Treatment for Heroin Addiction- Abstinence Based Treatment Programmes Flashcards
What is the goal of abstinence-based treatment?
Involves one day at a time abstaining from taking any substances
Goal is to not replace heroin with state-funded drugs such as methadone
What is focus 12?
A charity rehab in Bury St Edmunds which promotes abstinence-based treatment
Community-based therapy clients stay in carefully chosen properties in Bury St Edmunds
How long does focus 12 last?
Treatment programme will last around 7 weeks and aims to encourage social responsibility and provide social support and counselling
What do clients experience in focus 12?
Experience ‘real-life recovery’ - surrounded by all the temptations they will face once they leave therapy
How does focus 12 ensure clients aren’t completely cut off from society?
Clients are partnered with a ‘buddy’ and they are free to make their own way to and from treatment
Ensures not cut off from society and enables them to develop coping mechanisms for their future life and ongoing recovery
How does focus 12 involve clients in their recovery?
Involves clients in care planning process and therapy is holistic and no-judgemental
Family and friends can also be involved in the treatment plan
How are clients supported in focus 12?
Supported during their detox using group therapy and one-to-one counselling
Attend workshops including complementary therapies such as art and yoga
What is the supporting evidence/strengths of abstinence-based treatments as a treatment for heroin addiction?
National Drug Treatment Monitoring System
Tackle root cause
Not replacing one substance for another
Reductionism
Social control
What is the refuting evidence/weaknesses of abstinence-based treatments as a treatment for heroin addiction?
De Leon (1985)
Accessibility
Why is the National Drug Treatment Monitoring System supporting evidence of abstinence-based treatments as a treatment for heroin addiction?
NDTMS carried out an audit in 2012 using 2,972 addicts who had completed a rehab programme such as focus 12
Found that 28% of these individuals had successfully overcome their dependence and required no further treatment
Why is tackling the toots cause of addiction a strength of abstinence-based treatments as a treatment for heroin addiction?
Can help addicts to tackle the root cause of their addiction through group therapy and one-to-one counselling
Once individual understands why they use drugs, they can address these problems and reduce the likelihood that they will use drugs again
Why is not replacing one substance with another a strength of abstinence-based treatments as a treatment for heroin addiction?
Addict not simply replacing one substance with another (methadone) which can also be addictive
They are receiving motivational enhancement and incentive strategies in these programmes which can improve treatment engagement
Why is reductionism a strength of abstinence-based treatments as a treatment for heroin addiction?
May be viewed as more holistic than many therapies
Treatment is a package involving detoxification combined with group therapy, one-to-one counselling and complementary therapies
Family and friends can also be involved in treatment plan helping ensure that all areas of addicts life are addressed
Why is social control a strength of abstinence-based treatments as a treatment for heroin addiction?
Treatments such as focus 12 involve clients in the care planning process meaning that it’s not simply a health professional who is prescribing what the client must do, its a two-way process
Clients free to make their own way to and from treatment
Why is De Leon (1985) refuting evidence of abstinence-based treatments as a treatment for heroin addiction?
Studies have reported many patients leave residential rehabilitation programmes such as focus 12 prematurely
De Leon found that a quarter of therapeutic community clients left within two weeks and 40% within three months
