Drug Addictions Treatment

Posts Tagged ‘Treatment Plan’

Principles of Effective Treatments:

1. No single treatment is appropriate for everyone. It is very important to achieve an appropriate mix of type of setting, intervention and treatment services with the problems and needs of each individual, so that the person to achieve the ultimate success of returning to productive functioning in the family, work and society.
2. Treatment should be readily available at all times. Because people addicted to drugs may be uncertain about whether to initiate treatment is very important to seize the opportunity when they indicate they are ready for treatment. You can lose potential candidates for treatment if these treatments are not immediately available or are not easily accessible.
3. Effective treatment must encompass the multiple needs of the individual, not just drug use. To be effective, treatment should be directed to the use of individual drugs in addition to any other dispute medical, psychological, social, vocational, and legal.
4. The patient’s treatment plan must be continually evaluated and, if necessary, amended to state that the plan is to keep pace with the changing needs of the individual. A patient may require combinations of services and treatment components that vary during the course of his treatment and recovery. In addition to counseling or psychotherapy, the patient often require medication, other medical services, family therapy, parenting instruction, vocational rehabilitation and social and legal services. It is essential that any form of treatment is appropriate for age, sex, ethnicity and culture of the patient.
5. For treatment to be effective, it is essential that the patient continues for a suitable period of time. The length of treatment for a person depends on their problems and needs. Research indicates that most patients begin to see significant improvement after three months of treatment. when you get to this point, additional treatment can achieve a rapid recovery. Since many people often leave treatment prematurely, programs should include strategies to engage and keep patients in treatment.
6. Individual therapy and / or group counseling and other behavioral therapies are critical components of effective treatment for addiction. During therapy, patients address their problems of motivation, build skills to refuse drug used, substitute activities where drugs are used for constructive and useful activities which do not enter the drug use, and improve their skills to solve problems. Behavioral therapy also facilitates interpersonal relationships and improve the individual’s ability to function within the family and community.
7. For many patients, medications are an important element of treatment, especially when they are combined with different types of therapy. Methadone and levo-alpha-acetylmethadol (LAAM) are very effective in supporting those individuals addicted to heroin and other opiates stabilize their lives and reduce illegal drug used. Naltrexone is also an effective medication for opiate addicts and some patients also suffer from alcohol dependence. For people addicted to nicotine, products nicotine replacement (such as patches or gum) or an oral medication (such as bupropion) can be effective components of treatment. While the combination of treatments and medications can be extremely important for patients with mental disorders.
8. In the case of individuals with addictions or substance abuse at the same time have mental disorders, treat both problems in an integrated manner. As they are often addictive disorders and mental disorders in the same individual, patients with any of these two conditions must be evaluated and treated for the simultaneous presence of other disorders.
9. Medical detoxification is only the first stage of addiction treatment and by itself does little to change the drug used long term. Medical detoxification manages the acute physical symptoms carefully the withdrawal symptoms that occur when you stop using any drugs. While detoxification alone is rarely enough to support the addicts to get long-term abstinence, for some individuals serves as a strongly indicated precursor to effective treatment of drug addiction.
10. Treatment does not need to be voluntary to be effective. The treatment process can be facilitated by a strong motivation. Sanctions or rewards within the family, workplace or criminal justice system can significantly increase the percentage of individuals who enter and stay in treatment programs for drug addiction as well as their success.
11. The drug can be used during treatment must be constantly monitored. During the treatment period may have relapses to drug use. The objective monitoring of drug and alcohol use during treatment, including urinalysis or other tests, can support the patient to hold their urges to use drugs. Such monitoring also can provide early evidence of drug used for the patient’s treatment plan can be adjusted. To present the results of reports of patients who register positive drug tests can serve as an important element in supervision.
12. Treatment programs should provide assessment for HIV / AIDS, hepatitis B and C, tuberculosis and other infectious diseases, along with counseling to assist patients to modify or change behaviors that put them to themselves or others at risk infection. Therapy can support patients to avoid risky behaviors. You can also support people who are already infected manage their illness.
13. Recovery from drug addiction can be a long-term process and frequently requires multiple episodes of treatment. As in other chronic illnesses, relapses to drug use can occur during or after successful treatment rounds. Patients may require prolonged treatment and multiple episodes of treatment to achieve long-term abstinence and fully restored functioning. Participation in self-help during and after treatment provides support to maintain abstinence.

