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38 Cards in this Set
- Front
- Back
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substance abuse
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planned use intoxication that remains in normal peer group limits
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chemical dependence
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intermittent inconsistent repetitive loss of control resulting in repetitive adverse consequences
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EPD
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euphoria producing drugs
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types of EPD
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opioids
stimulants sedatives marjiuana canabinoids phencyclidine |
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what do all EPD do
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produce a surge of dopamine from the mid brain to the fore brain
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a standard drink
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12oz beer
1.5oz shoot 5oz glass of wine 4oz of sherry |
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why do women tolerate alcohol less well
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lack of gastric alcdehydrogenase in gastric mucosa
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over what percent is judgement dissolved
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60%
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impaired model
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alcoholics/addicts can't change
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dry moral model is good for what
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primary prevention for entire population
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wet moral model
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know when to say when
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what is lifetime risk for chemical dependence
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13.5%
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what percent of primary outpatient is chemical dependence
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15-18%
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what percent of primary inpatient is chemical dependence
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25%
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what percent of trauma inpatient is chemical dependence
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40%
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what percent of psychiatric inpatient is chemical dependence
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40-70%
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what is big risk factor for chemical dependence
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family history
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what is your increased risk if one parent has chemical dependence
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20%
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what is your increased risk if both parents have chemical dependence
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30%
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what happens to risk with identical twins
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it is doubled
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what is the screening tool for dependence
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CAGE
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brain diseases that effect movement
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mental retardation
dementia |
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brain diseases that effect intelligence
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parkinsons
MS seizures |
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brain diseases that effect behavior
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addiction
schizophrenia bipolar |
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what percent of survivors get clean
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50%
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tabacco kills what percent of its users
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33%
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what are three year sobriety rates in recovering professionals
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80-85%
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what is current standard of care with addicition
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negligence
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what are some good quantity and frequency questions
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how many drinks/week
how many drinks per drinking occassion how often do you have 4 or more drinks |
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what is a good screening mechanism for dependence
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Cut down
Annoyed by comments Guilty Eye openers |
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what is a good way to present a dependance diagnosis
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Support
Optimism Absolution Plan Explanatory model |
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what are the three categories of readiness
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pre-contemplative
contemplative ready for action |
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what is an example of pre-contemplative
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i don't have a problem
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what is an example of contemplative
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maybe yes maybe no
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what is an example of ready for action
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what should I do about it
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what are the goals with pre-contemplative
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brief intervention
maintain relationship assess stage of readiness over time by doing brief interventions |
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what are the goals with contemplative patient
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brief intervention
maintain relationship validate ambivalence highlight dissonance facilitate evolution towards action |
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what are the goals with a action stage patient
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brief intervention
assess withdrawl/suicide risk identify useful past strategies and start with these offer additional treatment options monitor very closely |
