Exam quiz

Vocabulary flashcards covering co-existing problems (CEP), treatment models, wellbeing pathways, assessment components, and cultural considerations based on Te Ariari guidelines.

7 Principles for Working with CEP (Te Ariari)

Cultural considerations, Wellbeing, Engagement, Motivation, Assessment, Management, Integrated care.

Anxiety Disorder and SUD Co-occurrence Rate

30% of people with Anxiety disorder have Substance Use Disorder (SUD).

Addiction

An overly strong attachment to and engagement in a particular substance or behaviour, or a pleasurable activity that has got out of control.

Schizophrenia and CEP SUD Co-occurrence Rate

50% of people diagnosed with Schizophrenia have CEP Substance Use Disorder (SUD).

Daily Functioning Areas in Depression Assessment

Sleep disturbance (insomnia or hypersomnia), feelings of guilt/hopelessness/worthlessness, food and exercise régime, sexuality (distressing changes), normal activities (e.g., school, work, childcare, study), and social interaction/isolation.

Continuum of Use

The five stages of substance use: No use, Social use, Hazardous use, Problem use, and Substance use disorder.

Effect of Stimulants on Depression

Individuals feel better with intoxication and worse with withdrawal.

Effect of Cannabis on Depression

Has little if any effect on depression.

Key Components of Effective CEP Programmes

Integration of services, staged interventions, models of engagement, assertiveness, motivational interventions, multiple psychotherapeutic modalities, a long-term perspective, comprehensiveness, reduction of negative consequences, and cultural sensitivity and competence.

Self-Determination Theory Elements

Amotivation, Extrinsic motivation, and Intrinsic Motivation.

Psychological Safety (Te Ariari)

Established through an invitation to talk openly, consistent empathy, non-judgmental and accurate reflection, ensuring tangata whaiora is in control (especially when anxious), and an affirming approach.

Three-legged Stool

A model consisting of three components: Staying clean and sober, Taking medications, and Participating in a programme.

Pathways to Wellbeing

Character Strengths, Optimism, Whānau, Positive Relationships, Identity, and Enabling Institutions.

Barriers to Wellbeing

Poverty, Accommodation, Poor Physical health, Relationship difficulties, and Substance use.

Components of a Comprehensive Assessment

Data, Opinion, Management, Prognosis, and Feedback.

Areas Recommended for Management Goals

(1) Setting, (2) Further information, (3) Treatment of medical conditions, (4) Psychopharmacology, (5) Psychological interventions, (6) Whanau or family and social interventions, (7) Spiritual interventions, (8) Education/work/occupation, (9) Education of tangata whaiora and significant others, (10) Self-help groups.

Models of Case Management

Brokerage, Clinical case management, Assertive community treatment, and Intensive Care Management.

Importance of Culture in CEP and Addiction

Culture affects definitions of wellbeing, rates of mental illness and addiction vary between cultures, distress is expressed differently, culture impacts service access or barriers, and attitudes to mental illness and suicide differ between cultures.

Steps for Learning to Work with Culture (Te Ariari)

Develop an awareness of our own culture, develop sensitivity to difference, and learn specifics about other cultures.

Early Treatment Approaches

Assessment, Engagement, Safety, considering involving whanau, and Motivational Interviewing.

Middle Treatment Approaches

Actively treating substance use issues and other disorders, monitoring medication, motivation, identifying pathways and barriers to wellbeing, and addressing issues with whānau.

Late Treatment Approaches

Relapse prevention, increasing emphasis on wellbeing, occupational and social skills, self-management, and supports in the community.

Cultural Considerations in Assessment or Counselling

Sexuality, Ethnicity, Language, Iwi, Faith/spiritual needs, Refugee status and history, Gender, Peer groups (e.g. youth, transgender), and Cultural beliefs and values around health/illness.