This chapter discusses a number of treatment models, general approaches, and techniques. A treatment model is a set of practices designed to alleviate symptoms, promote psychological well-being, or restore mental health. Treatment techniques are specific procedures that can be used as part of a variety of models.
What treatment is best?
Our integrated treatment model was specifically developed to address co-occurring disorders. The Substance Abuse and Mental Health Services Administration (SAMHSA) defines co-occurring disorders as any time a person has “at least one mental disorder as well as an alcohol or drug use disorder,” and each “can be diagnosed independently of the other.”
What is the rehab treatment model?
The Matrix Model is a treatment approach that is administered over the course of a structured, 16-week period. Used most often with people who are addicted to stimulants (mainly cocaine and methamphetamine), the program is highly structured and is …
What are the three models of addiction?
It is common for people to experience ongoing ambivalence when making a change. A model of behavioral change, known as the “Stages of Change” assesses a person’s readiness to make any change in behavior (e.g., health diet, exercise), and there is consistent support for use of this model in treatment approaches for substance use and mental illness. In stage-matched care, …
What is the measure of a model?
Jan 24, 2019 · The Minnesota Model of addiction treatment is commonly called the “ abstinence model .”. It is an outgrowth of the original 12-step program developed by Alcoholics Anonymous and was founded by two people who worked in a state mental hospital in the 1950s. The idea was to expand the reach of the 12-steps to include professionals, including ...
What are models in counseling?
Theoretical models in counseling are concepts that provide a framework used to describe and understand our thoughts, emotions, and behaviors. As you study to be a counselor, you learn many different theoretical approaches. Each of these theoretical models will have their own tools and techniques.Oct 6, 2021
What are evidence based treatment models?
Evidence-based TherapiesApplied Behavior Analysis.Behavior therapy.Cognitive behavioral therapy.Cognitive therapy.Family therapy.Dialectical behavior therapy.Interpersonal psychotherapy.Organizational Skills Training.Aug 5, 2017
What are the five stages of treatment?
Developed from the Trans-theoretical Model of Change1, the Stage of Change model includes five stages: pre-contemplation, contemplation, preparation, action, and maintenance.
What are the four stages of treatment?
The four stages of treatment are:Treatment initiation.Early abstinence.Maintaining abstinence.Advanced recovery.Feb 17, 2022
What is assertive community treatment model?
What is Assertive Community Treatment (ACT)? ACT is a service-delivery model that provides comprehensive, locally based treatment to people with serious and persistent mental illnesses.
How do you know if a treatment is evidence-based?
Therapists who use treatments based on science engage in what is called “evidence-based practice” (EBP). If the treatments they use have scientific evidence supporting the effectiveness of the treatments, they are called evidence-based treatments (EBTs).Aug 5, 2017
What are the five stages of change model?
The five stages of change are precontemplation, contemplation, preparation, action, and maintenance.
What are stages of treatment?
Various models exist describing the overall phases of treatment, but most have elements in common. The National Institute on Drug Abuse (NIDA) describes four stages of treatment: initiation, early abstinence, maintenance of abstinence, and advanced recovery.Sep 28, 2020
What are the 3 P's of recovery?
3 “P's” for Recovery: Passion, Power and Purpose.Aug 18, 2016
What is the first step of treatment?
In the early stage of treatment, clients may be in the precontemplation, contemplation, preparation, or early action stage of change, depending on the nature of the group. Regardless of their stage in early recovery, clients tend to be ambivalent about ending substance use.
What are the principles of effective treatment?
Effective treatment attends to multiple needs of the individual, not just his or her drug abuse. To be effective, treatment must address the individual's drug abuse and any associated medical, psychological, social, vocational, and legal problems.Jan 17, 2018
What is the engagement stage of treatment?
In the engagement stage, the client does not see a professional on a regular basis and has no working relationship with a professional. In the persuasion stage, the client has a working alliance with a professional but is not convinced that substance abuse is a problem.
What is the sickness model?
