ALL Q'S Flashcards
(27 cards)
What is OST?
Opioid Substitution Treatment to help people with problematic opioid dependency. Often replaced with a longer acting but less euphoric opioid.
When is OST an option for whaiora?
1). Stabilization of life and health.
2). Reduce reoffending due to no need to buy drugs
3). Reduce the likelihood of infections from needle use
What are three reasons for using OST?
- Stabilization of life and health
- Reduce reoffending as there is no need to buy drugs
- Reduce likelihood of infections from needle use.
What is buprenorphine with naloxone? When would you suggest to someone as part of a treatment plan?
- OST.
- Someone who is pregnant (less work/easier pick up, safe for pregnant women and less sedating than methadone).
What are 4 key factors that influence the ability of whaiora to adhere to any medication plan?
- Illness (depression, severity of illness)
- Attitudes and beliefs (culture of not trusting GP)
- Environmental factors (living close to pharmacy)
- Medication factors (side effects…weight gain etc.)
If you were engaged with a Pasifika whaiora, would tool would you use and why?
- Fonofale
- Provides an understanding of health/well-being in Pacific communities
- Highlights interconnection between spirituality, physical & mental health, family & culture
- Supports Pasifika whaiora by incorporating culturally responsive practices. Promotes family involvement & community engagement.
Who created the powhiri poutama model and why?
- Paraire Huata (1987).
- He wrote it to assist whaiora with the engagement processes of counseling. This strengthens the relationship with the counselor.
Who created the powhiri poutama model and why?
- Paraire Huata (1987).
- He wrote it to assist whaiora with the engagement processes of counselling. This strengthens the relationship with the counsellor.
SUD has how many criteria? How many do you need over time?
- 11
- 2 in the past year
SUD has how many criteria? How many do you need over time?
- 11
- 2 in the past year
Name all Impaired Control criteria (1-4)
- Using larger amounts for longer than intended.
- Persistant desire or unsuccessful attempts to cut down/control use.
- Much time spent using, obtaining or recovering from substance.
- Cravings.
Name all Social Impairment criteria (5-7)
- Neglected major roles due to recurrent use
- Social/interpersonal problems caused or exacerbated by effects of drugs
- Activities given up/reduced due to use
Name all Risky Use criteria (8-10)
- Hazardous use
- Physical or psychological problem made worse by substance
Name Tolerance/Pharmacological criteria
- Use more to get the same effect
- Less effect with continued use of the same amount.
What is the treatment of choice in alcohol addiction withdrawal and name the group group specific to that group? Why is it used?
Benzodiazepine - Diazepam. It blocks the effects of alcohol and reduces cravings.
Why is methylphenidate used in a CEP/AOD setting?
It is prescribed by a specialist with careful consideration around safe use. Used in the treatment of ADHD.
FRAMES - under each write why you would use this in relation to AOD/CEP.
- Feedback = level of harm/risk indicated by screening + assessment process
- Responsibility = for choices and change
- Advice = increase awareness of consequences and high costs of drugs
- Menu of options = providing support options to help whaiora
- Empathy = rapport building, listen, reflect and consideration
- Self-efficacy = convey optimism and strengthen self ability to change
What is a screening tool used for?
1). To determine whether CEP may or may not be present as well as the severity of it.
2). Important for early detection and may help problem from escalating.
3). Commonly used for alcohol use (can be included in the brief intervention process)
Name the Fonofale domains and under each, a question you would ask whaiora.
1). Family = what does family look like to you?
2). Spiritual = what community group did you grow up in?
3). Culture = what gives you a sense of identity?
4). Mental = how would you describe your current mood?
5). Physical = are you currently taking medication?
6). Isimea/other = do you use gender specific pronouns?
7). Time = did colonization impact you and your family?
8). Context = were you born in NZ?
9). Environment = where do you feel most connected?
What makes up different aspects of an opinion?
1). Formulation
2) Strengths and problem list
3). Diagnosis
What makes up the different aspects of a formulation?
1). Predisposing (vulnerabilities)
2). Precipitating (triggers)
3). Perpetuating (maintaining)
4). Protecting (strengths)
Short term plan for case study
1). Screening/BI = to explore severity of issues relating to addiction and mental health. Give feedback, information and advice to support change.
2). Comprehensive assessment = to gain an indepth understanding of personal and family history plus strengths and challenges.
3). Oranga plan = to identify support and a treatment plan to uphold whaiora/whānau. This can help establish treatment goals and regular reviewing from practitioner.
4). CBT = to address past and present trauma. To assist with mental health presentations (MDD) and stress management but maybe a result of coexisting problems.
5). GP appointment = explore medical health and referral to mental health clinicians to confirm diagnosis.
6). Community engagement = with local Māori to find a sense of belonging, healing, reconnection.
TWTW = to connect back to iwi, hapu, Māori culture + unpack holistic wellbeing and potential supports etc.
Apply core counselling skills to AOD.
- Evocation = elicits strengths, values and abilities whaiora already has.
- Focus = outcomes are generally better when whaiora have clear treatment goals and organized approach to achieve them.
- Acceptance = not being judgemental or having bias around whaioras addiction and CEP.
- Accurate empathy = acknowledging a whaioras addiction journey and providing care and consideration.
- Positive regard = acknowledges whaioras strengths and potential for growth.
- Hope = helps whaiora with addiction stay motivated to overcome challenges and remain committed to their recovery.
- Genuineness = providing real and honest approaches towards whaiora can help them to feel supported.
- Offering info and advice = to ensure the whaiora is provided with relevant information and advice to support their addiction, treatment, and recovery.
Manaaki (care) principles in practice
- Mana = ensuring/providing respect and acknowledgment to different cultural, social and spiritual beliefs of every person.
- Do good/no harm = to work in a mana enhancing way towards whaiora, whānau and communities.
