Week 4 Week 4 RP Groups, Gratitude, Roles, Self-Control, & RP Opioid Dependency

Question 1

What are the RP strategies for opioid dependence?

Answer 1

Long term treatment in inpatient facilities
Therapeutic Communities
Outpatient treatment programs

Question 2

Define various medicated-assisted treatment programs for opioid dependence?

Answer 2

Methadone - opioid agonist that is taken orally once or twice per day. It is usually given in the morning, in dosages at or above 60 mg.
Levo-alpha-acetylmethadol (LAAM) - similar to methadone, but its metabolites accumulate after the initial dose and plasma levels reach a relatively stable state after about 2 weeks of treatment.
- Synthetic opioid similar in structure to methadone. It has a long duration of action due to its active metabolites.
Narcotic Antagonists - medication that counteracts the effects of a drug (e.g., naltrexone)
Buprenorphine – partial-opioid agonist, effects are weaker than full opioid agonists such as methadone and heroin.

Question 3

What is the most widely used opioid in the US?

Answer 3

Heroin

Question 4

What are the two strategies for opioid use disorder?

Answer 4

Abstinence or,
Harm Reduction

Question 5

True or False Abstinence treatment approaches is inclusive of Harm Reduction?

Answer 5

False,
Harm reduction programs are inclusive of abstinence as a goal, but…
Abstinence-based treatment approaches usually do not include harm reduction as a viable treatment goal

Question 6

What are some goals of Harm Reduction treatment?

Answer 6

Harm reduction can range from treatment goals of administering drugs more safely (harm reduction),
changing amount of use (quantity reduction),
or cessation of one or more drugs used (prevalence reduction)

Harm reduction programs are inclusive of abstinence as a goal…

Question 7

What percentage of opioid use disorders have co occurring disorders?

Answer 7

47%,
Up to 47% of patients in treatment for opioid dependence will meet DSM criteria for CODs

Question 8

When working with opioid use disorder clients what would RP treatment need to ensure to address?

Answer 8

Assessment and treatment for these co occurring disorders (CODs) should be considered in a comprehensive RP plan for these clients

Question 9

With opioid drugs, lapses may lead to ________________ episodes of use, so intervening __________ in the process is critical

Answer 9

prolonged

early

Question 10

What are the rates of relapse to heroin that have been reported among heroin abusers exiting treatment?

Answer 10

High rates of relapse 50% and greater

Question 11

What is the most critical period after treatment for a heroin user for lapse / relapse?

Answer 11

within 3 days to 1-week posttreatment

Question 12

What skills will lead to better outcomes for opioid use disorder clients?

Answer 12

Coping Skills

Question 13

What are coping skills?

Answer 13

Coping skills are defined as “any class of cognitive or overt behavior patterns that would deal effectively with problematic situations”

Question 14

What type of therapy challenging to opioid abusers?

Answer 14

Group therapy for opioid abusers can be challenging for counselors because clients are often irritable from painful withdrawal symptoms or heavily sedated from recent methadone dosing