有效的个人预防及中断措施

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1、EffectiveInterventionandPreventi(atthepersonlevel)有效的個人預防及中斷措施Counseling諮商Prevention預防Drugcourts毒品法庭methadonenaloxoneBuprenorphine(Suboxone)Abstinence戒斷FunctionalityinFamily,Work,andCommunity在家庭、工作以及社會中的良好行為能力GoalsofSDDTreatment:KeepinganEyeontheTarge

2、t物質依賴疾患的目標：瞄準靶心Reduceddestructivebehaviors降低毀滅性行為的發生Essentialelementsofanysuccessfuldiseasetreatment:Avoidbeingjudgmental-itisveryunlikelyanyaddictinitiateddruguseappreciatingthattheywouldbecomeemotionallyandevenphysicallydebilitated-i.e.,theywerebegin

3、ningadiseaseprocessthatcoulddestroythemShowsincerecompassionHelpthemtoestablishthemotivationalframeworkrequiredtoachievechange:itmaycomefromfamily,church,friends,therapist,oracombinationBesupportivenotenabling-ultimatelysuccessfultreatmentdependsonthem

4、andtheirwillingnesstochangebehavior(oftenwithprofessionalhelp)EffectivenessofTreatmentDrugUse40-60%Crime40-60%Employment40%Cost-EffectivenessofDrugTreatmentTreatmentislessexpensivethanincarceration:-Methadonemaintenance=25%costofimprisonmentmethadoneVs

5、.Otherstudiesindicatethatthecosts(medicalandsocial)ofdrugabuseare7timesgreaterthancostoftreatmentPrinciplesofEffectiveTreatmentDisruptioninBrainCircuitsInvolvedinReward,Motivation,andDecisionMaking1.Drugaddiction(SDD)isabraindiseasethataffectsbehavior

6、.Brainchangesinaddictionhelpexplaincontinueddrugabuseandrelapseandidentifytargetsfortreatmentandprevention.ClinicalPracticesAssessmentDetermineAppropriateServicesTherapeuticInterventionsBehavioralCounselingandMedicationsSustain&ManageRecovery/ChronicCa

7、reManagementInitialServicesScreeningandBriefIntervention2.Recoveryfromdrugaddictionrequireseffectivetreatmentfollowedbymanagementofthedisorderovertime.AChronicCareApproachtoDrugTreatmentDrugAbuseTreatmentCanWorkifdoneproperlyNosingletreatmentisappropri

8、ateforallindividuals.Treatmentneedstobereadilyavailable.Treatmentmustattendtomultipleneedsoftheindividual,notjustdruguse.Repeatedtreatmentmayberequiredforsuccess.Remainingintreatmentforanadequateperiodoftimeiscriticalfortreatmenteffecti