Difference In Pre-Contemplation

Although the main goal of the assessment is to refer clients to treatment, many clients refuse treatment. However, they are willing to accept referrals to non-addiction agencies to resolve problems that have either been caused by addiction or that led to the problems. This assessment may be an intervention that the client needs. You will want to use the appropriate research-based screening tools that may be applicable to the client’s individual circumstances.

This paper highlights 3 substance use screening and assessment measures that are commonly utilized in diagnostic assessment. The T-ACE, DALI and SBIRT tools are used across several domains, and in multiple healthcare settings. The purpose of this paper is to describe these assessment tools, and how they impact human services providers working in addictions treatment.

As previously discussed, the program the author would choose to evaluate is MAT treatment programs. This population consists of individuals that have been diagnosed with opiate use disorder, and receive opiate-substitution medications, such as Methadone or Suboxone. These program evaluations would be consumer-centered, performed in the clinics they receive services. Interested stakeholders would include the treatment center where the participants receive services, as well as other MAT service providers. Additionally, the funding sources for these individuals and program centers, such as county, state, and federal agencies, along with medical insurers, would also gain value from the program evaluation research.

A broad range of medical and psychological therapies is currently available for people who struggle with substance addictions. The scientific community is working on evaluation of various treatments to determine which strategies offer the best chances of successful outcome. People who need treatment for alcoholism and drug use are very diverse group. Addiction is a disorder that requires an individual case approach; therefore, different ways to

Methadone Maintenance Therapy (MMT) is used with opioid dependency and is an opioid replacement therapy. MMT typically replaces heroin with Methadone which is a cleaner substance than heroin, and is used to avoid withdrawal and allow the user to function normally within society. MMT has been around for the last 50 years, and research studies have been conducted to address the benefits and the complications associated with this replacement therapy. This paper will examine some of the advantages and disadvantages associated with MMT and reflect on personal ideals in accordance with MMT.

There are many assessment processes that are used to identify substance abuse as well as many other disorders that are addictive. These processes include the SBIRT, AUDIT (Alcohol Use Disorders Identification Test), NIDAMED, CAGE AID (which is used frequently within the counseling foundation), AUDIT-C, and also the DAST-10 which is an assessment process used to evaluate drug abuse within the patients. These are many different processes that are currently used to identify these addictions in clients. The activity of identifying these processes can be over a period of time or can be evaluated in that same day or after the evaluation is completed.

“In 1949, Isbell and Vogel, working at the U.S. Public Health Hospital in Lexington, Kentucky, showed methadone to be the most effective medication for withdrawing addicts from heroin (Joseph, Stancliff, & Landgord, 2000, p. 347). Further studies revealed that administering methadone to an addict for seven to ten days had a relapse rate of more than 90% when treatment ceased. “By 1998, the number of methadone patients in the United States had increased from the original six research patients in 1964 to about 44,000 patients in New York Stated and 179,000 patients worldwide” (Joseph, Stancliff, & Landgord, 2000, p. 347). The number of individuals enrolled in MMT continues to increase as the methadone clinics and the overall effectiveness of MMT gains

In an effort to aid in the proper treatment recommendations for individuals presenting with substance abuse or dependence issues, the ASI was created for study purposes through the Veteran’s Administration in 1977 (McLellan et Al., 2006). It is a multidimensional assessment tool that expands its focus outside of simply substance abuse, but into other key complex domains that that either directly impact the individual’s substance abuse, or their subsequent recovery efforts (Denis, et AL., 2012). The ASI is a semi-structured assessment tool, that while it utilizes direct answers, also allows for the expansion of certain questions and the ability for assessor notes outside of provided questions, in order to allow a clearer understanding within certain domains. While I have never personally used a precise ASI assessment professionally with a client, I did notice an undeniable, almost succinct, similarity with the biopsychosocial assessment I use with clients in my position.

This project will focus on using Methadone as a pharmacological treatment strategy as well as the normal non-pharmacological treatment strategies to

It was stated in the presentation that the sample sized used for the study was 175, but of the 175 study participants 44 discontinued treatment 16 in the methadone group and 28 in the buprenorphine group leaving 131 participants, the proper sample size could have been identified on the slides to give the reader a more accurate idea of the sample size used.

All admitted patients were asked during a treatment phase called Initial Contact if they would be interested in completing the URICA tool then, and at their discharge date (please refer to Appendix A for recruitment script). Therefore, this research utilized

In the context of the Stages of Change theory, for a community to fully embrace a new technology its members must recognize the benefits of the change that technology brings. For this study, the understanding (Pre-contemplation and contemplation stages) is developed through communication to the community about the technology through workshops and through the promotora community outreach model. In Westwood, cognizance is developed through a two tiered plan. The first component is encouraging awareness for the problems the community faces through the directed questions during appraisal. This step necessitates participants to articulate what they see as problems within their community which encourages thought and pre-conception. This step relies on developing cognition and an evaluative process. The second component involves infusing awareness of the benefit of the technology into the community through distributed literature, presentations, promotora outreach and loaner demonstration units given to volunteer households. The preparation for this study is originated through planned community workshops where the community will be trained how to construct and use the technology effectively. Action will occur when community members begin to construct and install their own devices. Maintenance in the context of this study will be represented by the community’s protraction of use indicated by the heaters being re-used for a second winter season.

Stage One, Pre-contemplation is often the most difficult stage for care providers. When a trauma bond is firmly in place, victims are often unable to grasp the extent of the abuse they are experiencing. Skilled traffickers and domestic batterers create trauma bonds gradually, taking time to create fantasy-like memories with their victim in the beginning. Victims in pre-contemplation usually firmly believe their partner loves them, and is looking out for their best interests, and this stage is marked by avid defense by the victim of their partner. Trafficking victims often boast plans of marriage, children, a future together. In domestic violence we see similar promises, although creating a trauma bond is solely about control, rather than both

Contemplation In the art piece Contemplation, Anita C. Young have used a contrast of light and dark, perspectival space in the near and the far and the technique of hatching to show visual effects of light and shade as her foundation of the painting. The painting was made in 2016 with charcoal and it is currently being exhibited at the Mulvane art museum. The art piece is relatively small but it is framed art hung on the wall of the museum. I think the art peace gives a representation of very quiet environment around the woman that is depicted in the work.

The data are collected from observation of over 100 patients’ visits, 50 of which were observed and audio taped. The research questions that are asked by Davidson are: