CONCEPT Fecepn' af rine ingore hen ames stung ache eatontothe ‘Ssh ty pain oes waunysroatdy fe es try tae as Isenntthe sere tag eng osha, ceee a el te eet, ‘elraeetaee abe toro Sn teovret ana parton te os pate Deng Sesey Garewal designed ser grtercon be inten Kercutrttcogy The Mor wasaned cone colnet onl ened py mei, repemualy yay uso “ber desing muy andtone ore are cots, bo oy eco sper whet Pry wide s rma fences oh sol eestor echt Sar hrm nhl ial ogy cuekerenngrepes oe saved tht pedo sce und aap fr fncterlty ano raise ‘Sesvatconetcoe ny oad clan Cotta lage et br ver ‘lgnseanyearoe ager vs poe. Teva emer ne ges rsa ‘teuudotbeenaned wethe susyimparee nmr Pata atespena het, ‘aye tbo pecnelage viol cobur Mita maybe coat besa Spungen te xan srs sb pen ee opener cant prose nt sna gren ing der ee otto ‘seag tvougheleoves ny sae seuns ssa amour of wader ring ronan gn opt iy spas ‘chore nterharps wad hes arm piped tush oor sen ‘tenis ein aac Seine pen. ci aaig eat arsenal eat ovata ang nese an pee ron benches Pacha chen at rte py pss cnc aon ses seg aan ‘Sthevone ths eet pett an ory stars keine btonsons we "aghat ndsoh yes omar raging ey, ert The swe stp aot ‘vette ached Gesgng partg bare hat eee sen Woah ‘Seton acpi hgh sch ork These ey he tit banter fy een fri ad pes To roca yn ioe etn posing ra sacar ine dc oh vc orp cn ine ny genPROCESS Screening and Case nding "During ne patent encounters and alae annual patients mn genera and mena healthcare setings shouldbe screened for tsk dking. “Healthcare provides shoul employ systematic method to ident patents whe use drugs that conser epideminigi nd commun ators and ‘he potent health consequences of drug use fr their specie population. Dlagnosisand Assessment "Patients wo havea postive screen foo an indication of substance ‘se problem oles should recive further assessment to conf tata problem tests nd determine a diagnosis Patients hagnosed wth a substance useless Should ecevea mullmensal opsychosoctalasessment to guide palen-cente treatment planing fr substance useless and ay coexisting ondions Brief intervention alates identi with alcohol use in excess of National Insttte on ‘Acobol Abuse and Alcoholism guidelines and/or any taco use should receive a ‘ref motivations counseling intervention by aheatheare worker trained inti technique, Promoting Engagementin Treatment fr Substance usellness =Heathcare providers shoul ystematialypromote patentinition of and engagement in ongoing treament for substance seiner Patients ith Substance us ness should receive suppor services to facta ther partcpationn ongoing treatment. Withdrawal Management Supportive pharmacotherapy should be avaliable and provided 6 ‘manage the symptoms and adverse consequences of withdrawal based ona ‘jstematcasesement ofthe symptoms and eh of satlousadveree consequences ‘eateto the withdrawal process Withdrawal management alone doesnot onstute treatment fo dependece and shoul be irked wth ongoing treatment forsubstance welines. Psychosocial Inventions Empirical validated psychosocl eatment intervention should be Inted fora patients with substance use lines. Pharmacotheraphy “Pharmacotherapy should be recommended and avaiable tol adult patients diagnosed wth opioid dependence ad without medal ‘ontraindations Pharmacotherapy, prescibe, shouldbe provided in ‘tonto and deci inked wit psychosocial Ueatment/suppar Pharmacotherapy shoul be offered nd avaiable taal patents dlagnosed with lohol dependence and without med ‘onraindkations, Pharmacotherapy, prescribed, shouldbe proved in ‘tonto and dvectlinked with psychosogal weatmentIsuppa. Pharmacotherapy shoul be offered and avaiable taladlt patents dlagnosed with latne dependence including those with ater Substance use condltins) and wlhtout medial containdeatios. Pharmacotherapy preserbed