Addiction: Treatment and Prevention. James Colvin Manuel Oropeza Stephanie Pavone Jennifer Peterson Kyle Steinke

Size: px
Start display at page:

Download "Addiction: Treatment and Prevention. James Colvin Manuel Oropeza Stephanie Pavone Jennifer Peterson Kyle Steinke"

Transcription

1 Addiction: Treatment and Prevention James Colvin Manuel Oropeza Stephanie Pavone Jennifer Peterson Kyle Steinke

2 Introduction Defining Addiction Continued involvement with a substance or activity despite ongoing negative consequences Physiological dependence Psychological dependence

3 To Be Addictive A behavior must have the potential to produce a positive mood change Responsibility of Chemicals

4 Diagnosis of Addiction Based on 3 criteria 1. The presence of an abstinence syndrome, or withdrawal A series of temporary physical and psychological symptoms that occurs when the addicted person abruptly stops using the drug 2. An associated pattern of pathological behavior 3. Relapse The tendency to return to the addictive behavior after a period of abstinence

5 Habit vs. Addiction Habit A repeated behavior in which the repetition may be unconscious Can be annoying Compulsion Obsessive preoccupation with a behavior and an overwhelming need to perform it Understanding addiction

6 Signs of Addiction 4 Common Symptoms: Compulsion Loss of control Negative consequences Denial

7

8 Scientific Process of Addiction Built in reward system in the brain Evolutionary designed for motivation Rewards evolutionary productive actions Learning Memory Sex Food

9 Mesolimbic System The reward Circuit aka Mesolimbic system Dopamine Nucleus accumbens Nac Primary target for addicting drugs through Dopamine Ventral Tagmental Area Contains Dopamine transmitters that bathes forebrain Hippocampus Learning and memory

10 Mesolimbic System

11 How Addictions Affect the Brain Two kinds of Addiction Substance and Process Addictions Process addictions operate through normal dopamine channels Substance addictions hijack normal dopamine channels Generally more dangerous then process addictions

12 How Addictions Affect the Brain Substance addictions create abnormal amounts of dopamine in the brain. Various ways

13 Prolonged Effects Homeostasis More Dopamine = less dopamine receptors available

14 Behavioral Effects Normal rewarding behaviors replaced by drug seeking behaviors. Decrease in pleasure in all other rewards. Decrease in learning and logic centers.

15 HBO: Brain Imaging

16 A Model of Addiction

17 Biological or Disease Influences Unusual early response to the substance or experience Easy development of tolerance to alcohol Attention deficit/hyperactivity disorder and other learning disabilities Biologically based mood disorders Depression and bipolar disorders Addiction among biological family members

18 Environmental Influences Ready access to the substance or experience Abusive or neglectful home environment Peer norms Misperception of peer norms Membership in an alienated, oppressed, or marginalized group Life events, including chronic or acute stressors

19 Psychological Factors Low self-esteem esteem External locus of control Looking outside oneself for solutions Passivity Post-traumatic traumatic stress disorders Victims of abuse or other trauma

20 Treatment for Addiction

21 What is Addiction Treatment? Behavioral Therapy Counseling Cognitive Therapy Psychotherapy Medications Antidepressants Mood stabilizers Methadone Combination of Therapy and Medication

22 Treatment in the U.S. More than 11,000 specialized addiction treatment facilities Provide counseling, behavioral therapy, medication, rehabilitation, and many other services Large portion is funded by local, State, and Federal Governments

23 Types of Treatment Programs 12-Step and Self-Help Groups Medical Detoxification Outpatient Drug-Free Treatment Short-Term Residential Treatment Long-Term Residential Treatment Prison-Based Treatment Programs Therapeutic communities (TCs)

24 12-Step and Self-Help Groups Groups such as AA (Alcoholics Anonymous), NA (Narcotics Anonymous), and CA (Cocaine Anonymous) complement and extend the effects of professional treatment 12-steps are controversial due to the religious aspects

25 Medical Detoxification Precursor of treatment Medications are available for detoxification Typically under the care of a physician Untreated withdrawal may be medically dangerous and even fatal Not designed to address the psychological, behavioral, and social problems associated with addiction.

26 Outpatient Drug-Free Treatment Varies per state on intensity of services offered Costs less than residential or inpatient Group counseling is emphasized Random Urine Analyses and Drug-Test are administered

27 Short-Term Residential Treatment Treatment typically lasts from days Provides 24-hours per day treatment Focuses on psychological, behavioral, social problems Often times individual, group and family counseling offered Aftercare and Sober Living is often suggested

28 Long-Term Residential Treatment Provides care 24-hours per day Planned lengths of stay (6-12 months) Often times individual, group and family counseling offered Treatment is highly structured and at times be confrontational. Typical patient has more severe problems with Co-occurring occurring mental health problems

29 Goals and Objectives of Treatment Help client admit that he or she suffers from the disease of addiction Point out signs and symptoms of addiction Teach addict to recognize triggers and rechannel urges

30 Process of Treatment and Counseling Initial Screening Intake Psychosocial Assessment Treatment Planning Individual Counseling Group Counseling Graduation Aftercare and Relapse Prevention

31 Interventions Definition: a structured process in which the delusional system of an individual is confronted in caring, objective, and nonjudgmental manner so that the individual receives help for his/her problem. Goals: To break through the conspiracy of silence To understand and share information about substance abuse and its effects on everyone Understand owns enabling behaviors Interrupt the individual s s usage To offer help

32 Interventions continued Monitor and encourage abstinence Help to develop new, more effective problem- solving skills Help the addict to recognize and change problematic attitudes that may stimulate a relapse

33 Principles of Treatment 1. No single treatment is appropriate for all individuals 2. Treatment needs to be readily available. 3. Effective treatment attends to multiple needs of the individual, not just his or her addiction 4. An individual s s treatment and services plan must be assessed continually and modified as necessary to ensure that the plan meets the person s s changing needs.

