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Substance Abuse Treatment
PROFILE OF A DRUG ABUSER
MOST PEOPLE IN TREATMENT ARE BETWEEN 18-25 YEARS OF AGE
MANY DRUG ABUSERS SUFFER FROM MENTAL HEALTH PROBLEMS
30-40% OF DRUG ABUSERS ARE HOMELESS
THOSE IN TREATMENT USE MULTIPLE DRUGS
BENEFITS OF DRUG TREATMENT
LESS EXPENSIVE THAN INCARCERATION
ILLICIT DRUG USE IS REDUCED CRIMINAL ACTIVITY DECLINES MORE STABLE EMPLOYMENT REDUCED TRANSMISSION OF
BLOODBORNE INFECTIONS
Components to Treatment
1. Detoxification2. Counseling3. Support Groups
DETOXIFICATION
THE GOAL OF DETOXIFICATION IS SAFE WITHDRAWAL
ANOTHER GOAL FOR DETOXIFICATION IS PROVIDING FOR A HUMANE WITHDRAWAL
DETOXIFICATION SHOULD PREPARE THE CLIENT FOR ONGOING TREATMENT
COUNSELING
AFTER DETOXIFICATION IT IS CRITICAL FOR THE CLIENT TO BE COUNSELED TO BEGIN TO DEAL WITH THE ISSUES THAT WERE CENTRAL TO USING DRUGS AS A COPING MECHANISM
SUPPORT GROUPS
SUPPORT GROUPS ARE IMPORTANT TO ASSIST THE CLIENT TO STAY CLEAN AND SOBER
TREATMENT ISSUES
VOLUNTARY VERSUS COMPULSORY TREATMENT
MATCHING PATIENTS AND TREATMENT
TREATING ADOLESCENT DRUG ABUSERS
PROBLEMS ASSOCIATED WITH TREATMENT
CLIENT RESISTANCE TO TREATMENT COMMUNITY RESISTANCE CLIENT PREFERS CONTINUING DRUG
USE RELAPSE PERSONEL RECRUITMENT AND
RETENTION
TREATMENT PROGRAMS
METHADONE MAINTENANCE THERAPEUTIC COMMUNITIES OUTPATIENT TREATMENT INPATIENT TREATMENT SELF-HELP GROUPS
METHADONE MAINTENANCE
METHADONE IS A SYNTHETIC DRUG THAT ELIMINATES WITHDRAWAL SYMPTOMS FROM OPIATES AND PREVENTS AN OPIATE ADDICT FROM EXPERIENCING EUPHORIA
METHADONE MAINTENANCE IS EFFECTIVE ONLY FOR HEROIN
METHADONE MAINTENANCE
THE DEMAND FOR METHADONE MAINTENANCE IS HIGH
WAITING LISTS FOR METHDONE MAINTENANCE PROGRAMS CAN BE UP TO ONE YEAR
THERAPEUTIC COMMUNITIES THERAPEUTIC COMMUNITIES (TC) ARE DRUG-
FREE RESIDENTIAL SETTINGS WHERE ABUSERS RESIDE FOR 1-2 YEARS
TCs STRESS GROUP INTERVENTION TECHNIQUES AND LIFE IN A TC IS VERY STRUCTURED WITH CLIENTS BEING GIVEN CHORES (HENCE COMMUNITY)
THE BIGGEST PROBLEM IN TCs IS THE HIGH DROPOUT RATE
OUTPATIENT TREATMENT
OUTPATIENT TREATMENT INCLUDES COUNSELING, GROUP THERAPY, VOCATIONAL/EDUCATIONAL SERVICES
INPATIENT TREATMENT
INPATIENT TREATMENT ARE HOSPITAL BASED
INPATENT TREATMENT HAS BEEN SHOWN TO BE NO MORE EFFECTIVE THAN INTENSIVE OUTPATIENT TREATMENT
SELF-HELP GROUPS
SELF-HELP GROUPS HELP PEOPLE TO STAY CLEAN AND SOBER
EXAMPLES INCLUDE ALCOHOLIC ANONYMOUS
ALCOHOLIC ANYONMOUS IS A POPULAR SELF-HELP GROUP THAT FOLLOWS A 12 STEP MODEL
REASONS FOR NOT SEEKING TREATMENT
UNAVAILABILITY OF FACILITIES COST OF TREATMENT STIGMATIZATION FACILITY PHILOSOPHY SOME PREFER DRUG USE FEAR OF BECOMING KNOWN TO LAW
ENFORCEMENT
FACTORS THAT PREVENT DRUG RELAPSE
Marriage Steady Employment Compulsory Supervision New Relationships Belonging to a Desirable Group A Substitute Dependency
ALCOHOL TREATMENT
ALCOHOLICS ANONYMOUS MODERATE DRINKING DISULFIRAM NALTREXONE
ALCOHOLICS ANONYMOUS THE MAIN FOCUS OF THE 12 STEP
MODEL IS THAT A PERON ADMITS TO BEING POWERLESS OVER ALCOHOL AND CANNOT OVERCOME ALCOHOLISM WITHOUT ASSISTANCE FROM A HIGHER POWER (RELIGIOUS CONVICTION IS IMPORTANT)
THE ONLY REQUIREMENT FOR AA IS THE DESIRE TO STOP DRINKING
MODERATE DRINKING
MODERATE DRINKING IS A CONTROLLED DRINKING APPROACH WHEREBY THE ALCOHOLIC CAN RESUME DRINKING IN A MODERATE WAY
AN EXAMPLE OF MODERATE DRINKING INCLUDES MODERATION MANAGEMENT (MM)
DISULFIRAM (ANTABUSE)
DILSULFIRAM (ANTABUSE) IS A DRUG THAT WHEN TAKEN ACTS AS AN ADVERSIVE AGENT BY INTERACTING WITH ALCOHOL IN SUCH A WAY THAT THE DRINKER BECOMES VIOLENTLY ILL WHEN HE/SHE COMSUMES ALCOHOL
NALTREXONE
NALTREXONE TRADITIONALLY IS USED TO BLOCK THE EFFECTS OF OPIATES BUT HAS BEEN SHOWN EFFECTIVE IN ALCOHOL TREATMENT
Summary Most people in treatment are between 18-25
years of age Substance abuse treatment has documented
benefits Detoxifcation, counseling, and support groups
are key elements to treatment There are a wide variety of treatment options
available The more structure to one’s life relapse is less
likely
Recommended