shouldbe prondedin aden to and decty linked wth bre motivational counseling. Paints with substance seine shou be offered ing tr, coordinated management of thei cate fo substance use ilness and any ‘oeustngcondtons and ths care management should be adapted based on Emergency Services snthore de-adction centre which area pat ofthe general orp the emergency de-adeiction services may be provided by the emergency department ofthe hospital While most such emergency st ups have provision of doctors / purses an necesary supplies, these shoud be geared tmards proving emergency Services rebated to substance use cords The emergency set-ups shouldbe geared to handle emergenct situations commeny encountered nthe ae substance use sorts Vz ‘saute toicaton /everdoes, withdrawal syndromes, averse ug Feations‘Types of Treatment Programs (Outpatient Treatment Programs ‘Outpatient eptment wares inthe types andintensty of series feed Such treatment oes les than redentil rinpatient treatment and ‘often sore sutabe for people with bso extensive socal suport shoul Denote homere that ow-ntenty programs may offer itle more than dug ‘cation Other utoatient model sch ox ntrave day treatment canbe comparable to residential programs in services and effectiveness, depending On {he inva patient characteristics and needs In many outpatient programs. ‘2104p counseling can be amor component Some outpatient programs re tho deigned to tet patients with medical er other mental heath protemsin Seton o ther drug aor. Catone SS 2 BD ‘Group Counselling any terapeti tins use group therapy o capitalize on the soci ‘elforcement offered by per dscusson and to help promote dug ee estyes Reseach has shown that when goup therapy eter sofered in ‘conjunction with individualized drug counseling ois formated rect the ‘rnin of cognitive-behavoura therapy or contingency management Pastiv outcomes are achieved Curent researchers ae testing cantons in ‘ach greup therapy can be standardized and made more communal, Indvidualized Drug Counseling ndlvidled drug counseling nt only focuses on reducing or stopping ct drug or alcho usitaloadrestes lated eens of pated funetoning-such ox employment status legel activity, ana familys relstions—as wall asthe content and tutu ofthe patent recovery rogram. “Thvough ts emphasison short-term behavioural goals ndviualied counealing helps the patient develop coping strategies nd tonsa abstain rom drug use tnd mintsn abstinence The edition counsellor encoutoges 12-tep Doripation (at least one or two times per week) and mas referas fo neded Supplemental medial psychic employment and other serves sign that inividal therapy may be ight for people who include: "Experiencing an overwhelming and prolonged sense a sadness or et. “Having tlt ne charge encod desi hel fom fay and ends “Having cifteuty concentrating on werkassignmensorcartying cut aly Setwties Expincing excessive wory a atraction. “rinking too much o engaging in rsky bhovious “ahiting aggressive behaviour or hm to yourself or others ' person may fac various challenge that warrant individual counseling suchas Stage of fe ssues: going to college divorce» death in the family retirement. “Mental health sss anlety anger management sues depression PTSD. “Behaviourl health ses eating csorder: internet action gambling "Substance abuse and aiton sues stuggling to maintain sobriety Fem. ae SaaS \2 YB ®S®D STEPS HOODS Te nceareny ‘Benefits of nividual counseling Privacy andconfidenalty “Focused werk on spec sues. “Aon judgmental objective Vewpolnt about stuatin or problem, “Mote one-on-one time with the counselor o therapist. "Sesionsfocusedon the person and ther problems, lowing them toi Seeper and progres faster, “Feblity and convenience scheduling se5ions fr outpatient treatment “Practice nbulding tstandhaving