Intensive Outpatient Group Program (IOP) level II.1 is a program designed for people who are ready to return to employment, school, or do not require a advanced level of care. IOP also allows outpatient treatment at a more affordable price to the individuals and managed health care, therefore allowing an individual a possibility to seek the treatment they may need. These features, plus the three main components of IOP psychoeducational, process, and family group meetings make IOP a critical group in addiction treatment. IOP allows increased frequency of contact by the counselor than individual sessions. The group sessions last approximately eight weeks with clients meeting for group 3 times per week for 3 hours. The goals of these sessions are to achieve abstinence, to support behavioral changes, to initiate participation in community-based support groups, to assist the client in developing constructive relationships, and improve problem solving abilities and coping strategies. These goals within IOP groups help the client to adjust to the new lifestyle in sober living. The American Society of Addiction Medicine (ASAM) developed Patient Placement Criteria for the Treatment of Substance Use Disorder. (Hoffman et al. 1991) This criterion is used widely when defining if a client is appropriate for IOP Level II.1. This level of care requires at least nine hours of contact on a weekly biases. Research shows that the criteria described in ASAM PPC are reliable and have predictive validity (Gastfriend 1999). Admissions to Level II.1 requires a diagnosis of substance-related disorder based on the DSM-IV; an identification of at least on criterion in the ASAM PPC-2R dimensions 4,5,or 6; and meeting the requirements of dimensions 2 and ... ... middle of paper ... ...urnal of Substance Abuse Treatment. 1999;16:195–219. [PubMed] Mee-Lee, D.; Shulman, G.D.; Callahan, J.F.; Fishman, M.; Gastfriend, D.; Hartman, R.; and Hunsicker, R.J., eds. Patient Placement Criteria for the Treatment of Substance-Related Disorders: Second Edition-Revised (PPC-2R). Chevy Chase, MD: American Society of Addiction Medicine, 2001. SAMHSA, Substance Abuse & Mental Health Services Administration, Office of Applied Studies (2000).Summary of findings from the 1999 National Household Survey on Drug Abuse. Rockville, MD.http://www.drugabusestatistics.samhsa.gov. Substance Abuse and Mental Health Services Administration. (2009). Results from the 2008 National Survey on Drug Use and Health: National Findings (Office of Applied Studies, NSDUH Series H-36,HHS.PublicationNo.SMA09-4434).Rockville,MD,p.25., http://www.oas.samhsa.gov/nsduh/2k8nsduh/2k8Results.pdf
Our main assessment tool is the Addiction Severity Index (ASI) it is a widely used structured interview that is designed to provide important information about what might contribute to a client’s alcohol or drug problem. The instrument assess seven dimensions that typically are of concern in addiction: (1) medical status, (2) education/employment status/support status, (3) drug/alcohol use, (4) legal status, (5) family history, (6) family/social relationships, and (7) psychiatric status. The ASI was the first standardized assessment tool of its kind to measure the multiple dimensions of substance abuse. The ASI is conducted in an interview format by clinicians worldwide. It has been used as an assessment tool by state agencies and treatment providers and has been translated into 18 languages (McLellan, Luborsky & Woody,
In life, no one ever anticipates being sick or suffering from illness associated with mental health or substance abuse. The purpose is to promote healthy living and encourage preventative care in areas such as prenatal care, immunization, and infectious diseases in adults. Coverage indicators are typically calculated by dividing the number of people receiving a defined intervention by the population eligible for or in need of the intervention (World Health Organization, 2009). Mental health and substance abuse is also an indicator that poses as a very prevalent issue in societies today. Those who suffer from mental and substance abuse usually shares some underlying causes, including changes in brain composition, genetic vulnerabilities, and early exposure to stress or trauma (Mental Health and Substance Use Disorders, n.d.). Substance abuse is often times associated with either drugs or alcohol, which can lead to spiraling social or economic issues such as financial problems, domestic violence, child abuse, and eventually graduating into committing
...es from Substance Abuse Treatment Services. (2006) DASIS Series: S‐30, DHHS Publication No. (SMA) 06‐4139, Rockville, MD.
