© 2006 McGraw-Hill Higher Education. All rights reserved. Chapter 18 Treating Substance Abuse and Dependence

© 2006 McGraw-Hill Higher Education. All rights reserved. Treatment  No single treatment is appropriate for all individuals  Treatment needs to be readily available  Effective treatment attends to multiple needs of the individual, not just to his/her drug use

© 2006 McGraw-Hill Higher Education. All rights reserved. Treatment  An individual's treatment plan must be assessed continually  Remaining in treatment for an adequate period is critical  Counseling and other behavioral therapies are critical

© 2006 McGraw-Hill Higher Education. All rights reserved. Alcoholics Anonymous  An important milestone in treatment  Central to the disease model  12 step program  Cocaine Anonymous, Narcotics Anonymous, Gamblers Anonymous and more are based on AA

© 2006 McGraw-Hill Higher Education. All rights reserved. Motivation Enhancement Therapy  Motivation to change  Stages of change  Precontemplation  Contemplation  Preparation  Action  Maintenance

© 2006 McGraw-Hill Higher Education. All rights reserved. Contingency Management  Behavioral approach  Contingency management  Rewards  Counseling sessions

© 2006 McGraw-Hill Higher Education. All rights reserved. Treatment  Medications are important for many patients  Addicted or drug-abusing individuals with co- existing mental disorders should have both disorders treated  Medical detoxification is only the first step  Treatment does not need to be voluntary to be effective

© 2006 McGraw-Hill Higher Education. All rights reserved. Treatment  Possible drug use during treatment must be monitored continuously  Treatment programs should provide assessment for other diseases  Recovery can be a long-term process and frequently requires multiple episodes of treatment