5.2. Behavioural interventions A meta-analysis of 35 studies examining the impact of adding psychosocial treatments in 4319 patients receiving OAT concluded that there is no value adding psychosocial treatment to OAT in treatment retention with a relative risk (RR) of 1.03. Similarly, there was no value found in adding psychosocial treatments to OAT over OAT alone in achieving negative drug screens with RR of 1.12. Moreover, there was no significant difference found in improving psychiatric disorders adding psychosocial treatment compared to providing OAT alone [Amato, Minozzi, Davoli, Vecchi, 2011]. Despite this, psychosocial interventions were reported to improve outcomes across several domains of SUDs. This has been demonstrated in a clinical trial of 102 patients randomised to receive: a) MET only maintenance b) MET + counselling c) MET + enhanced psychosocial services (i.e. counselling, employment and family interventions for 24 weeks). Results reveal that MET …show more content…
This study describes the medical management as a framework that includes brief intervention in maintaining abstinence, management of psychiatric and medical symptoms, review of UDS results, and efforts by the patient to achieve and maintain abstinence. The approximate duration of the medical management session was 15-20 minutes. Nevertheless, CBT session lasted for 50 minutes and included identifying and coping with craving, enhancing problem solving and refusal skills to reinforce relapse prevention. These sessions also focused on behavioural analysis and behavioural activation. The outcome of total number of sessions were hereby similar. Additionally, outcomes related to study retention and number of days of reported opioid use were similar among both groups achieving a reduction in opioid use from 5.3 days per week at baseline to 0.4 days per week at the end of the study [Fiellin et al,
The two main outcome variables were the frequency of opioid use and the subjective “high” feeling reported by the participants. The opioid use was measured by a 0-3 frequency scale (0 = no use, 1 = 1-3 times per month, 2 = 1-3 times per week, 3 = daily/nearly every day) which was measured every 30 days during the six months of the trial. The subjective high was also measured on a 0-3 scale (0 = no high, 1 = not certain, 2 = some high, 3 = full high). Each opioid was analyzed separately (heroin, methadone, codeine, morphine, buprenorphine) as well as being summed as a composite (all opioids). Consideration was also given to opioid dosage, non-opioid substance use, criminal activity/behavior, depression, overall satisfaction with life and current
Substance abuse treatment, counseling, and therapeutic interventions faces two polar opposites in terms of evidence-based treatment modalities currently being practiced: abstinence-based and medication-assisted treatment (MAT). Fundamentally, each treatment is in direct opposition of one another, as the long-held abstinence based approach, concurrenly rooted in the 12-step model found in Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), do not agree with the notion of MAT. They see MAT as essentially replacing an illegal opiate substance, with a prescribed and monitored opiate substance, whether that is Methadone
The CSE training program (Therapeutic Intervention). This program will be modified from Jacob and colleagues (2014). It is designed for the intervention group to control and stabilize the spinal structures including deep muscle and spinal vertebrae for decreasing back pain and enhancing the physical function of the spine (Kim & Yoon, 2015; Shamsi, Sarrafzadeh, & Jamshidi, 2015). Therefore, the CSE training program could be described as the reinforcement of the ability to enhance the stability of the neutral spinal position. The CSE training program is a 4-week program including supervised exercise training and home-based exercise training. The core exercise of the CSE training program focuses on 3 components of spinal stabilities as following:
There is extensive educational programing being offered around the world, and within the education classes they encourage all health care facility to attend as well as their patients who are coping with chronic pain controlled by the opioid medication. Most reported cases of substance abuse and addiction are associated with opioids and are linked to an individual’s behavior. Another method that is used to help the patient with opioid addiction and abuse is behavioral therapy. During the therapy there is close monitoring and cognitive behavioral substance misuse counseling make the chances of overall compliance greater.
The aim of this paper was to review the use and effectiveness of cognitive behavioral therapy as a treatment option for individuals with intellectual disability. After an extensive database search, 1116 papers were identified and 32 papers were identified through other sources, during the search process. These were identified through databases, general-purpose search engines and reference lists of specific papers closely related to this paper After the application of inclusion and exclusion criteria, 16 papers were included, these papers were focused on individuals with intellectual disabilities and issues such as anxiety, depression and mood disorders, anger management issues, psychosis and sexual offending. A quality assessment was conducted
The purpose of this paper is to introduce to the reader the theoretical orientation of Taneka Gibson. The theoretical orientation adopted by the student should represent by beliefs and values as a professional counselor. Theoretical orientation reflects the theory or theories at which a counselor base their practice. The theories identified in this paper are Person-Centered and Reality Theory.
