preparation

A
  • verge of taking action
  • can be very long with many attempts
  • ex. talk to dr. and looking for resources
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12
Q

State of change model: action

A

actually actively changing, act on goals, specific activities

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13
Q

State of change model: maintenance

A

continual behavioral changes while individual is abstinent from the substance for a sustained time

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14
Q

Models of SUDs

Moral model

A

individual is personally responsible for problems from decisions/choices

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15
Q

Models of SUDs

American disease model

A

viewed as progressive disease that gets increasingly worse and is irreversible

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16
Q

Models of SUDs

Biological Model

A

there is some genetic/biological predisposition that leads to SUDs

17
Q

Social learning model

A
  • result of complex learning from enviornmental interaction… surroundings make it possible
  • changing/re-arranging persons’ enviornment could get rid of SUD
18
Q

Models of SUDs

Sociocultural Model

A
  • subculures/societies shape use patterns and consequences (ex. legalization and acceptance)
  • puts large groups/society as a whole at risk
19
Q

What is the biopsychosocial model?

A

mix of all other models

20
Q

What are the key questions in evaluating treatments?

A
  • Does the treatment work better than no treatment?
  • Does the treatment work better than a placebo?
  • Does the treatment work better than standard treatments?
  • Does the treatment work for the reasons that it claims it does?
21
Q

What are the typical courses of behavioral treatment for SUD?

A
  • quit on own
  • self-help group
  • professional treatment
22
Q

Behavioral treatments

Quit on own

A
  • attempted first
  • usually takes multiple tries (spontneous remission)
  • not very high success rate
23
Q

How many americans participate in a self-help group?

A

around 1:200 (popular)

24
Q

What is a self-help group?

A
  • collection of individuals with unique, identifieable problem
  • focused on therapeutic activity
25
Q

Who leads self-help groups?

A
  • individuals wihtout credentials/licensing who usually aslo have the same problem
  • disadvantage and an advantage, depends
  • professionals are also welcomed to participate and help
26
Q

When/why was AA established and by who?

A
  • 1935 by Dr. Bob and Bill W (surgeon and stock broker)
  • to hold each other accountable to maintain sobriety

now an internation organization?

27
Q

What other groups did AA spawn?

A
  • Alateen-teens w alcoholic parents
  • Al-anon- family members of alcoholics
28
Q

What kind of program is AA?

A
  • 12-step program w religious influence and group participation
  • have to admit loss of self-control
29
Q

American disease model and AA

A
  • American disease model is the foundation for AA
  • viewed as product of progressive, irreversible disease
30
Q

What are the problems with outcome studies for AA?

A
  • groups are heterogeneous
  • length and nature of involvement varies
  • drop out rate high
  • participants have ongoing or prior professional treatment

likely attracts specific type of use (ex. personality)

31
Q

What is the drop out rate for AA?

A
  • 68% within 10 weeks
32
Q

What are the benefits of AA- 1999 meta analysis results

A
  • non-randomized study indicated AA is better than no treatmnet but only for those who stick with it
  • those who attend more (longer) do better
33
Q

What did project MATCH (Matching Alcohol Treatments to Client Heterogeneity) do and find?

A
  • compared 3 types of therapy: 12-step facilitation therapy (not AA), cog-behavioral coping skills therapy, motivational enhancement therapy
  • found comparable outcomes for all 3 treatments… while not direct test of AA, supports idea that only some users are attracted to conceptual and spritual underpinnings of AA
34
Q

Women for Sobriety (1975)

A
  • slight variant of AA
  • similar in recognizing as progressive illness
  • focuses on psychological/social concerns of women
35
Q

SMART (self-management and recovery training) group

A
  • scientifically validated, coordinater led
  • 4 key areas: stoping motives for use, beliefs that can help/hinder individuals’s attempts, emotions, behavior
36
Q

SOC (secular organizations for sobriety or save our selves)

A
  • individuals are in charge of their own rational decisions
  • growing rapidly
  • uses peer support meetinfgs (like AA)
  • one day at a time principle
37
Q

Components of professional treatment

A
  • individualizing treatment goals via assessment (formal testing and observation)
  • and then makes personalized treatment

Psyc 330- Drugs and Behavior (40 decks)

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