This state of mind, which in the health industry is called the “sickness model,” is the traditional way that individuals have been taught to deal with their health. However, in recent years, with the explosion of the fitness industry and a new focus on holistic health, this mindset has started to change. Many health providers are helping their ...
What is holistic care?
In the model there is a strong emphasis on holistic care where the client or patient is encouraged to take part in healthy activities that create a stronger body and mind that can ward off illness, instead of relying on the traditional health system to care for a sick body.
What is wellness in medical terms?
Wellness is not just a set of practices that are incorporated at the doctor’s office, but rather it’s a change in lifestyle. Wellness includes care from your regular physician, but also can include chiropractic, massage, nutrition, fitness and mental health care. All of these things make you a healthier person.
How to treat addiction and mental health issues at the same time?
Treating both the addiction and any mental health issues at the same time is often effective for co-occurring disorders because of the ways that these conditions interact with each other. If one disorder is left untreated, it can worsen and negatively affect any progress made to treat the other disorder. Additionally, the two conditions may be related to each other in complex ways, so treating them simultaneously offers the person the best opportunity to address these relationships and figure out how best to manage both disorders on a daily basis.
Why are medications important?
Treatment plans must be reviewed often and modified to fit the patient’s changing needs. Treatment should address other possible mental disorders.
What is a co-occurring disorder?
The Substance Abuse and Mental Health Services Administration (SAMHSA) defines co-occurring disorders as any time a person has “at least one mental disorder as well as an alcohol or drug use disorder,” and each “can be diagnosed independently of the other.”.
Is there a single treatment for everyone?
No single treatment is right for everyone. Effective treatment addresses all of the patient’s needs, not just his or her drug use. Staying in treatment long enough is critical. Counseling and other behavioral therapies are the most commonly used forms of treatment.
What type of therapy does a therapist use?
Therapists may use cognitive behavioral therapy , contingency management, and motivational interviewing throughout the treatment process. They may also be conjoint sessions (with a loved one in the room) to set the treatment plan.
What is matrix treatment?
The matrix model is a highly structured treatment framework used in intensive outpatient treatment programs developed in the 1980s in Los Angeles. It is an effective substance abuse treatment model for patients with substance use disorders involving stimulant substances such as cocaine, crystal meth, and methamphetamine-based prescription drugs.
What are the eight central therapeutic constructs?
Therapists using the matrix model use eight central therapeutic constructs: Create a positive and collaborative connection with the patient. Establish an explicit treatment structure and clear expectations. Educating the patient on brain chemistry and other clinically relevant knowledge (psychoeducation)
How effective is matrix model?
One study found that the matrix model was effective in treating people addicted to stimulant drugs, particularly cocaine, eight months after treatment. Another study examined methamphetamine users who were treated using the Matrix Model.
What is matrix model therapy?
Matrix Model therapists adopt a positive, encouraging relationship with their patients. Establish a positive and collaborative relationship between the therapist and the recovering user. The therapist treats the person with empathy and respect instead of confrontation. They set goals together and work as a team.
Why do matrix models do drug tests?
Matrix Model programs also perform drug tests randomly on a weekly basis. Drug testing is used to keep users accountable and reward sobriety. It is not used to punish users. A positive drug test may indicate a need for increased structure in the program. 2.
What is matrix model?
The Matrix Model is a treatment approach that is administered over the course of a structured, 16-week period. Used most often with people who are addicted to stimulants (mainly cocaine and methamphetamine), the program is highly structured and is largely made up of group therapy sessions. Users learn about the addiction ...
How many sessions are there in a relapse prevention program?
Treatment consists mainly of groups, with 3 to 10 individual sessions over the duration of the program. Patients attend 2 relapse prevention groups and 1 family/education group per week. During the first 4 weeks, they also attend 2 early recovery skills groups per week.
How does matrix model work?
Monitor drug use through urine tests. Matrix Model programs use drug testing to monitor patients and provide feedback, such as rewards when they submit a negative test or discussion about a positive test. Matrix Model therapists adopt a positive, encouraging relationship with their patients.
When was the MM model developed?
The model was developed during the cocaine epidemic in Southern California in the 1980s.
Why is weekly drug testing important?
Weekly drug testing is another important component of programs that utilize the Matrix Model and is conducted to assess recovery progress and encourage program compliance.
What is the model of behavioral change?
A model of behavioral change, known as the “Stages of Change” assesses a person’s readiness to make any change in behavior (e.g., health diet, exercise), and there is consistent support for use of this model in treatment approaches for substance use and mental illness.
What is a stage matched intervention?
Stage-matched interventions, referred to as the Stages of Treatment, describe a person’s process through recovery. Each Stage of Treatment includes a range of motivational interventions matched to support a person’s recovery. Below is a description of the Stages of Change paired with the corresponding Stage of Treatment.
What are the stages of change?
Developed from the Trans-theoretical Model of Change1, the Stage of Change model includes five stages: pre-contemplation, contemplation, preparation, action,#N#and maintenance. These stages of change have four Contemplation and Preparation Persuasion complementary stages of treatment each with specific strategies tailored to enhance client engagement and motivation. Research supports the use of stage-matched care to help implement health-behavior changes related to substance use, physical activity, and taking medication (2). Individuals with co-occurring mental illness and substance use disorders have complex needs that may be more effectively addressed by utilizing the stages of treatment as opposed to using a strategy outside of the individual’s Stage of Change.
What is the Minnesota model of addiction?
The Minnesota Model of addiction treatment is commonly called the “ abstinence model .”. It is an outgrowth of the original 12-step program developed by Alcoholics Anonymous and was founded by two people who worked in a state mental hospital in the 1950s. The idea was to expand the reach of the 12-steps to include professionals, ...
What is the Minnesota model?
Addiction treatment methods have changed and varied over the past several years. One of the most prominent treatment methods today is the Minnesota Model. This approach expands on the 12-step program and adds doctors, psychologists, and addiction specialists to the treatment team allowing individuals the opportunity for a well-rounded recovery.
What is the 12-step model?
Those who follow it receive treatment that manages their physical and emotional health, and by adhering to the 12-step model, those who are interested in it can even grow spiritually and reach a stronger connection with their higher power.
How long does inpatient treatment last?
The family of the individual was asked to participate in the treatment on a very active basis. Inpatient treatment that lasted at least 28 days and daily treatment was a necessity, including adherence to 12-step programs before and after being admitted.
What is the first step in detoxification?
Detoxification – The first step in just about any treatment method is detoxification , which typically requires a carefully maintained medical-taper of medicines to help stave off the dangers and discomfort of severe withdrawal symptoms.
Why do people do work based therapy?
To that end, a person may also participate in work-based therapy to keep their body and mind active and focused on positive aspects of progress within their life.
What is the sobriety rate of the Minnesota model?
In other words, the Minnesota Model produced an increased sobriety rate of upwards of 40 percent.
What is the Relapse Prevention Model?
One thing you learn after you enter treatment is that relapse is a part of the process. Now more than ever, it’s time for us to begin taking a more in-depth look at the relapse prevention model to stop relapse in its tracks and continue forging a path of sobriety.
What is the Relapse Prevention Model?
The relapse prevention model is an integral part of alcoholism treatment. The relapse prevention model uses a combination of CBT or cognitive behavioral therapy to prevent relapse from happening and is most beneficial for those who have found themselves relapsing several times.
What Is CBT?
CBT, as mentioned above, is known as cognitive-behavioral therapy. It’s a type of therapy that teaches people to tap into their mental and pinpoint negative thoughts and emotions.
Strategies Used in the Relapse Prevention Model
In the relapse prevention model, certain strategies are used to include helping a person build their awareness. Building awareness will help them understand the types of situations that could trigger a relapse.
How Does Training Work
The first step in training is honest that relapse is a part of the sobriety journey and the best thing you can do is not be afraid of it but understand what to do if the urge to use occurs. This is something your sober coach will help teach you.
