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Chapter 18. Treating Substance Abuse and Dependence. Treatment. No single treatment is appropriate for all individuals Treatment needs to be readily available Effective treatment attends to multiple needs of the individual, not just to his/her drug use. Treatment.

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Chapter 18

Chapter 18

Treating Substance Abuse and Dependence


Treatment
Treatment

  • No single treatment is appropriate for all individuals

  • Treatment needs to be readily available

  • Effective treatment attends to multiple needs of the individual, not just to his/her drug use


Treatment1
Treatment

  • An individual's treatment plan must be assessed continually

  • Remaining in treatment for an adequate period is critical

  • Counseling and other behavioral therapies are critical


Alcoholics anonymous
Alcoholics Anonymous

  • An important milestone in treatment

  • Central to the disease model

  • 12 step program

  • Cocaine Anonymous, Narcotics Anonymous, Gamblers Anonymous and more are based on AA


Motivation enhancement therapy
Motivation Enhancement Therapy

  • Motivation to change

  • Stages of change

    • Precontemplation

    • Contemplation

    • Preparation

    • Action

    • Maintenance


Contingency management
Contingency Management

  • Behavioral approach

  • Contingency management

    • Rewards

    • Counseling sessions


Treatment2
Treatment

  • Medications are important for many patients

  • Addicted or drug-abusing individuals with co-existing mental disorders should have both disorders treated

  • Medical detoxification is only the first step

  • Treatment does not need to be voluntary to be effective


Treatment3
Treatment

  • Possible drug use during treatment must be monitored continuously

  • Treatment programs should provide assessment for other diseases

  • Recovery can be a long-term process and frequently requires multiple episodes of treatment


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