Treatment FAQ

when figuring out treatment placment, what are the risks involved

by Dusty West MD Published 2 years ago Updated 2 years ago

How do I ensure my risk treatment plan is implemented correctly?

A number of important tips can help ensure risk treatment plans are implemented correctly and monitored accurately. These include: Ensure the right structure is used to support the treatment plan. This may involve additional task delegation. Make sure that adequate resources are available for those involved in risk mitigation.

How do you monitor the implementation of a treatment plan?

Ensure the owner of the treatment plan is able to specify how implementation will be monitored, including key indicators that note increasing or decreasing risk levels. Review treatment plan effectiveness and risk levels regularly through meetings.

How do you determine the potential risks of a project?

Through qualitative and quantitative risk analysis, you can define the potential risks by determining impacts to the following aspects of your project: 1 Activity resource estimates 2 Activity duration estimates 3 Project schedule 4 Cost estimates 5 Project budget 6 Quality requirements 7 Procurements More ...

How can we improve the quality of the treatment plan?

Ensure the right structure is used to support the treatment plan. This may involve additional task delegation. Make sure that adequate resources are available for those involved in risk mitigation. Communication should be a significant concern, not only within the treatment plan, but also with key stakeholders.

What are the five stages of treatment?

Motivation for Recovery: Moving Through the 5 Stages of ChangeStage One: Precontemplation.Stage Two: Contemplation.Stage Three: Preparation.Stage Four: Action.Stage Five: Maintenance/Recovery.Addiction recovery that's built to last.

What are the four 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.

What is the ASAM patient placement criteria?

Formerly known as the ASAM patient placement criteria, The ASAM Criteria is the result of a collaboration that began in the 1980s to define one national set of criteria for providing outcome-oriented and results-based care in the treatment of addiction.

What is a treatment assessment?

When an adult or adolescent enters treatment for a substance use disorder, the first step in the process is an assessment. An assessment evaluates the person's individual needs and the level of care they need. The goal of an assessment is to determine appropriate treatment options and provide a recommendation.

What is the treatment model?

The model proposes that the manner in which an individual views, appraises, or perceives events around himself/ herself is what dictates their subsequent emotional responses and behavioral choices.

What is the first stage 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 6 dimensions of the ASAM criteria?

Dimension 1 – Acute intoxication and/or withdrawal. Dimension 2 – Biomedical conditions and complications. Dimension 3 – Emotional, behavioural, or cognitive conditions and complications. Dimension 4 – Readiness to change.

Why is it important for a professional counselor to understand the levels of care established by the American Society of Addiction Medicine ASAM )?

Why the ASAM Criteria? The ASAM Criteria helps, clinicians, counselors and care managers make objective decisions about patient admission, continuing care, and transfer/discharge for individuals with addictive, substance-related, and co- occurring conditions.

What is the Asam assessment tool?

ASAM CONTINUUM is an electronic assessment tool that allows clinicians, counselors, and other staff to leverage a computerized clinical decision support system (CDSS) to assess individuals with addictive substance use disorders and co-occurring conditions.

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)?

What considerations must be made for choosing an appropriate assessment tool?

There are four considerations to examine when designing an appropriate assessment method that will reflect the established learning goals and activities:Reliability.Standardization.Validity.Practicality.

Why is assessment and evaluation an important part of the treatment process?

Assessment is a more indepth evaluation that confirms the presence of a problem, determines its severity, and specifies treatment options for addressing the problem. It also surveys client strengths and resources for addressing life problems.

What is risk reduction?

When elimination or avoidance seems impossible, then risk reduction is the answer. Risk reduction is about reducing the severity of the loss. This is usually used during emergencies like fire, flood, earthquake, and many more. Implementing risk reduction means preparing important factors like fire prevention, safety inspection and even claims management. Always have contact with the local fire and medical center just in case someone needs help. Provide medical health card to your employees so that they have access to good health care and prevent them from getting ill or resigning from the job.

