-
misconceptions of medical treatment
replacing one drug for another
-
benefits of medication assisted treatment
- manage withdrawal symptoms
- prevent relapse
- treat co-occurring conditions
- reestablish normal brain functions
- decrease cravings
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Substances that can be treated with MAT
- opioids
- tobacco (nicotine)
- alcohol
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category of methadone
full agonist
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category of suboxone
partial agonist
-
components of suboxone
buprenorphine and naloxone
-
category of heroin
full agonist
-
category of naltrexone
antagonist
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medical treatments for alcohol addiction and function
- acomprosate -reduce symptoms of long lasting withdrawalÂ
- disulfiram - makes you sick if you drink alcohol
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what is harm reduction
- reduce the consequences of risky behavior
- any steps toward decrease risk are steps in the right direction
- moral health alternative to moral/criminal and disease model
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why is harm reduction effective
- it provides individual intervention
- -change the route of drug administration
- -provide alternative and safer substances
- -reduce frequency or intensity of addictive behaviors
-
examples of harm reduction
- supervised injection facility
- needle exchange
- modified relapse conceptualization
- pharmacological interventions
- motivational interviewing
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what is recovery
a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential
-
halfway house
- structured living environments
- testing, duties, restrictions and privileges, employment
-
sober living houses
helps transition to recovery not be so abrupt
-
how can halfway and sober living houses strive for cultural equity
- multiple locations
- cater to disadvantaged communities/representation
- more funding
- person-specific plan for people in the house
-
what does one need for recovery/wellness
- a sense of purpose
- community
- and health
-
SAMHSA's definition of recovery
- person-driven
- many pathways
- holistic
- peer support
- relational
- culture
- addresses trauma
- strengths/responsibility
- respect
- hope
-
cognitive triangle
thoughts feelings actions and inside core beliefs
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CBT skill topics
- coping with craving
- motivation and commitment to stop
- assertiveness skills
- seemingly irrelevant decisions
- all-purpose coping plans
- problem solving
- case management
- risk reduction
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Spirit of MI
combination of collaboration, compassion, acceptance, and evocation
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OARS
- open-ended questions
- affirming
- reflections
- summaries
-
decisional balance
pros and cons of changing
-
eliciting change talk
asking questions surrounding decisions of change in their lifestyle
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