Name a treatment location where you could see a client with substance abuse
acute care, outpatient, mental health settings, inpatient rehab, community settings
This is define as a syndrome that occurs when blood or tissue concentrations decline in a person who ahs used heavily, which makes him/her more likely to consume again to relieve symptoms
withdrawal
People with substance abuse are at an ____ risk for poor COVID outcomes
increased
When someone has substance abuse, occupational performance begins to decline when...
Use becomes more frequent, use is of longer duration, or involves more quantities or additional substances
How long does recovery take?
short period or extended (months to years)
What three steps are required to diagnosis ETOH disorder?
Assessing signs and symptoms, blood alcohol test, and liver function test
Name a cardiopulmonary complication from substance abuse.
arrhythmias, myopathy, COPD, HTH, TB, pneumonia
Shifts in _____ may also be to blame for increased opioid use deaths since the pandemic
drug availability
Name two symptoms of ETOH withdrawal which OTs could see and treat
nausea and vomiting, insomnia, anxiety/agitation, tremors, hallucinations, violence
_____ and _____ can occur on the road to recovery
Lapses and relapses
What are at least 3 of the signs and symptoms of an ETOH disorder?
Need for use, inability to reduce or discontinue, amnesia, decreased work success, violence, and poor relationships
Name 2 neurological complications of substance abuse.
Alcoholic dementia, Hallucinosis, Withdrawal delirium, Korsakoff’s syndrome, Peripheral neuropathy, Seizure
Why were clients unable to participate in resilience promoting activities?
Were not as safe or easy to access
This is defined as when someone's performance deteriorates to a point where one is deprives of those once important occupations necessary for a meaningful life
occupational deprivation
These are four steps related to ETOH treatment although they are not linear.
Hospitalization, 28-Day programs, aftercare, and address enablement and social life to succeed in community
What are 2 substance use disorder issues?
Fails to fulfill major role obligations, takes physical risks, incurs repeated legal problems due to substance use, and social and interpersonal problems
This neurological area of the brain house a reward system which the addictive substances trigger
Basal forebrain, prefrontal cortex, and amygdala
When people are more stressed and isolated, they ____ which leads to increased drinking and drug use
Make unhealthy decisions
OTs can see clients with mental health disorders and SA. This is called ____
Dual diagnosis
This is a specific screening tool which consists of 22 yes/no questions related to ETOH assessment.
Michigan Alcohol Screening Tool
Name 5 of the DSM 5 substance related disorders classes of drugs.
ETOH, caffeine, cannabis, hallucinogens, inhalants, opiods, sedatives/hypnotics/anxiolytics, stimulants, tobacco, other substances and nonsubstance (gambling)
Name two psychiatric complications of SA
Not motivated, depression, fetal alcohol syndrome, impaired social and occupational functioning, and suicide
As of June 2020, this percentage of Americans reported starting or increasing substance use to cope with stress and emotions related to COVID
13%
Name the four areas of focus for OT interventions as stated by AOTA
brief intervention, CBT, motivational strategies, and 12 step programs
Name at least 5 groups offered at the Stephen Center to promote recovery.
Co-occuring, building emotional resources, med/psych aspects of addiction, relapse prevention, parenting, exercise, co-dependency, healthy thinking patterns, lifeskills, and nutrition