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Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
Chcpol501 a session two 040311
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Chcpol501 a session two 040311

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

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