34 Principles of Treatment Continued 5. Remaining in treatment for an adequate period of time is critical for treatment effectiveness 6. Counseling (individual and/or group) and other behavioral therapies are critical components of effective treatment for addiction. 7. Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies. 8. Addicted or drug-abusing individuals with coexisting mental disorders should have both disorders treated in an integrated way

35 Principles of Treatment Continued 9. Medical detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug use. 10.Treatment does not need to be voluntary to be effective. 11.Possible drug use during treatment must be monitored continuously. 12.Recovery from drug addiction can be a long-term process and frequently requires multiple episodes of treatment.

36 How Effective is Addiction Treatment? Several studies show drug addiction treatment reduces drug use by 40 to 60 percent. Drug addiction treatment also significantly decreases criminal activity during and after treatment. Overall, treatment for addiction is as successful as treating other chronic diseases such as hypertension, asthma, and diabetes.

37 Drug Addiction: Punishment and Drug Related Treatment

38 Punishment-Incarceration Rates Half of State inmates and a third of Federal Inmates report committing current offense under the influence of alcohol or drugs. In 1997, 80% of State and 70% of Federal prisoners reported past drug use; 1 in 6 report committing current offense to obtain money for drugs.

39 Punishment-Incarceration Rates In the month before an offense 57% of State and 45% of Federal prisoners report using drugs. 33% of State and 22% of Federal prisoners report using drugs at the time of their offense.

40 Punishment-Incarceration Rates A third of State and a quarter of Federal prisoners said they participated in drug or alcohol treatment substance abuse programs since admission. Of the drug offenses in State prisons possession accounted for 27%, trafficking 70%, and other 3%. Of the drug offenses in Federal prisons possession accounted for 5%, trafficking 86% and other 9%.

41 Punishment-Incarceration Rates Cocaine/Crack is the type of drug used during current offense for 72% of State and 66% of Federal prisoners. Marijuana is the type of drug used during current offense in 13% of State and 19% of Federal prisoners. Violent offenders have the highest percentage of drug use (40%).

42 Punishment-Does it work? Compulsive drug seeking by rats under punishment: effects of drug taking history (2006) Four groups of rats trained with cocaine or sucrose as their reinforcer: moderate- cocaine group, moderate-sucrose group, extended-cocaine group, and extended sucrose group.

43 Punishment-Does it work? Training consisted of a seeking-taking chained schedule with sucrose or cocaine as a reinforcer. Regular training occurred for sessions. Extended training occurred for 14 more sessions after regular training. The rat must press a seeking lever which gives access to a taking lever which delivered the reinforcer.

44 Punishment-Does it work? Between the cycles there was a time out period (TO) long enough to be sure that short-term term satiety effects have been minimized and the rat is showing seeking behavior that is positively related to the cocaine dose.

45 Punishment-Does it work? During the punishment sessions half of the cycles had no punishment and in the other half the seeking response was punished. The half who received punishment had a small foot shock and were then led to a TO period without access to the taking link.

46 Punishment-Does it work? The reinforced and punished cycles were presented randomly within 8 daily sessions.

47 Punishment-Does it work?

48 Punishment-Does it work?

49 Punishment-Does it work? For the rats with a moderate history of reinforcement punishment suppressed both sucrose and cocaine seeking responses. The rats with an extended cocaine history were more resistant to punishment than those with a moderate cocaine history.

50 Punishment-Does it work? No difference in suppression of sucrose seeking were found in animals with moderate vs. extended sucrose histories. There were some rats who did not suppress responding with punishment. These rats had extended cocaine self- administration experience.

51 Drug Related Treatment Drug treatment often includes the use of replacement drugs. The treatment of opiate addiction may use other opiates that are also classified as highly addictive.

52 Drug Related Treatment Some drugs often prescribed are Methadone and Buprenorphine. These drugs are used in order to stabilize levels of opioid needed and a way to gradually reduce the levels of opioid needed.

53 Drug Related Treatment- Methadone Methadone Maintenance Treatment (MMT) Methadone is thought to occupy the receptor sites affected by opiates. It relieves the craving for opiates, relieves symptoms from withdrawls and is not said to cause euphoria or intoxication (with stable dosing).

54 Drug Related Treatment- Methadone Most patients require mgs a day to receive optimum therapeutic effects. Patients on higher doses are more likely to stay in treatment and less likely to use other drugs.

55 Drug Related Treatment- Methadone Methadone addiction became a problem in the 1990s. As overdoses of the drug rose, the FDA approved the use of a substitute of Methadone: Buprenorphine.

56 Drug Related Treatment- Methadone 20% of 810,000 heroin addicts in the U.S. receive MMT. If taken correctly and under a physician s supervision it is considered medically safe.

