Post on 04-Jul-2015
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SOC 204 Drugs & Society
Chapter 15 Substance Abuse Treatment
Goldberg
Attendance:How are you doing?
A. Doing GREAT!
B. Okay
C. Feeling stressed
Doing G
REAT!
Okay
Feelin
g str
essed
0% 0%0%Response
Treatment Videohttp://digital.films.com/PortalViewVideo.aspx?xtid=30
382
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.
Admin
istra
tive st
ruct
ure.
Train
ing r
equirem
ents.
Goals.
Theoretic
al appro
ach.
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Response
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
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Response
Stages of Change
• Motivational Enhancement Interview• Resistance
• Client• Community
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%
Response
How was your Thanksgiving?
A. Awesome!
B. Too short.
C. Okay.
D. Don’t ask.
Aweso
me!
Too short
.
Okay.
Don’t as
k.
25% 25%25%25%
Response
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
• Contingency Management
• Cognitive Behavioral Therapy (CBT)
• Pharmacotherapies
• Detoxification
• Maintenance
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%
Response
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
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Response
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
• Reported benefits:
• Drug use declined from 73% before treatment to 38% one year after treatment
• Increase in employment from 51% to 60%
• Decline in clients receiving welfare from 40% to 35%
• Drop in homelessness from 19% to 11%
• 53% decline in substance-related medical visits
• 56% reduction in people exchanging sex for drugs
• 51% drop in people having sex with an IV drug user
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
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