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20 Cards in this Set
- Front
- Back
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what is the goal of DWI School and Short Term Outpatient Programs (STOP)
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a) break through clients denial re substance use b) achieve a commitment to abstinence from the client and c) make appropriate referrals for those who appear to require more intensive treatment.
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hich kind of patient do assessors feel will benefit from short-term outpatient treatment programs?
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patients with lower severity substance use problems.
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Characteristics of Intensive short-term outpatient program
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1. aimed at patients with a moderate to severe substance use problem. 2. patients are usually seen in both individual and group therapy sessions. 3. sessions usually 5x/wk 4. time-limited 5. more intense than short term outpatient treatment programs. 6. lasts up to 6 months. 7. usually are required to attend self-help group meetings.
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What group of patients are assigned to intensive short-term outpatient programs?
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middle severity substance use problems
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What are the goals of Intensive short-term outpatient programs? (3)
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1. break through clients denial about their substance use 2. achieve a commitment to abstinence from those who are unlikely to benefit from less intense forms of treatment 3. make appropriate referrals for clients who appear to require more intensive help
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Characteristics of Intensive Long-term Outpatient Treatment
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1. programs are usually open ended 2. designed for clients whose substance use problems are moderate to severe, but for whome less radical treatment would hold little chance of success. 3. lasts for minimum 6 mths, often 12-18 mths. 4. both individual and group therapy sessions.
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Goals of intensive long-term outpatient treatment
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1. break through clients denial about their substance use 2. achieve a commitment to abstinence from clients who have not benefited from less intense forms of treatment.3. support clients during the early stages of recovery from drug/alcohol use problems 4. make appropriate referrals for those who appear to require even more intenseive forms of treatment.
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Advantages of Outpatient Treatment Programs
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1. Less Expensive 2. avoid the need to remove patients from their environment 3. no community reorientation period needed after outpatient treatment 4. last longer than inpatient programs, which studies show is better for the client (the longer clients are involved w/treatment, the better are their chances of long-term abstinence) 5. flexibility 6. let clients practice recovery skills while still living in the community.
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Disadvantages of Outpatient Treatment Programs
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1. clients pay more for outpatient than inpatient (less reimbursement from insurance) 2. less structure and support than inpatient programs. 3. less control over the client's environment
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Definition of Inpatient Treatment
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a residential treatment facility where clients live while in treatment. Usually for the hard-core, seriously ill, or difficult patient, for whom outpatient treatment has either not been successful or has been ruled out. Usually strong emphasis on 12 step philosophy: individual and group therapy extensively.
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What is the average length of stay in Inpatient Treatment Programs?
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depends on motivation, support system, and a range of other variables
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Name the 5 stages of change
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Precontemplation, Contemplation, Determination, Action, Maintenance
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Client's role and Counsellor's role during Precontemplation Stage
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client is actively using with no desire or plan to stop. Counsellor's role is psycho education
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Client's and Counsellor's role during Contemplation Stage
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Client is beginning to consider quitting, but may be ambivalent at this point. Counsellor acts as a support person--supports desire to change, and helps client understand how the drug/alcohol is affecting his life
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Clients and counsellor's role during the Determination Stage
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Client begins to make the cognitive shifts necessary for change--change his lifestyle. Counsellor is supportive and confrontational. Supports desire to change, confronts irrational and illogical beliefs. Provides validation for the client's process.
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Client's and counsellors role during the Action Stage
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Client is abstinant for the first time; beginning of recovery. Counsellor encourages the process, is vigilant about high levelso of stress, triggers, promotes learning of new coping skills, serves as a significant support person
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Client and counsellor's role during the Maintenance stage
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Client learns new behaviours, confronts old thoughts, counsellor stays in touch and available if client is needing help/support.
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TC stats: what percentage of clients were on parole? two thirds
what percentage of those admitted to TC treatment facilities will drop out? |
30 to 40%
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What percentage of clients will finish the typical 2 year TC program?
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10 to 15%
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What percentage of those who complete the TC program will remain drug free?
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90%
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