soc 204 goldberg ch 15 v2
TRANSCRIPT
SOC 204 Drugs & Society
Chapter 15 Substance Abuse TreatmentGoldberg
Attendance:How are you doing?
A. Doing GREAT!B. OkayC. Feeling stressed
Doing GREA
T!Okay
Feelin
g stre
ssed
0% 0%0%
Treatment Video
http://digital.films.com/PortalViewVideo.aspx?xtid=30382
Treatment & Recovery
• Defining treatment goals
• Programs:• Inpatient• Outpatient• Counseling
• Individual• Group• Family
• Pharmacotherapies• AA and other 12-step models
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.
Administrative
stru
cture
.
Training r
equirements.
Goals.
Theoretica
l appro
ach.
0% 0%
96%
4%
Opinion: What do you think
the goal of treatment should
be?A. Complete
abstinenceB. Controlled
substance useC. Helping the user
make better decisions
D. Other Complete abstinence
Controlle
d substa
nce use
Helping the use
r make be...
Other
29%
0%
71%
0%
Stages of Change
• Motivational Enhancement Interview• Resistance
• Client• Community
The goal of motivational
enhancement is1. 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 use
r with
...
Find alte
rnatives t
o subs..
.
Encoura
ge th
e user t
o m...
14%
81%
5%
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
Treatment Modalities
• Detox
• Inpatient
• Outpatient
• Therapeutic Communities
• Self-Help Groups
• Methadone Maintenance
Treatment Components
• Contingency Management
• Cognitive Behavioral Therapy (CBT)• Individual, group, family
• Pharmacotherapies
• Detoxification
• Maintenance
The most widely used
treatment for substance abuse
is:A. Motivational
enhancementB. Pharmacotherap
yC. Cognitive-
behavioral therapy
D. DetoxificationM
otivational enhance
ment
Pharmaco
thera
py
Cognitive
-behaviora
l the...
Detoxifica
tion
0% 0%
91%
9%
The goal of the maintenance
phase of treatment is
A. Preventing seizures
B. Preventing cross tolerance
C. Preventing relapse
Preventing seizu
res
Preventing cro
ss to
lerance
Preventing relapse
0%
100%
0%
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The Big Picture
Is Treatment Effective?
• Relapse
• Factors:• Negative emotional states• Interpersonal conflicts• Social pressure
Benefits of Treatment
• Less expensive than incarceration
• Reduced use of illicit drugs
• Decline in criminal activity
• More stable employment
• Reduced transmission of AIDS
Treatment Issues
• Four pertinent issues in treating drug abuse:1. Voluntary or compulsory treatment2. Matching patients to the best
treatment3. Effectiveness of treatment programs
designed for adults for adolescent substance abusers
4. Programs to address female addicts
Reasons Women Avoid Treatment
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
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
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
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
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