Drug counselling spider diagram

Image by ohskylab
A drug-counsellor friend found this diagram on a whiteboard at work after another counsellor had given a two hour session. He recreated it on paper for us.

Ex-drugs counsellor stole meat to pay for heroin
But now Jacob was working voluntarily with Counted 4 and DISC drugs counselling services and had been prescribed methadone, she added. “He was on a low dose of methadone which has now been upped and he is stable on that. “This is his first offence …
Read more on Sunderland Echo

Join hands to eradicate drug abuse: DGP to stakeholders
… it is the responsibility of all stakeholders to work together and eradicate the growing menace, which has risen to an alarming position in modern society," Prasad said while commissioning the Drug De-addiction and Mental Health Counselling Centre here.
Read more on Business Standard

Prisoner support program a first
The government has spent more than $ 1 million setting up a ''Throughcare Unit'' that will link prisoners up with everything from housing, employment, transport, health services, and drug and alcohol rehabilitation for a year after their release or the …
Read more on The Canberra Times

Question by Danyel: What type of education would I need to become an RN at a substance abuse detox facility?
I am currently going to school for pre-health with a nursing concentration, until I have the requirements to apply for nursing. I would like to be able to work as an RN in a substance abuse facility. I was wondering if anyone could give me any advise as to how to go about doing this? I do not know if I will need to specialize in a certain area in order to do so or not? If anyone could help me out in regards to what to do education wise I would really appreciate it! Thanks!

Best answer:

Answer by MeMeMe
Hi,

First off, good for you for wanting to work in addiction treatment! I’m an addictions counselor and have been working in mental health (mostly suicide prevention) for 7 years and we certainly need more qualified RNs in the field. So I think you will have an easy time finding work once you’re finished with school.

As for your question… To become an RN, you need to go to nursing school. Although I’m sure you already know this. As for specializing in addiction treatment, I don’t believe there are any additional requirements, but it would be good if you have experience working with addicts or at least a greater knowledge of treating clients with addiction. So I would suggest trying to get an internship of some sort with a treatment center in your area. They may not let you do much while you’re in school, but you will be able to put it on your resume. You can learn a lot from observing how things work in treatment. The other suggestion I have would be to take some extra classes that focus on substance abuse. Drug addicts and alcoholics face a variety of special issues separate from the “normal” population you would be working with in a hospital. Most community colleges and some universities now offer programs where you can learn more about these issues. I don’t know where you live, but you may want to start looking for college programs titled “Addictions Counseling” or “Addictions Studies.” Classes you may want to take would be any type of pharmacology, a bloodborne pathogens/infectious disease class, and even alternative treatments to addiction classes. It could also help to take a few classes for addictions counselors like group therapy, individual therapy, or something similar. These will definitely help you in the future in terms of communicating with your clients.

The most important thing I would think an RN working in addiction should have to be educated about is prescription drugs of abuse. Normally when I do an intake on a client coming into treatment, they have been medically prescribed multiple addictive drugs that only contribute to and exacerbate their disease (addiction). Usually these include opiate painkillers, benzodiazepines, and other sedatives and tranquilizers. I had a client once who was on NINE different benzos which she had been on for years, all prescribed by doctors for things like insomnia, anxiety, and even hypothyroidism. This is so egregious and disgusting to me! They were killing her. She obviously had to be medically detoxed for risk of seizures and death from her meds. And needless to say, after being evaluated by our MD, she didn’t NEED any of the pills.

Anyway, I’m rambling. Just excited to see someone wanting to help in the field of addiction treatment. It is rare these days, it seems. But what a satisfying and rewarding job. Good luck to you!!!

Know better? Leave your own answer in the comments!

Question by Danyel: What type of education would I need to become an RN at a substance abuse detox facility?
I am currently going to school for pre-health with a nursing concentration, until I have the requirements to apply for nursing. I would like to be able to work as an RN in a substance abuse facility. I was wondering if anyone could give me any advise as to how to go about doing this? I do not know if I will need to specialize in a certain area in order to do so or not? If anyone could help me out in regards to what to do education wise I would really appreciate it! Thanks!

Best answer:

Answer by MeMeMe
Hi,

First off, good for you for wanting to work in addiction treatment! I’m an addictions counselor and have been working in mental health (mostly suicide prevention) for 7 years and we certainly need more qualified RNs in the field. So I think you will have an easy time finding work once you’re finished with school.

