SUBSTANCE ABUSE

 

Costs to Society

          Treatment Costs

          Lost Productivity

          Crime

          FAS & Drug Addicted Babies

                   http://www.cdc.gov/ncbddd/fas/default.htm

 

Definitions (p. 409-410)

          Intoxication

Abuse

          Dependence

Tolerance

          Withdrawal

          “Disease Concept”

 

Etiology

          Neurochemistry

Genetics

          Psychosocial

 

Drugs of Abuse: Effects, Overdose, Withdrawal (Group Activity)

 

          (Y) Caffeine & Nicotine

         

(Y) Alcohol

 

          (N) Cannabinoids

 

          (y) Sedatives/Hypnotics/Anxiolytics

                   Barbiturates, Benzodiazepines, Rohypnol (“Date Rape”)

 

          (y) Opioids

                   Heroin, Morphine, Demerol

 

          (N) Stimulants

                   Amphetamines, Cocaine, Ritalin

 

          (N) Hallucinogens

                   LSD, Ecstasy

 

          (N) Inhalants

 

Cross Dependency & Polysubstance Abuse

 

Treatment

          Detox

                   ETOH:  CIWA, Benzodiazepines

          12 Step Programs, Reality/Aversion, Faith Based

          Milieu

Inpatient/Residential/Outpatient

          Nursing Interventions

                   Drug Seeking Behavior

                   Cravings

                             Revia, Catapres

                   Communication

                             Build Trust, Nonjudgemental

                   Behavior Modification

                             Playgrounds/Playmates

                             Antabuse

                   Other Pharmacology

                             Methadoone

                             B Vitamins

 

Dual Diagnosis

“Self Medication”