personal growth paper
9.1 - Since the commercialization of drugs in the 19th Century there have been chemical interventions for alcohol, morphine and tobacco addiction or dependence. Some were useless and others created greater addiction, like heroin, which was purported to be the cure for morphine addiction. During the early 2000s the number of drugs being developed to treat addiction was second only to drugs being developed to treat mental health disorders. Chemical dependency treatment specialists are starting to broaden and accept medical therapies to addiction
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9.2 - The cost of treatment is not only lower in cost but it increases the potential of a positive outcome over prison.
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9.3 – The committing of crimes and abuse of drugs are closely associated. Most adults and juveniles arrested for crimes test positive for drugs of abuse.
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9.4 – Alcohol continues to be the primary drug of choice for those admitted to drug treatment programs in the U.S. with 41.2% of admissions. 18.6% of admissions cite marijuana or hashish as their drug of choice; these are also often listed as secondary or tertiary drugs of choice making it the most common drug for which individuals seek addiction treatment.
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9.5 – Continued developments in addiction treatment (i.e multi-morbidity of behavior addictions or pain, certified addiction peer coach, spiritual treatment services, et al.) continue to add complexity to flow diagrams for effective treatment outcomes.
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9.6 – Mandated addiction treatment from the criminal justice system sometimes referred to as “coerced treatment” has been documented to have positive outcomes that compare as well or even better than self-referrals.
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9.7 – The brain is resilient, it has the plasticity to regain its functionality with continued recovery. Brain scans such as these in cocaine addicts demonstrate the return of brain activity (about 1/3 in 100 days) with continued abstinence.
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9.8 – Relapse like addiction itself is related to anonymous brain activity. Low activity in the five specific areas demonstrated by this research study were able to predict relapse within a year upon graduating from treatment programs with up to 90% accuracy. Brain activities in the five areas continues to increase with abstinence faster in some than other addicts.
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9.9 – The addicted brain conspires to create relapse in recovering addicts. When in recovery and the brain is exposed to “triggers” or “cues” of drug use the amygdala, which coordinates emotional memories of use, and the cingulate, that has formed a powerful bond with the drug or behavior, activate to bring about cravings to use. At the same time the Prefrontal Cortex (PFC) which is part of the control circuitry of the brain deactivates making it more difficult to resist using.
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9.10 – The majority of acute anxiety reactions (a.k.a. “bad trips”) brought about by the use of psychedelic drugs can be effectively managed by this ARRRT talk down approach. Not listed but equally important in “bad trip” management is listen. The interventionist needs to listen closely to the fears and concerns of the “tripper”.
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9.11 – Legalization of recreational marijuana use in Colorado, Washington, Oregon, Alaska and Washington D.C. all prohibit its use by adolescents. Federal and all state prohibitions prior to the newer recreational use laws failed to prevent marijuana abuse by youths who are very vulnerable to the addictive effects of the THC in marijuana.
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