scholarly journals Effectiveness of Self-Help Groups and Psychotherapy: Self-Assessment of Patients With Substance Use Disorders

Medicina ◽  
2012 ◽  
Vol 48 (10) ◽  
pp. 79
Author(s):  
Velga Sudraba ◽  
Inga Millere ◽  
Elmars Rancans
Keyword(s):  
Substance Use ◽  
Group Psychotherapy ◽  
Substance Use Disorders ◽  
Duration Of Treatment ◽  
Self Assessment ◽  
Self Help ◽  
Study Results ◽  
Psychosocial Model ◽  
Self Help Groups ◽  
Drug And Alcohol

Background and Objective. The basis of substance use disorders (SUD) is formed with regard to biopsychosocial aspects. By following the SUD biological model exclusively, the effectiveness of treatment is limited since all the formation aspects of SUD are not taken into account. By using the psychosocial model, however, the understanding and treatment of a substance use illness becomes enhanced and is more effective. A key role in this model is played by self-help groups and psychotherapy. The aim of this study was to determine the viewpoint of patients with substance use disorders in terms of the number of visits, duration of treatment, efficacy of self-help groups, and individual and group psychotherapy in different treatment methods. Material and Methods. The participants were approached by researchers at two drug and alcohol services in Latvia. In total, 587 patients received questionnaires developed by the authors of the study. Results. All the 587 questionnaires of both outpatient respondents (n=200, 34.1%) and inpatient respondents (n=387, 65.9%) were analyzed. Of all the outpatient department respondents, 41.5% (n=83) attended self-help groups, 28.5% (n=57) individual psychotherapy, and 14.5% (n=29) group psychotherapy; the inpatient department respondents were 2 to 4 times less often involved in the measures. Conclusions. The outpatient respondents were more frequently employed. They attended selfhelp groups and psychotherapy and obtained longer remission comparing with inpatient respondents. This study has shown that patients had a greater success rate in staying in remission, maintaining outpatient care and shedding the need of inpatient care.

scholarly journals Role of Early Brief Psychological Interventions in Substance Use Disorders

2021 ◽  
Vol 12 (01) ◽  
pp. 31-34
Author(s):  
Muhammad Siddique Kakar ◽  
Shehzad Rauf ◽  
Muhammad Waleed Iqbal ◽  
Azaan Qureshi ◽  
Saad Nabeel
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychiatric Clinic ◽  
Psychological Interventions ◽  
Total N ◽  
Study Results ◽  
Package Program ◽  
Screening Question ◽  
One Year ◽  
Drug And Alcohol

Objective: To assess the effects of early brief psychological interventions in patients of substance use disorders. Study Design and Setting: This descriptive prospective study was conducted at main reception centre filter clinic/ Emergency Department of PNS Shifa hospital from 1st July 2020 to 31st March 2021. Methodology: Total n=78 patients were identified after a simple screening question regarding substance abuse which was how many times the patient had used an illegal drug in the last one year. An answer of more than 1 was considered as a positive response and further screening was done with Drug and Alcohol screening test (DAST). Patients who showed low scores on DAST were recommended for brief interventions which were given as weekly sessions for 6 weeks and reassessment was done at 3rd month. The SPSS 20 package program was used for statistical analysis. The descriptive statistics were analyzed for all the variables evaluated in the study. Results: This study revealed that that after 3 months of brief psychological interventions, 43(55.1%) patients remained abstinent from drugs. 18(23%) patients did not report for follow up. 9(11.5%) had reduced their use while 8(10.2%) were still using drugs regularly. Conclusion: This study showed that brief psychological interventions at the level of filter clinics/Emergency departments can help patients of substance use seek early care who fear going to a psychiatric clinic.

Critical Care Medicine

2016 ◽  
pp. 719-728
Author(s):  
Cassie C. Kennedy
Keyword(s):  
Substance Use ◽  
Critical Care ◽  
Substance Use Disorders ◽  
Age Groups ◽  
Psychosocial Treatment ◽  
Racial Groups ◽  
Self Help ◽  
Self Help Groups ◽  
Alcohol And Other Drugs ◽  
Pharmacologic Agents

Alcohol and other substance use disorders are a major concern in all age groups and across all ethnic, socioeconomic, and racial groups. Despite high lifetime prevalence (up to 20%), less than 10% of persons with substance use disorders are involved in treatment (either self-help groups or professional care). Several pharmacologic agents are available to help diminish the craving for alcohol and other drugs or to deter relapse. Although several medications, including disulfiram, acamprosate, and naltrexone, may help prevent relapse, they are adjunctive and not a substitute for comprehensive psychosocial treatment.