The intervention that I am proposing is a transition of care flow process from the acute inpatient levels of care to the outpatient level of care for patients with alcohol use disorder (P-AUD). The AIM of my intervention includes two main elements increase outpatient access to addiction treatment for P-AUD and to promote continuity of care through the use of a standardize intra-facity clinical referral process flow definition, design, and implementation.
Amercian College Health Association. (2007). Statement on colledge alcohol and drug abuse. Journal of American College Health. 36.64
Treatment offers the opportunity to gain more insight into the underlying issues driving the alcohol abuse and dependence. Gaining a deeper understanding of triggers and unhelpful thought patterns can increase awareness. With increased awareness, better decisions can be made and destructive behaviors can be reduced. Therapies, family sessions, and relapse prevention techniques equip clients with the tools and resources they need to maintain their sobriety. Providence Project Alcohol Rehab Centre offers best-practice treatments specifically designed to increase awareness, promote healthy coping patterns, and increase
Freed C. Addiction medicine and addiction psychiatry in America: Commonalities in the medical treatment of addiction. Contemporary Drug Problems [serial online]. 2011;37(1):139-163. Available from: Consumer Health Complete - EBSCOhost, Ipswich, MA. Accessed November 30, 2013.
According to the 2012 National Survey on Drug Use and Health (NSDUH), approximately 1.2 million people (.4 percent of the population) reported using methamphetamine in the past year. The Drug Abuse Warning Network (DAWN), who collect information of drug related episodes from hospital emergency departments throughout the nation, came to a conclusion that meth accounted for about 103,000 emergency department visits in 2011. Methamphetamine use is greater in the west and parts of the midwest as reported by the National Institute on Drug Abuse’s Community Epidemiology Work Group. The 2012 Monitoring the Future (MTF), reported Meth use in adolescents is common within the age of 12 or are 8th graders. Although, adolescent rates on meth use for 10th and 12th graders have decreased since 2007, the use of meth of those in 8th grades has not dropped within those 5
Intensive outpatient drug rehab (IOP) is the primary, outpatient treatment for drug addicts. Professionals tailor this to meet each individual's needs. Patients then participate in the program for between 10–12 hours each week. Throughout the time they're not in IOP, patients continue living at home and participating in their normal, daily activities. As such, this form of drug treatment is more suitable for anyone who can't take an extended absence from work, school, or other personal obligations.
Inpatient substance abuse treatment is more intense than the outpatient programs. The inpatient program can last for 30 days or can extend indefinitely, depending on the funding of the patient. People live in a confined setting and are monitored for detoxification. They are often prevented from leaving the program and they attend group and individual therapy during the day. They may have recreational programs but these are not part of the actual treatment. Inpatients work hard on their issues and try to find out the underlying problems that have contributed to their substance use. If they graduate from this type of program, they
They are both similar in a sense when it comes to helping and rehabilitating individuals. They are also similar because they both include a corporation of skills used by counselors during the therapeutic relationship (Myers and Salt). Another way the two are similar is they both comprise of the counselors or group leader’s support. The definition of counseling is described as an empathic and supportive professional relationship that provides an agenda for the exploration of behaviors, emotions, and thinking patterns which lead to the facilitation of healthy changes. Addictions counseling is different from regular counseling because it may involve many levels of multiphasic treatment system, as indicated by the clinical assessment of a client (Myers and Salt). Another way addictions counseling differs from regular counseling is provided at an individual, group, and family level or setting. Lastly, addictions counseling differs from regular counseling because it comprises of eight dimensions of practice. Those dimensions of practice are the clinical evaluation, treatment planning, referral. Service coordination, counseling, education, documentation, and professional and ethical responsibilities (Myers and
There may be some offenders who will need to be committed to an in house treatment facility and some who can do outpatient. It will take some evaluating and many test to be ran to determine what treatment option is best for the client. There also needs to be a concrete team of physicians, nurses (aids), counselors, and recovered addicts to help aid in the process of
Center, N. D. (2004, April). Drug Abuse and Mental Illness. Retrieved Febrauary 9, 2011, from Justice.gov: http://www.justice.gov/ndic/pubs7/7343/7343p.pdf
National Household Survey on Drug Abuse: Main Findings 1994. Rockville, MD: U.S. Department of Health and Human Services, 1996.
College students make up one of the largest groups of drug abusers nationwide. The high rates of