Treatment Resources Flashcards
1
Q
harm reduction
concurrent disorders
housing first
responding to the oppression of addiction
time in history
A
21st century
2
Q
Barriers to Accessing TX
A
- Waitlists
- Stringent admission requirements
- Stigma
- Existence of private treatment
- Cost for private treatment
- Anxiety of attending treatment program
- As few as one in three able to access treatment in Canada
3
Q
Treatment Resources
A
Canadian federal government responsible for dealing with addiction on two fronts:
- Direct responsibility for specific groups: military personnel, veterans, federal penitentiary inmates, the RCMP, and First Nations, Métis, Inuit, and Innu
- Providing national strategy for dealing with addiction, including transferring funds to provincial governments for data collection, research, and treatment
4
Q
four pillar model
A
- prevention
- harm reduction
- enforcement
- treatment
5
Q
Entry Points into Continuum of Care
A
- Withdrawal management (detoxification services)
- Assessment
- Ongoing case management often required but not always available
6
Q
Withdrawal Management: Detox & Daytox
A
- Often a first step in the treatment process
- Often requires detox from ALL substances, including tobacco and prescribed medications, can cause severe problems for those with mental health issues or concurrent conditions
- Effects of withdrawal can be mild to severe and even life-threatening
- Centres are predominantly non-medical
- Residential settings
- Daytox or outpatient settings
7
Q
Rapid/Ultra-Rapid Detox
A
- One-night residential stay
- withdrawal precipitated by opioid antagonists, either naltrexone or naloxone
- Discomfort avoided by sedating for rapid detox or anaesthetizing in ultra-rapid detox
- Effective in the short-term but users often return to use patterns, particularly if no counselling component provided post-treatment
8
Q
Assessment
A
- Typically includes history of use, age of onset, duration, patterns, consequences of use, family use, physical health, environment supports, accommodation, employment, legal problems, sexual orientation
- Develop individualized plans for assistance
9
Q
Assessment Centres should Provide
A
- in-depth knowledge of effects of alcohol and/or other psychoactive drugs on physical and mental health, employment, financial, and legal difficulties; marital and family relationships; and social, religious, and cultural identity
- in-depth knowledge of treatment resources available to deal with service users’ problems, including resources specific to treating alcohol and other drug issues
- knowledge of assessment tools specific to identifying drinking and/or drug-using activities
- access to psychological testing to determine the extent of damage from alcohol and/or drugs and thus the ability of service users to respond to treatment and interact in a treatment community
- ability to assess strengths and resources that would be a base for service users to begin to resolve their situation
- ability to identify environmental factors that might adversely effect treatment
- ability to prioritize service users’ treatment needs
- ability to work co-operatively with service users and other stakeholders in the treatment system to design an appropriate treatment plan
- attitudes and specialized knowledge regarding needs of particular groups, such as youth, women, elderly, Indigenous peoples, and minority and newcomer groups
- specialized knowledge of resources directed specifically to the above groups
10
Q
Case Management
A
- Service user-focused strategy to improve coordination and continuity of care
- Service user designated worker who performs ongoing assessment, treatment plan adjustment, coordination of required services, monitoring and support, development of discharge plan
- Counsellor facilitates and advocates for service user ensuring assessment is accurate and up to date, linked with appropriate addiction treatment resources and adjunct services to meet underlying and instruments needs
- Expedites the use of resources available in the community, consistent with an overall treatment plan through a single consistent point of contact
- Without case management the potential for inefficient utilization of limited resources increases which has been the case historically throughout Canada
11
Q
Tasks of a Case Manager
A
- providing continuity of care for the alcohol/drug-dependent person
- facilitating contact with appropriate treatment resources
- assisting the service user in entering the appropriate treatment centre
- monitoring service users’ changing needs and problems
- periodic assessment of service users’ progress in terms of the agreed-upon treatment plan
- providing crisis intervention and ongoing support to service users and their families in solving immediate problems
- encouraging service users who leave treatment prematurely to return for further appropriate assistance
- facilitating, within the bounds of confidentiality, information sharing with all concerned parties, including other agencies, family, the Employee Assistance Program, and/or family physician
- providing aftercare or follow-up care after discharge from treatment to ensure that service users receive continuing encouragement and, where necessary, additional services
- assessing the risk of reoccurrence
12
Q
Community Based (Outpatient Counselling)
A
- Least intrusive; client still has some degree of support system in place
- Take knowledge from counselling and apply directly into issues of daily living
- Individual and group counselling options
- Less disruptive of life (childcare, work, education, etc.)
- Therefore fewer barriers and better access
- Good for individuals who are free from significant medical problems; are self-motivated; have support systems in place (family, friends, work); live within easy access to facility; have not had personal or work life extensively affected by use
13
Q
Day Treatment
A
- More intensive, structured non-residential treatment
- Typically four or five days/evenings per week, 3-4 hours per session
- Involves group activities ranging from formal sessions to education to recreational activities
- Home environment just be stable and have support
- Appropriate for those who are able to maintain social competence
- Aim to develop sense of community support and responsibility
14
Q
Harm Reduction
A
- Drug Substitution: Maintenance Programs
- Drug Substitution: Treatment Programs
- Heroin-Assisted Treatment
- Needle Exchange Programs
- Supervised Injection Sites
- Supervised Consumption Sites
15
Q
Concurrent Disorder Programs
A
- Specialized form of community-based counselling
- For service users with both addiction and mental health issues
- Services offered by psychologists, psychiatrists, social workers, and nurses
- Provide counselling to address depression, psychosis, loneliness, suicidal ideation and attempts, paranoia, and violent behaviours