Self-Help Organizations for Substance Use Disorders

2014 ◽  
Author(s):  
Anna Lembke ◽  
Keith Humphreys
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Stages Of Change ◽  
Personal Autonomy ◽  
Scientific Evidence ◽  
Psychological Mechanisms ◽  
Self Help ◽  
Self Help Groups ◽  
Moderation Management ◽  
Alcohol Dependent

Self-help groups for substance use disorders have been active for decades, and notions of self-help have been prevalent for centuries. After presenting universal features of self-help organizations, the authors focus on Alcoholics Anonymous (AA) and Moderation Management (MM), discussing the origins, membership, and philosophy of AA and MM and highlighting important differences between these organizations. AA’s emphasis on spirituality, interpersonal conduct, and abstinence as the only goal contrasts sharply with MM’s emphasis on personal autonomy, rational cognitions, and setting drinking limits. The chapter discusses scientific evidence of the effectiveness of AA and MM on substance use outcomes and potential social and psychological mechanisms of change. More research is needed in the area of self-help organizations. In the meantime, AA is proven effective for alcohol-dependent individuals who embrace its philosophy, and MM may fill an important niche for nondependent drinkers or those in the precontemplation stages of change.

Brain Development and the Risk for Substance Abuse

2013 ◽  
pp. 706-715
Author(s):  
Kristina Caudle ◽  
B.J. Casey
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Brain Development ◽  
Substance Use Disorders ◽  
Animal Studies ◽  
Substance Abuse Problem ◽  
Increased Risk ◽  
Drug And Alcohol ◽  
The Brain ◽  
Developmental Window

Drug and alcohol dependence affects millions each year. Adolescence is a period of increased risk for substance use disorders. Understanding how the brain is changing during this developmental window relative to childhood and adulthood and how these changes vary across individuals is critical for predicting risk of later substance abuse and dependence. This chapter provides an overview of recent human imaging and animal studies of brain development focusing on changes in corticostriatal circuitry that has been implicated in addiction. Behavioral, clinical, and neurobiological evidence is provided to help elucidate who may be most at risk for developing a substance abuse problem and whenthey may be most vulnerable.

Group psychotherapy with alcoholics: Interface with self-help groups

Group ◽  
1992 ◽  
Vol 16 (3) ◽  
pp. 165-173
Author(s):  
Helga Grunberg
Keyword(s):  
Group Psychotherapy ◽  
Self Help ◽  
Self Help Groups

Non-Pharmacological Therapies for Substance Use Disorders (DRAFT)

2018 ◽  
Author(s):  
Michael F. Weaver
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Motivational Enhancement Therapy ◽  
Present Level ◽  
Duration Of Treatment ◽  
Motivational Enhancement ◽  
Level Of Understanding

In conjunction with chapters 16 and 17, which described non-pharmacological approaches to pain management, this chapter reviews the available non-pharmacological approaches to substance use disorders (SUD). Specific subtopics include 12-Step programs and facilitation, motivational enhancement therapy, cognitive behavioral therapy, individual and group psychotherapies, contingency management, community reinforcement, family therapy, relapse management, and the terminal consideration of all therapies, termination (what is the duration of treatment)? Each subtopic is addressed in abstract rather than in comprehensive format, to allow the primary care provider to identify her level of interest and present level of understanding, and to inform further reading. The chapter concludes with a text box providing additional resources.

Intensive referral to 12-Step self-help groups and 6-month substance use disorder outcomes

Addiction ◽  
2006 ◽  
Vol 101 (5) ◽  
pp. 678-688 ◽  
Author(s):  
Christine Timko ◽  
Anna DeBenedetti ◽  
Rachel Billow
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Self Help ◽  
Self Help Groups

scholarly journals Medications for Substance Use Disorders

2019 ◽  
pp. 113-124
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Food And Drug Administration ◽  
Medication Assisted Treatment ◽  
The Us ◽  
Behavioral Therapies ◽  
Drug And Alcohol Use ◽  
Substance Disorder ◽  
Drug And Alcohol ◽  
Client Needs

Medications can help clients safely and comfortably withdraw from substances such as alcohol, opiates, or sedatives if they have a physical addiction. The medicines used will depend on the drug or drugs on which they are dependent. Medication-assisted treatment is the use of medications approved by the US Food and Drug Administration, in combination with counseling and behavioral therapies, to provide a whole-client approach to the treatment of opioid, alcohol, or tobacco use disorders. The goals of this chapter are to learn about types of medication that aid recovery from a substance use disorder, to understand the reasons why some people may have problems with medication, to learn about withdrawal symptoms and medications that help, to understand the effects of drug and alcohol use on psychiatric medications, and to determine whether or not a client needs medication to help with his or her substance disorder.

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