57 Drug Related Treatment- Methadone

58 Drug Related Treatment- Methadone Patients on MMT have weekly heroin use decrease by 69%. Criminal activity decreased by 52% among patients. Full-time employment increased by 24%.

59 Drug Addiction: Prevention

60 Laws Do They Work? Raising tobacco taxes Philip Morris: A high cigarette price, more than any other cigarette attribute, has the most dramatic impact on the share of the quitting population price, not tar level, is the main driving force for quitting.

61 Laws Do They Work? Ignition interlock device for DUI prevention - Comparing the recidivism rates of two groups of Illinois drivers - Drivers with the interlock were one-fifth as likely to be arrested for DUI during the 1 year the device was installed as the comparison group, which did not have the device.

62 Laws Do They Work? However Once the ignition interlock was removed, drivers in this [the interlock] group rapidly returned to DUI arrest rates similar to those in the comparison group.

63 Laws Do They Work? Prison sentence - Rat study indicates that punishment is not an effective solution for severe addicts Other options more viable

64 Laws Do They Work? RSAT Residential Substance Abuse Treatment Program - Formulated from successful Delaware program in late 80 s - Provides funding for substance abuse treatment in a correctional setting - The rationale for RSAT is that, although there is a need to punish offenders, it is important they not return to prison. Hence, the RSAT initiative is an attempt to break the cycle of drug use and crime, and simultaneously make the inmate s prison time more productive.

65 Laws Do They Work? Therapeutic Community (TC) - Based upon the idea that drug abuse is a disorder of the person, and that addiction is thus a symptom of this disorder - Goal is to change negative psychological and behavioral patterns that incline toward drug use - Especially good for drug-involved offenders who are incarcerated: the TC is a total treatment environment isolated from the rest of the prison population separated from the drugs, violence, and other aspects of prison life that militate against rehabilitation

66 Education - D.A.R.E. School-based drug-prevention program 1983 Originated in LA through coordination between school district and LAPD Unique because uniformed officers teaching curriculum rather than teachers Based upon social influence approach to prevention of drug use Quickly implemented nationwide

67 Education D.A.R.E. Growth has exceeded evaluation Most evaluations assess immediate results of program rather than long-term effects Longitudinal studies: DARE exposure had no statistically significant effect on subjects initiation of alcohol use, cigarette smoking, or heavy drinking immediately after DARE, or 1 year or 2 years later.

68 Education D.A.R.E. Increase in self-esteem reported at immediate post-test, but study showed no immediate or long-term effects on participants social skills or attitudes toward drugs 2003 United States General Accounting Office concluded that D.A.R.E. was ineffective in preventing the use of drugs among youth.

69 Education D.A.R.E. Highly visible Substantial federal and corporate funding Portrays a favorable image of police and politicians who support it

70 Education Anti-Drug Campaign National Youth Anti-Drug Media Campaign launched by ONDCP, Partnership for a Drug-Free America, and Ad Council Variety of media targeting adolescents Variety of media targeting adolescents 2003 study showed little evidence of direct favorable effects on youth. Moreover, for some youth cohorts, those with the highest exposure to the media ads appeared more likely to initiate marijuana use.

71 Education Targeting Certain Groups Elementary, middle school-aged children - problems Family interventions - Long-term effects of 2 brief family interventions with general population families of 6 th graders in Iowa - Data collected 4 years later showed subjects of both interventions to have lower rates of initiation and current use of alcohol, tobacco, and marijuana than control group - Brief family skills-training interventions designed for general populations have the potential to reduce adolescent substance use and thus have important public health implications

72 Aftercare and Continued Care Treatment Shift of addiction Consequences or treatment for addiction can actually become a substitute dependence - Parole and Alcoholics Anonymous

73 Relapse Prevention Study following hospital-treated treated heroin and alcohol addicts for 20 and 12 years Post-morbid factors found to be correlated with freedom from relapse for both groups - Community compulsory supervision - Substitute dependence - New relationships - Inspirational group membership

74 Relapse Prevention

75 Works Cited Donatelle, R. J. (2006). Access to Health. In Addictions and Addictive Behavior (p ). 336). San Francisco, CA: Pearson. Gabe Msw, Mac, Janice E. NAADAC Desk Reference and Study Guide on Addiction Counseling. 6th ed Inciardi, James A., Ph.D. The Irrational Politics of American Drug Policy: Implications for Criminal Law and the Management of Drug-Involved Offenders. Ohio State Journal of Criminal Law Vol. 1: iardi.pdf Jones S, Bonci A (2005). "Synaptic plasticity and drug addiction". Curr Opin Pharmacol 5 (1): doi: /j.coph Kalivas PW, Volkow ND (2005). "The neural basis of addiction: a pathology of motivation and choice". Am J Psychiatry 162 (8): doi: /appi.ajp Lindblom, Eric. "Raising Cigarette Taxes Reduces Smoking, Especially Among Kids (and the Cigarette Companies Know It). Campaign for Tobacco-Free Kids.. 11 June Mumola, Christopher J. Substance Abuse and Treatment. State and Federal Prisoners, Bureau of Justice Statistics. Jan

