SpeedyCeus

Chapter 8 - Conclusion

Alcohol and substance abuse is a wide ranging and complicated area of treatment for health professionals.  It is important for Nurses, Social Workers and Counselors to understand the prevalence of such use as they work with clients that come into their care.  Such knowledge is significant in how they assess and treat patients and clients that come under their care, whether medically or in counseling. 

Depression can often impact the origins of a person’s use and the severity of their abuse of alcohol and drugs.  When used to self-medicate, it becomes difficult for the user to quit.  While they may understand the ill-effects, it is more psychologically painful to face the feelings that come from withdrawals.

This course has provided the licensed professional information regarding the prevalence of alcohol and substance abuse in the United States.  In addition, multiple assessment approaches and tools have been provided.   Different treatment approaches have been provided which can be implemented in treatment.   

A fundamental part of each of these programs, and for any treatment intervention to work or have long term affects, is that the client must have a desire to change.  Some have argued that this is not only necessary, but for some, it is all that is needed.  One thing is clear: Although incarceration, or residential treatment rehabilitation centers or regular testing can “mess” with the client using for a period of time, unless they have decided it is time to stop, they will not.  In treatment, it is vital to find out the level of desire the client has to stop using.   Cognitive interventions can help the client see the need to stop using drugs, and obtain the desire to stop, by showing them how their life can change for the better.  Behavioral interventions can help them gain confidence in their ability to control their behaviors and their life. 

In any case, something so difficult will not be overcome with out a lot of will on the part of the client.  The relationship with you, the healthcare professional, is a vital part of helping the client develop the will to follow through with successful treatment.

 THE END!!! ( A Link to the post-test can be found at the top or bottom of this page)

References

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American Academy of Children and Adolescent Academy (2004), Substance Abuse Treatment for Children and Adolescents: Questions to Ask (Updated November 2004) in http://www.aacap.org/publications/factsfam/subabuse.htm

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

Bohm, Peter, E., Drug Addiction, in Turner, Francis J. (Editor) Adult Psychopathology: A Social Work Perspective.  New York: The Free Press: 1984  

Dennis, M. L., & McGeary, K. A. (1999). Adolescent alcohol and marijuana treatment: Kids need now. TIE Communiqué (pp. 10–12). Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. as found in Sampl, S., & Kadden, R. Motivational Enhancement Therapy and Cognitive Behavioral Therapy for Adolescent Cannabis Users: 5 Sessions, Cannabis Youth Treatment (CYT) Series, Volume 1. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. BKD384 in http://kap.samhsa.gov/products/manuals/cyt/text/cyt1.txt

 Dennis, M. L., Godley, S., & Titus, J. (1999). Co-occurring psychiatric problems among adolescents: Variations by treatment, level of care and gender. TIE Communiqué (pp. 5–8 and 16). Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. as found in Sampl, S., & Kadden, R. Motivational Enhancement Therapy and Cognitive Behavioral Therapy for Adolescent Cannabis Users: 5 Sessions, Cannabis Youth Treatment (CYT) Series, Volume 1. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. BKD384 in http://kap.samhsa.gov/products/manuals/cyt/text/cyt1.txt

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Johnson, R. A., Hoffmann, J. P., & Gerstein, D. R. (1996). The relationship between family structure and adolescent substance use. Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies. as found in Sampl, S., & Kadden, R. Motivational Enhancement Therapy and Cognitive Behavioral Therapy for Adolescent Cannabis Users: 5 Sessions Cannabis Youth Treatment (CYT) Series, Volume 1. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. BKD384 in http://kap.samhsa.gov/products/manuals/cyt/text/cyt1.txt

Kaplan, Howard Self-Esteem and Self-Derogation Theory of Drug Abuse as found in Theories in Drug Abuse:  Selected Contemporary Perspectives,   NIDA Research Monograph,  March 1980

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Office of Applied Studies. (2000). National household survey on drug abuse: Main findings 1998. Rockville, MD: Author. (Available online at http://www.samhsa.gov/oas) as found in Sampl, S., & Kadden, R. Motivational Enhancement Therapy and Cognitive Behavioral Therapy for Adolescent Cannabis Users: 5 Sessions, Cannabis Youth Treatment (CYT) Series, Volume 1. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. BKD384 in http://kap.samhsa.gov/products/manuals/cyt/text/cyt1.txt

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Tip #48 Bibliography

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The Presenter

Lance Parks, LCSW has a rich and diverse history of educational, clinical, training and administrative experience. Mr. Parks is a certified Group Home Administrator in the state of California and serves as an Associate Director and Licensed Clinical Social Worker at a residential placement facility for adolescents ages 13-18.  Mr. Parks' counseling experience includes the following populations and settings: HIV positive inmates at CIM in Chino, California, outpatient Spanish speaking clinic, private psychiatric hospital, skilled nursing facilities (nursing homes), private family counseling clinic, and adolescent residential placement.

In addition, Mr. Parks has helped plan, develop and/or present training programs and conferences for the following personnel: group home staff, state certified group home administrators, probation officers, social workers, mental health personnel, LCSWs and MFTs. Since 1999 Mr. Parks has served on the continuing education committee, residential care committee and juvenile justice committee for a statewide association of private nonprofit child and family serving agencies.

Mr. Parks received his Bachelor of Science in Family Sciences with a minor in Spanish from Brigham Young University, and his Master of Social Work from the University of Southern California.