Relapse Prevention Model 101
The relapse prevention model is in place to help those that have had problems relapsing in the past end the cycle they find themselves in. With newfound confidence in yourself and learned coping skills living a life free from addiction is possible.
Programs
Results
- As you begin your decision making process, it's helpful to understand what's involved in rehab programs. There are medical and physical aspects of care to consider as well as issues related to mental, emotional and spiritual health. Look for centers that use evidence-based addiction treatment and for facilities that are licensed. A holistic approach to healing that addresses all as…
Treatment
- Ideally, treatment involves a team made up of licensed professionals including chemical dependency counselors, mental health staff, wellness specialists and spiritual care counselors. The team works together to map out a care plan unique to the individual client or patient. During …
Management
- Most people who struggle with addiction face mental health challenges as well. A quality provider will have licensed psychologists or therapists working in tandem with addiction counselors to address problems such as anxiety, depression, trauma, bi-polar disorder and other conditions.
Significance
- In-network status with insurance companies is another sign of a quality provider. Programs that are in-network with health insurance companies have completed important credentialing requirements in order to be deemed a provider.
Prognosis
- No. Addiction is a chronic disease, much like diabetes or hypertension. People with drug or alcohol addiction need to actively manage the condition over their lifetime. A quality rehab program helps patients learn to manage their symptoms, first within the structure and support of a treatment setting and eventually in their home environment where they are in charge of their s…
History
- Beginning in 1949, at a quiet lakeside retreat in Center City, Minnesota, Hazelden Betty Ford's earliest clinicians developed the addiction treatment approach most widely used in the world today, known originally as the Minnesota Model. Combining a medical model of care with emerging Twelve Step principles and practices, treatment was provided with an abiding respect …
Mission
- Our pioneering model of addiction services has continued to evolve to integrate the latest in biological, behavioral, genetic and other scientific findings and to address the disease holistically mind, body and spirit. Today, our protocols include science-based assessments, medication-assisted treatment and evidence-based practices, delivered with the same patient-centered focu…
Services
- More often than not, addiction comes with complicating factors such as depression, anxiety or trauma, also known as co-occurring disorders. With such complex conditions, the most effective approach to care integrates treatment for addiction and mental health so that both issues are addressed at the same time. Our services are provided by psychiatrists, psychologists, marriage …
Prevention
- Contingency management (CM) involves incentive-based interventions. Studies show that tangible rewards reinforce positive behaviors and are highly effective in increasing treatment retention and promoting abstinence from drug use. Mindfulness-Based Cognitive Therapy (MBCT) is used to help prevent depression relapse. This approach works especially well for those with m…
Goals
- Solution Focused Therapy focuses on a person's present and future, rather than past. This is considered goal-oriented therapy. The symptoms or issues that brought a person to their current situation are usually not the target in this therapy setting.
Mechanism of action
- This specific type of group therapy focuses on educating people about disorders and developing coping strategies.
Purpose
- Twelve Step Facilitation was originally designed as an approach to actively engage patients in abstinence-based Twelve Step groups such as Alcoholics Anonymous. Today, the interventions are more widely utilized to help patients achieve and sustain recovery from both substance use disorders and mental health issues that affect the mind, body and spirit.
Matrix Model Therapeutic Approaches
- Therapists using the matrix model use eight central therapeutic constructs: 1. Create a positive and collaborative connection with the patient 2. Establish an explicit treatment structure and clear expectations 3. Educating the patient on brain chemistry and other clinically relevant knowledge (psychoeducation) 4. Introducing and applying cognitive...
Matrix Model Treatment Plan & Structure
- In order for the matrix model to be successful, therapists combine the following components in a highly structured setting:
Effectiveness of The Matrix Model
- One study found that the matrix model was effective in treating people addicted to stimulant drugs, particularly cocaine, eight months after treatment. Another study examined methamphetamine users who were treated using the Matrix Model. Two to five years after treatment, the researchers found that this group greatly reduced their drug use. In addition, man…