healthy rltionsNip a‘Types of Treatment Programs {Long-Term Residential Treatment "Lang terme program that take 120t0 180 days or ongercan hela teat chron alcohol or drug addon by providing intenave and structures "teatments and by helping the addict person o sustain abstinence and reclaim sor er norma feat the completion ofthe rehabiltation ty 2 Owogoraleoholadtion's a ico thot signiconty affects» persons physical and mental health single adction treatment approach not Sppropate for everyone Because substance abuse affects each person ‘Siren, Loni eat recommended fo people whe ae exibiting recovery challenges as port of amore standard, shorter erm inpatient or Fesidentl rehab program, or people who experience multiple relapses and other Gates folowing tne completion of one af these npatent eatment programs DRUGS f & mh < Z Sx, sani naa exennaoetscanes ‘O: CD CD » COED ‘Addiction Recovery Fale for 120-oF180-Day Rehab The ubimate goal fan extended-stay adlevon treatment fact sto reinstate recovering aohols or drug acsin thei everyday envionment Sn help them o become productive cen Italo his adeeted indi ‘again efrespect,conidence anda sense of responsibity. “Todlerthese goal resident trestmant centres develop long-term ‘ehab programs that emulate a el community Once the detox andchad processes are completed the recovering residents ateallowed more redom Inside the rehab centre ‘Older ent may obtain jobs inside the facto help inthe continuing recovery. Most patients ae involved with work af some kind, such as ‘completing chores or eguar ts ‘Outdoor acts, such a nature outings out of own rps, and ‘outreach programs are alo partflong-term rehab programs Recovering Bitlet: canalopartelpaten sports sil taring and various activites nee {he rehab conve xclustve on term ehab centes provide nary services, ‘Medan essons “astage a ta ci sessions ‘Spatrestment. ‘Nuteitonal consultation and special meal pepaation “hoger management “psyehodrama acti, I *Hypnatherpy cl “Trae workshops UIDANCE “het and moss therapy SrOUPE “hoimalaseted therapy, Recovering patients can alo ttend one-on-one counseling group ‘therapy, ndvidualpsyehologcal counseling and daeticalbehavoual therapy ‘venafter completing the longterm rhb prose, SUPPORTRESEARCH ON ALCOHOL ADDICTION py nous eo ay for pees Ettnpenune sn gsm ater erny en cha toppeserteingta need toca ing ‘inane sy ern much gh tan ‘sthacdy aces ater Teoeagezectatgunpoure sce When nates Set cfeclctia ontarnn ingen an ‘Ine a merle sig eon Twi eee deal nda el a eyo th Wi Adiction dA (Goch enmnein seal cote nen baa Wie woes conuned st over ‘grins aeepbe eis cdr owe er gard candela ‘seen dcr seni felis nha they cl ae poeta ar Irederesartsrdeahs magnty he impact ofc te mang ania fel mae ‘neh Aen endian fost ayer Energy DinsicafeneRESEARCH ON ALCOHOL ADDICTION ‘nyheter Sang ase te ‘ected Coin organs, such asthe ver and te bai ar etedoar than others irpatte alpaca sem sa ctcf acco ana Sian J Sciam ay mete com ne eine ae semlopag spanned cash onpue totam won bea ing 82. ‘es aon oda emetic mera ran anne oncreet of hen ofaleges hs espcy toe of chien nh stl be thar er tha retary ebarasing oe hummel er ae vate salam doen nat sehr a ates, af ee chi segue mci oki tay sense age ‘iene aon roto hehe Geese aay enya econeoe ta se "Sowinyohen the eel one an ie Bors ht ite er oe ‘hin tures ey fn seep eo gh ting sah Ronb, ‘Ding san see Signo gh Functioning cole {iehg Sool cennghesny sok, orbcoming aay Sng cefottons SiS at inp ‘rebigortc anf Sata Marg ear ON a ei re ‘rig ed errata pi ore. Pepi 3 on aoe eesti dtr per ‘ental con preven lapse Rtaitation fr Ahan Inesert teamert sa gnesehoteforejene ho wats of carly ence ‘owe vere dntatone of wnt, ola acl nlgatane Walon sash ‘neutnnte cn ponent besgind acess aehie tno ‘hey tosa realtime ange te tb