SWK 302 Exam 3

What is 70% of ER visits among youth

alcohol overdoses (rise use of painkillers not too far behind )

90% of anorexia and bulimia is found in what gender?

females (starts in adolescence) .5% of girls and women are anorexic 1-3% bulimic

Cost to the economy for gamblers

$54 billion -bankruptcies -loss of work time -crime -High among native Americans -over 14% of native Americans have gambling problems -Counties with gambling casinos have higher crime rates and bankruptcies than others

What are some ways to treat eating disorders?

-Overeaters anonymous (OA) for compulsive eating -Group treatment teach moderation CBT -Theme of neuroplasticity brain neurons can form new connections "Brain lock" can be corrected

Sex addiction

-Risk takers -Cognitive therapy recommended -prone to lying(one TV broadcast looked at President Clinton's background and his sexual risk taking: others disagree) -Tiger woods -Self-help group: sex addicts anonymous

Examples of coexisting orders include:

1) compulsive gambling 2)eating and mood disorders 3)anxiety

What are the 7 practice principals for integrated treatment SAMSHA

1) treatment is integrated to meet clients needs 2) Specialist are trained to treat BOTH 3) co-occuring disorders treated in a stage-wise fashion with different services provided at different stages 4) motivational interventions are used to treat consumers in all stage; but especially in the "persuasion" stage 5) Substance abuse counseling' using a cognitive-behavioral approach; for the active treatment and relapse prevention stages 6) multiple formats for services are available; including individual; group; self-help; and family 7) medication services are integrated and coordinated with psychosocial services

how many addiction treatment programs now include treatment for psychiatric disorders?

1/3

How much in dollars is consumed by ages under 21

10 billion -80% of adult smokers start as children (big incentive to market to kids)

What % of cigarettes are used between ages 12-17 in US -Bing drinking by what % of youths aged 16-18 around half on 21 year olds are binge drinkers -heavy drinkers tend to have high drug use rates as well

11 point 6% -17%

Spending addiction Shopping: -what % of people? -medications?

2-8% Typical age: 31 year old female who has overspent for 13 years -medication: Luvox -DSM-5: lists kleptomania (obsessed with stealing things)

18-25: _____% illicit drug use during past month

21.2% around half of all youths American Indians highest

T/F alcohol use is more prevalent in Europe and smoking is at __% for ages between 15-16 when it is only 14% for American youth

22% The illicit drug use in Europe is half of the US

About ______% exposed to severe trauma will develop substance related problems

25%

How much does the state spend on treatment for gambling?

36 million is small compared to 20 billion in tax revenues from gambling

How many adults have both serious psychological distress(SPD) and a substance use disorder (SUD) -What % receive no treatment? -What % received treatment only for mental health problems? -What % received only substance use treatment ? -what % received both treatment for mental health and substance use?

5.2 Million -53% -34% -4.1% -8.5%

At least 1 in ___ veterans or war in Iraq has PTSD -flashbacks common -

6

This disorder is diagnosed in 25-40% of persons with SUD; may be effect of stimulant drugs will clear up in weeks

Anxiety

Models from Argentina that maybe the US should follow when comes to drinking

Argentina: has no drinking age -wine or beer with supper -drinking is for socialization not to get drunk -focusing on moderation and adult supervision

Rates of past month alcohol use for ages 12-20 Asians: American Indians: Blacks: Hispanics: reporting two or more races: Whites:

Asians: 16.1% Blacks: 20.4% American Indians: 22% Hispanics: 25.1% 2 or more races: 27.5% Whites: 30.4%

What is the most commonly diagnosed of the mental disorders for those with co-occuring disorders?

Bipolar disorder -90% with this disorder have substance-related problems in a prison sample

Anorexia; bulimia; body dysmorphic disorder

Eating disorders

T/F what age range has problems with gambling?

Elderly -internet gambling is the fastest growing form -2-4% in Gamblers Anonymous (GA) are women But many helpline calls

Why do women gamble vs men?

