2 discussion questions

M6D1 Treatment Approaches

Review the following website:

Center for Substance Abuse Treatment. (1999). Chapter 4—Twelve-Step-Based Programs (Links to an external site.) . In Treatment of Adolescents with Substance Use Disorders. Rockville (MD): Substance Abuse and Mental Health Services Administration (U.S.). (Treatment Improvement Protocol (TIP) Series, No. 32.) Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64351

Review the following scenario:

Tom is a 33-year-old, single male. He was in a significant relationship for three years, but it ended about six months ago. He is a shy, reserved individual who has difficulty meeting new people. He has turned to the internet and has begun to frequent chat rooms on a regular basis. There are times when he spends all evening into the early morning on these sites. He has had difficulty getting up for work and, on occasion, has had to leave work early due to fatigue. However, when he gets home and sees his computer, he goes back to the chat rooms. He is beginning to become aware that this is fast becoming a problem for him.

1.

After reviewing the module notes, the suggested readings, and the scenario, answer the following questions:

· What model of treatment do you think is most appropriate for Tom, given the information you have?

· Discuss the disease or abstinence model versus the harm reduction model using Tom’s situation as an example.

· What are the pros and cons of using each type of model?

· What therapies might show promise (Cognitive Behavior Therapy, Contingency Management, Psychotherapy, Medication, etc.) for Tom?

M6D2: Behavioral Addiction Treatment

Most of the readings have been focused on substance abuse and alcohol addictions. However, these treatment approaches can easily be utilized in the other behavioral addictions as well.

In this activity, you are to discuss the application of these approaches to behavioral addictions and utilize academic references to support this application.

After reviewing the disease and harm reduction models for use with alcohol or substance abuse, answer the following questions:

2.

· Choose another behavioral addiction (such as pornography, eating, shopping, etc.).

· Discuss how the harm reduction model and the abstinence-based models may be appropriate for use with the behavioral addiction you have chosen.

 Woerd, K., Cox, D., Reading, J., & Kmetic, A. (2010). Abstinence versus harm reduction: Considering follow up and aftercare treatment in First Nations addictions treatment (Links to an external site.) . International Journal of Mental Health and Addiction, 8(2), 374–389. doi:10.1007/s11469-009-9266-5. EBSCO Permalink: http://vlib.excelsior.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=50132695&scope=site

 Davis, A. K., & Rosenberg, H. (2013). Acceptance of non-abstinence goals by addiction professionals in the United States (Links to an external site.) . Psychology of Addictive Behaviors, 27(4), 1102–1109. doi: 10.1037/a0030563. EBSCO Permalink: http://vlib.excelsior.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=2012-28211-001&scope=site

 Lloyd, L. (2004). Harm reduction (Links to an external site.) . In Encyclopedia of Women's Health. Retrieved from http://vlib.excelsior.edu/login?url=http://www.credoreference.com.vlib.excelsior.edu/entry/sprwh/harm_reduction

 Grund, J. C. (2009). Harm reduction in the United States at a moment of change: Moving innovation from grassroots to mainstream? (Links to an external site.) Addiction, 104(9), 1450–1452. doi:10.1111/j.1360-0443.2009.02601.x. Retrieved from http://vlib.excelsior.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=43522496&site=eds-live&scope=site