Treatment and Prevention Pt 1 Flashcards
(37 cards)
What is treatment?
- planned activities designed to change patterns/lifestyle of an individual or their families
What is the most important thing for successful treatment?
- recognition that there is a problem
How can someone recognize they have a problem?
- from the individual or other sources (family/friends, legal system, employer)
What needs to happen for treatment to work?
individual needs to be convinced that there is a problem and is mortivated/committed to change
Why should someone try to be “ready” rather than motivated?
- motivation is essential, but not fruitful… there rare many ways to define/measure it
- so, better to try to real “ready”/commited to change
Who is the state of change model for?
- people who change on their own or use outside resources
State of change model steps in order
- pre-contemplation
- contemplation
- preparation
- action
- maintenance
What happens when maintenance is disrupted?
relapse, and then the cycle repeats
State of change model: precontemplation
complete denial, vast majority of people with SUDs (most common)
State of change model: contemplation
idea of questioning if there is a problem and if so, if the individual should make a change
State of change model: preparation
- verge of taking action
- can be very long with many attempts
- ex. talk to dr. and looking for resources
State of change model: action
actually actively changing, act on goals, specific activities
State of change model: maintenance
continual behavioral changes while individual is abstinent from the substance for a sustained time
Models of SUDs
Moral model
individual is personally responsible for problems from decisions/choices
Models of SUDs
American disease model
viewed as progressive disease that gets increasingly worse and is irreversible
Models of SUDs
Biological Model
there is some genetic/biological predisposition that leads to SUDs
Social learning model
- result of complex learning from enviornmental interaction… surroundings make it possible
- changing/re-arranging persons’ enviornment could get rid of SUD
Models of SUDs
Sociocultural Model
- subculures/societies shape use patterns and consequences (ex. legalization and acceptance)
- puts large groups/society as a whole at risk
What is the biopsychosocial model?
mix of all other models
What are the key questions in evaluating treatments?
- Does the treatment work better than no treatment?
- Does the treatment work better than a placebo?
- Does the treatment work better than standard treatments?
- Does the treatment work for the reasons that it claims it does?
What are the typical courses of behavioral treatment for SUD?
- quit on own
- self-help group
- professional treatment
Behavioral treatments
Quit on own
- attempted first
- usually takes multiple tries (spontneous remission)
- not very high success rate
How many americans participate in a self-help group?
around 1:200 (popular)
What is a self-help group?
- collection of individuals with unique, identifieable problem
- focused on therapeutic activity
