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PY317 - 16 - Sub Abuse Treatment - Recovery - Relapse - Moodle-2

Detoxification as a first step detoxification

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Unformatted text preview: Anonymous Narcotics One of many 12­Step groups Addresses chemical dependency Same basic principles People have to find the group that fits them best. Detoxification as a First Step Detoxification Remove chemicals from body Management of safe withdrawal Both inpatient and outpatient Patient may use if possible during withdrawal Continued rehabilitation necessary Ups & Downs of Treatment Ups All relapsing conditions are difficult Treatment success has limits, but does saves money in the long run Treatment formats have not been widely validated scientifically Least effective treatments are most deeply entrenched in society. Pharmacological Treatment Pharmacological For alcoholism: limited data Disulfuram (antabuse) ­ compliance issues Naltrexone & Acamprosate ­ controversial For opiate addiction Methadone & LAAM – opiate agonists that reduce cravings & prevent withdrawal Naltrexone – opiate antagonist Buprenorphine – blocks effects of opiates Follow Up: Aftercare Follow Treatment does not end with discharge from program Critical to minimize chances of relapse Often involves participating in 12­ step programs Avoiding Relapse Avoiding Build substance­free support system Identify relapse triggers Skills to handle stress, emotions Being realistic about progress Giving encouragement, guidance Supporting maintenance phase...
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