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MODULE 13 Inmates With Special Problems Alcohol. Inmates With Special Problems Alcohol. Objective 034 Differentiate between a social drinker and an alcoholic Objective 035 Identify 3 stages of alcoholism progression. Inmates With Special Problems Alcohol. Objective 036
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Inmates With Special Problems Alcohol Objective 034 Differentiate between a social drinker and an alcoholic Objective 035 Identify 3 stages of alcoholism progression
Inmates With Special Problems Alcohol Objective 036 Identify the physical symptoms of alcohol abuse Objective 037 Identify the physical symptoms of alcoholism and alcohol withdrawal and the appropriate actions to be taken by the correctional employee
Inmates With Special Problems Alcohol I. Alcohol A. Is a drug B. Is a depressant C. Is the most abused drug in the U.S. today
Inmates With Special Problems Alcohol II. Alcoholism A. A progressive disease characterized by dependence upon or addiction to the drug alcohol. B. The disease, if unchecked, results in physical and emotional problems, as well as financial, social, legal, and employment difficulties.
Inmates With Special Problems Alcohol • In time, it will result in severe, irreversible brain damage or death. • About one in ten drinkers become an alcoholic.
Inmates With Special Problems Alcohol E.According to the Layman’s Guide to Psychiatry, “one becomes an alcoholic when he/she begins to be concerned about how activities interfere with their drinking instead of how drinking interferes with their activities”.***
3 Stages of Alcoholism Progression • Social drinker • reflects a “Responsible Drinker” Problem drinkers Alcoholics • No clear distinction between groups, one blends into the other
Differences between a Social & an Alcoholic • Social drinker: • drinks along with other activities** • drinks with others** • avoid intoxication by drinking slowly with food in the stomach • by paying attention to their reactions**
Differences between a Social & an Alcoholic Social drinker: • Can control the amount they drink** • Have a sense of responsibility in terms of drinking and driving**
Differences between a Social & an Alcoholic • Alcoholics: • Deny they have a problem** • May have blackouts • Drink alone** • Exhibit a change in tolerance level
Differences between a Social & an Alcoholic • Alcoholics: • Exhibit personality changes • Exhibit a loss of control over drinking • May gulp &/or sneak drinks when driving** • May drink in the morning • May have epileptic like seizures
Physical Symptoms of Alcohol Use/Abuse • ALCOHOL USE • Individuals may experience these physical symptoms to a greater or lesser extent depending upon their age, physical condition, amount of alcohol, size, extent of drinking problem, etc.
Physical Symptoms of Alcohol Use/Abuse • Stages of intoxication: • Happy • Excited • Confused • In a stupor • In a coma • Death
Physical Symptoms of Alcohol Use/Abuse • Alcohol abuse • Malnutrition** • Delirium tremens (DT’s) • Brain damage** • Fatty liver** • Flushed face** • Broken veins** • Vomiting**
Alcohol Withdrawal • Symptoms range from minor & uncomfortable to life threatening The individual may experience • Feelings of anxiety • Insomnia** • Irritability • Persistent remorse**
Alcohol Withdrawal • The individual may experience • Delirium Tremens • Alcohol Withdrawal • Delusions/hallucinations • Paranoid delusions • Vomiting
Appropriate Actions to be taken by the Correctional Employee • Risk Assessment of Alcohol Withdrawal: • Determine substance ingested • Determine history of substance abuse • Make risk assessment • Refer to medical • Provide for first AID, CPR, or medical treatment as required
Appropriate Actions to be taken by the Correctional Employee Risk Assessment of Alcohol Withdrawal: • Reduce sensory stimulation • Respect personal space • Communicate in a soft non-threatening manner • Frequently observe the inmate • Always keep in mind that alcohol withdrawal can be life-threatening