76 Works Cited Continued Pelloux, Yann, et.al. Compulsive drug seeking by rats under punishment: effects of drug taking history. Psychopharmacology.. 21 May sp?accesstoken=23a3a3 M8SEFYMBMWLYWWBWWXXWEW8AML1&Show=Object Principles of Drug Addiction Treatment: a Research Based Guide.. National Institute on Drug Abuse No , Raub RA, Lucke RE, Wark RI. Breath alcohol ignition interlock devices: controlling the recidivist. Traffic Inj Prev Sep Vol 4(3): ?ordinalpos= 12&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum _RVDocSum Spoth, Richard L.; Redmond, Cleve; Shin, Chungyeol. Randomized trial of brief family interventions for general populations: Adolescent substance use outcomes 4 years following baseline. Journal of Consulting and Clinical Psychology Aug Vol 69(4): Therapy Manuals for Drug Abuse:.. Vol. 3. National Institute of Drug Abuse, Vaillant, George E., M.D. What Can Long-Term Follow-up Teach us About Relapse and Prevention of Relapse in Addiction? British Joumal of Addiction. October : synergy.com/doi/abs/ /j tb03021.x tb03021.x Walters, John P. Methadone. Methadone. Drug Policy Information Clearinghouse. 25 July ne/index.html Wikipedia. Drug Addiction. 1 March

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

DrugFacts: Treatment Approaches for Drug Addiction

DrugFacts: Treatment Approaches for Drug Addiction DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the

More information

Welcome. This presentation is designed for people working in criminal justice and drug abuse treatment settings. It provides an overview of drug

Welcome. This presentation is designed for people working in criminal justice and drug abuse treatment settings. It provides an overview of drug Welcome. This presentation is designed for people working in criminal justice and drug abuse treatment settings. It provides an overview of drug abuse treatment principles for individuals involved in the

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

Tolerance and Dependence

Tolerance and Dependence Tolerance and Dependence Drug Tolerance is a decrease in the effect of a drug as a consequence of repeated exposure. Change over repeated exposures. Different effects may show different tolerance. Tolerance

More information

ONDCP. Drug Policy Information Clearinghouse FACT SHEET John P. Walters, Director www.whitehousedrugpolicy.gov 1-800-666-3332

ONDCP. Drug Policy Information Clearinghouse FACT SHEET John P. Walters, Director www.whitehousedrugpolicy.gov 1-800-666-3332 UNUM Executive Office of the President Office of National Drug Control Policy E PLURIBUS OFFICE OF NATIONAL POLICY D RUG CONTROL ONDCP March 2001 Drug Policy Information Clearinghouse FACT SHEET John P.

More information

MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT

MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT June, 2014 Dean L. Babcock, LCAC, LCSW Associate Vice President Eskenazi Health Midtown Community Mental Health Centers Why is Evidence-Based

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information

ADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015

ADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015 The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least

More information

SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK

SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK National Institute on Drug Abuse SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK U.S. Department of Health and Human National Institutes of Health SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK The goal

More information

The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction

The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction James H. Barger, MD SAPC Medical Director and Science Officer Desiree A. Crevecoeur-MacPhail, Ph.D.

More information

Martha Brewer, MS, LPC,LADC. Substance Abuse and Treatment

Martha Brewer, MS, LPC,LADC. Substance Abuse and Treatment Martha Brewer, MS, LPC,LADC Substance Abuse and Treatment What is a substance use disorder? Long-term and chronic illness Can affect anyone: rich or poor, male or female, employed or unemployed, young

More information

Using Drugs to Treat Drug Addiction How it works and why it makes sense

Using Drugs to Treat Drug Addiction How it works and why it makes sense Using Drugs to Treat Drug Addiction How it works and why it makes sense Jeff Baxter, MD University of Massachusetts Medical School May 17, 2011 Objectives Biological basis of addiction Is addiction a chronic

More information

Neurobiology and Treatment of Opioid Dependence. Nebraska MAT Training September 29, 2011

Neurobiology and Treatment of Opioid Dependence. Nebraska MAT Training September 29, 2011 Neurobiology and Treatment of Opioid Dependence Nebraska MAT Training September 29, 2011 Top 5 primary illegal drugs for persons age 18 29 entering treatment, % 30 25 20 15 10 Heroin or Prescription Opioids

More information

Naltrexone and Alcoholism Treatment Test

Naltrexone and Alcoholism Treatment Test Naltrexone and Alcoholism Treatment Test Following your reading of the course material found in TIP No. 28. Please read the following statements and indicate the correct answer on the answer sheet. A score

More information

Understanding Addiction: The Intersection of Biology and Psychology

Understanding Addiction: The Intersection of Biology and Psychology Understanding Addiction: The Intersection of Biology and Psychology Robert Heimer, Ph.D. Yale University School of Public Health Center for Interdisciplinary Research on AIDS New Haven, CT, USA November

More information

SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK

SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK National Institute on Drug Abuse SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK U.S. Department of Health and Human National Institutes of Health SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK The goal

More information

AN OVERVIEW OF TREATMENT MODELS

AN OVERVIEW OF TREATMENT MODELS AN OVERVIEW OF TREATMENT MODELS The 12-step Programs: Self-led groups that focus on the individual s achievement of sobriety. These groups are independent, self-supported, and are not aligned with any

More information

Conceptual Models of Substance Use

Conceptual Models of Substance Use Conceptual Models of Substance Use Different causal factors emphasized Different interventions based on conceptual models 1 Developing a Conceptual Model What is the nature of the disorder? Why causes

