Flashcards
type of intervention
Cards in this deck (18)
- 1BIOLOGICAL INTERVENTION TO HEROINPrescribed methadone - a synthetic drug which mimics the effects of heroin but less addictive. Produces feeling of euphoria but to a lesser degree.
Prescribed slowly increasing amounts of methadone to increase tolerance. The dose is then slowly decreased until the addict no longer needs either methadone or heroin. - 2Issues with Methadone1.) Become reliant on meth as much as they were on heroin
2.)Controversial - UK STATISTICS AUTHORITY figures showing that Meth was responsible for the deaths of over 300 people in the Uk in 2007.
3.)Majority of consumption unsupervised - created a black market, sometimes sell their doses for £2 - 3BIOLOGICAL TREATMENT GAMBLING 1SSRIs increase serotonin
HOLLANDER - showed sig improvements compared to control group.
BECAUSE - research suggests that serotonin dysfunction in PG. - 4BIOLOGICAL TREATMENT 2Naltrexone which is a dopamine receptor antagonist, works by reducing the reading and reinforcing properties of gambling, thus reduce urge to gamble.
- 5HOLLANDER EVALSmall study (N=10) small time (16 weeks)
BLACNO - involving 32 gamblers over 6 months failed to demonstrate any superiority for SSRI treatment over placebo. - 6NALTREXONE EVALKIM AND GRANT
found significant decreases in gambling thoughts and behaviours after six weeks of treatment. - 7PSYCHOLOGICAL TREATMENT 1REINFORCEMENT
- 8SINDELARPs randomly allocated to either reward or no-reward condition.
In reward condition drew for prizes of various monetary prizes.
Drug use dropped sig for ps in reward condition
negative urine samples 60% higher
(alongside methadone dose and daily and individual counselling) - 9PROBLEM WITH SWINDLERdoesn't address root cause
may develop other addiction, shopping, alcohol - 10Psychological intervention 2CBT
aims to change the way people think about their addiction
learn new coping mechanisms
E.G. Gambling cognitive erros - CBT attempts to correct. - 11LADOUCEURRandomly allocated 66 PG to either CBT or a waiting list.
Of those that completed treatment - 86% of them no longer fulfilled DSM criteria for PG.
ALSO found that G had better perception of control over their gambling problem and increased self-efficacy.
IMPROVEMENTS MAINTAINED at 1 YEAR FOLLOW UP - 12NIDA STUDYCOLLABORATIVE COCAINE TREATMENT STUDY - designed to intervene in the cycle of personal and social problems.
487 patens randomly assigned to one of four interventions.
1.) Group Drug Counselling
2.)CBT/GDC
3.) SUPPORTIVE - EXPRESSIVE psychotherapy
4.) Individual drug counselling and GDC - 13NIDA conclusionIndividual group counselling combined with GDC was most effective.
All treatments decreased days of drug use in the previous month, from a mean of 10 days at start to three days a year later.
Marked reduction in HIV risk - 14TELEPHONE SMOKING QUILTING SERVICESMeta-analysis by STEAD including over 18,000 participants
FOUND: people who received repeated telephone calls from a counsellor increased their odds of stopping smoking by 50% compared to smokers who only received self-help materials and/or brief counselling. - 15PREVENTION OF YOUTH GAMBLING AND IMPORTANCEThere is growing concern that adolescents and young adults rep highest risk group for gambling problem.
Public health approach is important because it is a proactive approach to addressing a potentially devastating social issue - can lead to strained relationships, delinquency and criminal behaviour, dep. - 16MESSERLIANprevention model based on research into PG in this age group
Framework applies denormalisation, protection, prevention and harm reduction principles. Early identification and necessary skills to remain in control. - 17Type of intervention conclusionResearch has not tended to show that any one type of psychological treatment is superior to any other. Relationship factors may be more important (therapist and client).
In addition - psychological therapies appear more effective when combined with a pharmacological treatment. - 18COHEN and COHENDescribe a phenomenon called CLINICIANS ILLUSION
Argue many clinicians believe that alcoholism and drug addiction are extremely difficult to treat (more than research suggests)
LACK OF REGULAR SCREENING means that clinicians only come across addicts when their condition is well advanced and in many cases too severe to effectively respond to treatment.
View that addiction incurable among general public is strengthened by biased media reports which rarely comment on celebrities who used to have an addiction problem but who are now doing well.
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- A-Level Addiction Flashcards on type of intervention, created by evelynhull34 on 17/05/2016.
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