Treatment FAQ

risk factors that should be considered when determining treatment placement for substance abuse

by Price Hauck IV Published 2 years ago Updated 2 years ago
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Genetics, medical history, and environment are some of the risk factors involved. Family history plays an important part in determining who develops an addiction. Genetics increase the chances of a person’s substance use turning into an addiction.

If a range of offender treatment options is available, placement in services usually is determined by the following factors: Risk for criminal recidivism. Level of offender needs for substance abuse, mental health and other psychosocial or medical services, and employment. Offender motivation and readiness for ...

Full Answer

What are the risk and protective factors of substance abuse?

Risk and protective factors can have influence throughout a person’s entire lifespan. For example, risk factors such as poverty and family dysfunction can contribute to the development of mental and/or substance use disorders later in life.

Are You at risk for developing a substance use disorder?

Just because someone is at risk for developing a substance use disorder does not mean they are guaranteed to battle it during their lifetime. Possessing risk factors just means your chances of developing a substance use disorder are higher than someone who does not have these risk factors.

What are the levels of treatment for substance use disorder?

The five main levels of care for substance use disorder established by the American Society of Addiction Medicine (ASAM) are: Level II: Intensive outpatient/partial hospitalization treatment (subdivided into levels 2.1 and 2.5) Level III: Residential/inpatient treatment (subdivided into levels 3.1, 3.3, 3.5, and 3.7)

What are the risk factors for addiction?

The most obvious risk factor is taking an illicit or mood-altering substance, but a complex web of risk factors can contribute to addiction. Many substances that form the basis of addiction are not chemically addictive.

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What are the factors that place a person at risk for substance abuse?

Biological factors that can contribute to someone's risk for drug abuse and addiction include:Genetics. You may have heard that drug and alcohol addiction can run in families. ... Developmental stage. ... Sensitivity to drugs. ... Mental illness. ... Gender. ... Ethnicity.

What are 3 different risk factors for drug abuse?

Risk Factors for AddictionGenetics.Environment.Medical history.Age.Type of drug.Method of use.Prevention.

What are the 4 P's for substance abuse screening?

Parents, Partners, Past and Pregnancy (The 4Ps) Screening tool developed to detect dug, alcohol, and tobacco use among pregnant women and women of childbearing age.

What are the risk and protective factors in substance use and abuse?

Risk factors can influence drug abuse in several ways....Risk FactorsDomainProtective FactorsEarly Aggressive BehaviorIndividualSelf-ControlLack of Parental SupervisionFamilyParental MonitoringSubstance AbusePeerAcademic CompetenceDrug AvailabilitySchoolAnti-drug Use Policies1 more row

What are the three factors of risk?

In disasters, there are three broad areas of risk to health: the hazard that can cause damage, exposure to the hazard and the vulnerability of the exposed population (see also Chapters 1.3 and 2.5) (1).

How does a nurse assess for addiction?

"We assess the types of social problems they may have had as a result of their drinking," Orr says. These could include denial that there are any problems, behavioral changes, personality changes, depression, memory problems, isolation, anger, confusion, nervousness, and malnutrition.

What are the four CAGE questions?

The CAGE Questionnaire Questions (CAGE & CAGE-AID) Have people annoyed you by criticizing your drinking? Have you ever felt bad or guilty about your drinking? Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (eye-opener)?

How do you assess substance use disorders?

A thorough substance use assessment includes a detailed inventory of the type, amount, frequency, and consequences of the patient's substance use, their perception of their use, and readiness to change. Additionally, we review past medical and psychiatric history and assess for co-occurring psychiatric disorders.

What does it mean when someone is at risk for substance use disorder?

Just because someone is at risk for developing a substance use disorder does not mean they are guaranteed to. Possessing risk factors means your chances of developing a substance use disorder are higher than someone who does not have these risk factors. The more risk factors you have, the greater the chances are that you will develop a disorder, ...

Who is more likely to develop a substance use disorder?

People who have experienced physical, emotional, or sexual abuse or trauma are more likely to develop a substance use disorder. So are people who witness family members, friends, or peers using drugs or alcohol excessively or in an addicted manner.

What happens when you have access to addictive substances?

When someone has access to addictive substances, or is exposed to media such as music and TV that depict drug and alcohol use, they are at an increased risk for developing a substance use disorder.

What percentage of substance abuse is genetic?

Genetics. According to the National Center on Addiction and Substance Abuse, genetics account for 50%-75% of the risk for developing a substance use disorder. This means that if your blood relative has this type of disorder, you are at risk for developing one as well.

Is a person with a mental illness more likely to develop a substance use disorder than those who do not

People with an existing mental health condition like anxiety or depression are more likely to develop a substance use disorder than those who do not. If someone already has a process addiction like gambling, food, or porn, he or she is at an increased risk as well.

Is thrill seeking a substance use disorder?

Additionally, people who struggle with impulse control and thrill seeking are also at a greater risk for developing a substance use disorder.

