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1、EffectiveInterventionandPreventi(atthepersonlevel)有效的個人預(yù)防及中斷措施Counseling諮商Prevention預(yù)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(zhì)依賴疾患的目標(biāo)：瞄準(zhǔn)靶心Reduceddestructivebehaviors降低毀滅性行為的發(fā)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)ofdrugabuseare7timesgreaterthancostoftreatmentPrinciplesof EffectiveTreatmentDisruptioninBrainCircuitsInvolvedinReward,Motivation,andDecisionMaking1.Drugaddiction(SDD)isabraindiseasethataffectsbehavior
6、.Brainchangesinaddictionhelpexplaincontinueddrugabuseandrelapseandidentifytargetsfortreatmentandprevention.ClinicalPracticesAssessmentDetermineAppropriateServicesTherapeuticInterventionsBehavioralCounselingandMedicationsSustain&ManageRecovery/ChronicCa
7、reManagementInitialServicesScreeningandBriefIntervention2.Recoveryfromdrugaddictionrequireseffectivetreatmentfollowedbymanagementofthedisorderovertime.AChronicCareApproachtoDrugTreatmentDrugAbuseTreatmentCanWorkifdoneproperlyNosingletreatmentisappropri
8、ateforallindividuals.Treatmentneedstobereadilyavailable.Treatmentmustattendtomultipleneedsoftheindividual,notjustdruguse.Repeatedtreatmentmayberequiredforsuccess.Remainingintreatmentforanadequateperiodoftimeiscriticalfortreatmenteffecti