What is risk elimination?

Risk elimination is about prevention. This type of risk treatment gets rid of hazards and assets that may create danger for your projects. Risk elimination is all about foreseeing the possible results of certain factors and making sure that there will be no problem that can occur from that certain scenario. Eliminating every single hazardous factor is almost impossible that’s why risk elimination simply attempts to decrease the number of vulnerabilities. An example of risk elimination is training and educating members of the group. If everyone in your group or community is aware of possible risks that may happen and how they can solve them, then there will be no major vulnerabilities in the future.

Is facing problems a fact of life?

Facing problems is a fact of life. And it can get trickier if you’re running a business or an organization. The stakes are higher and a single misstep in handling risk and damage can cause your reputation, damage to property, or worst, loss of lives.

What to do if your treatment center does not give you a treatment plan?

Even if your treatment center does not use treatment plans or does not give you one, you can ask for as much information in writing as possible. This will help you remember what's been told to you, which can be hard to do when you're given a lot of information at once. Either way, having things in writing is helpful.

What to do if you don't get a treatment plan?

If you don't get a written treatment plan, you can ask for a treatment schedule to be written out for you. A treatment schedule includes: The type of treatment that will be given, such as radiation therapy, chemotherapy, targeted therapy, immunotherapy, hormone therapy, etc.

What is treatment planning?

Treatment planning involves figuring out the exact doses of the treatment that will be given and how long it will last.

How is cancer treatment planned and scheduled?

How Treatment Is Planned and Scheduled. To plan and schedule cancer care and treatments, a lot of information must first be collected. This information often needs to be shared with different specialists , as well as with patients and their caregivers, to help decide what treatment option is best. Once a treatment is decided on, care can be ...

What tests are done to determine the stage of cancer?

Your exact cancer diagnosis and stage. Special test results, such as imaging (x-rays), blood tests, tumor marker tests, genetic testing, or biomarker tests done on the tumor. Your planned treatment, its doses, the schedule for getting it, and how long it is expected to be given.

Why do we need a cancer treatment plan?

A cancer treatment plan is kind of like a roadmap because it helps to lay out the expected path of treatment. It is a document that is created by the cancer care team and given to the patient and others that may need to know the planned course of care.

Can you take a break from cancer treatment?

Sometimes taking a break is recommended by the cancer care team, and that's OK. It might be due to side effects, to do more tests, because of a holiday or special event, or because of other health problems. But some patients who are actively on treatment might wonder if they can take a break for personal reasons.

Why do treatment providers need instruments?

On the clinical side, treatment providers need instruments with which to assess the quality of treatment provision, as well as the progress of their clients during treatment. Their motivation is the same as that among researchers: Such instruments are seen as essential elements in the effort to improve clinical care.

What are the factors that affect the impact of alcohol treatment?

Therapeutic Alliance. One of the key factors affecting the impact of alcohol treatment, especially psychosocial treatments, is the quality of the alliance or relationship that is developed between the therapist and client (panel IV in figure 1).

How is quality of alcohol treatment determined?

The quality of alcohol treatment is determined, not only by the therapeutic techniques applied, but also by the characteristics of individual treatment providers (panel III in figure 1). In particular, this domain of variables refers to within–program variation in provider characteristics (aggregate, program–level staff characteristics are considered in panel II). Gerstein (1991) argued that “the competence, quality, and continuity of individual caregivers are likely to be critical elements in explaining the differential effectiveness of [substance abuse] treatment programs” (p. 139). In the alcohol treatment field, the few studies that have been conducted (e.g., W.R. Miller et al. 1980; Valle 1981; McLellan et al. 1988; Sanchez–Craig et al. 1991; Project MATCH Research Group 1998; for reviews, see Najavits and Weiss 1994; Najavits et al. 2000) indicate that therapist characteristics play an important role in determining clients’ treatment retention and outcomes.

What are the five treatment approaches?

