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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 Treatment is all of the
interventions intended to short-circuit the addiction process and to introduce the individual to effective recovery
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
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
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
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
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
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
Comprehensive Assessment How do you determine level of
addiction? How to you determine level of
care? What is included in a
comprehensive assessment?
Levels of Use Experimental Use Social Use Substance Abuse Addiction Dependency Components of Dependency
Psychological Physical
Continuum of Care
Outpatient
IntensiveOutpatient
InpatientResidential
Medical ModelGroup
Home
Detox
Sober Living
Home BasedFamily
AssessmentCase Management
Comprehensive Assessment
DetermineLevel of Use
DetermineLevel of Care
Treatment Modalities Outpatient
Non-intensive 9 or less Intensive 9 – 20 Day treatment – spend day can be
education focused if youth
Treatment Modalities continued
Inpatient/residential Medically monitored intensive
inpatient Residential Therapeutic Communities Group homes/transitional living Detoxification
Self-help
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.
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
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
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.
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
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
Interventions Associated with No or Minimal Change
Passive referrals
Educational units alone
Probation services as usual
Non-standardized outpatient treatment
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
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
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
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
Expressive and Experiential Therapies Music Therapy – using music to achieve
treatment goals
Art Therapy
Journaling
Autobiography
Question to Providers Take 5 minutes and work with
group to develop questions you have for your treatment provider.