Is addiction being researched?

With the opioid epidemic gaining more and more attention, the issue of addiction is being researched like never before. Researchers have been able to pinpoint risk factors for developing a substance use disorder.

What are the factors that influence addiction?

Risk factors. A person’s peer group might influence them to try drugs. The following can increase the risk of addiction. Family history: A person’s genes play an important role in addiction and might account for 40-60 percent of addiction risk. Researchers are exploring the relationship between genetics and addiction.

How does family history affect addiction?

Family history and home environment contribute heavily to a person’s use of a substance. How a person consumes a drug, and the type of substance they use can also increase the likelihood of addiction. Stress and existing mood disorders can lead a person to try different substances to “lift” their mood, which in turn can lead to addiction.

Why do people try drugs for the first time?

Many people without other risk factors try drugs for the first time to connect with a peer group. Children and teenagers who are struggling with schoolwork or feeling excluded socially may face a higher risk of trying drugs and developing a substance use disorder.

What motivates people to try mood enhancing substances?

Share on Pinterest. Stress or sadness might motivate a person to try mood-altering substances. Feeling good: Many substances produce euphoria, an intense physical sensation or experience, or a stimulant effect that provides feelings of confidence and power.

Why do people take stimulants?

Stressful situations may also motivate people to continue using substances and may also lead to relapses into drug use, even after receiving successful treatment for addiction. To enhance performance: Some people take stimulants to improve sporting, academic, creative, and professional achievement.

Why do people repeat drug use?

These quick changes in sensation can drive people to repeat drug use to recapture the state of euphoria they experienced before. The nature of the substance: Some drugs, such as nicotine, crack, or heroin, contain specific compounds or set off receptors in the body that trigger addictive responses.

What are the effects of social media on addiction?

Many of the behaviors that might become addictive may also provide mood-enhancing effects, such as sexual pleasure or financial gains from gambling. Even receiving a notification or message on social media can release a burst of feel-good chemicals in the brain, fuelling addiction-like symptoms around smartphone use.

How do risk factors affect a person's life?

For example, risk factors such as poverty and family dysfunction can contribute to the development of mental and/or substance use disorders later in life. Risk and protective factors within one particular context—such as the family—may also influence or be influenced by factors in another context. Effective parenting has been shown to mediate the effects of multiple risk factors, including poverty, divorce, parental bereavement, and parental mental illness.

How effective are prevention interventions?

Not all people or populations are at the same risk of developing behavioral health problems. Prevention interventions are most effective when they are matched to their target population’s level of risk. Prevention interventions fall into three broad categories:

Do risk factors have a greater chance of being more likely to be protective?

In other words, people with some risk factors have a greater chance of experiencing even more risk factors, and they are less likely to have protective factors.

Can prevention interventions produce multiple outcomes?

Though preventive interventions are often designed to produce a single outcome, both risk and protective factors can be associated with multiple outcomes. For example, negative life events are associated with substance use as well as anxiety, depression, and other behavioral health issues. Prevention efforts targeting a set of risk or protective factors have the potential to produce positive effects in multiple areas.

Why do people with substance use disorders fear judgement?

People with substance use disorders fear the judgment of society, friends and loved ones because addiction has become stigmatized. A 2014 Johns Hopkins study found Americans are more likely to have negative opinions of people with substance use disorders than other mental illnesses.

Why are people reluctant to seek treatment for substance abuse?

People may be reluctant to seek addiction treatment because of high treatment costs and low accessibility, denial of their substance use disorder, societal stigma and time constraints. The vast majority of people who need treatment for substance use disorders do not seek it.

How long does it take to recover from addiction?

The more time and dedication a person devotes to getting better, the less likely a relapse. But most people battling addiction don’t want to take a 90-day break from their lives to attend rehab. More than three-quarters of people with substance use disorders possess jobs.

What is the most common response to substance use disorder?

“I don’t have a problem” might be the most common response people with substance use disorders give for not attending rehab. The other might be “I can quit on my own.”

How do rehab facilities determine their cost?

Many rehab centers also determine cost based on a sliding scale determined by the patient’s income. Other centers receive funding from the government to lower the cost of rehab.

What are the reasons for avoiding treatment?

Decades of research supports common themes for avoiding treatment: cost, denial, stigma, work and lack of awareness or knowledge. Psychological characteristics, lifestyles and environmental factors all contribute to the excuses.

Why did people not seek help in 2014?

According to the 2014 National Survey on Drug Use and Health, the most common reasons people who needed treatment did not seek help from 2011 to 2014 were: 39 percent could not afford it or did not have health insurance. 29 percent were not ready to stop using drugs.

What are protective factors for substance use disorder?

Protective factors are aspects of a child’s life that lower his or her chances of developing an issue in the future.

What are the two types of protective factors?

These fall into two broad categories: internal protective factors and external protective factors . Internal protect ive factors are on the individual level, while external protective factors are related to a person’s relationships, communities, and society.

