Glen R. Hanson
Complete Chapter Solutions Manual
are included (Ch 1 to 17)
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** All Chapters included
** Study Guide Answers
,Table of Contents are given below
Chapter 1: Introduction to Drugs and Society
Chapter 2: Explaining Drug Use and Abuse
Chapter 3: Drug Use, Regulation, and the Law
Chapter 4: Homeostatic Systems and Drugs
Chapter 5: How and Why Drugs Work
Chapter 6: Alcohol: Pharmacological and Behavioral Effects
Chapter 7: Nicotine
Chapter 8: Marijuana
Chapter 9: Hallucinogens (Psychedelics)
Chapter 10: Inhalants
Chapter 11: Stimulants
Chapter 12: CNS Depressants: Sedative Hypnotics
Chapter 13: Opioids
Chapter 14: Over the Counter, Prescription, and Herbal Drugs
Chapter 15: Drug Use by Athletes and Other Special Population
Subcultures
Chapter 16: Drug Abuse Prevention
Chapter 17: Treating Substance Use Disorder
,Solutions Manual organized in reverse order, with the last chapter displayed first, to ensure that all
chapters are included in this document. (Complete Chapters included Ch17-1)
Chapter 17
Treating Drug Dependence
Learning Objectives
• Discuss assessment of substance use disorder severity and readiness to change.
• List several principles that characterize effective substance use disorder treatment.
• Discuss the role of comorbidity in the treatment of substance use disorder and co-
occurring mental health disorders.
• Discuss pharmacological and behavioral strategies to treat substance use disorder.
• Describe the Mental Health Parity and Addiction Equity Act.
• Discuss Screening, Brief Intervention, and Referral to Treatment (SBIRT).
• Discuss the success of online support groups meetings, especially during the
COVID-19 epidemic.
• Describe a typical admission to a drug rehab center.
Treatment of Substance Use Disorder
• Substance use disorder (SUD) affects individuals from various backgrounds.
Many face treatment challenges due to their occupational, social, psychiatric, or
other medical issues. The severity of SUD varies, necessitating personalized
treatment approaches. Early intervention with the least restrictive appropriate
treatment is crucial. To achieve this, treatment providers must assess the severity
, of SUD, as well as the individual's readiness and motivation to change their
behavior.
Assessing Substance Use Disorder Severity and Readiness to Change
• Assessing the severity of substance use disorder (SUD) and readiness to change
involves various methods, with the American Society of Addiction Medicine
(ASAM) criteria being a widely used, evidence-based, systematic approach. The
ASAM criteria consider six dimensions:
▪ Acute intoxication and/or withdrawal potential
▪ Biomedical conditions and complications
▪ Emotional, behavioral, or cognitive conditions and complications
▪ Readiness to change
▪ Relapse, continued use, or continued problem potential
▪ Recovery and living environment
• Prioritizing these issues often follows Maslow's hierarchy of needs, addressing
fundamental needs (e.g., health problems, medication adherence, physical
alterations) before higher needs (e.g., security, mental health management, safety,
and legal issues).
• Readiness to change is crucial in treatment planning, involving stages identified
by DiClemente and Prochaska: precontemplation, contemplation, preparation,
action, and maintenance. Understanding an individual's stage of change helps
tailor treatment plans and overcome ambivalence towards accepting and engaging
in care and comprehensive treatment plan.