Term
| Chemical dependency is associated with a broad range of problems related to what 9 areas of functioning? |
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Definition
1. Medical and Health
2. Psychiatric Status
3. Psychological
4. Family
5. Social
6. Legal
7. Occupational and Academic
8. Economic
9. Spiritual |
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Term
| List substance abuse patterns. |
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Definition
1. Use, abuse or become dependent on legal or illegal substances
2. Poly-dependence
3. Daily, episodic to occasional
4. Large to lesser quantities |
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Term
| The effects of substance abuse on dual-diagnosed client or family depends on what? |
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Definition
1. Amount
2. Type
3. Frequency
4. Pattern
5. Methods of use |
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Term
| What is the neurological process that stimulate or lead to addiction? |
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Definition
Mesolimbic Dopamine Pathway
Highjacking of the brains reward pathway ultimately results in psychological dependence on DOA |
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Term
| What happens when the brain is exposed to substances? |
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Definition
1. Brain normally engaged in delicate biological processes, while drugs of abuse alter normal brain functioning
2. Brain remarkable organ; adjusts itself so that it gradually returns to normal level of functioning, in spite of impact of DOA on its natural physiology...this is called tolerance (a reduction in effect of drug over time, or need for higher doses.
3. Withdrawal occurs when amount is reduced or removed completely. Brain has to undo adaptive changes made.
4. Tolerance and withdrawal comprise elements of what the DSM-IV-TR call physical dependence. |
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Term
| Name nine substance-induced disorders (mental health symptoms as a result of substances used) |
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Definition
1. Sub taken in lrg amts or over longer periods of time
2. Desire or unsuccessful efforts to cut down or control
3. Time spent in activities necessary to get sub, take sub, or recover from effects
4. Intoxication or withdrawal symptoms when expected to fulfill obligations; use when physically hazardous
5. Social, occupational, rec activities given up or reduced because of substance use |
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Term
| Name nine substance-induced disorders (mental health symptoms as a result of substances used) CONTINUED |
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Definition
6. Continues use despite having persistent or recurrent social, psych, or physical problems caused or exacerbated by use of sub
7. Develops tolerance or diminished effects with continued use of same amount
8. Client manifests characteristics of withdrawal symptoms related to types of sub used
9. Use to relieve or avoid withdrawal symptoms |
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Term
| Signs of intoxication (substance specific) |
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Definition
1. slurred speech
2. lack of motor skills
3. disorganized thoughts
4. drowsiness
5. stupor (alertness) |
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Term
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Definition
1. convulsion
2. sleeplessness
3. awareness
4. mood - irritability, anxious, depression
5. vomiting,diarrhea |
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Term
| What are the 10 elements that are critical to attain during an assessment? |
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Definition
1. medical
2. psychological
3. family
4. educational
5. occupational
6. legal
7. spiritual
8. social
9. interpersonal
10. recreational functioning |
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Term
| When attaining substance use history, what eight things should you include? |
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Definition
1. Specific types of sub used
2. Patterns of use
3. Amounts of use of each sub
4. Methods of administration
5. Drugs of preference
6. Use of multiple sub
7. Effects of sub use
8. Level of motivation to change |
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Term
| What purpose does laboratory tests serve when working with individuals who use substances? |
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Definition
1.Lab tests used for assessment and ongoing treatment
2. Helps in diagnosing sub use, especially when relationship between client's use of chemical and the presenting symptoms is unclear
3. Medical treatment vs. mental health treatment vs. substance abuse treatment
4. Used to provide feedback
5. Used to evaluate effectiveness
6. Effective in monitoring abstinence |
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Term
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Definition
1. Cognitive behavioral therapy
2. 12 step programs/facilitation therapy
3. Group drug counseling
4. Family and marital support/counseling
5. Community reinforcement approach
6. Relapse prevention |
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Term
| 12 therapeutic models CONTINUED |
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Definition
7. Motivational enhancement therapy
8. Supportive-expressive psychotherapy
9. Contingency management
10. Cue exposure
11. MATRIX model of treatment of cocaine or meth dependence
12. Recovery training and self-help |
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Term
| Psychosocial treatment of chemical dependency |
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Definition
1. Chemical dependency is a chronic, multifaceted disorder with many causes and adverse consequences, left untreated it can be fatal.
2. Each chemically dependent individual is unique.,
3. Specific needs and goals of your client will be different as well.
4. Recommend using a recovery oriented philosophy.
5. Recovery program typically involves some combination of professional txt, participation in self help programs, and self management strategies |
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Term
| 13 Principles of drug abuse treatment |
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Definition
1. No single treatment appropriate for all
2. Treatment should be readily available
3. Must address multiple needs of client, not just substance use
4. Treatment plan should be continually assessed and modified
5. Adequate time in treatment
6. Individual and group therapies critical
7. Meds are important and best in combination with counseling |
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Term
13 Principles of drug abuse treatment
CONTINUED |
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Definition
8. Those with psych disorders to be treated in an integrated way
9. Detox is only first stage for those needing services
10. Treatment does not have to be voluntary to be effective
11. Treatment should continually monitor substance use
12. Assess and txt for HIV/AIDS, hep, TB and other infectious diseases
13. Recovery id a long term process, may require multiple txt |
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Term
| What is therapy sabotaging behavior? |
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Definition
| Attitudes or behaviors decreasing the likelihood of positive change or the appropriate use of therapy |
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Term
| Wha professional and self-help services do you need to be familiar in order to best support the individual(s) you are delivering services to or working with during treatment? |
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Definition
1. Acute care
2. Long term care
3. Day hospital
4. Residential community programs
5. Detox centers
6. Chemical dependencies rehab programs
7. Halfway houses
8. Therapeutic communities
9. Social and vocational services
10. Self help programs for addiction, psychiatric illnesses and dual disorders
11. Family support groups |
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Term
| When working with individuals who are on medication, in terms of treatment, what are several important elements we must be attentive to and actively remain involved with? |
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Definition
1. Medications combined with counseling or psychotherapies can provide enhanced txt outcomes for chemically dependent clients
2. Medications are not stand alone treatments for chemical dependency; they are adjuncts to alleviate withdrawal symptoms and reduce substance craving so that the client may engage in rehabilitation more effectively
3. Who's interests are we paying attention to
4. Slippery slope |
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Term
| What are the six dimensions of (ASAM)? |
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Definition
1. Intoxication and withdrawal potential
2. Biomedical conditions and complications
3. Emotional or psychological conditions or complications
4. Recovery attitude and acceptance
5. Recovery environment
6. Relapse potential |
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