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24 Cards in this Set
- Front
- Back
give the continuum of substance
|
abs
low risk at risk abuse dependency |
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what does low risk mean
|
drinking within cutoffs
no drug use |
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what is at risk use
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drugs and drinking beyond cutoffs
|
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what is abuse
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repeated negative consequences of use
|
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what is dependency
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abuse plus loss of control. preoccupation and dependency
|
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give the continuum of substance
|
abs
low risk at risk abuse dependency |
|
what does low risk mean
|
drinking within cutoffs
no drug use |
|
what is at risk use
|
drugs and drinking beyond cutoffs
|
|
what is abuse
|
repeated negative consequences of use
|
|
what is dependency
|
abuse plus loss of control. preoccupation and dependency
|
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define loss of control
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hijacking of pleasure reward
|
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definition. substance use which when reduced elicits withdrawal symptoms
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physical dependence
|
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definition. frequent occurrence of unwelcome, intrusive thoughts of using and obtaining substances
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preoccupation
|
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definition. pattern of use in which it is especially difficult to stop once started
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compulsive use
|
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Propensity of ________ is genetically and environemtnally determined
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hijacking
neuroadaptation |
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name the main risks to look for in the patient history for substance abuse
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men
age 18-24 race-- NA or hispanic family history psychosocial risk factors |
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what are some examples of psychosocial risk factors
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lack of parental supervision
advertising child abuse and trauma aggressive or antisocial behavior |
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how many drinks can women have per week? per occasion?
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7
3 |
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how many drinks can men have per week? per occasion?
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14
4 |
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how many drinks can old people have per week? per occasion?
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7
1 |
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give the one question screen for a male or female.
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when was the last time you had more than 5 drinks?
for females 4 drinks? positive response= within last three months |
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list some of the two item conjoint screen questions
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did you ever drink alochol or use more drugs than you meant to?
did you ever feel you should cut down? |
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what is SBIRT
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screening
brief intervention referral to treatment |
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what are some criteria for effectiveness?
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complete cure with one treatment epdisode?
is imrpovement permanent? is treatment effective for HTN DM and astham? does improvement improve quality and duration of life? |