Lecture 11

Substance use disorder

problematic

→ 15

Earlier use of substances is linked to a higher risk of _______ use

→ ___% of kids who start drinking by 14 years old develop alcohol use disorder

• Accidents

• self-harm

• violence

• Educational, legal

Substance use in adolescence has many negative impacts:

• _______ and injuries

• Suicide and _____-_____

• Interpersonal _______

• ______ and ______ problems

increase

As children get older, rates of substance use disorder ______

There has been decreases in the consumption of drugs in the last 5 years, compared to pre-pandemic levels

In recent years, how has the consumption of drugs changed?

perceptions

There are big differences between actual norms of drinking and people’s _______

• feedback

• comparing

• mediate

• frequency, quantity

Norm-based interventions for substance use disorder:

• Gives individualized _______ about actual drinking norms

• Helps in ______ individual’s drinking pattern and the norm

• The overall changes in perceived norms may ______ the treatment effects

Effectiveness:

• Most programs generally worked well in reducing drinking _______ and _______ 0 to 6 months post interventions

• multidimensional

• parents

• positive

Family therapy for substance use disorder:

• Uses a _______ approach

• Targets the adolescent and their ______

Effectiveness:

• It has _____ outcomes for teens

• 12

• problem

• abstinence

• peers

• accessible

• consumption, problems

Alcoholics Anonymous programs for substance use disorder:

• Has ___ steps

• Acknowledges that alcohol is a ______

• Recommends ______, not even 1 drink

• Allows support from other _______

• Is easily ______ everywhere

Effectiveness:

• Participating in AA is linked with less alcohol _______ and fewer substance-related ______

forced

Many studies (not well-done) have found that AA doesn’t do better and may even do worse for people with substance abuse disorders but often the participants in those studies were ______ into treatment

1. AA attendance → lower alcohol use

2. Lower alcohol use → AA attendance

3. Good prognosis (motivation, less comorbid psychopathology…) → lower alcohol use and AA attendance

What were the 3 hypothesis concerning AA and substance use disorder outcomes? Which one was found to be true?

• short

• range

• outpatient

Inpatient treatments for substance use disorder:

• Are of ______ duration, between 4-6 weeks

• Includes a big ______ of treatment programs such as individual counselling, family therapy…

• Are often followed by _______ treatments