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Substance Use Disorders

43 flashcardsby Esha
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1
Substance use disorders can involve a ______ pattern of behaviors or ______ manifestations
pathologic, physiologic
2
______ towards addiction is one of the top barriers to accessing treatment
stigma
3
public stigma
misperceptions, negative language, and negative beliefs about a certain group of the population
4
self stigma
internal beliefs about your "otherness" or inadequacy leading to isolation and lack of engagement in treatment
5
substance related disorders involve substances that directly activate the brain's ________ _______
reward system
6
the activation of the reward system typically causes feelings of
pleasure
7
__% of the population >12 need treatment
8
8
only around __% receive treatment
10
9
SUD responsible for a significant portion of ____ visits in the US
ED
10
mental health issues occur concurrently at a ________ rate in those abusing substances
higher
11
addiction liability (how likely it is to cause SUD) depends on what 4 things
route of administration, rate at which the drug crosses the blood brain barrier and stimulates the reward pathway, time to onset of effect, ability to induce tolerance and/or withdrawal symptoms
12
Severities of SUD
mild, moderate, severe
13
Mild SUD
two or three symptoms
14
Moderate SUD
four or five symptoms
15
Severe SUD
six or more symptoms
16
what are substance induced disorders
problems that are caused by the effects of substances
17
types of substance induced disorders
substance induced mental disorders, intoxication, withdrawal
18
substance/medication induced mental disorders are
mental problems that develop in people who did not have mental health problems before using substances
19
Risk factors Social hx
significant other or romatic parter with a SUD, Friends with a SUD, Living in a community characterized by poverty, violence, and/or high alcohol and other drug availability
20
Risk Factors Family hx
parent or primary caregiver has SUD, increases risk of: substance use, abuse, trauma -> increase risk of SUD
21
Screening for SUD as PT
Poor personal hygiene, Significant weight loss/ gain, signs of injection drug use, signs of acute, withdrawal or intoxication
22
SBIRT stands for
Screening, Brief Intervention, Referral to Treatment
23
the primary goal of SBIRT is to _______ and effectively _________ with those who are at ______ or _____ risk for psychosocial or health care problems related to SUD
identify, intervene, moderate, high
24
Screening includes
universal screening for quickly assessing use and severity of alcohol, illicit drugs, and prescription drug use, misuse, and abuse
25
brief intervention includes
brief motivational and awareness raising intervention given to risky or problematic substance users
26
referral to treatment includes
referrals to specialty care for patients with substance use disorders
27
SBIRT reduces
health care costs, severity of druga and alcohol use, risk of trauma, % of at risk patients who go without specialized substance use treatment
28
For alcohol, what is the brief screen test
Alcohol use disorder identification test (AUDIT)
29
brief screen for prescription drugs
Drug Abuse Screening Test (DAST-10)
30
brief screening for under 18
CRAFFT
31
recommended alcohol limits for men and women
Men: 2 drinks per day, 14 per week
women: 1 drink per day, 7 per week
32
who should be screened?
everyone
33
screen for ____ alcohol and drug use
both
34
follow up on ____ _____
red flags
35
Use your motivational interviewing skills and show _______, _______ verbal and nonverbal behaviors during screening
nonjudgemental, empathetic
36
"warm-handoff referral"
clinician directly introduces the patient to the tretment provider at the time of the patient's medical visit
adds trust and rapport
wayy more successful than passive referrals
37
PT Implications for SUD
Recognize the signs and symptoms - refer to PCP
Never attempt to treat a patient under the influence of substances - liability issues
38
Substance abuse may interfere with
healing time, adherence to appointments, adherence to treatment/HEP, exacerbation of medical conditions
39
Person Centered Care Concepts
Behavior changes and Self-Health management techniques
Motivational Interviewing
Involvement of family and carepartners
Understand individual's preferences and needs
provider and patient shared decision making and goals setting
provider and patient therapeutic alliance
40
Role of Physical Therapy
Health promotion and wellness
management of chronic disease
mental health
pain/inflammation
aerobic capacity
cognition
41
Deprescribing
stopping medications or reducing the dose or frequency of administration
proactive approach to optimizing medication use
42
S.A.F.E
Screen, Assess, Formulate a plan, Educate
43
What 4 things help reduce the severity of depression, anxiety, behaviors, chronic pain, and sleep disorders?
skilled exercise, chronic pain management, lifestyle redesign, cognitive stimulation, sensory intervention
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