Alcohol and Drug Addiction L21 Flashcards Preview

Chronic Disease > Alcohol and Drug Addiction L21 > Flashcards

Flashcards in Alcohol and Drug Addiction L21 Deck (13):

___1___ dependency is a cause for concern but you would not require medical treatment. Would not benefit from intensive treatment. Just need to recognise it and treat it unassisted.

___2___ dependency would need assisted treatment, possible through drugs, probably through psychosocial treatment. Normally delivered in community session to receive treatment program. The vast majority of alcoholics receive treatment this way.

___3___ dependency can go into special facility to detox and recover.

1. Mild

2. Moderate

3. Severe



Stats on alcoholism

  • 24% of the population are harmful alcohol users
  • 6% of the population (1.6m) are dependent
  • 8,748 deaths directly attributable
  • 1.2m hospital admissions
    • 50,000 for alcoholic liver disease

Getting worse:

  • 135% increase in admission in a decade
  • Alcoholic liver disease in under 30’s increased by 177% (400% in NE)
  • Liver disease deaths in Britain rising 20% in decade


Drug addiction is more common with lower ___1___, alcoholism more with higher. This is one of the main reasons drug addicts receive treatment more often because they become ___2___ due to theft etc. to pay for their habit. Alcoholics however, tend to have enough money to afford their addiction and therefore do not become ___2___. Also alcohol is legal and drugs are not - another reason for greater criminalisation with drug addiction.

1. Income

2. Criminalised


State the 4 components of alcoholism/drug treatment.

  1. Engagement
  2. Motivation
  3. Treatment (medical/psychosocial)
  4. Reintegration


Components of alcoholism/drug treatment

Describe engagement.

Addict needs to first want to and then able to come in for treatment. Usually need denial.


Components of alcoholism/drug treatment

Describe motivation.

Motivate patient to want to be cured. Step on from denial.


Components of alcoholism/drug treatment

Describe treatment.

Drug specific medication. Always psychosocial treatment.


Components of alcoholism/drug treatment

Describe reintegration.

Eased back into society safely. Job, home, help from friends etc.


State the 6 components of the alcoholism/drug treatment pathway.

  1. Case management
  2. Harm reduction
  3. Stabilisation
  4. Detoxification
  5. Treatment programme
  6. Aftercare programme


State the 6 components of the alcoholism/drug recovery process.

  1. Admit you have a problem, and that drugs are it (12 Step)
  2. Find a higher power
  3. Develop new ways to think and cope
  4. Deal with your other stuff
  5. Have a plan to continue developing (12 Step)
  6. Help other addicts


Psychosocial treatment models for alcohol/drug misuse

  • Draw on psychological therapy models, particularly psycho-educational approaches and CBT
  • Aim to bring about a profound psychological ___1___
  • Aim to facilitate a process of change
  • Focus on behavioural interactions and skills-building
  • Teach people how to seek help, resist internal and external pressure
  • Include ___2___ reduction and ___3___ prevention
  • Can be structured, or through keywork and groupwork

1. Realisation

2. Harm

3. Relapse


What is the confounding factor of the causal link between drugs and crime?


Economic status

Poor people commit most of the crime, most drug addicts = poor.

There is a causal link between drugs and crime, just not as strong as the stats suggest.


Sample structured model for addiction

13 week course, 40x 1.5 hour sessions, delivered over 3 sessions per week

Three phases:

  • ___1___:
    • 2x orientation and assessment sessions plus peer support
  • ___2___ phase:
    • 30 treatment sessions plus assignments
  • ___3___ phase:
    • Exit and relapse planning
    • Celebration

1. Induction

2. Treatment

3. Exit