Chapter 5 Specialized Substance Abuse Treatment Programs A Guide to Substance Abuse Services for Primary Care Clinicians NCBI Bookshelf

Third, therapeutic interventions, meaning the acts of a clinician intended to promote healing, may not account for all (or any) of the change in a particular individual. Thus, it is an error to assume that an individual is moving through stages of treatment because of assistance at every point from institutions and self-help groups. To stand the best chance for meaningful intervention, a leader should determine where the individual best fits in his level of function, stance toward abstinence, and motivation to change. In short, generalizations about stages of treatment may not apply to every client in every group. At Integrative Life Center, we create an individualized treatment plan that’s tailored toward your specific needs. We utilize an integrated approach to address trauma at the root of the addiction, resulting symptoms, and substance use in different aspects of your life.

goals of substance abuse treatment

Ensure your specific goal is achievable based on your circumstances, resources, and capabilities. When it is necessary to point out contradictions in clients’ statements and interpretations of reality, such confrontations should be well-timed, specific, and indisputably true. For example, author Wojciech Falkowski had a client whose medical records distinctly showed abnormal liver functions. When the client maintained that he had no drinking problem, Falkowski gently suggested that he “convince his liver of this fact.” The reply created a ripple of amusement in the group, and “the client immediately changed his attitude in the desired direction” (Falkowski 1996, p. 212). Such caring confrontations made at the right time and in the right way are helpful, whether they come from group members or the leader.

What is an Example of a Substance Abuse Treatment Plan?

Because recovery clearly is possible and because most people enter treatment in search of it, albeit under pressure and with very mixed and confused motives, the committee believes that any worthwhile treatment program or method should be able to demonstrate that it has accelerated recovery among most of its clientele. However, rapid and full recovery is sufficiently unusual outside of treatment that it should not be viewed as the sole measure of treatment success. There is a real difference between hundreds or thousands of illegal and unhealthy acts over a period of time and a handful or even scores of such acts, and that difference should not be ignored when programs are called on to account for their clients’ behavior.

  • Assessment of treatment readiness and stage of change is useful in treatment planning and in matching the offender to different types of treatment.
  • Although regulations vary by state, some states have passed laws expanding access to naloxone without a patient-specific prescription in some localities.81,82 Additionally, some schools across the country are stocking naloxone for use by trained nurses.
  • In general, the primary goals of treatment have centered on reducing heroin or cocaine intake, predatory crime, and client death rates, at a secondary level, they involve marijuana or alcohol intake, unemployment or poor job performance, and lack of education.

This complexity is why addiction recovery requires an individualized substance abuse treatment plan. A program with a longer term treatment protocol may view its primary responsibilities more comprehensively—to deal not only with the initial steps toward recovery but also with any other aspects of the client’s circumstances that may increase his or her vulnerability to relapse. If these negative circumstantial aspects are prominent, then that program sets itself a much more challenging task than the program whose clients have few problems other than drug-seeking behavior with which to contend. Often, a program must develop channels to vocational, educational, housing, Dedicated to life-long Recovery welfare, psychiatric, or primary medical services or else gain the resources needed to offer the necessary services itself, particularly for clients who are so disorganized that they have to have everything packaged together in one place. Such programs are prepared to view joblessness, psychological depression, or homelessness as part of the diagnosis they need to treat. That kind of perspective does not mean that these clinicians believe that joblessness, psychological depression, or homelessness are universal causes of drug problems or that the country must deal with unemployment, melancholy, and housing problems nationwide in order to help any individual client.

Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide

Antidepressants do not decrease alcohol use in patients who do not have mood disorders, but they may help patients who meet criteria for depression to decrease their alcohol intake. Systematic policies are needed to expand the use of medications when treating alcohol use disorder in inpatient and outpatient populations. A portion of sources within this review appropriately noted the potential limitations of goal setting and monitoring. https://accountingcoaching.online/mash-about-us/ Concerns may exist about impaired decision-making due to intoxication or early withdrawal or a need to have pre-determined goals due to the nature of the service setting (SAMHSA, 2017). Some clients may also wish to engage in nondirective supportive therapy or may hold a view that argues for clinician-articulated goals. In all of these circumstances the lens of accountability, transparency, and openness to feedback can persist.

  • In different stages of treatment, some of these therapeutic factors receive more attention than others.
  • Leaders begin to help group members move toward affect regulation by labeling and mirroring feelings as they arise in group work.
  • Out of touch with unmedicated feelings, clients already are susceptible to wild emotional fluctuations and are prone to unpredictable responses.

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