Week 4 Discussion: Care for a Client Diagnosed with a Substance Use Disorder
- My courses
- Week 4: Substance Use Disorders (SUDS) and Addiction
- Week 4 Discussion: Care for a Client Diagnosed with a Substance Use Disorder
Done: Make forum posts: 1
Value: 100 points
Due: Create your initial post by Day 4 and reply to at least two of your peers by Day 7.
Grading Category: Discussions
Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the following prompt.
For this discussion, address the following prompts:
- Elaborate on etiology, stressors, problems of addiction, dependence, and relapse in the United States today.
- Identify potential physical and mental findings when examining a client with a substance use disorder. Note your rationales.
- Describe possible triggers to compulsive substance use or behavioral addiction.
- Discuss the neurobiological mechanisms that underlie addictive behavior.
- What medication-assisted treatments (MATs) and psychotherapeutic interventions for monitoring (for alcohol and for opioid abuse) are available?
Use APA format with reference list (two to three books and/or articles).
Reply to at least two of your peers. In each of your reply posts, write a maximum of two paragraphs (with two to three sentences each). Describe what you would do differently than your peer. Also explain something new that you learned from your peers post. These paragraphs should synthesize one to two pieces of research.
Please refer to the Grading Rubric for details on how this activity will be graded.
The described expectations meet the passing level of 80%. You are directed to review the Discussion Grading Rubric for criteria which exceed expectations.
I am replying to a peer’s post
Re: Week 4 Discussion: Care for a Client Diagnosed with a Substance Use Disorder
by Rebeca Gallego – Wednesday, 20 September 2023, 1:04 PM
The DSM-5 defines substance abuse disorder into different categories or criteria types. They are separated into impaired control over substance abuse, social impairment, risky use, and pharmacologic. Each of these criteria have different definitions of how substance abuse is impairing an individuals health, functioning, and wellbeing. For example, Impaired control over substance abuse involves the individual having cravings and desires for the substance, spending a lot of time trying to get the substance or getting over the effects of the substance, and having a desire to stop using (McNeely & Adam, 2020). This is one way that addiction is defined and diagnosed.
The etiology of addiction is multifactorial, and rates of substance use disorders in the United are very common, with 14.5% of those over 12 years old having a substance use disorder in 2022. These substance use disorders include alcohol use and illicit drug use (Dugosh & Cocciola, 2022). We will see these disorders a lot in our practice, whether they are current or recovered from their addiction it is something that stays with a person and shapes their lives. During assessment It is important to determine what type of substances have been used, the amount, and the frequency. Mental health disorders and substance use disorders are commonly comorbid, so if not done already it would be helpful to screen for depression, anxiety, and other disorders by diving into the patientâ€™s family and social history (Dugosh & Cacciola, 2022).
The risk of developing an addiction comes from social, cultural, environmental, stress, and trauma factors. These developments shape a personâ€™s personality and how they will respond to things. Genetics play a big role as well, this being the reason that family history shoud be discussed. When a person is intoxicated by a drug, dopamine is stimulated and the reward pathway is strengthened. Some individuals experience this more strongly than others, and we must consider where a person comes from. If someone has a lot of pain and trauma, these rewards become even more intoxicating and work as an escape from their negative feelings. When these feeling wear off is when a craving will start, along with possible withdrawals depending on the amount and type of substance (Volkow et al., 2018).
Early intervention types of care is recommended for those at risk for SUD and this can be done in emergency departments and primary care clinics. An example of someone who would benefit is one who is caught driving under the influence and would benefit from therapy and treatment for substance abuse. More intensive programs exist that are inpatient and assist patients with supervised withdrawal. They provide close monitoring and the proper medications to ensure safety (Hartwell & Brady, 2021).
Dugosh, K & Cacciola, J (2022). Substance use disorders: clinical assessment. Up to Date; Wolters Kluwer. Retrieved from: https://www.uptodate.com/contents/substance-use-disorders-clinical-assessment?search=substance%20abuse%20disorder&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
Hartwell, K & Brady, K (2021). Determining appropriate levels of care for treatment of substance use disorders. Up to Date; Wolters Kluwer. Retreived from: https://www.uptodate.com/contents/determining-appropriate-levels-of-care-for-treatment-of-substance-use-disorders?search=treatment%20for%20substance%20abuse%20disorder&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
McNeely J, Adam A. Substance Use Screening and Risk Assessment in Adults [Internet]. Baltimore (MD): Johns Hopkins University; 2020 Oct. Table 3, DSM-5 Diagnostic Criteria for Diagnosing and Classifying Substance Use Disorders [abc] Available from: https://www.ncbi.nlm.nih.gov/books/NBK565474/table/nycgsubuse.tab9/
Volkow, N. D., Search for more papers by this author, Boyle, M., From the National Institute on Drug Abuse, Address correspondence to Dr. Volkow ([email protected])., M, S., Al., E., National Center for Chronic Disease Prevention and Health Promotion, AJ, W., SW, P., JJ, S., N, V., C, Y., JF, E., LJ, B., A, G., F, K., EJ, N., MB, D., â€¦ MT, S. (2018, April 25). Neuroscience of addiction: Relevance to prevention and treatment. American Journal of Psychiatry. https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2018.17101174