Types of Substance
Stages of Change
ASAM Levels of Care
Types of TX, Groups
Types of Substance cont.
100

Consists of flowers, leaves, stems and seeds and is a mood altering ingredient. Can have effects on the brain, heart, lungs, and hormones. 

What is Marijuana? 

100

What are the 5 stages of change? 

Pre-contemplation, contemplation, preparation, action, maintenance. 

Lapse and Relapse 

100

This level of care typically consists of 9 or more hours of service a week or 6 or more hours for adults and adolescents respectively to treat multidimensional instability. Services are capable for meeting the complex needs of people with addiction and co-occurring conditions. Treatment occurs during the day, before or after work or school in evening and or weekends.

What is Intensive Outpatient Services? 

100

Offer education and information regarding general themes of substance use, mental health, related behaviors and the consequences of these behaviors. Material will be presented through audio, video, or a lecture format. 

What are psychoeducational groups? 

100

Name two dissociative anesthetics and are also used as animal tranquilizers. 

What is PCP and Ketamine? 

200

This substance is a powerful, central nervous system that gives the user an intense rush. This drug is made easily with inexpensive over the counter ingredients. 

What is Methamphetamine?


200

The costs of the problem behavior are not yet recognized. This used to be called denial stage. 

What is Precontemplation? 

200

This level of care typically consists of less than 9 hours of service/week for adults, or less than 6 hours a week for adolescents for recovery or motivational enhancement therapies and strategies. Level 1 encompasses organized services that may be delivered in a wide variety of settings.

Level 1 or Outpatient Services

200

These groups are not considered group therapy, although they occur in group setting. There are 12 distinct stages toward maintaining sobriety. 

What are 12 step groups? 

200

This substance creates a mild, dreamlike intoxication, sensations of mind/body separation, dizziness, free-floating giddiness, slurred speech and impaired muscle coordination. 

What is Ketamine ? 

300

This substance is a central nervous system depressant and can affect memory, problem-solving, judgement, behavior, insight, understanding of pain and pleasure, coordination and regulation of all body systems. 

What is Alcohol? 

300

The changes made are maintained and may continue to face challenges but at this point they have successfully changed their behavior for a significant period of time. 

What is Maintenance? 
300

This level of care constitutes a service for individuals who, for a known reason, are at risk of developing substance-related problems, or a service for whom there is not yet sufficient information to document a diagnosable substance use disorder. 

What is Level 0.5 or Early Intervention for adults and adolescents? 

300

type of program that offers a high level of care and supervision and are homes where patients come to seek treatment in a mid/long term perspective. They live in place where they are going to commit to treatment 24/7.  Most program begins with medical detox if the patient requires one. 

*offer bedrooms, meals, housekeeping service, common places to relax, 24/7 support and, according to their therapeutic programme, spa care, counselling sessions, nursing care, medical interviews, conferences, etc.

What is residential or inpatient treatment

300

A tropical tree is native in Indonesia, Malaysia, Thailand and other southeast Asia. Leaves are chewed by its laborers and at high doses it delivers opioid-like effects, inhibits smooth muscle contractions, and reduces pain. Addiction results in opioid withdrawal symptoms. 

What is Kratom? 

400

These substance are breathable chemicals that produce mind-altering vapors. Can include butyl nitrate, solvents. 

What are Inhalants? 

400

Page has been taking Oxycodone for three years and is addicted to the medication. He was obtaining them from anyone who would sell them to him. He has recently realized the impact it is having on his life and he has made an appointment with his doctor to discuss quitting.

What is Preparation? 

400

This adolescent and adult level of care typically provides a 24 hour living support and structure with available trained personnel, and offers at least 5 hours of clinical service a week. Residential services that are described co-occurring capable, enhanced and complexity capable services. 

What is Level 3.1 or Clinically Managed Low-intensity Residential Services. 

400

skills-based, cognitive-behavioral approach that requires patients and their clinicians to identify situations that place the person at greater risk for relapse – both internal experiences (e.g., positive thoughts related to substance use or negative thoughts related to sobriety that arise without effort, called “automatic thoughts”) and external cues (e.g., people that the person associates with substance use).

What is Relapse Prevention? 

400

What neurotransmitter does alcohol impact? 

What are GABA and serotonin. Some say met-enkephalin? 

500
The substance come from the juice in the unripe seed pods and can help medically to relieve pain, coughing and diarrhea. 

What are opiates/narcotics? 

500

Robert lives alone after his divorce and visits with his son for a week at a time. He has been using his son’s stimulant medication to get high and has lied to the child’s doctor and the child’s mother about losing or spilling the pills in order to get more. Robert knows his behavior is dangerous but still takes comfort in the intoxication produced.

What is Contemplation? 

500
What does ASAM stand for? 

American Society of Addiction Medicine

500

Name examples of Medicated Assisted Treatment (MAT)

Suboxone, Methadone, Vivitrol etc

500

Another name for the reward neurotransmitter? 

What is Dopamine? 

M
e
n
u