These are the different models that are available treatments for addiction structured intervention. Many use simmilares components and provide benefits for each other. However they are all alternatives should be considered in designing treatment plans.

* Minnesota Model: The model traditionally used in the U.S. and also the movement’s historical roots in North America treatment.

* Ambulatory Model: It is recommended to people who need treatment and also have retained much of their psychosocial functioning, so that simultaneously attend to their work and remain in their traditional family environment.

* Model Hospital: Based primarily on the hospital management of addictive disorders, this model is aimed at isolating the full therapeutic and patient time with a varied program of intensive therapy.

* Therapeutic Community Model: The people involved in this type of treatment living with a community of recovering addicts. In this manner it has yet to incorporate lifestyle shared and personal responsibility.

* Community Reinforcement Model: This model focuses on the importance of social factors that promote recovery, such as social work and support.

* Risk Reduction Model: The search to lessen the impact that addiction has on the community. is the primary objective of this model.

* Model Matrix: It is an outpatient program with strong content and a relapse prevention design that provides a high respect for the dignity of patients. Is focused on the addiction to stimulants.

* Model Judicial or Coercive: This is the model proposed compulsory treatment as an alternative to the penalties for crimes related to substance abuse.

Treatment for Addiction is a series of structured clinical interventions in a way that is useful to promote and support the recovery of a person affected by addiction to a better quality of life.

Each person is a different person with different life situations and different needs. For this reason, each treatment should be individualized way that suits best to the contextual features of each individual.

Prepare the person to be treated with proper treatment is a key factor in the ultimate success of treatment, as indicated by recent research on the subject (Project MATCH)

The initial consultation, assessment, diagnosis, intervention and treatment are themselves part of a process that is not broken in stages but part of a continued care, where the phase transition so that they overlap each others. Understanding this reality is important for pertinents decisions at each stage of the process.

Lel National Institute of Alcohol and Drug U.S. has developed an excellent pamphlet on the treatment which we recommend reading. In this section we have collected the PRINCIPLES on the treatment to collect the findings that have been made through clinical practice and research on treatment.

Taking into account the needs and individual characteristics of each person designs the treatment plan must result in addition to the consensus of those involved in the process (usually the patient and practitioner). This will have a basic document that guides the changes that have the goals of recovery. In this section we study the details of the design process of the treatment plan.

The treatment components are modules or tools at our disposal to integrate them into the treatment plan. Here are the different kinds of components that are usually used for the treatment of addictions:

1. picosociales components
2. pharmacological components
3. self-help components
4. alternative therapies

The combination of these components may also be a function of the policies of the institution of treatment, the availability in the resort area of the patient’s ability to receive the application and the level of provision that the patient has to continue with medical recommendations .

PHASE II:
Stabilization and Consolidation

The objectives of this phase are:

To develop efficient therapeutic strategies for the patient understand their disease and learn to live well without addictive drugs.

Login significant changes, the patient works to meet their personal resources and obstacles and thus increasingly assume responsibility and commitment in their treatment.

Advance the Patient Self-knowledge, and in the normalization of their family relationships, social, employment and partner.

Strengthen supervision gradually decreasing withdrawal of the treatment team.

The treatment plan has the primary objective detoxification care for physical, mental and emotional health of the person requesting help while going through a process ideal therapeutic tools for the acquisition of emotional, cognitive and spiritual guide him to live in recovery during and at the end treatment.

The length of time recommended for this therapeutic process is a minimum of twelve months, but each case will be assessed by the clinical team. This treatment is structured in three phases:

PHASE I:
Detoxification, Addiction Treatment and Immersion

The objectives of this phase are:

Detoxification, suited to the characteristics of each patient under close medical supervision may take place in a hospital if they require, whilst ensuring the health and patient safety. Read the rest of this entry »