Cognitive Behavioral Therapy is intended to test your own thoughts. It is a type of therapy that can help people recognize and change damaging or troubling thought patterns that have a negative influence on their behavior. For example, addiction. An offenders thought could be “I need to get high.” A balanced thought would be, “I want to get high, but if I don’t, I will survive.” We can support that balanced thought with evidence. You do not need to get high. If you do not get high, blood will still pump through your veins and you will survive without it.
For my relapse prevention research paper, I wanted to choose a substance/individual combination which would be convoluted, devoid of a simple or straightforward treatment plan. Due to my interest in healthcare, I decided to address an increasingly prevalent issue in the field, substance dependence to clinically-prescribed opiates. According to the National Survey on Drug Use and Health (NSDUH), the number of opiate prescriptions written in the United States has skyrocketed over the past two decades. In 2013, the United States Department of Health and Human Services reported that there were an estimated 1.9 million illicit opiate users in the United States who were either abusing or dependent prescription pain
The goal of the intervention is to help college students reduce their alcohol consumption to a healthy level. This intervention will be separated based on the gender in which the client identifies with. The primary reason for holding two different interventions based on gender is because gender norms are significantly correlated to high-risk drinking and men and women face different gender norms. The intervention would be a group intervention; clients will be able to have a sense of social support and identification with other clients in the group with similar experiences. I believe having a group intervention will provide clients will a supportive environment, which will help clients, feel understood. Clients are more likely to open up and
This paper will discuss about alcohol and substance abuse in the workplace, and the proper evidence based practice interventions for treatment to help the issue. I will discuss background information about the problem and why it is importance of why this topic needs to be addressed. I will also discuss evidence based interventions that have been proven to help those who have a problem with alcohol and substance abuse in the workplace. This will be done by reviewing different articles written by researchers about the problem and how they used interventions to help solve it. Finally, I will explain whether or not I would implement the use of these interventions in my current practice as a social worker.
The therapist will engage with developing the treatment plan. Each family member will participate and agree to the content in order to make it a collaborative effort and a family intervention. The plan will consist of three goals and two-three interventions based on Bowen family theory. The therapy will consist of twelve sessions and will meet weekly, in which Rosalyn and Carl will attend each session, while the children will attend three – twelve. If necessary, the therapist will assess the need to incorporate more private parent time.
Although the worker failed to identify with some of the issues the resident of the long-term care facility was having to be a potentially harmful situation moving forward it is evident that they used a lack of professionalism to report the matter due to future risks. “Patricia Stone, Arlene Smaldone, and Robert Lucero (2011) reports nurses are in the position of being “at the sharp end” of health care interventions by being the patient's advocate, providing care that may result in an error, or witnessing the error(s) of other clinicians. Accidents, errors, and adverse outcomes result from a chain of events involving human decisions and actions associated with active failures and latent failures. Many of these failures are associated with individual
There is no known or possible cure for schizophrenia. This was the worse news that has been given yet. I have been switching between different medications and dosages to help my symptoms for years. I was happy to hear that in the 1990s, new antipsychotic medications were developed (S.A. Roberts, Personal Communication, March 15, 2016). These new medications are called second-generation or atypical antipsychotics (Schizophrenia. n.d.). These medications were offered to me in the form of a pill and an injection that can be given once or twice a month. Other than medications, I have also been offered therapy. There are different kinds for different aspects. Personally, I have been receiving psychosocial treatments and cognitive behavioral
Similar to other chronic disorders, achieving optimal treatment outcomes in SUD is associated with several challenges with variable impact on treatment outcomes and cost effectiveness. This chapter describes challenges with SUD treatment, and potential association of patient characteristics with treatment outcomes.
Crisis intervention models as many aspects in how it can help an individual or group cope with crisis. However, I have chosen to focus on two crisis intervention models, which are telephone crisis counselling (TCC) and critical incident stress management (CISM). Telephone crisis counselling is a hotline where an individual can seek support, by means of the telephone. CISM is a combination of several components, “Large group, small group, family, and individual intervention approach to engage participants who historically are viewed as intervention resistant,” (Castellano & Plionis, 2006, p. 332).