2
November 14 2018
Addiction
& Mental Health
Economic Costs
Economic Burden
Critical Questions
1
2
TODAY'S SCHEDULE
Risk Factors
Breaking Through Denial
Alternative Treatment
When to depart from unwilling patient
3
4
Psych Today
- 18 substance abuse “psychiatrists”
- Includes nurse practitioners
- Non-specialists
- DNR
Providers
Drugs Involved in US
Overdose Deaths
ABOUT
Opiates
Opiate Epidemic
- Is it possible to be dependent on a drug or does dependence mean addiction?
- Whats the difference between natural rewards and compulsive use --> addiction?
Synapses become overloaded with chemical, drug, alcohol, which binds to opiate receptor - results in massive increase of dopamine in the synaptic cleft
Brains Reward Center
Addiction Theories
- Early 1900's - alcoholics, drug addicts - result of a "moral failing"
- 1930's - Identification of addiction being a process of abnormal mind and body
- Under the Influence Book - revolutionary expands on how alcoholics before picking up a drink are on a cellular level different from those NOT addicted
- Recent advances in brain imaging shows - all compulsive behaviors - sex, gambling, shopping, love addiction are
Survival & Brains reward system
- Eating, water, sex all produce pleasurable feelings -- positive reinforcement
- Artificial rewards - drugs, compulsive sex, gambling, provide higher levels of dopamine --> less produced naturally by brain.
Disease Model of Addiction
Double click to edit
Substance Abuse Criteria
Medication Treatment
Opioid Medication Management
Narcan available without RX - reverses effects of all opiates including Fentayl
Prescription opioids and heroin are chemically similar and can produce a similar high. In some places, heroin is cheaper and easier to get than prescription opioids, so some people switch to using heroin instead. Nearly 80 percent of Americans using heroin (including those in treatment) reported misusing prescription opioids prior to using heroin.1,2
PROGRAMS
Treatment Options
PROGRAM 1
PROGRAM 1
Program location