More information

Alcohol Addiction. Introduction. Overview and Facts. Symptoms

Alcohol Addiction. Introduction. Overview and Facts. Symptoms Alcohol Addiction Alcohol Addiction Introduction Alcohol is a drug. It is classed as a depressant, meaning that it slows down vital functions -resulting in slurred speech, unsteady movement, disturbed

More information

California Society of Addiction Medicine (CSAM) Consumer Q&As

California Society of Addiction Medicine (CSAM) Consumer Q&As C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is

More information

Attachment EE - Grant Application RSAT Aftercare

Attachment EE - Grant Application RSAT Aftercare Attachment EE - Grant Application RSAT Aftercare Residential Substance Abuse Treatment (RSAT) for State Prisoners Program CFDA #16.593 Statement of the Problem The Maryland Department of Public Safety

More information

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and

More information

Dependence and Addiction. Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania

Dependence and Addiction. Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania Dependence and Addiction Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania Overview Heroin and other opiates The disease of heroin addiction or dependence Effective

More information

Addictions: Why Don t They Just Quit?

Addictions: Why Don t They Just Quit? Counseling Center of New Smyrna Beach 265 N. Causeway New Smyrna Beach FL 32169 Ph: 386-423-9161 Fax: 386-423-3094 Addictions: Why Don t They Just Quit? By Shane Porter One of the most frustrating issues

More information

Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations

Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations From The National Institute on Drug Abuse (NIDA) 2. Why should drug abuse treatment be provided to offenders?

More information

These changes are prominent in individuals with severe disorders, but also occur at the mild or moderate level.

These changes are prominent in individuals with severe disorders, but also occur at the mild or moderate level. Substance-Related Disorders DSM-V Many people use words like alcoholism, drug dependence and addiction as general descriptive terms without a clear understanding of their meaning. What does it really mean

More information

FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma

FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma Background A growing opiate abuse epidemic has highlighted the need for effective treatment options. This study documents

More information

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state.

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state. 1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside

More information

ORGANIZATION OF AMERICAN STATES

ORGANIZATION OF AMERICAN STATES ORGANIZATION OF AMERICAN STATES INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION FIRST INTER-REGIONAL FORUM OF EU-LAC CITIES: PUBLIC POLICIES IN DRUG TREATMENT April 2 5, 2008 Santo Domingo, Dominican Republic

More information

What is Addiction Treatment?

What is Addiction Treatment? What is Addiction Treatment? During 2000, almost 300,000 people entered addiction treatment services in New York State. On any given day, about 110,000 individuals are enrolled in New York State programs,

More information

Medication-Assisted Addiction Treatment

Medication-Assisted Addiction Treatment Medication-Assisted Addiction Treatment Molly Carney, Ph.D., M.B.A. Executive Director Evergreen Treatment Services Seattle, WA What is MAT? MAT is the use of medications, in combination with counseling

More information

Alcohol intervention programs in other countries

Alcohol intervention programs in other countries Alcohol intervention programs in other countries Assist. Prof. Dr. Suttiporn Janenawasin Siriraj Hosp. Mahidol Univ. A Major Task for Drug Treatment is Changing Brains Back! The Most Effective Treatment

More information

Supervising the Drug Addicted Offender. Jac A. Charlier, M.P.A. Director Consulting and Training

Supervising the Drug Addicted Offender. Jac A. Charlier, M.P.A. Director Consulting and Training Supervising the Drug Addicted Offender Jac A. Charlier, M.P.A. Director Consulting and Training Learning Objectives Learn your supervision philosophy Review some of the 13 NIDA Principles of Drug Abuse

More information

Phoenix House. Outpatient Treatment Services for Adults in Los Angeles and Orange Counties

Phoenix House. Outpatient Treatment Services for Adults in Los Angeles and Orange Counties Phoenix House Outpatient Treatment Services for Adults in Los Angeles and Orange Counties Phoenix House s outpatient programs offer comprehensive and professional clinical services that include intervention,

More information

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox?

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox? What Happens During Drug Detox? Many addicts and alcoholics believe they can quit using substances on their own. But after a few painful and confidence-crushing failed attempts, the need for an inpatient

More information

Alcoholism and Substance Abuse

Alcoholism and Substance Abuse State of Illinois Department of Human Services Division of Alcoholism and Substance Abuse OVERVIEW The Illinois Department of Human Services, Division of Alcoholism and Substance Abuse (IDHS/DASA) is the

More information

Treatment of Opioid Dependence: A Randomized Controlled Trial. Karen L. Sees, DO, Kevin L. Delucchi, PhD, Carmen Masson, PhD, Amy

Treatment of Opioid Dependence: A Randomized Controlled Trial. Karen L. Sees, DO, Kevin L. Delucchi, PhD, Carmen Masson, PhD, Amy Category: Heroin Title: Methadone Maintenance vs 180-Day psychosocially Enriched Detoxification for Treatment of Opioid Dependence: A Randomized Controlled Trial Authors: Karen L. Sees, DO, Kevin L. Delucchi,

More information

Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction. Frequently Asked Questions

Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction. Frequently Asked Questions Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently Asked Questions What is Naltrexone? Naltrexone is a prescription drug that effectively blocks the effects of heroin, alcohol,

More information

If the only tool you have is a hammer, you tend to see every problem as a nail.