2001#N#Description: This multidimensional instrument assesses five treatment approaches: psychodynamic or interpersonal, cognitive–behavioral, family systems or dynamics, 12–step, and case management. For each of the first four modalities, items assess beliefs underlying the approach, practices appropriate in individual therapy, and practices appropriate in group therapy. Case management is an individual approach, so no group practices items were included. In addition, items were developed to tap general “group techniques” (e.g., “encouraging peer social support”) and “practical counseling” (e.g.,“developing rapport and trust”). The instrument consists of 48 items that assess 14 subscales. Construct validity was supported by the results of a confirmatory factor analysis in which subscale items loaded on the factor they were intended to assess, but not on other factors. Corresponding belief and practice subscales correlated highly, except for case management. Cronbach alphas for all subscales except psychodynamic and family systems beliefs were above 0.50 and most were over 0.70 (Kasarabada et al. 2001, p. 287). The fact that some of the subscales consist of only three items contributed to low internal consistency estimates.

What is the National Drug and Alcoholism Treatment Unit Survey?

Measure: National Drug and Alcoholism Treatment Unit Survey (NDATUS)#N#Citation: Office of Applied Studies 1991#N#Description: The NDATUS is a brief questionnaire (five pages) that covers (a) the overall organization and structure of programs (ownership, funding sources and levels, organizational setting, capacity in different treatment settings using different treatment modalities, hours of operation, etc.), (b) staffing and staff characteristics, (c) services (e.g., methadone dosages), (d) policies, and (e) clients and client characteristics. The 1989 NDATUS was augmented in 1990 by the Drug Services Research Survey (DSRS) (Office of Applied Studies 1992 a, 1992 b) to obtain additional data in the areas of facility organization and staff, client data, services, and costs and charges. Using data from the 1991 NDATUS, Rodgers and Barnett (2000) found that private, for–profit substance abuse treatment programs tended to be smaller and more likely to provide treatment in only one setting. Public programs and nonprofit programs generally had more treatment staff; Federal and for–profit programs had more psychologists and physicians. In 1992, the NDATUS evolved into the Uniform Facility Data Set (UFDS), sponsored by the Office of Applied Studies.

What are proximal outcomes?

Proximal outcome variables (Rosen and Proctor 1981; panel VII in figure 1) refer to cognitions, attitudes, personality variables, or behaviors that, according to the treatment theory under investigation, should be affected by the treatment provided, and should , in turn, lead to positive ultimate outcomes (e.g., abstinence or reduced alcohol consumption). An Institute of Medicine (1989) panel found that “little research has been devoted to the short–term impact of specific [alcoholism treatment] program components” (p. 159), and suggested that such short–term gains could be studied quite readily. Proximal outcome variables can be assessed at any point between treatment entry and the assessment of ultimate outcomes. When assessed during treatment, proximal outcomes constitute an important method that clinicians can use to assess patients’ treatment progress. For researchers, proximal outcomes, assessed during or after treatment, are key components in treatment process analyses.

What are program level characteristics?

Program–level characteristics (panel II in figure 1) are general factors related to the program’s organization and structure, policies, services, treatment orientation, social environment, and readiness for organizational change.

What are the factors that determine a susceptibility to develop both a mental illness and/or an addiction?

1. the use of psychoactive drugs. 2. morals and character.

How has rapid play poker increased the number of problem gamblers?

2. Online gambling has resulted in an increased number of problem and pathological gamblers. 3. There is no evidence that technology has led to an increase in the number of people with gambling or gaming addictions. 4.

What is cross tolerance?

Cross-tolerance is defined as. When a person develops tolerance to other, similar drugs in the same category (ex. two or more depressants such as heroine and morphine) Using drugs to replace, supplement, or counterbalance the effects of a person's drug of choice is known as . polydrug use.

What is a drug induced high risk sexual practice?

Drug-induced high-risk sexual practices. 4. consistent and regular use of condoms during sex. The DEA classifies drugs into five levels or schedules based on their abuse/addiction potential. Schedule 1 includes drugs the DEA has classified as having high abuse/addiction potential and no accepted medical use.