As for your question… To become an RN, you need to go to nursing school. Although I’m sure you already know this. As for specializing in addiction treatment, I don’t believe there are any additional requirements, but it would be good if you have experience working with addicts or at least a greater knowledge of treating clients with addiction. So I would suggest trying to get an internship of some sort with a treatment center in your area. They may not let you do much while you’re in school, but you will be able to put it on your resume. You can learn a lot from observing how things work in treatment. The other suggestion I have would be to take some extra classes that focus on substance abuse. Drug addicts and alcoholics face a variety of special issues separate from the “normal” population you would be working with in a hospital. Most community colleges and some universities now offer programs where you can learn more about these issues. I don’t know where you live, but you may want to start looking for college programs titled “Addictions Counseling” or “Addictions Studies.” Classes you may want to take would be any type of pharmacology, a bloodborne pathogens/infectious disease class, and even alternative treatments to addiction classes. It could also help to take a few classes for addictions counselors like group therapy, individual therapy, or something similar. These will definitely help you in the future in terms of communicating with your clients.

The most important thing I would think an RN working in addiction should have to be educated about is prescription drugs of abuse. Normally when I do an intake on a client coming into treatment, they have been medically prescribed multiple addictive drugs that only contribute to and exacerbate their disease (addiction). Usually these include opiate painkillers, benzodiazepines, and other sedatives and tranquilizers. I had a client once who was on NINE different benzos which she had been on for years, all prescribed by doctors for things like insomnia, anxiety, and even hypothyroidism. This is so egregious and disgusting to me! They were killing her. She obviously had to be medically detoxed for risk of seizures and death from her meds. And needless to say, after being evaluated by our MD, she didn’t NEED any of the pills.

Anyway, I’m rambling. Just excited to see someone wanting to help in the field of addiction treatment. It is rare these days, it seems. But what a satisfying and rewarding job. Good luck to you!!!

Add your own answer in the comments!

by Christiana Care

Question by misskrisq2: What does it mean by examining the classifications?
I am doing a paper for abnormal psychology. I am unsure on what the instructions mean by examining the classifications of certain disorders. The instructions state, “Examine the various classifications of eating, substance abuse, sex/gender/sexual, and personality disorders.” These are the classifications. Because they are categories within the DSM-IV. Can someone explain to me what to do? Sorry this is probably a dumb question, but I appreciate the help.

Best answer:

Answer by Kristal [Ward 7 Resident]
Generally speaking, the classifications can be found in the Diagnostic and Statistical Manual of Mental Disorders (DSM) ~ which is a reference book used in the mental health field.

The DSM
Psychologists and psychiatrists use a reference book called the Diagnostic and Statistical Manual of Mental Disorders (DSM) to diagnose psychological disorders. The American Psychiatric Association published the first version of the DSM in 1952. It has been revised several times, and the newest version is commonly referred to as the DSM-IV.

The DSM-IV uses a multi-axial system of classification, which means that diagnoses are made on several different axes or dimensions. The DSM has five axes:

1.Axis I records the patient’s primary diagnosis.
2.Axis II records long-standing personality problems or mental retardation.
3.Axis III records any medical conditions that might affect the patient psychologically.
4.Axis IV records any significant psychosocial or environmental problems experienced by the patient.
5.Axis V records an assessment of the patient’s level of functioning

What do you think? Answer below!

Lawmakers asked to improve mental health, substance abuse treatment
“People with substance abuse and mental health issues are left to their own devices,” Figlewski said. Carol Vassar, a spokeswoman for the Rushford Center in Meriden, said the mental health and substance abuse treatment facility supports both bills.
Read more on Meriden Record-Journal

Authorities grapple with substance abuse solutions
Jacksonville has counseling services, a methadone clinic and a crisis center available. However, there is no local inpatient treatment facility for those with substance abuse issues. “We do a lot of recommendations to the Wilmington treatment centers …
Read more on Jacksonville Daily News

Question by nunya: Does anyone know at least 4 to 7 places where someone can get long term treatment for drug addiction?
This is for D.A.R.E

Best answer:

Answer by cintchick
The link I included below will take you to the Substance Abuse and Mental Health Services Administration (SAMHSA) treatment center locator. SAMHSA is a division of the US Department of Health and Human Services

Enter a city and state, then select “Continue”. You will then be offered options to target your search. In your case, under “Services Provided” you would select “Substance Abuse” and under “Type of Care” you would select “Residential Long-Term Treatment” and/or “Hospital Inpatient”. Again, select “Continue”. You will then see a list of centers with their contact information, as well as a summary of the services they offer and forms of payment accepted.

Know better? Leave your own answer in the comments!