Week 12 Flashcards
When should follow up occure
Between 1 and 3 months
Where are interventions aimed
At the drug
The environment
And the individual
How long should people stay in methadone maintenance therapy
At least on year but maintenance treatment can be provided between 2-3 years
Who is methadone maintenance most suited for?
People who are not yet willing to give up opiate use but are sick if the negative lifestyle or pregnant women
What is naltroxone maintenance therapy
Block the effects of heroin is taken
What are the cons if naltrexone maintenance therapy
High risk of overdose
Expensive
What role does disulfiram play in treating addiction
Stop metabolism of alcohol making you feel sick
Why is the effectiveness of disulfiram believed to be poor and good
Because compliance is poor. But people who are highly motivated have good results and often take it in high risk situations
How does acamprosate act on the body to assist in treating addiction
It acts and GABA and glutamate NTs and is through to reduce symptoms of protracted withdrawal
How long do the effects of acamprosate last and who are they most effective on
Several weeks to months and must successful on those with severe dependents
How does topirate work
Its inceases inhibitory (gaba) NT and reduces stimulatory (glutamate) NT
What are the pros and cons of topiramate
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
What role to sobering up centres play
Safe place for detox Access to practiacal resources like shower bed and laundry Addict is monitored Link to further treatment Support of the police
Describe a breif interventions who are the most useful too
1-5 sessions
Self help material
Intervene on decison making goal setting problem solving and relapse prevention
Most effective for those with mild addiction
What is the purpose of motivational interview who does it work best on
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
What takes place during individualised counseling
Focuses on stoppingg drug use
Adress related areas of impaired functioning
Emphasis on short term behavioural goal
Sessions once or twice a week
What does relapse prevention focus on
Identifying and avoiding high risk situations and dealing with slip ups
Exploring pros and cons of use
Self monitor to recognise cravings
What types of things would someone undergoing social skills training take part in
Stress management/relaxation Depression management Budgeting Recreational therapy Employment training Nutritional counselling Assetion training
What are residential treatment services
Gives those with severe dependence and lack of stable accommodation a place to live
What is meant be theraputic community
Residential program that is run by people who have successfully completed the program
What is voucher based reinforcement who mainly recieves this treatment
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
How do prize incentives differ from voucher based reinforcement
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