Who controls the trade of psychoactive drugs?

The ruling classes, governments, industry, and criminal organizations have controlled the trade of psychoactive drugs. T or F. True. Originally called "freebase," "crack cocaine" first appeared at the beginning of this century.

Is the monetary value of drugs a part of the government's economic plans?

The monetary value of drugs has never been a part of legitimate government's economic plans, but it has often been a part of illegitimate plans. T or F. False. The potency of drugs today is due to technological advances in refining, synthesizing, and manufacturing methods.

What is risk identification?

Risk identification is also a risk management process, but in this case it lists all the potential project risks and what their characteristics would be. If this sounds like a risk register, that’s because your findings are collected there. This information will then be used for your risk analysis.

What are the benefits of risk analysis?

Benefits of Risk Analysis 1 Avoid potential litigation 2 Address regulatory issues 3 Comply with new legislation 4 Reduce exposure 5 Minimize impact 6 Risk analysis is an important input for decision making during all the stages of the project management cycle

What is risk analysis?

Risk analysis is the process that figures out how likely that a risk will arise in a project. It studies the uncertainty of potential risks and how they would impact the project in terms of schedule, quality and costs if in fact they were to show up. Two ways to analyze risk are quantitative and qualitative.

What is risk management?

(if not, more in a bit.) Risks are anything that can potentially disrupt any component of your project plan, such as your scope, schedule, costs or your team. Since every project is unique, no two projects are likely to have the same risks.

What is qualitative risk analysis?

The qualitative risk analysis is a risk assessment done by experts on the project teams, who use data from past projects and their expertise to estimate the impact and probability value for each risk on a scale or a risk matrix.

Patient Characteristics

Program–Level Characteristics

Provider Characteristics

Therapeutic Alliance

  • If the effects of the risk still remains and you already gave all the possible solutions, then it’s time to accept it. Risk containment is the accepting level where you must simply stop the treatment because it already outweighs the benefit. Monitoring the aftermath of the risk is still very important. Unsound and unplanned disaster treatment can c...
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Treatment Provided/Treatment Involvement

Proximal Outcomes

  • Program–level characteristics (panel II in figure 1) are general factors related to the program’s organization and structure, policies, services, treatment orientation, social environment, and readiness for organizational change. Relevant organizational or structural variables include ownership, physical design features (e.g., number of buildings), size (number of patients), aggre…
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Ultimate Outcomes

  • The quality of alcohol treatment is determined, not only by the therapeutic techniques applied, but also by the characteristics of individual treatment providers (panel III in figure 1). In particular, this domain of variables refers to within–program variation in provider characteristics (aggregate, program–level staff characteristics are considered in panel II). Gerstein (1991) argued that “the …
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Table 1.—Measures of General Program–Level Characteristics

  • One of the key factors affecting the impact of alcohol treatment, especially psychosocial treatments, is the quality of the alliance or relationship that is developed between the therapist and client (panel IV in figure 1). A positive therapeutic alliance can be viewed as a necessary but insufficient condition for patients’ becoming involved in tre...
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Table 2.—Measures of Treatment Orientation

  • Alcohol treatment programs typically provide psychosocial and/or pharmacologic interventions to patients. To the extent that it is constant across all patients, treatment provided is a program–level characteristic (panel II in figure 1). In most programs, however, the treatment provided varies across patients (panel V). For example, it may be thought that some patients req…
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Treatment Provided/Patient Involvement in Treatment

  • Proximal outcome variables (Rosen and Proctor 1981; panel VII in figure 1) refer to cognitions, attitudes, personality variables, or behaviors that, according to the treatment theory under investigation, should be affected by the treatment provided, and should, in turn, lead to positive ultimate outcomes (e.g., abstinence or reduced alcohol consumption). An Institute of Medicine (…
See more on pubs.niaaa.nih.gov

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