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o Addiction is a chronic brain disease expressed as a compulsive behavior in a social context. |
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Any chemical entity or mixture of entities, not required for the maintenance of health, that alters biological function or structure when administered |
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• How does one get to the point of addiction? |
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o Genetics • Have an alcoholic parent makes you 4x more likely to become an alcoholic • More than 60% of alcoholics have family history of alcoholism o Mental Health • Anxiety, depression, and mood disorders o Early use of drugs • Began drinking alcohol on a regular basis – 50% more likely to become alcoholic o Social environment |
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Problems correlated with drug & alcohol use |
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Addiction Medical Neurotoxicity AIDS Cancer Mental Illness Social Homelessness Crime Violence Economic Heath care Productivity |
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1975 measures drug, alcohol, tobacco use, as well as attitudes re: use among adolescent students nationwide Expansion in 1991 Daily marijuana use has increased among 8th, 10th, and 12th graders between 2009 and 2010. Reached highest point since 1980 at 6.1 percent Perception of risk of regular marijuana use is declining. Marijuana use higher than cigarette use on some measures: In 2010, 21.4% of high school seniors used marijuana in the past 30 day, compared to 19.2% who had smoked cigarettes. |
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Drug Abuse Warning network (DAWN) 4.6 million drug-related ER visits nationwide in 2009 50% of visits were attributed to adverse reactions to prescribed pharmaceuticals and 45% involved drug abuse. Of the 2.1 million drug abuse visits: 27.1% involved nonmedical use of pharmaceuticals 21.2% involved illicit drugs 14.3% involved alcohol in combination with other… nonmedical use of pharmaceuticals (prescription or OTC) increased dramtically between 2004 and 2009 = 98.4% In 2009, almost one million ER visits involved illicit drug use. Cocaine was highest, followed by marijuana, then heroin, and then stimulants DAWN only collects data on alcohol if there’s a combination presenting factor (among adults). This data is collected on juveniles |
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Epidemiology v Ethnographies |
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Epidemiology – a field within public health. Research conducted focuses on studying factors associated with the occurrence of different drug use patterns and consequences (Jung, 2011)
Ethnography: Field research under natural rather than laboratory conditions Snowball technique Long-term observations |
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What type of drug is meth |
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Stimulant with halucinogenic properties |
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how does meth affect the brain? |
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Meth gets into the nerve cell where it causes the excessive release of dopamine. Brain sends an enzyme to stop dopamine release Exposure to this enzyme damages the cell recycling he dopamine Dopamine is NOT recycled |
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Explain Binging and Crashing |
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Definition
Binging last 3-15 days Crashing lasts 1-3 days What’s happening in the body User start to feel “bad” – increases the need to use more meth Meth users often follow “binge and crash” pattern |
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What are the effects of meth on the brain with long term use |
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Definition
Long term impairment -24% DAT loss Motor skills and Memory return |
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Catha Edulis 40 different street names found in East Africa and Southern Arabia Cultural and recreational use Estimated 10 million users across the world Contains two schedules of other drugs Schedule I: Cathinone Schedule IV: Cathine |
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What are the basic properties of alcohol? |
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Alcohol Most commonly used/abused drug. Fermented beverages date back to 10,000 B.C. Absorbed by stomach, enters bloodstream & goes to all tissues (called the dirty drug) Toxicity Most toxic but least potentate drug Depressant Tolerance |
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Is not treatment, it’s sober support Bill W. and Dr. Bob started these programs Courts cannot offer AA/NA as treatment Must offer non-secular Average age is 47 and Caucasian male Not the developmentally appropriate model for adolescence Only 1% of the group by into the model |
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Precontemplation, contemplation, preparation, action, maintenance, relapse |
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Motivational Interviewing |
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A method of structured, nonconfrontational interviewing aimed at creating awareness and motivation in the alcohol or other drug abuser to reduce his or her substance abuse. |
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Developed by Dr. Bob and Bill Williams. 12 step self help program. Only 20% of people referred attend. White male over 40. Twice as many males as females |
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Prealcoholic Prodormal Crucial Chronic |
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Belief that addictions and dependency are physical disease |
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A series of behaviors and attitudes that is the foundation for recovery in alcoholics anonymous. correlate to cycle of change |
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A for-profit organization emphasizing reason and personal responsibility for recovery from addictions |
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A self-help organization emphasizing reason and personal responsibility for recovery from addictions. |
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How many people get treatment? |
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Only 8% even though 27% have an issue |
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individual or group structured therapy focusing on achieving insight |
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Based on methods of Albert Ellis, this approach focuses on reasoning and logic for guiding behavior |
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Reinforcement procedures used to change behavior gradually including trial and error |
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A study that matched alcoholic clients to three different treatments, based on client characteristics, to see if matching them to more appropriate treatments would increase overall improvements. Success rates did not vary significantly between treatment |
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Presence of three or more of the following: Tolerance, withdrawal, increased dose over time, persistent desire or unsuccessful efforts to cut down or control, lots of time spent getting drug, sacrifice of social or career, use continues despite known problem |
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hashish, marijuana boom chronic hash hemp, blunt dope grass herb |
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barbituates, benzodiazepines, flunitazepram, GHB, methaqualone |
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Dissasociative Anesthetics |
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LSD, Mescaline (Peyote), Psilocybin (shrooms) |
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Opoids and Morphine Derrivitaves |
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Codeine, fentanyl, heroin, morphine, opium, oxycodone, hydrocodone |
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amphetamine, cocaine, MDMA (E!), meth, methylphenidate, nicotine, caffeine |
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Anabolic Steroids Juice! Dextromethorphan (DXM) Inhalants |
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