Treatment Planning Flashcards

1
Q

What factors play a role in the causes of addiction? (3)

A
  1. Environment:
    -mixed msgs about use of drugs
    -some accept S.U. as normal
    -glamorized in media
    -alcohol/tobacco accepted, hard drugs condemned
  2. Drug:
    -some drugs more addictive than others due pharmacology of substance & how it affects mood of user
  3. Addict:
    -ppl. w/low self-concepts (higher rate of addiction)
    -S.U. to create pleasure or decrease pain
    -society has easy access to drugs
    -pro-use & unclear norms
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2
Q

List and identify the purpose of each step in the Assessment process. (12 steps) (e,c,c,q/l,l/c,d,d,s/s,c,p,s/c,p)

A
  1. engage the client
  2. collaterals (family, friends, co-workers) identify & contact to gather info.
  3. C.O.D. (co-occurring disorder) screen for & detect
  4. quadrant & locus of responsibility
  5. level of care
  6. diagnoses
  7. disability & functional impairment
  8. strengths & supports
  9. cultural & linguistic needs & supports
  10. problem domains
  11. stage of change
  12. plan treatment
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3
Q

Client barriers to treatment

A

-involuntary clients
-blame circumstances on S.A. problem
-silent & withdrawn
-they overwhelm themselves
-take no responsibility (victims)
-don’t need your help (denial)
-they moralize & judge
-passive-aggressive

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4
Q

Counsellor barriers to treatment

A

-prejudice, racism, discrimination
-their values & beliefs
-burn-out, stress, S.T.S.

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5
Q

S.M.A.R.T & give examples with objectives & interventions.

A

SPECIFIC: specific & goal focused
-address in specific behavioural terms how level functioning or functional impairments will improve
MEASURABLE: objectives & interventions are measurable
-achievement is observable
-indicators of client progress are measurable (assessment scales/scores, client reports, status changes)
ATTAINABLE: identify objectives & interventions attainable during active treatment
-focus on improved functioning rather than cure
-identify attainable goals
-revise goals when needed
REALISTIC: realistically complete objectives w/in specific time period
-goals/objectives achievable given client’s env., supports, diagnosis, & level of functioning
-progress requires client effort
TIME-LIMITED: focus on time-limited/short-term goals & objectives
-objectives & interventions can be reviewed w/in specific time period

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6
Q

Johari’s Window

A

-psychologists JOseph Luft & HARRIngton Ingham
-technique helps ppl. better understand their relationship w/self & others
3 main goals looking @different aspects of consciousness:
1. focus on feedback
2. shared discovery together
3. self-disclosure & self-discovery
-4 boxes (1.open, 2.blind, 3.hidden, 4.unknown)
-all based on whether known to self &/or others or not known

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6
Q

Functions of group therapy

A

-focus on the present, here, & now
-provides forum to understand current behaviour
-learn & discuss new behaviours, problem solving, & relapse prevention skills

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6
Q

What are therapeutic factors in group therapy?

A

-problem-solving
-communication skills
-managing stress

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7
Q

Types of Learning: Interpersonal

A

-when individuals, thru interactions w/others, acquire self-insight & learn new interpersonal skills.
-thru self-observation, self-reflection, feedback from others, experimenting w/new behaviours

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8
Q

Types of Learning: Vicarious

A

-learning thru observation of others rather than direct instruction
-involves seeing, hearing, feeling, & empathizing w/experiences, mistakes, successes, challenges, & triumphs

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9
Q

Types of Learning: Universality

A

-set of principles for curriculum development that give all individuals equal opportunities to learn.
-guides creation of learning outcomes, resources & assessments that work for everyone.

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10
Q

Types of Learning: Intrapersonal

A

-a.k.a. solitary learner, loves to learn & work on their own, w/in a space
-self-aware, self-motivated, & goal-oriented
-needs a lot of personal space & self-reflection
-may feel uncomfortable learning w/large crowd or in groups

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11
Q

Social skills training is known as assertiveness training.

A

-teaches ppl. how to express thoughts, feelings, & needs in a respectful way
-benefits mental health, self-esteem, & relationships
-reduce burnout, & increase work commitment
a.k.a. behavioural skills training & cognitive restructuring training

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12
Q

Tolerance

A

-phenomenon of body getting used to using a substance & requiring more of it to achieve the same effects
-occurs when someone repeatedly uses substances, & brain no longer reacts to the substance the same way it did the first time

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13
Q

Dependence

A

-body’s natural reaction when certain substances used for extended period of time.
-body gets used to a regular supply of substance &, if dose lowered or stopped, can experience withdrawal symptoms

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14
Q

Relapse

A

-recurrence of behavioural or other substance indicators of active disease after a period of remission
-occurs when person returns to substance use after abstaining for a certain period

15
Q

Recovery Process

A

-process of sustaining abstinence & learning & practicing awareness & skills necessary to live a whole, healthy, & healed life

16
Q

List & explain the causes of addiction with 3 examples.

A
  1. psychological addiction:
    -person craves substance to achieve certain effects
  2. physical dependence:
    -body goes thru withdrawal if S.U. discontinued
  3. tolerance:
    -another aspect of physical dependence- brain/body get used to substance & eventually user needs more to get same effect
17
Q

Methadone

A

-blocks high from drugs: codeine, heroin, hydrocodone, morphine, oxycodone.
-can give similar feeling & keep from having withdrawal symptoms & cravings.
-a.k.a. replacement therapy.

18
Q

Suboxone

A

-a.k.a. buprenorphine/naloxone –oral film prescribed to treat dependence on opioid drugs.
-works to reduce withdrawal symptoms when stopping opioids & for extended period of time afterward.

19
Q

Treatment approaches that focus on verbal/nonverbal behaviours in social interactions.

A

Attending Behaviours:
-primarily nonverbal
-culturally & individually appropriate
-eye contact, body language, vocal qualities, verbal tracking, mirroring (A Ivey & Ivey ‘99)
paralinguistics (vocal qualities):
-loudness, pitch, rate, fluency

20
Q

What are important components of effective treatment for addiction? (10) (i,a,m/n,t,b/t,m,m,c,d,t)

A

-individualized
-accessible
-deal w/individual’s multiple needs, not simply focusing on addiction issues
-staying in treatment for adequate amount of time
-behavioural therapies
-medication, possibly combined w/counselling interventions
-continual modification to treatment/service plan
-co-occurring disorders
-detox (medically supervised) as 1st step
-incl. testing for various diseases

21
Q

Know the steps of the intervention process. L.O.C.U.S. Dimensions (6) (r/h,f/s,c,r/e,h,e)

A

-level of care utilization s?
-used to determine clinical severity to identify needs & services
1. risk of harm
2. functional status
3. medical, addictive, & psychiatric co-morbidity
4. recovery environment (A. Level of Stress, B. Level of Support)
5. treatment & recovery history
6. engagement

22
Q

What’s the best approach to effective treatment? (6)

A
  1. assessment
  2. evidence-based treatment
  3. S.U. monitoring
  4. clinical & case mgmt
  5. recovery support programs
  6. continuing care