LATEST IICRS FSRT EXAM STUDY GUIDE VERSION: AN A+
DISCUSSION.
Detoxification
Is not a treatment modality, but is a necessary first step in the treatment process.
Provides medical and supportive services needed to alleviate the short-term symptoms
of physical withdrawal from chemical dependence
Once symptoms of craving and withdrawal are controlled, the treatment process can
begin
This can be used as an opportunity to recruit ad prepare persons for appropriate longer-
term treatment programs
Three major categories of abused substances that require detox
1) Alcohol and other CNS depressants (benzos/barbiturates)
2) Opiate drugs
3) Cocaine
Medication Assisted Treatment (biologically based)
The use of approved medications with medical supervision. Intended to be an adjunct to
formal therapies.
Agonists - These drugs can be substituted for the drug of abuse to provide a more
controllable form of addiction. The properties and actions of these drugs are similar to
the drug of abuse. Using them alleviates withdrawal symptoms Methadone and
Clonidine)
Methadone blocks the cravings for opiate drugs and does not create a sense of
euphoria like heroin
Antagonists - These drugs occupy the same receptor sites in the brain as specific drugs
of abuse, they do not produce the same effects as the drug and are not addicting. When
, they are present, the effects of the abused drug are blocked because they cannot act on
the brain in the same way (Naltrexone, Buprenorphine/Suboxone
Antidipsotropics - create adverse physical reactions when the person consumes the
substance of abuse. These drugs are used to develop an aversion to the abused drug
(antabuse)
Psychotropic Medications - These control various symptoms associated with drug use
and withdrawal
Acupuncture (biologically based)
This type of intervention can modulate CNS activity in brain regions affected by
substances of abuse
Residential or Inpatient (behaviorally/psychologically based)
Best type of care for individuals who have not been successful in outpatient, have very
serious substance abuse problems, need concomitant medical or psychiatric care, and
those without a stable support system in the community
Therapeutic Communities - Self-contained residential programs that emphasize self-
help and rely heavily on ex-addicts as peer counselors, administrators, and role-models
Outpatient non-methadone (behaviorally/psychologically based)
Engaging with professionals in treatment while still living in the community. This level of
care allows individuals to live at home, continue working, and engaging with family while
still receiving treatment.
The Purpose of Assessment
1) Identify those who are experiencing problems with substance abuse or have
progressed to the stage of addiction
2) Assess the full spectrum of problems for which treatment may be needed
3) Plan appropriate interventions
4) Involve appropriate family members or significant others
5) Evaluate the effectiveness of the interventions that are implemented
DISCUSSION.
Detoxification
Is not a treatment modality, but is a necessary first step in the treatment process.
Provides medical and supportive services needed to alleviate the short-term symptoms
of physical withdrawal from chemical dependence
Once symptoms of craving and withdrawal are controlled, the treatment process can
begin
This can be used as an opportunity to recruit ad prepare persons for appropriate longer-
term treatment programs
Three major categories of abused substances that require detox
1) Alcohol and other CNS depressants (benzos/barbiturates)
2) Opiate drugs
3) Cocaine
Medication Assisted Treatment (biologically based)
The use of approved medications with medical supervision. Intended to be an adjunct to
formal therapies.
Agonists - These drugs can be substituted for the drug of abuse to provide a more
controllable form of addiction. The properties and actions of these drugs are similar to
the drug of abuse. Using them alleviates withdrawal symptoms Methadone and
Clonidine)
Methadone blocks the cravings for opiate drugs and does not create a sense of
euphoria like heroin
Antagonists - These drugs occupy the same receptor sites in the brain as specific drugs
of abuse, they do not produce the same effects as the drug and are not addicting. When
, they are present, the effects of the abused drug are blocked because they cannot act on
the brain in the same way (Naltrexone, Buprenorphine/Suboxone
Antidipsotropics - create adverse physical reactions when the person consumes the
substance of abuse. These drugs are used to develop an aversion to the abused drug
(antabuse)
Psychotropic Medications - These control various symptoms associated with drug use
and withdrawal
Acupuncture (biologically based)
This type of intervention can modulate CNS activity in brain regions affected by
substances of abuse
Residential or Inpatient (behaviorally/psychologically based)
Best type of care for individuals who have not been successful in outpatient, have very
serious substance abuse problems, need concomitant medical or psychiatric care, and
those without a stable support system in the community
Therapeutic Communities - Self-contained residential programs that emphasize self-
help and rely heavily on ex-addicts as peer counselors, administrators, and role-models
Outpatient non-methadone (behaviorally/psychologically based)
Engaging with professionals in treatment while still living in the community. This level of
care allows individuals to live at home, continue working, and engaging with family while
still receiving treatment.
The Purpose of Assessment
1) Identify those who are experiencing problems with substance abuse or have
progressed to the stage of addiction
2) Assess the full spectrum of problems for which treatment may be needed
3) Plan appropriate interventions
4) Involve appropriate family members or significant others
5) Evaluate the effectiveness of the interventions that are implemented
