Download - SOC 204 Goldberg Chapter 15 Treatment
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SOC 204 Drugs & Society
Chapter 15 Substance Abuse Treatment
Goldberg
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Attendance: 11/17/15Do you know someone who
has been in treatment (rehab)?
33%
67% A. Yes
B. No
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Treatment Video
http://digital.films.com/PortalViewVideo.aspx?xtid=30382
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Treatment & Recovery
• Defining treatment goals
• Programs:
• Inpatient
• Outpatient
• Counseling
• Individual
• Group
• Family
• Pharmacotherapies
• AA and other 12-step models
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Before we can evaluate the success of a drug treatment program, we have to understand the
program’s
A. Administrative structure.
B. Training requirements.
C. Goals.
D. Theoretical approach.
Admin
istra
tive st
ruct
ure.
Train
ing r
equirem
ents.
Goals.
Theoretic
al appro
ach.
0%
33%
67%
0%
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Opinion: What do you think the
goal of treatment should be?
A. Complete abstinence
B. Controlled substance use
C. Helping the user make better decisions
D. Other Comple
te a
bstin
ence
Controlle
d subst
ance u
se
Helpin
g the u
ser m
ake be...
Other
33%
0%
33%33%
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Stages of Change
• Motivational Enhancement Interview• Resistance
• Client• Community
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The goal of motivational enhancement is
1. To confront the user with his/her negative behavior
2. Find alternatives to substance use
3. Encourage the user to move to another stage of change
To confro
nt the u
ser w
ith...
Find a
ltern
atives t
o subs..
.
Encoura
ge th
e use
r to m
...
0% 0%0%
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Drug Courts
• Drug treatment courts combine the power of the justice system with effective treatment services
• First drug court was established in 1989 for nonviolent drug offenders whose underlying problem is substance use
• Offenders who complete substance abuse programs may have their sentences dismissed or reduced
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Treatment Modalities
• Detox
• Inpatient
• Outpatient
• Therapeutic Communities
• Self-Help Groups
• Methadone Maintenance
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Treatment Components
• Contingency Management
• Cognitive Behavioral Therapy (CBT)
• Individual, group, family
• Pharmacotherapies
• Detoxification
• Maintenance
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The most widely used treatment for
substance abuse is:
A. Motivational enhancement
B. Pharmacotherapy
C. Cognitive-behavioral therapy
D. Detoxification
Motiv
ational e
nhancem
ent
Pharmaco
thera
py
Cognitive
-behavio
ral t
he...
Detoxifi
catio
n
0% 0%0%0%
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The goal of the maintenance
phase of treatment is
A. Preventing seizures
B. Preventing cross tolerance
C. Preventing relapse
Preventin
g seizu
res
Preventin
g cro
ss to
lera
nce
Preventin
g rela
pse
0% 0%0%
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The Big Picture
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Is Treatment Effective?
• Relapse
• Factors:
• Negative emotional states
• Interpersonal conflicts
• Social pressure
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Benefits of Treatment
•Less expensive than incarceration
•Reduced use of illicit drugs
•Decline in criminal activity
•More stable employment
•Reduced transmission of AIDS
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Treatment Issues
• Four pertinent issues in treating drug abuse:
1. Voluntary or compulsory treatment
2. Matching patients to the best treatment
3. Effectiveness of treatment programs designed for adults for adolescent substance abusers
4. Programs to address female addicts
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Reasons Women Avoid Treatment
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Barriers
• Client Resistance to Treatment:• Many treatment facilities are not readily available or
accessible
• A large percentage of clients lack insurance and cannot afford the cost of treatment
• Policies and philosophies of some facilities deter drug abusers from pursuing help
• Benefits of using drugs outweigh the disadvantages
• Clients think that legal authorities will be made aware of their drug-taking behavior if they enter treatment
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Barriers
• Community Resistance:
• People do not want drug treatment centers in their neighborhoods
• Concerned about more crime, more traffic, exposure of children to bad influences, and lower property values
• NIMBY (not in my backyard) syndrome
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Barriers
• Continuing Drug Use:
• The goal of abstinence is often not realized
• Treatment of at least six months seems to be necessary to reduce drug use significantly
• One study of adolescents in treatment reported that drug usage declined somewhat, but remained high
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Barriers
• Factors that contribute to relapse among alcoholics:
1. Negative emotional states such as frustration, anxiety, depression, anger, or boredom
2. Interpersonal conflicts with a spouse, family member, friend, or employer
3. Social pressure from a person or group of people
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Barriers
• Factors in Personnel Recruitment and Retention:
• Reluctance to work with drug abusers
• Undesirable locations of facilities
• Inadequate supply of applicants with professional experiences and qualifications
• Fear of contracting AIDS