Treatment FAQ

what are clinical issues in the addiction treatment context

by Kenneth Brown V Published 2 years ago Updated 2 years ago
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Our clinicians, supported by our medical team, focus on resolving the underlying issues that often cause substance use, such as trauma, unhealthy relationships, co-occurring disorders and isolation.

Full Answer

What is McLellan’s review of contemporary addiction treatment?

McLellan AT, Meyers K. Contemporary addiction treatment: a review of systems problems for adults and adolescents. Biological Psychiatry. 2004;56(10):764–770.

What are therapeutic issues for counselors?

Chapter 4—Therapeutic Issues for Counselors - Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues - NCBI Bookshelf Alcohol and drug counselors, along with other mental health professionals, face a number of challenges and special issues when working with people who have suffered abuse or neglect as children.

Should addiction treatment be mainstream?

Addiction treatment in the U.S. is yet another orphan system in the overall health care system — kind of like the mental health system’s little, sometimes neglected brother. One of the report’s recommendations is to bring the addiction treatment system into the larger mainstream health care system — mainstream it, if you will.

Can clients in treatment for Substance Abuse act rebelliously?

Clients in treatment for substance abuse may act rebelliously or violently, a situation that can be exacerbated by an undisclosed history of child abuse. Counselors working with this population have sometimes been victims of physical assault or other violence by clients.

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What are examples of clinical issues?

These issues include absences, engaging reluctant adolescents in group activities, difficult or defiant adolescents, breaches to confidentiality, challenging family situations, sensitive topics, and crises, including disclosures of suicidal thoughts and suspected abuse.

What are some issues associated with addiction?

The Impact of Addiction Can Be Far-ReachingCardiovascular disease.Stroke.Cancer.HIV/AIDS.Hepatitis B and C.Lung disease.Mental disorders.

What is a clinical addiction?

Addiction is a treatable, chronic medical disease involving complex interactions among brain circuits, genetics, the environment, and an individual's life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences.

What are the 4 risk factors of drug addiction?

Risk factorsFamily history of addiction. Drug addiction is more common in some families and likely involves genetic predisposition. ... Mental health disorder. ... Peer pressure. ... Lack of family involvement. ... Early use. ... Taking a highly addictive drug.

What are five addictive symptoms?

Signs someone else is addicted:Changes in personality and behavior like a lack of motivation, irritability, and agitation.Bloodshot eyes and frequent bloody noses.Shakes, tremors, or slurred speech.Change in their daily routines.Lack of concern for personal hygiene.Unusual need for money; financial problems.More items...

What are the 6 types of substance abuse disorders?

Types of Substance Use DisordersOpioid Use Disorder.Marijuana Use Disorder.Nicotine Use Disorder.Stimulant Use Disorder.Sedative Use Disorder.Hallucinogen Use Disorder.Alcohol Use Disorder.

What is clinical treatment?

Actual observation and treatment of disease in patients (including experimental treatment) as distinct from theoretical or experimental work. (

Is addiction a mental health issue?

The National Institute on Drug Abuse [NIDA] and the American Psychiatric Association [APA] both define addiction as a “brain disease,” and the DSM-V lists criteria for classifying addiction as a mental health condition called “Substance Use Disorder.”

What are the 5 levels of care for substance abuse?

Levels of CareLevel 0.5: Early Intervention.Level I: Outpatient Services.Level II: Intensive Outpatient/Partial Hospitalization Services.Level III: Residential/Inpatient Services.Level IV: Medically Managed Intensive Inpatient Services.

What is the most critical factor in addiction?

Factors such as peer pressure, physical and sexual abuse, early exposure to drugs, stress, and parental guidance can greatly affect a person's likelihood of drug use and addiction. Development. Genetic and environmental factors interact with critical developmental stages in a person's life to affect addiction risk.

What are the three categories of risk factors for addiction?

Other factors that put a person at risk for an addiction include parental substance misuse, trauma, and a lack of social attachments. These are called individual factors and they're part of the “big three” in areas of risk -- individual, environmental and genetic.

What are the three primary factors that contribute to addiction?

Research has now been established to support a three-factor standard for vulnerability to drug addiction that includes: genetic factors, environmental factors, and repeated exposure.

How difficult is it to treat addiction?

