Treatment FAQ

what are some theoretical approaches to treatment planning in substance abuse

by Prof. Stanford Klocko Published 3 years ago Updated 2 years ago
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  • Cognitive Behavioral Therapy (CBT). CBT can be applied in the treatment of many different types of problematic substance use. ...
  • Contingency Management (CM). ...
  • Motivational Interviewing (MI). ...
  • Dialectal Behavioral Therapy (DBT). ...
  • Rational Emotive Behavior Therapy (REBT). ...
  • Matrix Model. ...
  • 12-Step Facilitation. ...

What are the therapeutic approaches to substance abuse treatment?

There are many therapeutic approaches to substance abuse treatment, and a truly comprehensive take on addiction treatment begins with a multi-approach plan. Several therapies are commonly used by therapists and addiction specialists to treat substance use disorders and their co-occurring disorders.

Why create a treatment plan for substance abuse?

Creating a treatment plan for substance abuse is an important first step towards acheiving these goals. The ultimate goal of an addiction recovery program is to support you as you embark on a healthier way of life. No-one controls the indefinite future. You can only control your personal actions in any given moment.

What is the hierarchy of treatment goals for substance abuse?

Thus, the hierarchy of treatment goals, although individualized and specific to each adolescent, begins with the motivation of the adolescent toward abstinence from alcohol and other drugs and the decrease and ultimately the cessation of any use of mood-altering drugs.

What are the goals of this counseling model of addiction treatment?

The goals of this counseling model are: 1. Achieving and maintaining abstinence from alcohol or other drugs of abuse or, for patients unable or unwilling to work toward total abstinence, reducing the amount and frequency of use and concomitant biopsychosocial sequelae associated with drug use disorders.

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What are the theoretical models of addiction?

There are several theories that model addiction: genetic theories, exposure theories (both biological and conditioning), and adaptation theories.

What are the three theories of addiction?

The theories addressed here include: Negative Reinforcement-NR (“Pain Avoidance”) Positive Reinforcement-PR (“Pleasure Seeking”) Incentive Salience-IS (“Craving”)

What are the five theories of addiction?

There are a variety of psychological approaches to the explanation of drug dependence, including emphasis on learning and conditioning (behavioural models), cognitive theories, pre-existing behavioural tendencies (personality theories), and models of rational choice.

What social work theories are used in substance abuse?

In this study, the ecological systems theory was used as the theoretical framework. The self-efficacy theory also was a critical concept that emphasizes the importance of motivation on the social worker's role in substance abuse treatment (Bandura, 2011).

What is psychological theory of addiction?

Psychological dependence is largely referred to as the cognitive and emotional aspects of addiction or withdrawal from drugs and alcohol. Rather than the body's physical change as a result of drug abuse, the psychological model of addiction is centered on emotions related to using these substances.

How does psychodynamic theory explain addiction?

The psychodynamic approach to addiction therapy looks at how past events, thoughts and circumstances shape a patient's present behaviors. It is believed that these factors result in unconscious processes that cause a person to act in a particular manner.

What are psychological theories?

A psychological theory is a fact-based idea that describes a phenomenon of human behavior. A theory is based on a hypothesis, which is backed by evidence. A psychological theory has two key components: It must describe a behavior. It must make predictions about future behaviors.

What is the sociological theory of drug use?

For our purposes, sociological theories understand substance abuse as a societal phenomenon, having largely cultural, social, and economic origins or ties. Such causes are often external to the individual, i.e., they are not biological, genetic or psychological traits possessed by them.

What do theories help us do?

A theory not only explains known facts; it also allows scientists to make predictions of what they should observe if a theory is true. Scientific theories are testable. New evidence should be compatible with a theory. If it isn't, the theory is refined or rejected.

What are some interventions for substance abuse?

Consensus exists that several psychosocial treatments or interventions for substance use disorders are “evidence-based.” These include cognitive-behavioral therapy (CBT) (including relapse prevention (RP)), contingency management (CM), motivational enhancement/motivational interviewing (MI) and brief interventions (BIs ...

What are social work theories?

Social work theories are general explanations that are supported by evidence obtained through the scientific method. A theory may explain human behavior, for example, by describing how humans interact or how humans react to certain stimuli. Social work practice models describe how social workers can implement theories.

How does social learning theory explain addiction?

Applied to addictions, the social learning model suggests that drug and alcohol use are learned behaviors and that such behaviors persist because of differential reinforcement from other individuals, from the environment, from thoughts and feelings, and from the direct consequences of drug or alcohol use.

What is the treatment of substance abuse?

There are many therapeutic approaches to substance abuse treatment, and a truly comprehensive take on addiction treatment begins with a multi-approach plan. Several therapies are commonly used by therapists and addiction specialists to treat substance use disorders and their co-occurring disorders.

How does rational behavior therapy work?

The ABCs— activating event, beliefs, and consequences— of rational emotive behavior therapy guide clients from irrationality to rationality.

What is attachment based therapy?

Attachment-based therapy is a type of short-form counseling rooted in attachment theory and focused on helping people rebuild trust and strengthen personal relationships. It is commonly used in treatment for substance abuse, as the circumstances of addiction often place strain on the relationships that are critical to a strong recovery.

