Drug & Alcohol Final
Children of Alcoholics/Additcts ( COAs)
- 4 times more likely to develop alcoholism -more likely to be psychically abused -8.3 million U.S kids have at least one alcoholic parent - "don't talk, don't trust, don't feel"
Groupings of diagnostic criteria
-Impaired control -Range of severity based on the # of symptoms:
What are some issues with screening instruments
-Many healthcare providers do not ask about alcohol use -Patient should be screened as a part of routine physicals -Screening tools do not provide an accurate a diagnosis of alcoholism
The Hero
-This child is an example to the outside world of how "well" the family is functioning -Tends to be an overachiever, but internally they feel guilty, because no amount of achievement makes the family problems go away
Children's roles for alcoholic parents
-the hero -the lost child -the mascot -the scapegoat -the chief enabler (adult)
Age group to most likely use drugs in the past 30 days
18-20, this is the college ages
The Chief Enabler (adult)
Assumes primary responsibility for the chemically dependent family member
What percentage of child abuse cases involve substance abuse?
Between 60 & 80% substantiated child abuse and neglect cases involve substance abuse by a custodial parent or guardian
Screening Tests
DAST ( Drug abuse screening test) AUDIT ( Alcohol use disorders identification) CAGE ( Screening tool) SMAST ( Short Michigan alcoholism screening test)
The Lost Child
Lost child are loners who never "need" attention, never create a problem, and never get into trouble
Is intentional abuse among the elderly common?
No, its rare
The Scapegoat
The child gets the most attention in the family; he/she is the "problem child"
Why is the age group 50-54 most likely to use?
They are the baby boomers and they shared a time of historical events
Do family drug courts work?
They do work because they get a chance to see their children, but yet 80% fail to actually complete the program. The more that they participate in the program the more likely they are to see their kids.
The Mascot
Usually the youngest child, and considered the most sensitive. They try and disperse anger and problems, by using humor
Cohort Effect
Variations in the characteristics over time among individuals who are defined by some shared temporal experience or common life experience, such as year of birth
Who should be conducting the substance abuse assessments?
a substance abuse professional
"Elephant in the Living Room"
alcohol and drug addictions are recognized as significant contributions to family stress
Why is substance abuse concerning in the aging population?
because they are being prescribed drugs when they could not even have the symptoms.
Substance abuse and Family Violence
before the 1970's assumptions were made that substance abuse causes family violence
Co-occurring Disorders
ex: eating disorders, depression, PTSD,schizophrenia
DSM 5 Criteria: Cravings
have you had strong urges to take the substance that you couldn't think of anything else?
Barriers to identification
healthcare professionals give a negative attitude & mistake symptoms for other problems.
codependency
how problems flow from one person to another in a family ..ex. going for a swim on a beach w/ no lifeguard and not telling anyone you cant swim
Do family members cause addiction?
no, no family member has ever caused an addiction, however family can behave in ways that allow the drinking/drug use to continue.
Various treatment settings
o Medical detoxification o Dual-diagnosis/hospital inpatient o Rehabilitation programs o Residential programs o Partial hospitalization/day treatment o Recovery/halfway house o Intensive outpatient o Outpatient DUI/DWAI/DUID programs
Invisible Epidemic
substance abuse problems among the elderly ( 65+ 13% of population)
enabling
the person that is the closest to the addict. most often the spouse or partner
How is the severity of someones diagnostic determined.
• Mild: 2-3 symptoms • Moderate: 4-5 symptoms • Severe: 6 ore more symptoms
