Week 12

Question 1

When should follow up occure

Answer 1

Between 1 and 3 months

Question 2

Where are interventions aimed

Answer 2

At the drug
The environment
And the individual

Question 3

How long should people stay in methadone maintenance therapy

Answer 3

At least on year but maintenance treatment can be provided between 2-3 years

Question 4

Who is methadone maintenance most suited for?

Answer 4

People who are not yet willing to give up opiate use but are sick if the negative lifestyle or pregnant women

Question 5

What is naltroxone maintenance therapy

Answer 5

Block the effects of heroin is taken

Question 6

What are the cons if naltrexone maintenance therapy

Answer 6

High risk of overdose

Expensive

Question 7

What role does disulfiram play in treating addiction

Answer 7

Stop metabolism of alcohol making you feel sick

Question 8

Why is the effectiveness of disulfiram believed to be poor and good

Answer 8

Because compliance is poor. But people who are highly motivated have good results and often take it in high risk situations

Question 9

How does acamprosate act on the body to assist in treating addiction

Answer 9

It acts and GABA and glutamate NTs and is through to reduce symptoms of protracted withdrawal

Question 10

How long do the effects of acamprosate last and who are they most effective on

Answer 10

Several weeks to months and must successful on those with severe dependents

Question 11

How does topirate work

Answer 11

Its inceases inhibitory (gaba) NT and reduces stimulatory (glutamate) NT

Question 12

What are the pros and cons of topiramate

Answer 12

No fda approval, but off label topiramate has been used to treat alcohol and cocaine adiction

studies have shown improved drinking outcomes compred to placebo

Question 13

What role to sobering up centres play

Answer 13

Safe place for detox
Access to practiacal resources like shower bed and laundry
Addict is monitored 
Link to further treatment
Support of the police

Question 14

Describe a breif interventions who are the most useful too

Answer 14

1-5 sessions
Self help material
Intervene on decison making goal setting problem solving and relapse prevention
Most effective for those with mild addiction

Question 15

What is the purpose of motivational interview who does it work best on

Answer 15

Weigh up pros and cons
Identify the helps and hinders of chance to enhance the desire to change.
Best suited for those who are ambivalent (have mixed feelings) towards helping themselves

Question 16

What takes place during individualised counseling

Answer 16

Focuses on stoppingg drug use
Adress related areas of impaired functioning
Emphasis on short term behavioural goal
Sessions once or twice a week

Question 17

What does relapse prevention focus on

Answer 17

Identifying and avoiding high risk situations and dealing with slip ups
Exploring pros and cons of use
Self monitor to recognise cravings

Question 18

What types of things would someone undergoing social skills training take part in

Answer 18

Stress management/relaxation
Depression management 
Budgeting
Recreational therapy
Employment training 
Nutritional counselling 
Assetion training

Question 19

What are residential treatment services

Answer 19

Gives those with severe dependence and lack of stable accommodation a place to live

Question 20

What is meant be theraputic community

Answer 20

Residential program that is run by people who have successfully completed the program

Question 21

What is voucher based reinforcement who mainly recieves this treatment

Answer 21

Adults who abuse opiods and the receive a voucher for every clean urine sample they provide the values of the voucher are low at first but increase

Question 22

How do prize incentives differ from voucher based reinforcement

Answer 22

Turning in clean urine or breath test samples or attending councilling give u the opportunity to win cash prizes but resets to one with a negative test