Escape: women Action:men(relocation might help I these situations)

What is the FRAMES MODEL and what does each letter represent What about a harm reduction strategy

F: feedback: assessment of use R: responsibility/choice is theirs A: advice set goals together M: menus of self-directed change options (monitor computer use) E: empathy S: self-efficacy Get a timer: 1) cut mailing lists 2) no detours

T/F there is a low rate of relapse among women in substance abuse treatment with PTSD upon release

False there is a high rate

T/F mental health professionals tend to see alcohol use not a method for self medication

False they actually do see it as a method for self medication

Who is at risk for Bulimia?

Gay men -30-70% with alcohol misuse -35% of bulimics experienced childhood sexual abused and use food as a drug there is little info on compulsive overeating -new studies show lack of dopamine receptors in the brains of morbidly obese -some after gastric bypass turn to heavy drinking

What are the guidelines for Anorexia?

Less than 89% of normal body weight and Fien body hair -Mortality rate: 10% (often by suicide/correlated with perfectionism/ritualism/high anxiety) related to obsessive compulsive disorder (OCD) -obsessive recurrent and persistent thoughts -compulsions-ritualistic practices

What ended discrimination against consumers of mental health and substance abuse treatment services in insurance coverage? -it introduced integrated treatment so what does that mean?

Mental Health Parity and Addiction Equity Act of 2008 integrated treatment: programs that serve people with 2 or more mental health conditions or substance use disorders viewed as a non punishment helping stance

Prenfrontal cortex matures until what age?

Mid-20s

Major depression; dysthymia; mania; bipola;etc

Mood Disorders

Diagnosis came in 1980 in response to Vietnam War Vets and feminist movement on behalf of rape victims

PTSD (post traumatic stress disorder)

borderline personality disorder; narcissistic personality; anti-social; dependent personality (often diagnosed based on cultural/ethnic/ or personal biases)

Personality disorder

Delusions Hallucinations Apathy and loss of pleasure problems concentration -1% develop this -48% have substance-related problems -prone to homelessness

Schizophrenia

Built off premise that people go through stages of change

Stage-Wise treatment 1) Engagement-building of therapeutic alliance 2) persuasion-regular contact but no change in substance use (not trying to persuade clients but open up doors for them to think about own life goals) 3) Active treatment: has begun to reduce/abstain 4) Relapse prevention

What is the prime time for the development of substance use?

Teenage years (identify vs role confusion) Alcohol is the drug of choice by American teens aged 12-17 Smoking is decreasing

For bulimia it is best to avoid strict dieting and focus on cognitive treatments

True

Persons with Gambling disorders may have abnormal levels of dopamine and serotonin

True - lack of control may result -high enhanced when rewards uncertain -near misses especially thrilling

T/F Gambling has become socially acceptable and is one of the newer addictions in the DSM 5

True -3-7% of gamblers have problems -suicide is high in gamblers

T/F addiction counselors often explain psychosis as drug induced

True Psychosis: severe mental disorder in which thought and emotion are so impaired that contact is lost with external reality

What companies are the most well funded lobbies of people in congress

beer and liquor

Cognitive therapy for sex addicts

distortions especially with these addictions and anorexia (Tendency towards extreme behavior) Slogans of AA ("easy does it") Reational recovery/MET/REBT more adversarail/focus on current beliefs

What type of treatment might be successful for gamblers?

treatment: cognitive work and motivational therapy -irrational thinking about winning: "I put so much money in this machine that I am bound to win" -high profile winners -lucky machine and dates

Assertive Community Treatment: ACT

unlike integrated treatment; here the counselors go to the client and are available around the clock -only for the more severe mental illness Principles: Team approach: ACT team members interdisciplinary and act as a whole to ensure basic needs are met -small caseload: teams 10-12 sever 100 consumers -time limited services; no individual caseloads