Learning Objectives Test #1 Flashcards by Jose Gracia

What is the navy alcohol and drug abuse prevention and control instructions?

OPNAVINST 5350.4

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What is the navy’s philosophy for substance-abuse rehabilitation program?

Illegal or inappropriate drug use and excessive irresponsible alcohol use by navy members can seriously damage their physical and mental health, jeopardize their safety and the safety of others.

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The Navy recognizes that substance use disorders are. _____ and ______

Preventable and treatable

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What is the standards for provisions of substance related disorder treatment services?

BUMEDINST 5353.4

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Is treatment patient driven or diagnosis driven?

Patient driven (BUMEDINST 5353.4

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Patient will be treated in ________ that is appropriate to their _______________

Least restrictive treatment environment that is appropriate to their therapeutic needs and circumstances.

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What is the length of treatment for the patient?

Depending on patient needs and responses to treatment

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What are the essential treatment personnel?

Clinic directors
certified Navy drug and alcohol counselor’s
Navy drug and alcohol counselor interns,
licensed independent practitioners
preceptors.

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Substance specific treatment goals:

Mild substance use disorder =

Abstinence or responsible drinking

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Substance specific treatment goals:

Moderate substance use disorder =

Abstinence or responsible drinking

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Substance specific treatment goals:

Severe substance use disorder =

Abstinence

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What is the term abstinence?

The choice not to drink alcohol

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What is the term responsible use mean?

The application of self imposed limitations of time, place, and quantity when consuming alcohol beverages

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Leader ship responsibility

All hands and position of authority must the de-glamorize the use of alcohol

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Command responsibility

Commands will ensure policies and programs are implemented to reinforce the message of responsible use of alcohol by all members who choose to drink

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Shipmate responsibility

All members must be aware of the warning signs of alcohol abuse and take positive steps to ensure shipmates not abuse alcohol. Includes intervening before excessive drinking occurs, stopping shipmate from driving, and immediately challenging inappropriate behaviors resulting from alcohol use

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What are the treatment modalities?

individual counseling
Group counseling
Family counseling
pharmacological intervention
education
physical condition
12 step meeting

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What is that ASAM philosophy?

provides for treatment on case by case basis
identify appropriate levels of care determined by patient needs
no fixed length of stay

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ASAM dimension #1

Acute intoxication and/or withdrawl potential

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ASAM dimension #2

Bio medical conditions and complications

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ASAM dimension #3

Emotional, behavioral or cognitive conditions and complications

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ASAM dimension #4

Readiness to change

ASAM dimension #5

Relapse, continued use or continued problem potential

ASAM dimension #6

Recovery/living environment

ASAM dimension #7

Operational commitments

Define "continuum of care"

Within and across the levels of care, there is a continuum of the severity of illness treated and intensities of services provided

Levels of Care Level .5

Early interventions

Levels of Care Level I

Outpatient treatment

Levels of Care Level II

Intensive outpatient treatment/partial hospitalization

Levels of Care Level III

Residential treatment/inpatient treatment

Levels of Care Level IV

Medically managed intensive inpatient treatment

What is the purpose of BUMEDINST 5355.4A?

Establish a uniform set of standards for the provision of substance use disorder treatment services within the department of the Navy

Define forgiveness

The act of giving up feelings of resentment or anger

Define 12 steps of AA

12 steps are a group of principles, spiritual in their nature, which, if practice as a way of life, can expel the obsession to drink and enable to suffer to become happily and use for the whole

Define surrender

Admit we are powerless over alcohol and there is a greater power and we turn our will and our lives over to God. Surrender is a key to recovery.

Define alcoholic grandiosity

Refers to an alcoholic's insistence on having his or her own way regardless of the world at a higher power.

Define Alcoholic insanity

Untrue believe held by some alcoholics that they can control their own drinking or that somehow, someday that will be able to drink normally.

Define any length

Just phrase refers to an AA members willingness to go to any lengths to stay sober

Define balance

The term refers to the AA goal of achieving emotional, mental and spiritual balance as a result of working the 12 steps

Define half measures

Froese is taken from chapter 5 of the big book, half measures avail us nothing. We stood at the turning point.

Define H. A. L. T.

hungry, angry, lonely, or tired

Define higher power

Self defined power greater than ourselves to which our ultimately turns for assistance in guidance and leading sober life

Define hitting bottom

Reaching such a state of utter hopelessness that one becomes willing to admit complete defeat in dealing with alcoholism

Define H. O. W.

Honesty, open minded Ness, and willingness

Define people, places and things

Prior to recovery, individuals with an alcohol use disorder often depend upon people, places and things to make them happy or to change their lives

Define progress not perfection

Reclaim spiritual progress rather than spiritual perfection

Define resentment

Feelings of ill will or an individual holds for others usually as a result of some perceived harm others have done them

Define rigorous honesty

They are naturally in capable of grasping and developing a manner of living which demands rigorous honesty

Define stinking thinking

Alcoholics reversion to old thought patterns and attitudes "Blaming others"

What is the role of the 12 steps of AA in the navy instructions?

- provide the foundation for outside support for early stage recovery - provide support as part of continue care - provide support for individuals discharge from the military seeking sobriety

What is the navy types of counseling groups?

- treatment groups (Continuing Care Groups) - fleet and family service Center groups - Family advocacy program groups

List of general types of groups

- small group - large group - experience - Open group - closed groups - no one leaving - structured group - unstructured group - homogeneous group - heterogeneous group

What is the purpose for student development group membership?

To provide NDACS students with an experimental basis of learning by participating in a small group

What are the formats of the groups?

- closed groups - unstructured/process sessions - structured/task session - blended sessions - structured versus unstructured group - student development group task