1 / 9

Chapter 37

Chapter 37. Drug Abuse I : Basic Considerations. Drug Abuse. Knowledge of abuse needed by healthcare members Diagnosis and treatment of acute toxicity Diagnosis and treatment of secondary medical complications of drug abuse Facilitating drug withdrawal

alexa
Download Presentation

Chapter 37

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 37 Drug Abuse I: Basic Considerations

  2. Drug Abuse • Knowledge of abuse needed by healthcare members • Diagnosis and treatment of acute toxicity • Diagnosis and treatment of secondary medical complications of drug abuse • Facilitating drug withdrawal • Providing education and counseling to maintain long-term abstinence

  3. Definitions • Drug abuse: using a drug in a fashion inconsistent with medical or social norms • Drug addiction: disease process characterized by continued use of a specific psychoactive substance(s) despite physical, psychologic, or social harm

  4. Other Definitions • Tolerance • Psychologic dependence • Physical dependence • Cross-dependence • Withdrawal syndrome

  5. Diagnostic Criteria for Substance Abuse and Substance Dependence • DSM-IV • See Table 37-1 DSM-IV = Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition

  6. Factors That Contribute to Drug Abuse • Reinforcing properties of drugs • Physical dependence • Psychologic dependence • Social factors • Drug availability • Vulnerability of the individual

  7. Neurobiology of Addiction • Voluntary users can become compulsive users as a result of molecular changes in the brain • Reward circuit (system that normally serves to reinforce behaviors essential for survival) is activated • Major transmitter is dopamine

  8. Principles of Addiction Treatment • With therapy, 40%–60% can reduce drug use • Ideal goal of treatment is complete cessation of drug use • Change from compulsive to moderate will be beneficial • Sustained moderation is very difficult for opioid, cigarette, and alcohol abuse

  9. The Controlled Substances Act • Comprehensive Drug Abuse Prevention and Control Act of 1970 • Record keeping • DEA Schedules I through V • Prescriptions • Labeling • State laws DEA = Drug Enforcement Agency.

More Related