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22 Cards in this Set
- Front
- Back
4 goals of Screening and assesment
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1. identifying presence of dependence of substance abuse
2.identifying adverse consequences 3. use to formulate good tx plan 4. enhance clients motivation for change |
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3 key factors of interviewing
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1. setting of the interview
2.clinicians style 3. patient factors |
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describe the interviewing setting
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private/comfortable/enough time
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describe a clinicians style
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appropriate questions/listening/open-ended questions
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describe possible patient factors
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denial,rationlizing/minimizin/depression/gender identity/learning styles/readiness for change
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topics covered in Assesment
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1. substance abuse history
2. mental health 3.medical history 4.family history 5.social history |
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what is covered in substance abuse history
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age on onset, frequency, amt, consequenses,Tx history,self-help,periods of abstinence,triggers,changes in using patterns
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what is covered in mental health history
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when mental health issues arose(before,during,after)substance abuse,current symptoms,counseling history,SI/HI risks,relationshop of drug to mx
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what is covered in medical hx
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current/past medical problems,injuries,allergies,surgeries,symptomes, primary care physician, diet/exercise routinge
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what is covered in family hx
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parents use?,sibling use,birth order,marital status, children
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what is covered in social hx
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current/past legal issues,financial,housing/educational level, vocational,interpersonal relationships work,home,sign release?
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name 4 screening tests
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1. Posit
2.PEI-personal experience index 3.ASI-addiction severity index 4.APSI-adolescent personality severity index |
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what are the current outcomes of treatment by 2yr mark.
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20% get it-stay in recovery
50% relapse 30% don't get it-chronic relapse |
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according to the american society of addiction medicine what are the 6 levels of care criteria for treatment
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1. acute intoxication/ withdrawal
2.biomedical conditions/complications 3. emotional/behavioral conditions/complications 4. treatment-acceptance/resistance 5. relapse potential 6. Recovery environment |
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according to the american society of addiction medicine what are the 4 levels of treatment
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level 1-outpatient tx
level 2. intensive outpatient level 3. medcally monitored inpatient level 4 medically mgmd intensive inpatient |
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What 3 criteria do not qualify a client for intensive inpatient tx
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treatment-accept/resistance
relapse potential recovery environment |
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according to the american society of addiction medicine
what 3 criteria must be minimal or very stable for outpatient level 1 tx |
1. no acute intoxication/withdrawal potential
2. biomedical conditions/complications 3. emotional/behavioral conditions |
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according to the american society of addiction medicine
what are key criteria for intensive outpatient tx |
emotional/behavioral conditons/complications
tx-resistance relapse potential-likely recovery environ-unsupportive,patient can cope with structure |
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list some attributes of the Denial (crucial stage) of drug addiction
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efforts to control fail repeatedly
loss of ordinary will power tremors unable to discuss problem |
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list some attributes of the Chronic phase
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moral deterioration
indefinable fears obsession with drinking all alibis exhausted neglect of food promises and resolutions fail physical deterioration obsessive drinking continues in vicous cycle |
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list attributes of "Rehabilitative stage"
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honest desire for help
learns about disease stops drug use takes stock of self spiritual needs examined start group therapy regular nourishment realistic thinking natural rest and sleep |
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list attributes of Recovery phase
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diminishing fears of the unkown
facts faced with courage care of personal appearance confidence of employers contentment in sobriety increasing tolerance |