Drug Taking Confidence Questionnaire : An Assessment Of Relapse And Treatment Essay

Two health promotion models were examined and explored; this was to determine the best model or theory to use with a patient who has a drug addiction. The first being the Prochaska & DiClemente’s stages of change, the second being the health belief model. These two models have been chosen as both have relevance to the patient with her drug addiction.

Recovery is the process of participating in a group or program providing treatment and support for a longstanding psychological or behavioral problem, such as abuse, addiction, grief, or trauma (Melemis, Steven, 2015). As a non-addict it seems easy enough to make a decision to stop drinking and follow through with that decision when temptation presents itself, but for an alcoholic it is not the simple. However, an alcoholic struggles with the temptation on a daily bases. Relapse prevention begins with addressing social interactions, emotional triggers, and developing positive coping mechanisms. Recovery and relapse requires is a process that should be done with others around to support each step and each phase of the

In relation to drug abuse, relapse is resuming the use of a chemical substance or drug after a period of abstinence. The term can be said to be a landmark feature of a combination of substance abuse and substance independence. The propensity for dependency, repeated use, and tendencies that take the form of the substance being used, are some of the issues that drug users’ experience. Substances that enhance most severe tendencies in users and pose high pharmacological efficacy, are those that are cleared quickly from the body, in addition to those that bring out the highest tolerance. There can be increased substance tolerance with the increasing dependency in relation to drug in question,

Jed, a 38 – year old welder, enrolled in the treatment center after his arrest resulting from drunken driving (DUI/DWI) (National Institute on Alcohol Abuse and Alcoholism, n.d.). His lawyer has advised him to stop drinking and get treatment until his trial date, which is in approximate two months. Jed does not believe that he will serve any jail time, but feels that treatment could help strengthen his court case (National Institute on Alcohol Abuse and Alcoholism, n.d.). In this paper, I will create a relapse prevention plan that will aid Jed as he enters into his treatment program. This paper will also show

At the beginning of my training, I was hesitant to work with people struggling with addiction. However, at this point, I am excited to begin working with this population. The raw honesty presented in the group setting along with the anger at the possibility of losing a safe place created a dynamic I wanted to further explore. Research supports that individuals attending group therapy in a 12 step program format succeed if they have the proper support and motivation (Cite). The group dynamic demonstrated that recovery takes time and self-discovery, similar to other situations dealt with in therapy. Subsequently, by using my sense of self and humor with clients struggling with addiction, I can help them in their journey. Furthermore, the client needs to identify accountability at their own pace in the process and not when others dictate. This knowledge and the personalization of addiction will aid me in the future support of my

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.

69,000 patients in substance abuse treatment revealed that methadone was fourth for risk of abuse out of 11 opiate based prescription drugs. Worse, after adjustment for prescriptions, methadone advanced to the number one position for abused compounds. Even more startling was a simple random population sample, surveyed by telephone, which reported methadone as the second most used drug. However, Butler et al. cite a major limitation in that the data examined came from subjects who had entered treatment for substance use disorders. Like Plater et al. (2012) aside from the telephone survey, they were unable to examine data for abusers not in treatment (2011).

Commitment to abstinence, a motivational construct, is a strong predictor of reductions in drug and alcohol use. Level of commitment to abstinence at treatment end predicts sustained abstinence, a requirement for recovery ( Laudet, A. B., & Stanick). Abstinence is the best way to avoid drug addiction. According to Hart & Ksir, a person who understands all this information about all these drugs will perhaps be better prepared to make decisions about personal drug use, more able to understand drug use by others, and better prepared to participate in social decisions about drug use and abuse (Hart & Ksir ).

Psychologist Albert Bandura defined self-efficacy as being one 's belief in one 's ability to be successful in specific circumstances or to achieve a certain task. An individual’s sense of self-efficacy can play a major role in how they encounter challenges, tasks, and goals. The first study examined is the Relationship between Addiction Relapse and Self-Efficacy Rates in Injection Drug Users Referred to Maintenance Therapy Center of Sari (Abdollahi, Taghizadeh, Hamzehgardeshi, and Bahramzad, 2014). This study focused on two hundred users and the rising awareness of the role of self-efficacy as a predictor and (or) mediator of treatment outcome in a number of areas. In the incident of a slip-up, highly self-efficacious individuals are motivated to regard the slip-up as a temporary setback and to reestablish control, while individuals who have low self-efficacy are much more likely to progress to a full-blown relapse. The results propose that serious efforts should be made to restructure weak self-efficacy to enable the users’ to be stronger individuals overall when facing life challenges after their discharge from treatment. Although the conclusions of this study are useful, future studies could be made with greater sample sizes. A much larger variety of substance use disorder patients could also be used, not just

