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URICA DAST InDUC ASI
The client choosing to leave Waiting lists Formal treatment is no longer needed All of the above
Ease and availability of substances Being in a setting where use is prevalent Classical conditioning Advertising and media
Reaching out to for help Working the program Having a sponsor Working the first four steps
Family members of those with substance use disorders often have high emotional distress Family members of those with substance use disorders are dysfunctional Stress in family relationships can occur as a result of negative effects of substance use A cycle can occur from the family stress (described above) leading to more stress and substance use
simply repeating back what the client said the testing of a hypothesis putting into words a nonverbal cue a way to clarify what the client meant
Strong personal discomfort in groups Severe impulse or anger control problems Suicidal or in acute crisis Lacking social skills
Measure outcomes Advice Feedback Empathy
work best in conjunction with cognitive behavioral therapy is associated with better post treatment outcomes is conducted in a one on one setting so it can be individualized can be offered efficiently by being provided in a group setting
Descriptive of the process of changing thought patterns A central concept in cognitive theory Used to change maladaptive thought Is one of the models of addiction
The substance use is the cause of the other mental disorder The other mental disorder causes the substance use disorder Both disorders are caused by a third factor All of the above are possible reasons
unconditional positive regard reflective listening accurate empathy genuineness
Sedatives Agonists Depressants Stimulants
Plant doubts Get a firm commitment to change Create ambivalence Get to the contemplation stage
A method that can be used as an adjunct to other treatment Twelve to 20 weekly sessions of 50–60 minutes each Moderately to highly structured More effective than the briefer six session version
It attracts people earlier, before their drinking has created more extensive life problems It provides an evaluation for individuals who normally are not motivated to a point of seeking treatment It prevents the need for further treatment It leads to a reduction in drinking by most participants
IDTS AUDIT MAST AUI
Assessing and addressing barriers to adherence Double booking Negotiating a trial period Conducting a role induction interview
I pledge to I guarantee I vow I know
More accurate assessment results Improved treatment attendance Doubled rate of post treatment abstinence Improved attendance in other settings such as methadone maintenance
the client will be actively engaged in treatment the counselor is put in the role of “expert” it leads to a passive client role multiple questions can be off-putting
physiological only sociocultural or environmental hereditary or environmental behavioral or physiological
multidisciplinary comprehensive and evidence-based holistic specialized care
Thinking of the benefits of being clean Social support Avoid previous situations associated with use Completion of the treatment plan
services available in multiple settings it is an evidence-based method need for other, more expensive services can be avoided may get clients immediate services rather than being placed on a waiting list
collecting linking transitional outline
Insightful reflection Amplified reflection Double-sided reflection Simple reflection
They are often highly resistive They are ambivalent about their need for change They are in a stage in which a change plan can be started They will not generally respond well to a confrontational approach
SOCRATES InDUC MAST AUDIT
addictions are common it is less expensive than specialized treatment they often occur along with problems that bring people into these settings the problem may be identified earlier before it has become more severe
religious mutual help groups secular mutual help groups moderation groups all of the above
Stabilization Rehabilitation Maintenance Evaluation
the accepted standard for choosing client placement an example of a decision rule system developed by professional consensus a system developed in response to an overuse of inpatient services a system with four levels of care and six dimensions of potential need
It increases self-efficacy The skills learned are crucial to the client’s recovery The skills address an underlying need that could be a relapse trigger All of the above
if there is a restraining order in place related to the couple’s mutual contact if there is a history of domestic violence in the relationship in the case of threatened violence in the relationship in any of the above scenarios
Twelve step groups are not appropriate for those with a dual diagnosis Twelve step groups pressure participants to discontinue medication There is no harm in pressuring a client to attend a twelve step meeting There is no scientific evidence for AA effectiveness
Open questions Reflect Synopsis Affirm
intensive outpatient outpatient residential none of the above
Physical model Social model Management model Health model
Get them started while still in treatment Encourage clients to sample a variety of groups Require participation as one of the components of your program Cncourage attendance three times throughout treatment
Informed self-matching Assessment based matching Natural matching Clinical judgment
It can give false negatives The results can indicate a diagnosis It can give false positives It is intentionally over-inclusive
Fallacy of fairness Mind reading Generalization Global labeling
Premature termination Returning to substance use Termination for cause Coming to the end of group therapy
Requesting change Conflict resolution Problem solving Identifying problems
family history personal strengths prior treatment academic records
It may be required by insurance companies It is different from screening and evaluation Does not indicate treatment needs on its own It engages the client in treatment
adaptation of the body to a substance a reduced effect of a given dose of a substance one of the dimensions of addiction all of the above
I am prepared to I mean to I think I will I wager
There are different meeting formats Another term for these groups is twelve step facilitation therapy Closed meeting are restricted to members of the group There are groups geared toward various demographic groups
Emphasizing personal choice Shifting focus Discussing benefits of change Listening for wisdom
Organized Thoughts Response Situation
Stable/unstable Steady/unsteady Global/specific Internal/external
they need to stick to their own specialization they have plenty of time but prioritize it in other areas they have a belief that a specialized skill set is needed to treat addictions they have been told not to treat these areas
difficulties problems struggles hassles
An evidence-based practice A skill that can be learned A particular kind of listening A motivational interviewing tool
They are common and do not indicate failure They will grow steadily stronger They occur for a reason and it is important to learn those reasons They are temporary
helps ensure that the client maintains lasting sobriety is positively correlated to sobriety three months after treatment is not correlated to the success of the substance related treatment can be accomplished via referral
it is more effective than other treatment models there is not really a need for longer treatment it taps into the client’s self-regulatory process and motivation it is the approach that is best matched to those with substance use disorders
distract endure escape all of the above
the need for responsible use by those without a problem may be missed the problem is identified at a certain point and can then be addressed the focus is on whether or not an addiction exists instead of on other important factors problems can be addressed earlier because they can be identified earlier
CAGE MAST AUI ASAM
precontemplation contemplation preparation denial
Disturbed spouse hypothesis Disturbed family hypothesis Games alcoholics play hypothesis Codependence hypothesis
A daily trust discussion Reviewing the recovery calendar weekly in session Talking about future potential use throughout the week Encouragement, praise, and reinforcement
is one of the least comprehensive models of case management is not appropriate for dually diagnosed clients pursues one primary goal at a time includes a greater emphasis on therapeutic skills
Causal factors The self-medication hypothesis Super sensitivity to alcohol or other drugs Common factors
RAPS4 ASAM ADS DUDIT
AUDIT MAST DUDIT AUI
research has demonstrated that it works it is more effective than other research backed methods it is used in forensic psychology the base of the program is used for evidence
Cognitive-behavioral therapy and motivational interviewing None – because therapy has different goals than harm reduction Motivational interviewing only Cognitive-behavioral therapy only
The substance or behavior for which the group is intended An emphasis on ego deflation versus self-enhancement Peer support versus professional treatment The inclusion or exclusion of a spiritual focus
date, time, and situation in which it occurred a rating of the strength of the urge who was responsible for the urge the response to the urge
The client’s stage of change When the appointment is made Convenience The model of detoxification used
Job skills Academic skills Social skills Emotion regulation
Contemplation Preparation Action Implementation
It is often a less expensive option It ensure that adequate treatment will be provided from the first treatment setting There is less likely to be a wait for treatment It can provide interim services during a wait for more intensive care
religious prohibitions recognition of addictive properties of substances emphasis on spiritual factors in some peer support models how it is viewed in judicial settings
takes place in one session is an hour plus in length can be used in general mental health and in specialized addiction treatment settings involves family members describing the effects of their loved one’s use
It is the treatment method which has the strongest support in the research for its efficacy It is less effective than treatment that involves the entire family It produces better results than individual therapy It provides other benefits such as reduced domestic violence and reduced social costs
husband/father adolescent wife/mother it is equally beneficial for all family members
Multisystemic therapy Brief strategic family therapy Family behavior therapy Multidimensional family therapy
MAST CAGE AUDIT DUDIT
Discussing displeasing actions in the therapy session Increasing positive behaviors Sharing positive activities Listing and noticing pleasing behaviors
Skills practicing in session and outside of therapy Functional analysis of substance use Coping skills training Examine the cognitive process involved in use
mild, moderate, severe minor, average, extreme misuse, abuse, dependence mild, medium, severe
ASPD The quadrant model Integration models IIDT
AUI MAST ASI InDUC
Concluding the group Resistance Cross-talk Self-disclosure
eating disorders impulse control disorders mood disorders cognitive disorders
it would not work with couples in which both partners have a substance use disorder it has limited effectiveness in couples without relational distress it is not known whether effectiveness of this model extends to other types of couples both a and b
Considering symptoms that dissipate after stabilization Deciphering between the effects of use and withdrawal and symptoms of other disorders Completing a comprehensive assessment Insurance will not cover diagnosing two conditions
a signal that a change in counseling style is needed classic denial normal and natural, even expected a common feature of the contemplation stage of change
Mutual help is a better descriptor than self-help because of the support of others that is inherent inthese groups They are comprised of others who are also seeking recovery They have been met with mixed opinions from the treatment community They are the most common form of treatment available
a client’s suggestion studies designed to identify personality characteristics associated with leaving treatment research into motivational interviewing approaches research unrelated to substance use
roll with resistance develop discrepancy express empathy pursue argumentation
Following a relapse prevention plan Maintenance medications Self-monitoring Dealing with problems
Matching treatment to client needs Selecting appropriate staff Creating a client friendly environment All of the above
Duration and frequency of treatment Group size Procedures for a client leaving the group Treatment goals
Lab tests alone have low sensitivity Corroboration of self-reports Liver disease can interfere with results Metabolism can skew results
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