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Block 2 Therapeutic Interventions

Unit 8 Psychosocial Rehabilitation and Life Style Management

1. How would you define the term treatment in the context of substance use treatment?

Treatment may be defined as “the process that begins when psychoactive substance abusers come into contact with a health provider or any other community service, and may continue through a succession of specific interventions until the highest attainable level of health and well-being is reached’’.

2. List the broad objectives of substance use disorder treatment.

Complete abstinence or harm reduction and social integration.

3. How would you define the term psychosocial rehabilitation in the context of substance use treatment ?

Psychosocial rehabilitation is the process by which an individual with a substance-related problem achieves an optimal state of health, psychological functioning and social well-being”

4. Describe the scope of psychosocial rehabilitation in reference to substance use disorder.

Scope of psychosocial rehabilitation is :

a. Enabling the individual to complete pharmacological treatment.

b. Prevention of relapse.

c. Improving quality of life.

d. Reintegration of individual into mainstream of the society.

5. List the important areas for psychosocial assessment.

Important areas of psychosocial assessment are:

a) Socio-demographic profile (name, age, sex, education, employment, income, etc.)

b) Complications (socio-familial, occupational, financial and legal)

c) Past abstinence attempts (number of attempts, duration and circumstances, reason for relapse)

d) Associated high risk behaviour (presence of unsafe sexual practices, injection use with sharing of needles and paraphernalia)

e) Assessment of social support

f) Reason for seeking treatment

g) Assessment of expectation from treatment and understanding of the problem

6. How would you define stigma associated with substance use?

Severe social disapproval of personal characteristics, actions or beliefs that are perceived to be against cultural norms.

7. Describe the significance of lifestyle change for the treatment of substance use disorder.

Significance of Lifestyle Change for Substance Use Disorder Treatment:

1. Substance use affects nearly every area of a user’s life, impacting physical health, education, employment prospects, emotional well-being, and social relationships.
2. Treatment requires not only reducing or stopping substance use, but also making qualitative changes in lifestyle. These two aspects must progress together to support one another.
3. Lifestyle changes are crucial for recovery. Simply achieving abstinence without addressing other life areas doesn't constitute complete recovery.
4. Lifestyle changes help in preventing relapse and enabling the individual to integrate back into society.

8. Explain the impediments in social integration for the individual suffering from substance use disorder.

Impediments to Social Integration for Individuals with Substance Use Disorder:

1. Substance use damages family and social relationships, creating distance between the user and non-using friends and family, while strengthening ties with other substance users.
2. Stigma associated with substance use can lead to low self-esteem, depression, anxiety, and may cause the individual to relapse. Society often labels individuals with substance use disorder using negative terms, reinforcing negative images.
3. Individuals who have used substances may face rejection and loss of trust when trying to re-establish relationships with friends and family.
4. Lack of employment and stable income can also impede social integration.

9. What is the role of counsellor in facilitating psychosocial rehabilitation?

Role of the Counsellor in Facilitating Psychosocial Rehabilitation:

1. The counsellor’s role is to assist the individual to achieve an optimal state of health, psychological functioning and social well-being through rehabilitation.
2. Counsellors conduct psychosocial assessments to understand specific needs, develop therapeutic relationships, and enhance motivation.
3. They help individuals address various needs including legal, educational, employment and financial problems.
4. They provide support for individuals to manage cravings, and rebuild healthy relationships with family and social support networks.
5. They help address issues like stigma and discrimination.
6. Counsellors facilitate access to services for the individual and engage family members in the process.
7. They assist in developing coping skills to manage triggers and promote a healthy, substance-free lifestyle.
8. They encourage and facilitate participation in self-help groups to promote social integration.

Important Points

a. Once the individual is abstinent , he is still likely to experience craving.

b. For some one who is prolonged substance user, it is still possible to regain trust of family members.