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24 Cards in this Set

  • Front
  • Back
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
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
define loss of control
hijacking of pleasure reward
definition. substance use which when reduced elicits withdrawal symptoms
physical dependence
definition. frequent occurrence of unwelcome, intrusive thoughts of using and obtaining substances
preoccupation
definition. pattern of use in which it is especially difficult to stop once started
compulsive use
Propensity of ________ is genetically and environemtnally determined
hijacking
neuroadaptation
name the main risks to look for in the patient history for substance abuse
men
age 18-24
race-- NA or hispanic
family history
psychosocial risk factors
what are some examples of psychosocial risk factors
lack of parental supervision
advertising
child abuse and trauma
aggressive or antisocial behavior
how many drinks can women have per week? per occasion?
7
3
how many drinks can men have per week? per occasion?
14
4
how many drinks can old people have per week? per occasion?
7
1
give the one question screen for a male or female.
when was the last time you had more than 5 drinks?
for females 4 drinks?
positive response= within last three months
list some of the two item conjoint screen questions
did you ever drink alochol or use more drugs than you meant to?
did you ever feel you should cut down?
what is SBIRT
screening
brief
intervention
referral to
treatment
what are some criteria for effectiveness?
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?