How to help a child with behavioral issues?

Have an open mind if teachers bring up behavioral issues they are experiencing in the classroom and work with them to resolve these issues. #N#Feel engaged in and accomplished in their schoolwork: Have discussions with you children about what they are learning in school, what they like learning about, and what they feel they are good at. Recognize accomplishments like positive feedback from teachers, good grades, and creativity.

What is the continuum of care for substance use disorder?

Treatment for substance use disorder involves a flexible continuum of care, allowing people with the condition to move through various levels as needed. Seeking treatment for substance use disorder (SUD) can feel like an overwhelming task, and part of this concern may be fear of the unknown: What will treatment be like?

What is the ASAM standard for substance abuse?

The ASAM standard features a “continuum of care,” defined by four broad levels of treatment and an early intervention level.

What is early intervention treatment?

Early intervention treatment provides education, resources, and counseling to adults and adolescents at risk for SUD but who don’t meet the diagnostic criteria defined by the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

How many hours of outpatient treatment is level 1?

Level 1 outpatient treatment involves fewer than 9 hours a week for adults and fewer than 6 hours per week for adolescents. The regularly scheduled sessions take place at a nonresidential treatment center or a practitioner’s office and are administered by addiction professionals or trained clinicians.

How do I contact the SAMHSA?

You can also call the Substance Abuse and Mental Health Services Administration (SAMHSA) helpline at 1-800-662-4357.

Is substance use disorder a one size fits all solution?

Treatment for substance use disorder (SUD) is not a one-size-fits-all solution. Every person who enters treatment for substance use has unique needs. Some may require intensive inpatient care, while others can find success in a part-time outpatient setting. And some may need both types of treatment at different times.

How many levels of treatment are there for substance abuse?

Treatment programs must be individually tailored to fit the needs of each person affected by a substance use disorder. Five main levels of treatment exist to allow patients to begin the treatment process and guide them through recovery. Every person has different needs when it comes to substance abuse treatment.

What is level 3 in substance abuse?

Level III of the continuum of care provides residential substance abuse treatment. This level of treatment is typically appropriate for patients who have functional deficits or require a stable living space to help with their recovery.

What is outpatient treatment?

Outpatient treatment requires patients to attend regularly scheduled meetings. This level of treatment allows patients to carry on with their routine while receiving face-to-face services with addiction or mental health professionals.

How many levels of treatment are there in addiction?

According to the American Society of Addiction Medicine, there are five main levels of treatment in the continuum of care for substance abuse treatment. The continuum of care was developed to ensure uniformity through the treatment process. This makes what happens in rehab more efficient for patients who transition from one level ...

What is level III.5?

Level III.5 caters to people with chaotic, nonsupportive and abusive relationships.

What is the second level of treatment?

The second level of treatment can accommodate medical and psychiatric consultation, psychopharmacological consultation, medication management and 24-hour crisis services. The program is affiliated with other levels of treatment in the continuum of care and provides support services such as child care, vocational training and transportation.

What is level IV treatment?

Out of the four levels of treatment, level IV is the most comprehensive and intensive. It offers 24-hour medically directed evaluation, care and treatment, including daily meetings with a physician. The facilities are usually equipped with the resources of general acute care or psychiatric hospitals and offer substance abuse treatment that also addresses co-occurring disorders.

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Family History and Genetics

Environmental Factors

  • People who have experienced physical, emotional or sexual abuse or trauma are more likely to develop a substance use disorder. Others who have friends who use, or those subjected to peer pressure, may also be at a greater risk. When someone has access to addictive substances, or is exposed to media such as music and TV that depict drug and alcohol ...
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A Pre-Existing Mental Health Condition

  • People with an existing mental health condition like depression, PTSD and ADHD are also more likely to develop a substance use disorder as a way of coping with the emotions and anxieties that these disorders cause. If you battle any of these mental health conditions, and also desire treatment for addiction, it’s important to seek out a therapist trained in helping their clients handl…
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Age of Exposure

  • Children and teens exposed to alcohol and drugs at a young age are more likely to develop an addictionthan older adults. This is likely because of many factors, including: 1. The number of transitions a teen undergoes, such as moving from middle school to high school, or out of the home and into college life for the first time; 2. The temptation to try new things and fit in with ot…
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Using A Rapidly Addicting Drug

  • Certain drugs, like cocaine or opioid painkillers, can hasten the development of an addiction. Therefore, individuals who use rapid acting drugs or strong opioids are at a higher risk of experiencing addiction, including withdrawal symptoms when usage stops. If you have been prescribed opioid painkillers by a medical doctor, and want to lessen the risk of the brain becomi…
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to Learn More About Addiction Risk Factors

  • Just because someone is at risk for developing a substance use disorder does not mean they are guaranteed to battle it during their lifetime. Possessing risk factors just means your chances of developing a substance use disorder are higher than someone who does not have these risk factors. However, by intervening early and through preventative measures like therapy and medi…
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