Specialized Treatment by yu1123

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Specialized Treatment
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 Objectives

 Participants   will have:
  – general knowledge of the scientific basis for
    alcohol treatment methods
  – increased understanding of the various types of
    specialized alcohol treatment programs
  – increased understanding of the community
    resources available to assist persons adversely
    affected by alcohol use disorders
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Outcome Research

 Project   MATCH
  – 30% abstinent at one year
  – 40% significantly decreased their drinking
    days and drinks per drinking day
        populations such as physicians
 Special
 had 5-year abstinence rates of over 80%
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Treatment Modality #1:
Brief Intervention

       Reduced   alcohol use
       Reduced hospital days
       Effective with women
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Treatment Modality #2:
Broad Spectrum Skills Training

     Socialskills training
     Community reinforcement
     Systematic desensitization
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Treatment Modality #3:
Marital/Family Therapy


    Primarymethod is cognitive
    behavioral therapy
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Treatment Modality #4:
Cognitive Behavioral Approaches
     Behavior contracting
     Self-help manuals
     Cognitive therapy
     Behavioral self-control training
     Relapse prevention
     Functional analysis
     Self-monitoring
     Basic discrimination training
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Treatment Modality #5:
Aversion Therapies

         Nausea   aversion
         Covert sensitization
         Electrical
         Apneic
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Treatment Modality #6:
Pharmacotherapy

       Traditional
        Disulfiram
        Calcium carbamide
        Metronidazole
        Antabuse
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Treatment Modality #6:
Pharmacotherapy

   New
    Serotoninuptake inhibitors (Prozac)
    Naltrexone
    Acamprosate
    Ketamine
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Treatment Modality #7:
Psychotherapies


     Individual psychotherapy
     Group psychotherapy
     Client-centered therapy
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Treatment Modality #8:
Confrontational Approaches


  Used  to break through denial and to
  facilitate behavioral change
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Treatment Modality #9:
Standard Treatment Components


    Milieutherapy
    General alcoholism counseling
    Educational lectures and films
    Alcoholics Anonymous
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Treatment Modality #10:
Additional Methods


      Acupuncture
      Exercise
      Hypnosis
      Sensory    deprivation
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Twelve Step-Based Treatment Models

      Key   treatment components:
       – Cognitive
       – Emotional
       – Behavioral
       – Social
       – Spiritual
       – Bibliographical
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Motivational Enhancement Therapy

      Key   Components:
       – Express empathy
       – Develop discrepancy
       – Avoid argumentation
       – Roll with resistance
       – Support self-efficacy
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Cognitive Behavioral Coping Skills Therapy


 Key   components:
  – Assessing high-risk situations
  – Coping with cravings and urges to drink
  – Managing thoughts about alcohol and drinking
  – Problem solving
  – Drink refusal skills
  – Planning for emergencies and coping with a
    relapse
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Inpatient Alcohol Treatment in a Hospital
or Residential Treatment Program

  Admission    criteria:
    – Health problems
    – Failure to maintain sobriety after appropriate
      outpatient treatment
    – Major unstable psychiatric illness
    – Absence of social support
    – Resources available
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Inpatient Treatment Structure
      Daily group meetings
      Daily lectures
      Daily individual counseling
      Family therapy sessions
      Daily activity therapy
      Daily 12-Step meetings
      Meditation
      Journals
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Outpatient Treatment

   Admission   criteria:
    – Absence of serious health or psychiatric
      problems
    – Drug withdrawal completed
    – Social support system is available
    – Ability to abstain from mood altering drugs
      and alcohol
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Outpatient Treatment Structure

      Group sessions
      Lectures and videos
      Individual counseling
      Family involvement
      Urine drug screening
      Evening meeting times

								
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