treatment 101 substance abuse basics

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Treatment 101 Substance Abuse Basics West Coast Consulting Wanda King [email protected]

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Treatment 101 Substance Abuse Basics. West Coast Consulting Wanda King [email protected]. Objectives. You will be able to: Define key treatment terms Describe the basic framework for a continuum of care Develop questions to ask your treatment provider. What Is Treatment. - PowerPoint PPT Presentation

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Page 1: Treatment 101 Substance Abuse Basics

Treatment 101Substance Abuse Basics

West Coast ConsultingWanda King

[email protected]

Page 2: Treatment 101 Substance Abuse Basics

Objectives You will be able to:

Define key treatment terms Describe the basic framework for a

continuum of care Develop questions to ask your

treatment provider

Page 3: Treatment 101 Substance Abuse Basics

What Is Treatment Treatment is all of the

interventions intended to short-circuit the addiction process and to introduce the individual to effective recovery

Page 4: Treatment 101 Substance Abuse Basics

Comprehensive Assessment How do you determine level of

addiction? How to you determine level of

care? What is included in a

comprehensive assessment?

Page 5: Treatment 101 Substance Abuse Basics

12 Core Competencies Screening – process by which a client is

determined appropriate and eligible for admission to a program

Client Intake – process of collecting client information at the beginning of treatment that is used in assessment of a client for treatment

Client Orientation – individual or group sessions to familiarize clients with program service expectations and goals

Page 6: Treatment 101 Substance Abuse Basics

12 Core Competencies Client Assessment – confirms the

presence of a problem and helps illuminate other problems connected with the substance abuse disorder. Is used to develop and appropriate set of interventions

Treatment Planning – defining areas of strengths and needs establishing long and short term goals and developing an appropriate plan for reaching these goals

Page 7: Treatment 101 Substance Abuse Basics

12 Core Competencies Individual Counseling – one to one

counseling with the client and/or with clients family

Group Counseling – process involving clients for the purpose of exploring client issues with other clients

Family Counseling - process of exploring the dynamics of the family system

Page 8: Treatment 101 Substance Abuse Basics

12 Core Competencies Case Management – activities which

bring services, agencies, resources or people together and work toward the achievement of established goals.

Crisis Intervention – services which respond to a client with alcohol or other drug issues during acute emotional and/or physical distress

Page 9: Treatment 101 Substance Abuse Basics

12 Core Components Client Education –seminars or workshops

which have the major goal of increasing the clients’ knowledge and patterns of problem behavior

Referral – identifying strengths and needs of the client that cannot be met by the counselor or agency and assisting the client to use the support systems and community resources available

Page 10: Treatment 101 Substance Abuse Basics

12 Core Components Record Keeping – charting the results of

the assessment and treatment plan: writing reports, progress notes, discharge summaries and other client-related data

Consultation – discussing with counselors and other professionals the client’s treatment to assure comprehensive, quality care for the client

Page 11: Treatment 101 Substance Abuse Basics

Levels of Use Experimental/Use Social Use Drug Abuse Addiction/Dependency Components of Dependency

Psychological Physical

Page 12: Treatment 101 Substance Abuse Basics

Continuum of Care

OutpatientLess 9 Hr

OutpatientLess 9 Hr

IntensiveOutpatientIntensive

Outpatient

InpatientResidentialInpatient

Residential

Medical Model

Medical Model

Group Home

Group Home

Short/longShort/long

Home BasedHome Based

AssessmentCase- Management

AssessmentCase- Management

Page 13: Treatment 101 Substance Abuse Basics

Treatment Modalities Outpatient

Non-intensive 9 or less Intensive 9 – 20 Day treatment – spend day can be

education focused if youth

Page 14: Treatment 101 Substance Abuse Basics

Treatment Modalities continued

Inpatient/residential Medically monitored intensive

inpatient Residential Therapeutic Communities Group homes/transitional living Detoxification

Self-help

Page 15: Treatment 101 Substance Abuse Basics

Principles for Effective Treatment

1. No single treatment is appropriate for all individuals? True: matching treatment services to

individual problems and needs is critical to success

2. It is not important for treatment to be available immediately? False: Because people may be uncertain

about entering it is important to take advantage of opportunities when they are.

Page 16: Treatment 101 Substance Abuse Basics

Principles for Effective Treatment

3. Effective treatment addresses only AOD use? False: to be effective treatment must

address drug use and any other associated problems.

4. Treatment plans must be updated on a regular basis? True: participants may require varying

services and treatment components during the course of treatment

Page 17: Treatment 101 Substance Abuse Basics

Principles for Effective Treatment

5. The length of treatment does not impact treatment effectiveness? False: appropriate time in treatment

depends on individual problems and needs. 6. Medications are an important

element of treatment for many patients. True: methadone is effective in helping

individuals addicted to opiates. For participants with mental disorders medications can be critical

Page 18: Treatment 101 Substance Abuse Basics

Principles for Effective Treatment

7. Drug using or addicted individuals should deal with co-existing mental disorders first? False: because addictive disorders and mental

disorders often occur in the same individual clients presenting for either condition should be assessed and treated for both.

8. Detox by itself can change long-term drug use? False: medical detox safely manages symptoms

of withdrawal but is rarely sufficient to help addicts achieve long-term abstinence.

Page 19: Treatment 101 Substance Abuse Basics

Principles for Effective Treatment

9. Treatment does not need to be voluntary to be effective? True: coerced and voluntary treatment has

about the same success outcome rates 10. Recovery from addiction can be long-

term and frequently requires multiple treatment episodes? True: as with other chronic illnesses, relapses

to drug use can occur during or after successful treatment episodes. Addicts may require prolonged treatment and multiple treatment episodes to achieve long-term abstinence

Page 20: Treatment 101 Substance Abuse Basics

Adolescent Treatment in Juvenile Drug Court

Elements associated with effectiveness Assessment and treatment matching Ability to engage and retain Comprehensive integrated approach Qualifications of staff Aftercare and relapse prevention Gender/culturally appropriate Family involvement Developmental appropriateness

Page 21: Treatment 101 Substance Abuse Basics

Interventions Associated with No or Minimal Change

Passive referrals

Educational units alone

Probation services as usual

Non-standardized outpatient treatment

Page 22: Treatment 101 Substance Abuse Basics

Interventions Associated with Deterioration

Treatment in groups that include one or more highly deviant individuals

Treatment of adolescents in adult units and/or with adult model and materials

Page 23: Treatment 101 Substance Abuse Basics

Relapse What is relapse

A process in which an individual who has abstained from use for a period of time begins to think about using, then uses

What is relapse prevention A set of strategies to train AOD users to

cope more effectively and overcome triggers in their environment

Page 24: Treatment 101 Substance Abuse Basics

Relapse Anticipate relapse

Natural part of recover Should not be confused with program failure Prevention should start in the beginning

Prepare for relapse Occurs in first 3 – 12 months Program cannot predict # of times Determine how program will respond Distinguish between relapse and ongoing use Teach participants about triggers

Page 25: Treatment 101 Substance Abuse Basics

Relapse Warning Signs Unscheduled absences from sessions Changes in attitude and mood Change in level of engagement Physical changes – weight, sleep, health Change in performance in school or job Family report of changes in home

interactions

Page 26: Treatment 101 Substance Abuse Basics

Expressive and Experiential Therapies Music Therapy – using music to achieve

treatment goals

Art Therapy

Journaling

Autobiography

Page 27: Treatment 101 Substance Abuse Basics

Question to Providers Take 5 minutes and work with

group to develop questions you have for your treatment provider.