If the only tool you have is a hammer, you tend to see every problem as a nail. How do we approach addiction? ADDICTION 101 A basic primer on addiction If the only tool you have is a hammer, you tend to see every problem as a nail. (Abraham Maslow) Definition of addiction Alcoholism

More information

CATC Exam Practice Questions: 2015

CATC Exam Practice Questions: 2015 CATC Exam Practice Questions: 2015 These practice questions are included within the Certified Addictions Treatment Counselor (CATC) Examination Candidate Handbook, presented by California Association for

More information

Addiction is a Brain Disease

Addiction is a Brain Disease Addiction is a Brain Disease By ALAN I. LESHNER, MD A core concept evolving with scientific advances over the past decade is that drug addiction is a brain disease that develops over time as a result of

More information

Questions to ask before going to rehab by Rehab-Programs.org 2011

Questions to ask before going to rehab by Rehab-Programs.org 2011 Table of Contents Questions to Ask Before Going to Rehab... 1 Do I really need to check into an inpatient drug rehab center?... 2 How long will I stay in the rehab center?... 2 What is the track record

More information

Opiate Abuse and Mental Illness

Opiate Abuse and Mental Illness visited on Page 1 of 5 LEARN MORE (HTTP://WWW.NAMI.ORG/LEARN-MORE) FIND SUPPORT (HTTP://WWW.NAMI.ORG/FIND-SUPPORT) GET INVOLVED (HTTP://WWW.NAMI.ORG/GET-INVOLVED) DONATE (HTTPS://NAMI360.NAMI.ORG/EWEB/DYNAMICPAGE.ASPX?

More information

Department of Health Services. Alcohol and Other Drug Services Division

Department of Health Services. Alcohol and Other Drug Services Division Department of Health Services Alcohol and Other Drug Services Division Summary of Programs and Services Rita Scardaci, MPH, Health Services Director Gino Giannavola, AODS Division Director Alcohol and

More information

OVERVIEW OF MEDICATION ASSISTED TREATMENT

OVERVIEW OF MEDICATION ASSISTED TREATMENT Sarah Akerman MD Assistant Professor of Psychiatry Director of Addiction Services Geisel School of Medicine/Dartmouth-Hitchcock Medical Center OVERVIEW OF MEDICATION ASSISTED TREATMENT Conflicts of Interest

More information

Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study for DWI Offenders

Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study for DWI Offenders Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study for DWI Offenders Prepared for: The DWI Addiction Treatment Programs (ATP) Metropolitan Detention Center Prepared

More information

2015 OPIOID TREATMENT PROGRAM DESCRIPTIONS

2015 OPIOID TREATMENT PROGRAM DESCRIPTIONS 2015 OPIOID TREATMENT PROGRAM PROGRAM DESCRIPTIONS Contents Opioid T reatment Program Core Program Standards... 2 Court Treatment (CT)... 2 Detoxification... 2 Day Treatment... 3 Health Home (HH)... 3

More information

Considerations in Medication Assisted Treatment of Opiate Dependence. Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT

Considerations in Medication Assisted Treatment of Opiate Dependence. Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT Considerations in Medication Assisted Treatment of Opiate Dependence Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT Disclosures Speaker Panels- None Grant recipient - SAMHSA

More information

Frequently asked questions

Frequently asked questions Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently asked questions What is Naltrexone? Naltrexone is a prescription drug that completely blocks the effects of all opioid drugs

More information

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery USING THE 48 HOUR OBSERVATION BED USING THE 48 HOUR OBSERVATION BED Detoxification

More information

Today s Topics. Session 2: Introduction to Drug Treatment. Treatment matching. Guidelines: where should a client go for treatment?

Today s Topics. Session 2: Introduction to Drug Treatment. Treatment matching. Guidelines: where should a client go for treatment? Session 2: Introduction to Drug Treatment Today s Topics Level of care determination How to know when treatment works What does treatment include Description of treatment modalities Naomi Weinstein, MPH

More information

Evidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson

Evidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson Evidence Based Practice in the Treatment of Addiction Treatment of Addiction Steve Hanson History of Addiction Treatment Incarceration Medical Techniques Asylums What We Learned These didn t work Needed

More information

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003 REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY The New York Community Trust April 2003 1 I. INTRODUCTION Substance Abuse is defined as the excessive use of addictive substances, especially narcotic drugs,

More information

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive.

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive. Heroin Introduction Heroin is a powerful drug that affects the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants to.

More information

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD)

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Learning Objectives Upon completion of this module, you should be able to: Describe how

More information

Treatment for substance abuse and dependence at HC Marbella

Treatment for substance abuse and dependence at HC Marbella Detox Unit Treatment for substance abuse and dependence at HC Marbella The disease Addiction is a disease that is becoming a common problem in our society today. In actual fact, addiction is a chemical

More information

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING

More information

Update and Review of Medication Assisted Treatments

Update and Review of Medication Assisted Treatments Update and Review of Medication Assisted Treatments for Opiate and Alcohol Use Disorders Richard N. Whitney, MD Medical Director Addiction Services Shepherd Hill Newark, Ohio Medication Assisted Treatment

More information

SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011

SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working

More information

Effectiveness of Treatment The Evidence

Effectiveness of Treatment The Evidence Effectiveness of Treatment The Evidence The treatment programme at Castle Craig is based on the 12 Step abstinence model. This document describes the evidence for residential and 12 Step treatment programmes.