One way that someone could prevent a relapse is by having support from the patient’s family. In a study done by Mei Yang “Most participants (13 of 18) spoke of lacking family or social support during abstinence periods.” With this research it’s obvious that the lack of support from peers and family members has an impact on relapse. Without support from others, the patient feels as if there is no reason to stay abstinent. Even after going to a rehabilitation program Yang’s research stated “In China, relapse rates for drug use after discharge from treatment were generally above 90% after one year.” The period after being released from rehab are especially critical because this is the first time the user is out on their own making decisions. The decisions that the person makes right after leaving rehab are the most valuable and can decide how their abstinent period will go. Granted that sometimes when the user leaves rehab not being around the parents can be beneficial in ways. In a study done by Peter

In the article “Determining the Relative Importance of the Mechanisms of Behavior Change Within Alcoholics Anonymous: A Multiple Mediator Analysis” the authors conducted research to determine what techniques used in Alcoholics Anonymous (AA) aid in relapse prevention. According to the National Institute on Alcohol Abuse and Alcoholism (2016) alcohol is the fourth leading cause of death in the United States that is preventable. In 2014 alone, thirty-one percent of all traffic fatalities were alcohol related (NIAAA, 2016). The study participants suffered from Alcohol Use Disorder (AUD) and attended AA. NIAAA (2016) states the Diagnostic and Statistical Manual of Mental Disorders IV has integrated alcohol abuse and alcohol dependence into a single alcohol-related disorder, AUD with mild, moderate, and severe classifications. AUD is diagnosed when a client’s drinking causes themselves or others anguish or injury AA began in the 1930’s and is an informal organization of men/women who have a drinking problem (AA, 2016). AA is based upon anonymity along with twelve steps/principles and meetings for those seeking help with sobriety. Research has shown that participating in AA reduces risk of relapse and this article aims to understand the techniques that empowers those to remain sober.

Crouch, T. B., DiClemente, C. C., & Pitts, S. C. (2015). End-of-treatment abstinence self-efficacy, behavioral processes of change, and posttreatment drinking outcomes in Project MATCH. Psychology Of Addictive Behaviors, 29(3), 706-715. doi:10.1037/adb0000086

According to the Center for Substance Abuse Treatment and the transtheoretical model of change, “for most people with substance abuse problems, recurrence of substance use is the rule not the exception” (Enhancing Motivation for Change, 1999, p. xvii). Relapse can and most likely will occur in recovery, and should be recognized as well as anticipated by substance abuse recovery counselors. The significant challenges to counselors are bringing a client successfully and securely through a relapse and eventually preventing relapse from occurring at all. For many, helping a client find faith in a higher power is an essential piece of the puzzle for overcoming addiction.

DATA: Today’s group has been facilitated by Kirsten again, and includes relapse, what it is, and how each client can prevent it. Being that relapse is a process, it is an ongoing situation that can be interrupted, rather than a static event that is over and cannot be changed. It involves the individual reverting to old attitudes, beliefs, values, and risk behaviors. These are part of a progressive pattern, and will worsen until the process is interrupted or changed. Relapse is not a sign of failure, and, at times, may be part of the recovery process. There are times when individuals are more vulnerable to relapse, specifically, when they are too hungry, angry, lonely, or tired (HALT), and need to be aware of this vulnerability, and take

Addiction is a “chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.” The initial decision to take drugs is voluntary for most individuals, but frequent drug use can lead to brain alterations that challenge an addicted person’s self-control and interfere with their ability to resist intense urges to take drugs. These brain alterations can be persistent, which is why drug addiction is considered a "relapsing" disease. People in recovery from drug use disorders are at increased threat for returning to drug use even after years of not taking the drug. It's common for an individual to relapse, but relapse doesn't mean that treatment doesn’t work. As with other chronic health conditions, treatment should be constant and should be adjusted based on how the patient answers. Treatment plans need to be reviewed often and modified to fit the patient’s changing desires.