What is acceptance and commitment therapy?

As the name implies, acceptance and commitment therapy is designed to help people accept thoughts and feelings and develop new, positive relationships with them, rather than suppress them.

What is DBT therapy?

DBT aims to communicate acceptance of the client’s self and unique challenges, while helping them to learn new skills that improve emotional regulation. Previously used primarily for borderline personality disorder, dialectical behavior therapy has become more widely used in addiction treatment in recent years.

12-Step Facilitation Approach

The treatment approach of many IOT programs evolved from the Minnesota Model of treatment, so called because it was first conceptualized at Hazelden Foundation and Willmar State Hospital in Minnesota in the late 1940s ( White 1998 ).

Cognitive-Behavioral Approach

Cognitive-behavioral therapy (CBT) is based on the theory that most emotional and behavioral reactions are learned and that new ways of reacting and behaving can be learned.

Motivational Approaches

In practice, motivational approaches include both motivational interviewing (MI) and MET. These motivational approaches can be incorporated into every stage of treatment (see TIP 35, Enhancing Motivation for Change in Substance Abuse Treatment [ CSAT 1999 c ], pages 31–32, for specific suggestions).

Therapeutic Community Approach

Therapeutic communities (TCs) have provided residential substance abuse treatment since the 1960s. Some programs have developed a modified, community-based IOT component either to provide treatment on an outpatient basis or to help graduates successfully transition from residential treatment into the community.

The Matrix Model

The Matrix model was developed during the 1980s as an effective way to treat the increasing number of people dependent on stimulant drugs, particularly cocaine. Developers designed the Matrix model as a more intensive intervention than the then-standard weekly outpatient counseling or 28-day inpatient treatment.

Community Reinforcement and Contingency Management Approaches

Community reinforcement (CR) and contingency management (CM) are treatment approaches based on operant conditioning theory. This theory maintains that future behavior is based on the positive or negative consequences of past behavior.

Why is it important to have a treatment plan for substance abuse?

The ultimate goal of an addiction recovery program is to support you as you embark on a healthier way of life. No-one controls the indefinite future. You can only control your personal actions in any given moment.

What is intervention in addiction?

Interventions may be a key component in helping a client advance in their treatment plan. They provide accountability, challenges, and direction during treatment. Addiction recovery programs aim to help you craft goals that are relevant and meaningful to you.

How does addiction affect your life?

It interferes with your physical health, mental well-being and social interactions. Addiction can negatively affect your career, economic stability and relationships. The goals you make at the onset of an addiction recovery program are typically dependent on personal factors like these.

What is addiction recovery?

Addiction recovery programs aim to help you craft goals that are relevant and meaningful to you. To do this, you’ll be encouraged to consider your personal expectations against the expectations of those around you and create a plan on how you can achieve a healthier way of life.

What are the components of a treatment plan?

Your treatment plan will include three major components: goals, objectives, and interventions.

How many people die from alcoholism each year?

The effects of alcohol are widely known, and the National Institute on Alcohol Abuse and Alcoholism estimates that each year, 88,000 people in the die from alcohol-related causes.

What is the third element of a treatment plan?

Finally, the third element of a treatment plan is the intervention . An intervention is something that a therapist, counselor, or medical professional does to help a client process or work through their objectives. Interventions may be a key component in helping a client advance in their treatment plan.

What is psychotherapy theory?

Psychotherapy theories provide a framework for therapists and counselors to interpret a client’s behavior, thoughts, and feelings and help them navigate a client’s journey from diagnosis to post-treatment. Theoretical approaches are an understandably integral part of the therapeutic process.

How does a behavioral therapist work?

Behavioral therapists work on changing unwanted and destructive behaviors through behavior modification techniques such as positive or negative reinforcement .

What is behavioral theory?

Behavioral theory is based on the belief that behavior is learned. Classic conditioning is one type of behavioral therapy that stems from early theorist Ivan Pavlov’s research. Pavlov executed a famous study using dogs, which focused on the effects of a learned response (e.g., a dog salivating when hearing a bell) through a stimulus (e.g., pairing the sound of a bell with food).

What is cognitive behavioral therapy?

Cognitive and behavioral therapy are often combined as one form of theory practiced by counselors and therapists. Cognitive behavioral therapy, or CBT, has been found in research. open_in_new to help with a number of mental illnesses including anxiety, personality, eating, and substance abuse disorders.

Why is psychodynamic theory more time intensive?

Psychodynamic theory can be more time intensive in comparison to some short-term theories because it involves changing deeply ingrained behaviors and requires significant work on understanding one’s self.

What is a humanistic therapist?

Humanistic therapists care most about the present and helping their clients achieve their highest potential. Instead of energy spent on the past or on negative behaviors, humanists believe in the goodness of all people and emphasize a person’s self-growth and self-actualization.

Who developed the theory of unconscious forces?

Psychoanalysis or psychodynamic theory, also known as the “historical perspective,” has its roots with Sigmund Freud, who believed there were unconscious forces that drive behavior. The techniques he developed, such as free association (freely talking to the therapist about whatever comes up without censoring), dream analysis (examining dreams for important information about the unconscious), and transference (redirecting feelings about certain people in one’s life onto the therapist) are still used by psychoanalysts today.

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