More information

LESSON 5.7 WORKBOOK Is addiction a chronic disease?

LESSON 5.7 WORKBOOK Is addiction a chronic disease? DEFINITIONS OF TERMS Addiction is a disease idea that states drug addiction is no different from other chronic diseases, like diabetes and heart disease, and thus needs to be treated as a distinct medical

More information

OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy

OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY 1 Overview of Cognitive Behavioral Therapy TABLE OF CONTENTS Introduction 3 What is Cognitive-Behavioral Therapy? 4 CBT is an Effective Therapy 7 Addictions Treated

More information

Joel Millard, DSW, LCSW Dave Felt, LCSW

Joel Millard, DSW, LCSW Dave Felt, LCSW Joel Millard, DSW, LCSW Dave Felt, LCSW 1. Provide an overview of the effectiveness of medication assisted treatment, to include a discussion of the different types of medications and how they are used

More information

Outline. Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction

Outline. Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction Outline Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction About Substance Abuse The Cost of Chemical Abuse/Addiction Society's Response The Continuum of Chemical Use Definitions of Terms

More information

Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone )

Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone ) Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone ) Elinore F. McCance-Katz, M.D., Ph.D. Professor and Chair, Addiction Psychiatry Virginia Commonwealth University Neurobiology of Opiate

More information

Topics In Addictions and Mental Health: Concurrent disorders and Community resources. Laurence Bosley, MD, FRCPC

Topics In Addictions and Mental Health: Concurrent disorders and Community resources. Laurence Bosley, MD, FRCPC Topics In Addictions and Mental Health: Concurrent disorders and Community resources Laurence Bosley, MD, FRCPC Overview Understanding concurrent disorders. Developing approaches to treatment Definitions

More information

PRESCRIPTION DRUG ABUSE prevention

PRESCRIPTION DRUG ABUSE prevention PRESCRIPTION DRUG ABUSE prevention Understanding Drug Addiction Many people do not understand how someone could abuse drugs even when their life seems to be falling apart. It is often assumed that those

More information

We re glad you are here! Agenda for the Day Breaks Lunch Q&A and note cards Phones

We re glad you are here! Agenda for the Day Breaks Lunch Q&A and note cards Phones We re glad you are here! Agenda for the Day Breaks Lunch Q&A and note cards Phones Learn about the history of opioid addiction and discuss what is happening today in Kentucky Learn about the disease of

More information

What is Addiction? DSM-IV-TR Substance Abuse Criteria

What is Addiction? DSM-IV-TR Substance Abuse Criteria Module 2: Understanding Addiction, Recovery, and Recovery Oriented Systems of Care This module reviews the processes involved in addiction and what is involved in recovering an addiction free lifestyle.

More information

VENTURA COUNTY ALCOHOL & DRUG PROGRAMS

VENTURA COUNTY ALCOHOL & DRUG PROGRAMS VENTURA COUNTY ALCOHOL & DRUG PROGRAMS women s services Helping women recover (805) 981-9200 1911 Williams Drive, Oxnard, CA 93036 www.venturacountylimits.org recovery VCBH ALCOHOL & DRUG PROGRAMS WOMEN

More information

The Vermont Legislative Research Shop. Methadone

The Vermont Legislative Research Shop. Methadone The Vermont Legislative Research Shop Methadone Heroin use statistics in Vermont Heroin treatment admissions in Vermont have risen from around 200 patients in 1994 to 833 patients in 2002 (see Figure 1).

More information

Produced and Published by The Cabin Chiang Mai, Alcohol and Drug Rehab Centre. Copyright 2013. and How is it Treated?

Produced and Published by The Cabin Chiang Mai, Alcohol and Drug Rehab Centre. Copyright 2013. and How is it Treated? and How is it Treated? 1 About this book This E-book has been produced as a guide to help explain some of the fundamental things you need to understand about addiction and its treatment, starting with

More information

St. Catharines School for Girls, K.T.

St. Catharines School for Girls, K.T. St. Catharines School for Girls, K.T. Topic 2- Health and Social Care in the Local and the Global Contexts 2B Contemporary issues of vulnerability 1. Drugs additions Prepared by Yeung Yeung Wai Yi What

More information

Heroin. How Is Heroin Abused? How Does Heroin Affect the Brain? What Other Adverse Effects Does Heroin Have on Health?

Heroin. How Is Heroin Abused? How Does Heroin Affect the Brain? What Other Adverse Effects Does Heroin Have on Health? Heroin Heroin is an opiate drug that is synthesized from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. Heroin usually appears as a white or brown

More information

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SPECIAL HEALTH AUTHORITY TENTH WAVE WORK PROGRAMME DRUG MISUSE. Psychosocial interventions in drug misuse

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SPECIAL HEALTH AUTHORITY TENTH WAVE WORK PROGRAMME DRUG MISUSE. Psychosocial interventions in drug misuse Attachment B NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SPECIAL HEALTH AUTHORITY TENTH WAVE WORK PROGRAMME DRUG MISUSE Psychosocial interventions in drug misuse On 16 th June 2004 the Department of Health

More information

Special Report Substance Abuse and Treatment, State and Federal Prisoners, 1997

Special Report Substance Abuse and Treatment, State and Federal Prisoners, 1997 U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics Special Report Substance Abuse and Treatment, and Prisoners, 1997 January 1999, NCJ 172871 By Christopher J. Mumola BJS

More information

American Society of Addiction Medicine

American Society of Addiction Medicine American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,

More information

Drug Use, Testing, and Treatment in Jails By Doris James Wilson BJS Statistician

Drug Use, Testing, and Treatment in Jails By Doris James Wilson BJS Statistician U.S. Department of Justice Office of Justice Programs Revised 9/29/00 Bureau of Justice Statistics Special Report May 2000, NCJ 179999 Drug Use, Testing, and Treatment in Jails By Doris James Wilson BJS

More information

Questions to Ask Each Rehab Facility. Includes Notes and Recommendations

Questions to Ask Each Rehab Facility. Includes Notes and Recommendations Questions to Ask Each Rehab Facility Includes Notes and Recommendations Finding the right rehab can be grueling. Admissions personnel are there to convince you that their program is the best. It is your

More information

Drug Abuse and Addiction

Drug Abuse and Addiction Drug Abuse and Addiction Introduction A drug is a chemical substance that can change how your body and mind work. People may abuse drugs to get high or change how they feel. Addiction is when a drug user

More information

Presented by. 13 Principles 10/27/09. Principles of Drug Addiction Treatment: A Research Based Guide

Presented by. 13 Principles 10/27/09. Principles of Drug Addiction Treatment: A Research Based Guide Presented by Principles of Drug Addiction Treatment: A Research Based Guide Rick Moldenhauer, MS, LADC, ICADC, LPC Treatment Services Consultant, Alcohol and Drug Abuse Division PO Box 64977, St Paul,

More information

Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions

Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions This lesson is part of an overall curriculum based program developed by the New York State Office of Alcoholism and

More information

Addiction is a Brain Disease

Addiction is a Brain Disease Addiction is a Brain Disease By ALAN I. LESHNER, MD A core concept evolving with scientific advances over the past decade is that drug addiction is a brain disease that develops over time as a result of

More information

WHAT HAPPENS TO OUR BRAIN?

WHAT HAPPENS TO OUR BRAIN? WORK DYNAMIC The final result of this session is the formulation of the questions that, within the activity of the Let s talk about drugs programme of the la Caixa Welfare Project, you will ask Dr. Rafael

More information

Opiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1

Opiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1 Opiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1 Disclosure Statement Prevalence of Opioid Addiction 100 Individuals Die Every

More information

Drug Court as Diversion for Youthful Offenders

Drug Court as Diversion for Youthful Offenders Drug Court as Diversion for Youthful Offenders Juvenile Drug Courts in Hawaii: A Policy Brief Introduction The problem of drug abuse among the general population in the United States began to escalate

More information

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding

More information

CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12

CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12 CO-OCCURRING DISORDERS Michaelene Spence MA LADC 8/8/12 Activity Chemical Health? Mental Health? Video- What is Addiction HBO Terminology MI/CD: Mental Illness/Chemical Dependency IDDT: Integrated Dual

More information

Treatment of opioid use disorders

Treatment of opioid use disorders Treatment of opioid use disorders Gerardo Gonzalez, MD Associate Professor of Psychiatry Director, Division of Addiction Psychiatry Disclosures I have no financial conflicts to disclose I will review evidence

More information

Medications for Alcohol and Drug Dependence Treatment

Medications for Alcohol and Drug Dependence Treatment Medications for Alcohol and Drug Dependence Treatment Robert P. Schwartz, M.D. Medical Director Rschwartz@friendsresearch.org Friends Research Institute Medications for Alcohol Dependence Treatment Disulfiram

More information

Provider enews TREATING PRESCRIPTION DRUG ADDICTION

Provider enews TREATING PRESCRIPTION DRUG ADDICTION Provider enews TREATING PRESCRIPTION DRUG ADDICTION Treating addiction to prescription opioids July 2012 Several options are available for effectively treating prescription opioid addiction. These options

More information

CURRICULUM VITAE. Michael G. Bickers 5600 W. Lovers Lane, Suite 317 Dallas, TX 75209 (214) 366-2288

CURRICULUM VITAE. Michael G. Bickers 5600 W. Lovers Lane, Suite 317 Dallas, TX 75209 (214) 366-2288 CURRICULUM VITAE 5600 W. Lovers Lane, Suite 317 Dallas, TX 75209 (214) 366-2288 License & Certification: - LCSW (Licensed Clinical Social Worker) 1992 Present - LMFT (Licensed Marriage & Family Therapist)

More information

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance

More information

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100

More information

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD Youth Residential Treatment- One Step in the Continuum of Care Dave Sprenger, MD Outline Nature of substance abuse disorders Continuum of care philosophy Need for prevention and aftercare Cost-effectiveness

More information

4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents)

4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents) 4.40 STRUCTURED DAY TREATMENT SERVICES 4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents) Description of Services: Substance use partial hospitalization is a nonresidential treatment

More information

DEVELOPING MANUFACTURING SUPPLYING. Naltrexone Implants. Manufactured by NalPharm Ltd WWW.NALPHARM.COM

DEVELOPING MANUFACTURING SUPPLYING. Naltrexone Implants. Manufactured by NalPharm Ltd WWW.NALPHARM.COM DEVELOPING MANUFACTURING SUPPLYING Naltrexone Implants Background to Nalpharm NalPharm is a specialist pharmaceutical company supplying proprietary branded medications and generic drugs in the area of

More information