13 Principles of Drug Addiction Treatment

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Many of us can be involved in the above activities or use alcohol or prescription drugs without a problem. It is when they begin to interfere with our lives that they become problematic. This occurs when there becomes a compulsive need to engage in the addictive behavior. Addictions can negatively affect many areas of life including health, relationships, financial responsibility, and spirituality. If you are struggling with addiction, there is help. Addiction counseling can assist you in identifying resources that will help you manage the anxiety that occurs when the addictive substance or activity is removed. Counseling can then assist you in exploring and resolving the underlying cause of the addiction.

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13 Principles of Drug Addiction Treatment:

13 Principles of Drug Addiction Treatment Maria Droste Counseling Center Information taken from the National Institute on Drug Abuse. Download the full report at http://www.drugabuse.gov/publications/principles-drug-addiction-treatment .

1. Addiction is a complex but treatable disease that affects brain function and behavior.:

1. Addiction is a complex but treatable disease that affects brain function and behavior. Drugs alter the brain’s structure and function, resulting in changes that persist long after the drug use has ceased. This may explain why drug users are at risk for relapse even after long periods of abstinence Maria Droste Addiction Counseling

2. No single treatment is appropriate for everyone.:

2. No single treatment is appropriate for everyone. It is critical to match treatment settings, interventions, and services to an individual’s particular problems. Maria Droste Addiction Counseling

3. Treatment needs to be readily available.:

3. Treatment needs to be readily available. Taking advantage of available services the moment people are ready for treatment is critical because drug-addicted individuals may be uncertain about entering treatment. Potential patients can be lost if treatment is not immediately available or readily accessible. The earlier treatment is offered, the greater the likelihood of positive outcomes. Maria Droste Addiction Counseling

4. Effective Treatment attends to multiple needs of the individual, not just his or her drug abuse.:

4. Effective Treatment attends to multiple needs of the individual, not just his or her drug abuse. To be effective, treatment must address the individual’s drug abuse and any associated medical, psychological, social, vocational, and legal problems. It is also important that treatment be appropriate to the individual’s age, gender, ethnicity, and culture. Maria Droste Addiction Counseling

5. Remaining in treatment for an adequate period of time is critical.:

5. Remaining in treatment for an adequate period of time is critical. Appropriate duration depends on the type and degree of a person’s problems and needs. Research indicates that most need at least 3 months in treatment to significantly reduce or stop their drug use and that the best outcomes occur with longer durations of treatment. Recovery is a long-term process and frequently requires multiple episodes of treatment. Programs should include strategies to engage and keep patients in treatment. Maria Droste Addiction Counseling

6. Addiction Counseling—individual and/or group—and other behavioral therapies are the most commonly used forms of drug abuse treatment:

6. Addiction Counseling—individual and/or group—and other behavioral therapies are the most commonly used forms of drug abuse treatment Behavioral therapies vary and may involve: Addressing a patient’s motivation to change Providing incentives for abstinence Building skills to resist drug use Replacing drug-using activities with constructive and rewarding activities Improving problem solving skills Facilitating better interpersonal relationships Maria Droste Addiction Counseling

6. Continued - Addiction Counseling—individual and/or group—and other behavioral therapies are the most commonly used forms of drug abuse treatment:

6. Continued - Addiction Counseling—individual and/or group—and other behavioral therapies are the most commonly used forms of drug abuse treatment Participation in group therapy and other peer support programs during and following treatment can help maintain abstinence. Maria Droste Addiction Counseling

7. Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies:

7. Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies Medications can be useful to people addicted to heroin or other opioids , alcohol, and nicotine. These medications can be an effective component of treatment when part of a comprehensive behavioral treatment plan. However, these medications can be very costly. Maria Droste Addiction Counseling

8. An individual’s treatment and services plan must be assessed continually and modified as necessary to ensure that it meets his or her changing needs:

8. An individual’s treatment and services plan must be assessed continually and modified as necessary to ensure that it meets his or her changing needs A patient may require varying combinations of services and treatment components. In addition to addiction counseling or psychotherapy, a patient may require: Medication Medical services Family therapy Parenting instruction Vocational rehabilitation Social and legal services Maria Droste Addiction Counseling

8. Continued - An individual’s treatment and services plan must be assessed continually and modified as necessary to ensure that it meets his or her changing needs:

8. Continued - An individual’s treatment and services plan must be assessed continually and modified as necessary to ensure that it meets his or her changing needs For many patients, a continuing care approach provides the best results, with the treatment industry varying according to a person’s changing needs. Maria Droste Addiction Counseling

9. Many drug-addicted individuals also have other mental disorders:

9. Many drug-addicted individuals also have other mental disorders Because drug abuse and addiction often co-occur with other mental illnesses, patients presenting with one condition should be assessed for others. When problems co-occur, treatment should address both (or all), including the use of medications as appropriate. Maria Droste Addiction Counseling

10. Medically assisted detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug abuse.:

10. Medically assisted detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug abuse. Detoxification alone is rarely sufficient to help addicted individuals achieve long-term abstinence. Patients should be encouraged to continue drug treatment following detoxification. Motivational enhancement and incentive strategies, begun at initial patient intake, can improve treatment engagement. Maria Droste Addiction Counseling

11. Treatment does not need to be voluntary to be effective.:

11. Treatment does not need to be voluntary to be effective. Treatment entry, retention rates, and the ultimate success of drug treatment interventions can be significantly increased by sanctions or enticements by: Family Employment settings Criminal justice system Maria Droste Addiction Counseling

12. Drug use during treatment must be monitored continuously, as lapses during treatment do occur:

12. Drug use during treatment must be monitored continuously, as lapses during treatment do occur Knowing their drug use is being monitored can be a powerful incentive for patients and can help them withstand urges to use drugs. Monitoring also provides an early indication of a return to drug use, signaling a possible need to adjust an individual’s treatment plan to better meet his or her needs. Maria Droste Addiction Counseling

13. Treatment programs should assess patients for the presence of HIV/AIDS, Hepatitis B and C, Tuberculosis, and other infectious diseases as well as provide targeted risk-reduction counseling to help patients modify or change behaviors that place them at risk of contracting or spreading infectious diseases.:

13. Treatment programs should assess patients for the presence of HIV/AIDS, Hepatitis B and C, Tuberculosis, and other infectious diseases as well as provide targeted risk-reduction counseling to help patients modify or change behaviors that place them at risk of contracting or spreading infectious diseases. Targeted counseling specifically focused on reducing infectious disease risk can help patients further reduce or avoid substance-related and other high-risk behaviors. Counseling can also help those who are already infected to manage their illness. Patients may be reluctant to accept screening for infectious diseases, so it is incumbent upon treatment providers to encourage and support HIV screening and inform patients that highly active antiretroviral therapy (HAART) has proven effective in combating HIV, including among drug-abusing populations. Maria Droste Addiction Counseling

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For more information about addiction counseling in Colorado, contact Maria Droste Counseling Center at 303-756-9052 or visit our website: www.mariadroste.org .

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