Treatment For Substance Abuse Essay

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Treatment guidelines from the Substance Abuse and Mental Health Services Administration indicate that treatment should include age-appropriate group therapy, and teach skills to rebuild social support networks (Trevisan, 2008). Staff need to be experienced in working with the elderly and use a slower pace and age-appropriate content. Respect with an atmosphere of support and change rather than confrontation should be created in the therapeutic setting. Three medications have been approved for treatment of alcohol problems; however, there are few pharmacological treatment studies of alcohol dependence in older adults and no know studies of other drugs of abuse (Trevisan, 2008). These three medications include Disulfiram, Naltrexone, and Acamprosate (Trevisan, 2008).
The main components of treatment include confrontation, detoxification, and rehabilitation (Friedlander & Norman, 2006). Confrontation involves overcoming patients’ denial, convincing them of the consequences of continued drinking, and motivating them to receive treatment (Friedlander & Norman, 2006). Detoxification consists of removing alcohol from the body and protecting the patient from the effects of withdrawal (Friedlander & Norman, 2006). Rehabilitation consists of continued efforts to increase and maintain high
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al, 2012). Social workers need to consider modifying the traditional CBT when working with the elderly who may have developmental differences in cognitive functioning and sensory capacity (Rinfrette, 2009). The CBT approaches employed in the treatment of substance abuse elders are based on Marlatt and Gordon’s 1985 relapse prevention model that is identified by the National Institute on Drug Abuse as a scientifically based treatment approach for substance use disorders (Cummings, Bride, & Rawlins-Shaw,
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