Successful addiction treatment is difficult — just 42 percent of those who seek out treatment for addiction complete it. That’s not surprising given the characteristics of addiction, and the fact that more often than not, an actual addictive substance is involved. But a system that focuses on evidence-based treatments could do a better job and substantially increase that number.

What is the gap between addiction and treatment?

This profound gap between the science of addiction and current practice related to prevention and treatment is a result of decades of marginalizing addiction as a social problem rather than treating it as a medical condition. Much of what passes for “treatment” of addiction bears little resemblance to the treatment of other health conditions.

What education do you need to become an addiction counselor?

Did you know that most addiction treatment specialists have little formal education or training in addiction? Fourteen states require only a high school diploma or a GED to become an addiction counselor; 10 require only an associate’s degree.

Do addiction counselors need a degree?

But it gets worse — fully 20 states in the U.S. don’t require any degree, or don’t even require addictions counselors to be certified or licensed in any way.

Is addiction rehabilitation scientifically rigorous?

Much of what is offered in addiction “rehabilitation” programs has not been subject to rigorous scientific study and the existing body of evidence demonstrating principles of effective treatment has not been taken to scale or integrated effectively into many of the treatment programs operating nationwide.

Is addiction treatment an orphan system?

Addiction treatment in the U.S. is yet another orphan system in the overall health care system — kind of like the mental health system’s little, sometimes neglected brother. One of the report’s recommendations is to bring the addiction treatment system into the larger mainstream health care system — mainstream it, if you will.

What is the relationship between addiction and health?

The Relationship Between Health Issues And Addiction. Substance use disorders (SUD) are typically accompanied by at least one related health issue. These associated health issues can be caused or worsened by long-term substance abuse which can lead to serious or fatal outcomes. Exploring the effects substance use and addiction have on one’s health, ...

What are the health issues associated with SUD?

Brain Health Issues. The brain plays a major role in the development of a SUD. Substance use directly interferes with the brain’s normal functions, specifically the reward system. In order to adapt to the stimulation caused by drugs or alcohol, the brain reduces the number of dopamine receptors at the synapse.

What is the condition that makes breathing difficult?

Emphysema. Emphysema is a chronic obstructive pulmonary disease (COPD). This health issue is an inflammatory lung disease that obstructs airflow and makes breathing difficult. Typically, air sacs in the lungs are elastic and stretchy. When breathing in, these sacs fill with air and then deflate when exhaling.

How long does chronic pain last?

Chronic Pain. Chronic pain is a health issue characterized by pain that persists for 6 or more consecutive months after a person has healed. This prolonged physical pain can decrease one’s quality of life and lead to feelings depression, anxiety, fear, and anger.

Does stopping substance use return the brain to normal?

Stopping substance use unfortunately does not return the brain to its normal functions. This may take years to achieve. The long-lasting effects on the brain’s ability to process rewards can make it difficult to avoid relapse which can lead to other health issues.

Is insomnia a chronic condition?

This health issue lowers overall quality of sleep. When this disorder is ongoing, it is considered chronic. Typically, chronic insomnia is the result of a secondary problem like medical conditions, medications, or a SUD.

What is clinical expertise?

Numerous elements constitute clinical expertise, including scientific expertise to guide evaluation and use of research evidence , awareness of individual patient characteristics as they influence treatment needs, interpersonal ability, awareness of the limits of one’s clinical skill set, and clinical decision-making [15].

What are practice guidelines?

According to the Institute of Medicine, practice guidelinesare “systematically developed statements to assist practitioners and patient decisions about appropriate health care for specific clinical circumstances” [31]. These statements are developed through a consensus process that includes clinical and research experts in the appropriate field, and may also elicit input from health care provider organizations, consumer groups, and government agencies, depending upon the scope and purpose of the guidelines. In terms of content, practice guidelines may include approaches to the prevention, diagnosis, or treatment of an illness [32]. Content may be drawn from various theoretical frameworks, and flexibility is allowed in the actual implementation of the practice.

What is sufficient documentation?

Sufficient documentation exists in the form of manuals, training materials, etc. to facilitate dissemination of the approach

Does the approach have demonstrated benefits in relation to treatment goals?

The approach has demonstrated benefits in relation to treatment goals

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