General Practitioner's Drug Intervention Model

The drug misuse and dependence policy, aims to support people misusing drugs to live safe and free from a drug dependence life (Department of Health, 2015). With this policy in place drug treatments are becoming more successful with 18% of people staying in treatment and leaving drug free (Department of Health, 2015) this shows the policy is successful and works with people to reduce drug dependency (HM Government, 2012). 193,198 people aged 18 and over were in treatment for drug use during 2013 to 2014, 29,150 of these patients completed treatment and have overcome their drug dependency (Public Health England, 2014). From when the policy was first introduced, drug use is at its lowest since measurement began in 1996 (Featherstone, 2013).

There is no doubt that there is a prevalence of substance abuse throughout several age groups. To a certain extent, a society is faced with the reality of controlling substance abuse. Or allow it run rampant throughout the community. Often times, we hear and read about the level of substance abuse among teen, young adults and mid-aged

The definitions have progressed from tolerance or withdrawal symptoms from a specific drug to chronic intoxication, continued use with increased dosage, dependence, and damaging effects to user (Reinarman 2005). Both of these definitions proved to be too restrictive because all drugs do not have the same effects on every user. The current definition used by physicians and the criminal justice system is based on seven criteria (Reinarman 2005). The constant evolution of how the professional world views drug dependence mirrors society’s change in the understanding of addiction. Historically, “the drink” was viewed as the devil and drugs were often thought to be the cause of many criminal acts (Schneider 2003). After the medicalization of addiction and dawn of decriminalization of drug abuse, public opinion of deviant alcohol and drug use has changed. For the family unit, it is much simpler to accept and approach treatment for addiction if it is classified as a medical disease. In society, drug users can be framed as patients instead of criminals based on current standards. By looking at addiction as a treatable set of signs and symptoms instead of holding the individual accountable for actions they committed while intoxicated, the disease concept releases a lot of the stigma that goes along with

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.

“Harm reduction is based on the premise that people are responsible for their behaviour, that they maker personal choices that affect their health and well-being, and that they can make safer and better decisions if given useful and honest information” (Mathre, 2002, p. 106). Harm reduction recognizes people’s unhealthy choices while also attempting to reduce the harmful effects that come from these unhealthy behaviours (Marlatt, 1998 as cited in Brown, Luna, Ramirez, Vail, and Williams, 2005). Using a harm reduction approach has a positive effect on drug users, as it helps to reduce the negative consequences that come from using drugs. Although harm reduction aims to reduce the harm from illegal drug using, it is viewed as

Bering the uniqueness of each individual, people seek psychotherapy propelled by unique problems and conditions. Generally, many people will look for therapy because of sense of dissatisfaction with emotional pain or life. Sometimes it can be from immediate distress that is related to a definite crisis like addiction, separation or a loss, maybe on ongoing difficulty in part of their lives like work or relationship. For some people it might be due to suffering strong sadness, worry or fear. To some extent individuals might not have a clear external problem, but having inner sense of emptiness, dissatisfaction, or missing something. Screening and assessment play a critical role in psychotherapy. Extend of collecting details during assessment always differ depending on the settings of treatment as well as circumstances. For example, within primary settings like hospitals and medical practices, the aim of screening tends to be for determining hazardous or dependent drinkers.

Long term, it is much easier and cheaper to perform preventive health care than to try to manage acute and/ or chronic diseases. All at risk individuals should be given education on the dangers of developing a substance abuse problem, emphasizing that it can happen to anyone- young or old, rich or poor, etc. Health care providers need to address the supposed invincibility commonly associated with those who excessive drink alcohol or use drugs. These individuals are not quite as invincible nor do most have everything as under control as they may think. Although many may know the dangers, it is important to explain that the negative health impacts may not be noticeable right away, but the damage is still being done. Additionally, these at risk patients should work with social workers or case management to set up referrals to substance abuse cessation programs within the

Substance abuse is a tragedy that touches many lives. Abuse begins with a single use event that, with continued use and overindulgence, transforms into a battle. The abuser most always loses that battle. Personal relationships, social ties, and employment suffers. Irresponsible and erratic behavior becomes the norm, and though the abuser is aware on some level of the reckless and thoughtless acts that they commit, they continue to use and abuse their drug of choice. What starts as experimentation often ends in addiction. The best hope for a person in the grips of substance abuse is immediate,

The National Center on Addiction and Substance Abuse provides guidelines and recommendations to healthcare providers in terms of how to screen for an addiction. Opioid addiction is screened primarily through patient interviews involving both specific and open ended questions about their lifestyle, mood, and drug use. A psychiatric exam may also be administered to look for psychological factors indicating an addiction such as depression, anxiety, and other psychological symptoms related to addiction and withdrawal. Withdrawal is evaluated by gradually taking a patient off opioids and if symptoms of withdrawal are found the severity of the withdrawal itself is then evaluated.2 If a patient is diagnosed with an addiction to opioids then the transition to tertiary prevention, or treatment will occur. However, treatment will only occur if early detection and screening techniques are utilized fully by healthcare provider otherwise it is likely an overdose will kill the opioid

This in-person interview was made final April 7, 2011 with the interviewee, Mae Parnell, who is employed as a case manager at Haymarket Center, located as 120 So. Sangamon St., Chicago, IL. Mae Parnell’s primary job description at Haymarket Center is to coordinator the approach to the delivery of substances abuse and social and health services. She will also provide each client with connections to seek the appropriate organizations that will be able to assist and devote to the care of his or hers unique circumstances and to help him or her attain goals for him or

The assessment serves many purposes. By giving simple, yet specific questionnaires, the professional can determine whether additional screening or diagnosing is necessary. "Relevant assessment information includes consumption patterns, substance-related problems, expectancies and motives for use and situational context for use" (Carey & Correia, 1998, p. 736). Three of the best tools or methods include collateral information, biochemical methods, and self-report

In the United States, the rise in both illicit drug and alcohol abuse is continuing at an alarming rate. In 2009 alone, the United States saw 23.5 million people over the age of 12 needing treatment for drug or alcohol abuse (National Institute of Drug Abuse, 2011). Per the Drug Enforcement Administration, in the same year (2009), almost 32,000 arrests on drug related charges were carried out (Drug Enforcement Administration, 2015). Even with the threat of prison time, and most federal prisons being filled with inmates on drug and alcohol related charges, 46.4% in 2016 the use and abuse of these substances is still on the rise (Federal Bureau of Prisons, 2016). Because of this, and the seemingly ineffective incarceration system, the call for

The screening should focus on safety risks associated with withdrawal and intoxication. • Case examples It is important to look at case scenarios and try to relate the case to the situation at hand. This is important in that it will allow one to draw important lessons on how to organize the plan and

Integrating substance use disorder (SUD) and healthcare services is a major target in the era of healthcare reform.1 Care integration has gained momentum with the recognition that people with SUDs often have multiple physical health problems and are at greater risk for chronic diseases (e.g., congestive heart failure).1 One practice that has been cited as important in efforts to integrate care is Screening, Brief Intervention, and Referral to Treatment (SBIRT), an evidence-based model that can be used to identify and address risky substance use in healthcare and other clinical settings.2

One of the first lines of defense in helping the elderly who are struggling with substance abuse is assisting them in recognizing there is a problem and correctly screening for substance abuse (Han et al., 2009). This primary role of the physician is essential to the treatment of the older patient’s medical needs. The medical community plays an important role in the lives of older people. Physicians prescribe the medications which a person might possibly abuse. It is the responsibility of the physician to identify and address a patient’s possible problems with substance abuse.