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Drugs and Alcohol Final
Terms in this set (55)
What early prevention approaches were ineffective? Why are they ineffective?
scare tactics, drug specific approaches, converting programs...they alienate the addict, try to threaten and scare them, but just make them curious
What are the four tactics used by converting programs to disuade drug use?
preaching, directing, convincing, scaring
Why are alternative programs effective?
more appealing, active, addict can choose activity (wilderness walk)
What is resiliency?
ability to bounce back
What are the 3 categories of prevention?
primary, secondary, tertiary
What is primary prevention?
grades k-6, before students have tried drugs and enforces no use norm
What is secondary prevention?
grades 7-12, students are in early stage of use but doesn't regularly use, equip w/ communication/coping/refusal skills
What is tertiary prevention?
grades 7-12, assumes students use drugs regularly, aims to get counseling, drug education, family communication
What are the key components of a prevention program:
address community needs, include youth, promote proactivity, develop a long term perspective--get parents involved
How many developmental assets are there? How many do most kids have?
What 4 populations are at risk/need prevention?
3. older adults/baby boomers
4. college students
What are the obstacles to change?
What is motivational interviewing?
a client centered approach to get client to realize they have a problem and get them to change
Why would you use motivational interviewing?
if the addict was resistant to traditional interventions
What are the 6 stages of change?
pre contemplation, contemplation, determination, action, maintenance, relapse prevention
What # stage of change is pre contemplation, what happens, what must the therapist do?
1, no thought about change, therapist must get addict to think about changing
What # stage of change is contemplation, what happens, and what must the therapist do?
2, thinking about change, therapist must get addict to see they need to change
What # stage is determination, what happens, and what must the therapist do?
3, addict decides they want to change, therapist must help addict figure out how to change
What # stage is action, what happens, and what must the therapist do?
4, addict takes the steps necessary to change that the therapist came up with, therapist must support addict and help them along
What # stage is maintenance, what happens, and what must the therapist do?
5, addict seeks to keep the changes going, therapist must continue to help, support and meet with them
What # stage is relapse prevention, what happens, and what must the therapist do?
6, addict has made and maintained the change, but needs to continue to do so, therapist must be available and continue to offer help
What is ambivalent? What stage is the addict ambivalent?
feeling two ways about something, contemplative
What is 1st order change?
automatic response, knee jerk reaction
What is 2nd order change?
the way you choose to respond based on the NEW belief system you have
What is an intervention?
any action someone takes to interrupt the progression of problems with an addiction and create awareness in the addict that they have a problem
What is the primary goal of an intervention?
get individual to realize they have a problem and get them to treatment
What is the secondary goal of an intervention?
allow the family to express their concerns and promote a healthy family system
Who is NOT a candidate for an intervention? Why?
adolescent and anyone that will rage, they will get defensive and not listen
What does OARS symbolize and what does it stand for?
non-directive counseling--how the conselor should act to promote change
O = open ended questions
A = affirmations
R = reflecting
S = summarizing
8 motivational strategies
1. Giving Advice
2. Removing Barriers
3. Providing Choices
4. Decreasing Desirability
5. Practicing Empathy
6. Providing Feedback
7. Clarifying Goals
8. Helping Be Active
What is the purpose of FRAMES?What does FRAMES stand for?
reminds counselor of 8 motivational strateiges...
F = feedback
R = responsibility
A = advice
M = menu
E = empathy
S = self - efficacy
What are the stages of a formal intervention?
Assessment, Pre Intervention, Intervention, Post Intervention
What happens during the assessment?
will the person benefit from intervention, will they sit and listen
What happens during the pre intervention?
what is the gameplan, what will be said, by whom, how we addict get there
What happens during the intervention?
factual, nonjudgmental information is given, everyone involved must be committed and strong
What happens during the post intervention?
everyone continues treatment, not just the addict
A co-occurring disorder is also called a
dual disordre, comorbid disorder
What are the four factors that differentiate the type of affective disorders?
duration, onset, frequency, precipitating factors
A personality trait is
who we are, only becomes a disorder when most of the traits are maladaptive
A personality disorder is
an innate personality issue where we are maladaptive
What is the difference between cluster A, B, and C personality disorders?
PEF...paranoia/schizophrenia (odd, eccentric), emotional/erratic (dramatic/risk takers), Fear/Anxiety (OCD)
What type of personality disorder is most associated w/ substance abuse?
Why must we know if a co-occurring disorder exists when it comes to alcohol/drug abuse treatment?
both must be treated if we want the person to stay sober so you can get to the root of the problem
The most widely used and successful approach to recovery is
Why is AA so effective?
mutual support,same goals, established goals, regular meetings, no cost/status issues, adjunct to other treatments
Why are some people resistant to AA?
trouble with God reference, don't like talking in front of group, some are disruptive b/c they don't want to be there
The four senses of self include ___. Which must we focus on?
public, private, blind, discovery.....private and blind must be focus
What are the 6 stages of recovery and their lengths?
Withdrawal (0-15), Honeymoon (15-45), the Wall (45-120), Adjustment (120-180), Resolution (180-360), Period After Resolution (360 +)
What stage of recovery are you most likely to relapse
The Wall (45-120)
What are the stages of recovery and their lengths?
Withdrawal (0-15) Honeymoon (15-45), the Wall (45-120), the Adjustment (120-180), Resolution (180-360), Period After Resolution (1+ years)
What factor is most predictive of treatment success?
What is the definition of a trigger? Examples?
any stimulus that has repeatedly been associated with the preparation for, anticipation of, or the use of drugs and alcohol....time, place, people, situation
What are the 3 categories that make people prone to relapse?
negative emotional states (35%), social stress (20%), intrapersonal stress (16%)
What does HALTS stand for--why is it used?
Hungry, Angry, Lonely, Tired, Sick-- when you are most likely to relapse
Why is recovery a lifelong process?
triggers are still there, underlying issues, no cure (always fighting the urge)
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