Summary: <p>Models of Treatment<br> Instructor: Dr. Dawn-Elise Snipes<br> Executive Director: AllCEUs.com, Counselor Education and Training<br> Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery</p> <p>Objectives<br> ~ Define the principles of effective treatment<br> ~ Explore current trends and practices<br> ~ Identify common approaches to treatment<br> ~ Identify the main components of each approach<br> ~ Compare and contrast each approach<br> Principles of Effective Treatment<br> ~ Addiction and mental health issues are complex but treatable conditions that affect:<br> ~ Brain<br> ~ Body<br> ~ Behavior<br> ~ No single treatment is appropriate for everyone<br> ~ Treatment needs to be available to be effective<br> ~ Effective treatment attends to multiple needs of the individual</p> <p>Current Trends and Practices<br> ~ Focus on client competencies and strengths<br> ~ Individualized, client-centered treatment<br> ~ Shift away from labeling<br> ~ Acceptance of new treatment goals (other than just abstinence)<br> ~ Adoption of a recovery paradigm and away from the problem-focused, acute care model<br> ~ Achieve a rich and meaningful life vs. eliminate depression<br> Current Trends and Practices<br> ~ Integration of addiction treatment in multiple disciplines esp. primary care, mental health and addiction<br> ~ Use of evidence based practices<br> ~ Use of medications<br> ~ Telehealth technologies<br> ~ Support groups (in the rooms, daily virtual support groups)<br> ~ Chat support<br> ~ Forums<br> ~ Online video psychoeducation<br> Question<br> ~ How can we make treatment more available?<br> Principles of Effective Treatment<br> ~ Duration in treatment for at least 3 months is critical<br> ~ Treatment plans must be assessed continually and modified to ensure that it meets the person’s changing needs<br> ~ Treatment does not need to be voluntary to be effective</p> <p>Models of Treatment<br> ~ Medical model<br> ~ Chronic progressive disease<br> ~ Often hospital or doctor office based<br> ~ Uses a biopsychosocial approach with emphasis placed on:<br> ~ Physical causes<br> ~ Pharmacotherapy<br> ~ Detoxification<br> ~ Symptom reduction<br> ~ Aversion<br> ~ Medical maintenance<br> Models of Treatment<br> ~ Spiritual Model<br> ~ Mood issues and addiction may be caused by spiritual emptiness which leads to character defects such as pride, resentment, anger<br> ~ Less weight to causation and more emphasis on a spiritual path to recovery, development of values and a sense of meaning and purpose.<br> ~ 12-Step Models (Mutual Help)<br> ~ Emphasize that one cannot help oneself, and recovery requires surrender of one’s will to a higher power.<br> ~ NA, AA, EA<br> Question<br> ~ How can you use a spiritual model with clients who do not believe in a higher power?<br> Models of Treatment<br> ~ Psychological (self-medication) Model<br> ~ Addiction and mental health issues result from deficits in learning, thinking or emotion regulation<br> ~ Treatments<br> ~ Behavioral self-control<br> ~ Individual and group counseling (Multiple EBPs)<br> ~ Pharmacotherapy for mental health issues<br> Psychological: Behavioral Self Control<br> ~ Goals<br> ~ Strengthen internal mechanisms (self-awareness)<br> ~ Establish external controls<br> ~ Coping skills<br> ~ Goal setting<br> ~ Behavioral contracting (What would you contract for?)<br> ~ Trigger management (What are MH triggers)<br> ~ Functional Analysis (of behaviors NOT diagnosis)<br> ~ Relapse prevention (What are relapse prevention strategies for MH? Addiction?)</p> <p>Psychological: Psychotherapeutic<br> ~ Dialectical Behavior Therapy<br> ~ Why<br> ~ Clients unintentionally rewarded ineffective treatment while punishing their therapists for effective therapy.<br> ~ The sheer volume and severity of problems presented by clients made it impossible to </p>
