Disorders Due To Substance Use
Disorders Due To Substance Use
Disorders Due To Substance Use
Session outline
5
Benzodiazepines
6
Cannabis
7
Stimulants: Cocaine,
metamphetamines and amphetamines
8
Khat
9
Tobacco
10
Activity 2: Person’s story
Acute intoxication
13
Emergency presentations
Overdose
14
Emergency presentations
Withdrawal
18
What is dependence?
19
What causes drug withdrawal symptoms?
20 20
Health effects of psychoactive substances include
• Hypertension/stroke
• Dependence/addiction
• Depression, psychosis 21
Effects of substance use on the family
Parents Children
Familial breakdown Familial breakdown
Problems/violence between Parents fighting, disowning
spouses child
Neglect of children Loss of opportunities
Leading to malnourishment, Dropping out of school,
delayed development, abuse, employment, parents unable
violence to work
Poverty Risk of criminal activity
Loss of income through missed Stealing from parents to pay
employment, cost of substance use for substances
22
Global impact of alcohol use
25
26
Asking about substance use
https://www.youtube.com/watch?v=XEHZijvafQQ
&list=PLU4ieskOli8GicaEnDweSQ6-
yaGxhes5v&index=15
https://www.youtube.com/watch?v=sccCxFfMGz
k&index=13&list=PLU4ieskOli8GicaEnDweSQ6-
yaGxhes5v
30
31
32
Activity 4: Role play: Assessment
33
34
Strategies for reducing or
stopping use and/or
Brief psychosocial strategies for reducing harm
interventions including
motivational
interviewing Address social needs,
including carers’ needs
Detoxification
Psychoeducation
35
36
37
38
39
Activity 5: Video demonstration:
Motivational interviewing
https://www.youtube.com/watch?v=i
1JtZaXmNks&index=14&list=PLU4iesk
Oli8GicaEnDweSQ6-yaGxhes5v
40
Motivational interviewing
41
Motivation to change
Stage 1:
Understanding
why they need to
change
Stage 2:
Stage 3:
Planning and
Maintaining
making the
the change
changes
42
Stage 1: Understanding the
need to change
Thus, you place the person at the centre of the intervention and
can use effective communication skills like reflection and
summarizing to give feedback.
44
Step 2: Take responsibility
45
Step 3: Reasons for their
substance use
46
Step 4: Consequences of
their substance use
Ask about both the perceived positive and negative
consequences of their substance use.
48
Step 5: Personal goals
51
Step 8: Support the person
enact the changes
52
Stage 3: Maintaining the change
53
Motivation to change
Stage 1:
Understanding
Relapse why they need
to change
Relapse
Stage 2:
Stage 3:
Planning and
Maintaining
making the
the change
changes
Relapse 54
Activity 6: Role play:
Motivational interviewing
55
56
57
58
59
Activity 7: Group work:
Understanding the role of pharmacology
in substance use disorders
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
Activity 8: Role play:
Assessing and managing
emergency presentations
75
Review
76