Substance Abuse Counseling Exam 1

Moral theory {Ans: -People expected to "hold their liquor" Good people don't drink -Lack of willpower -Grew out of temperance movement -Most popular in early 20th century -in the 50s and 60sAA shifted thought to a disease model}Medical detox/ Stabilization {Ans: -Safe & complete withdrawal -Medical necessity established -Pharmacological detoxification protocols -Average length of stay: 2 wks -Discharge planning begins soon after admission -Screening for w/d & other psychiatric conditions -Structured environment -On-site medical & psychiatric care -Protection from harm (self & others) -Psycho educational counseling}Three basic questions {Ans: -What is the client's current level of functioning? -What goal(s) seem appropriate for the client? -What services and client activities are required to attain the goal(s)?}Jellinek's model {Ans: -Alcoholism is a progressive, chronic (for life) disease which begins slowly, then worsens -Five types of drinking behaviors -Symptoms clustered into stages: early, middle, late -Denial is most common symptom, very strong for both person and family}Addictions treatment planner {Ans: One: Acute intoxification and/or withdrawal Two: Biomedical conditions / complications Three: Emotional, behavioral, or cognitive conditions / complications Four: Readiness to change Five: Relapse, continued use, or continued problem potential Six: Recovery / Living environment}Disease theory {Ans: