Chcpol501 a session two 040311
- 1. Session two 4 th March 2011
- 3. Aims to identify substance abuse problems and motivate individuals to address their use 5-30 min sessions/intervention Strong evidence supporting use with alcohol and tobacco and growing evidence for other substances Studies have shown a reduction in alcohol intake for participants who underwent 15 min sessions and received educational material
- 4. Cost effective Useful for other primary care workers who have patients who are unwilling to access specialised substance abuse counselling Can involve a variety of approaches Successful with at risk users or less severe abuse behaviours
- 5. A drug strategy based on a harm minimisation approach has the following primary objectives: to minimise the harm and the social problems to the individual and the community resulting from the use of drugs to reduce the prevalence of hazardous levels and patterns of drug use in the community; and to prevent the initiation into harmful or hazardous drug use, especially by young people. (NSW Health Department 1999:A5)
- 6. Examples; Needle and Syringe Programs (NSPs) Substitute Medication Prescribing (e.g. opioid substitution therapy) Overdose Prevention (e.g. Naloxone, first aid training) Drug Consumption Rooms Outreach and Peer Education
- 7. Optional reading on human rights and harm reduction; International Harm Reduction Association. (n.d.) Harm Reduction Policy and Practice Worldwide . Retrieved from h ttp://www.ihra.net/files/2010/11/01/IHRA_Briefing_1.pdf
- 8. Research difficult due to issues defining terms and outcomes however numerous studies have found benefit for those who complete the full program (high drop out rate). More than one treatment episode may be required (one third of drop outs seek re-admittance) In one study 83% of participants said they would recommend a TC to others
- 9. Page 219-255 of the following reading provides excellent information in relation to research evidence for TCs Australasian Therapeutic Communities Association. (2002). Towards Better Outcomes for Therapeutic Communities. Retrieved from http://www.atca.com.au/04_resources/Towards%20Better%20Practice%20in%20Therapeutic%20Communities.pdf
- 10. Relapse prevention therapy consists of a number of key ingredients; reducing exposure to substances fostering motivation for abstinence self-monitoring (situations, settings, and states) recognizing and coping with cravings and negative affect identifying thought processes with relapse potential, and if necessary, a crisis plan.
- 11. Aspects of relapse prevention have been incorporated into most psychosocial treatments for substance use Access the following link for more information on relapse prevention http://psychservices.psychiatryonline.org/cgi/content/full/56/10/1270
- 12. 1. No single treatment is appropriate for all 2. Treatment needs to be readily available 3. Effective treatment attends to the multiple needs of the individual 4. Treatment plans must be assessed and modified continually to meet changing needs 5. Remaining in treatment for an adequate period of time is critical for treatment effectiveness
- 13. 6. Counseling and other behavioral therapies are critical components of effective treatment 7. Medications are an important element of treatment for many patients 8. Co-existing disorders should be treated in an integrated way
- 14. 9. Medical detox is only the first stage of treatment 10. Treatment does not need to be voluntary to be effective 11. Possible drug use during treatment must be monitored continuously
- 15. 12. Treatment programs should assess for HIV/AIDS, Hepatitis B & C, Tuberculosis and other infectious diseases and help clients modify at-risk behaviors 13. Recovery can be a long-term process and frequently requires multiple episodes of treatment NIDA (1999) Principles of Drug Addiction Treatment
- 16. Mental health
- 17. Choose one of the following mental health interventions and prepare a 5 minute presentation on what the best practice model is and the evidence which supports it. This info is to be presented in the next class. Illness management and recovery Illness self management Assertive Community Treatment (ACT) for person’s with severe mental illness Psychosocial rehabilitation Integrated service delivery for co-morbidity (AOD & MH issues) Supported employment