Term
| List the (9) common emotions reported by family members of individuals with a psychiatric and or dual condition. |
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Definition
1. anxiety
2. frustration
3. worry
4. sense of burden
5. depression
6. grief
7. anger
8. shame
9. guilt |
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Term
| What are the (11) adverse effects of dual conditions on household children? |
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Definition
1. school problems
2. disruptive, anxiety and mood disorders significantly higher (among children of opiate addicts compared to children in general community)
3. greater impulsivity
4. inattention and irritability
5. heightened motor activity
6. temperamental deviations
7. lower iq
8. poorer school performance
9. impairments of the executive functions of the brain
10. blunted neuro-endocrine response to stress that may be a habituation to a stressful home environment
11. developing psychopathology (depression, phobia, anxiety, attention deficit, conduct and oppositional or substance abuse disorders) |
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Term
| What are the (6) adverse effects and behaviors of dual conditions on families? |
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Definition
1. Emotional burden
2. Family neglect
3. Economic burden
4. Irresponsibility
5. Abuse or violence
6. Losses |
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Term
| What are the (2) factors mediating the impact of dual disorders on families? |
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Definition
1. Resiliency (the ability to spring back to shape; the capacity to recover quickly from difficulties)
2. Connectedness with family and school
These are the two factors that most protect children from taking risks in four health areas (substance use [typically tobacco, alcohol, marijuana], emotional health, violence, sexuality) |
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Term
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Definition
| Resiliency (the ability to spring back to shape; the capacity to recover quickly from difficulties) |
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Term
| What are the (4) benefits of family involvement in treatment? |
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Definition
1. level of family functioning is associated with the severity of addiction, as well as success or failure in substance abuse treatment
2. family based interventions often used in community based DOA treatment programs
3. goal to enhance family functioning and improve parenting skills when adolescent child identified
4. client participation in family programs improve:
* retention
* limits relapse
* enhances client adherence to treatment |
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Term
| What are the (15) practical strategies and principles one should consider when assisting families in the recovery process? |
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Definition
1. facilitate family involvement in treatment
2. provide education about dual disorders and treatment
3. help the family accept the reality of both the psychiatric and chemical dependency disorders, and understand how the disorders affect each other
4. encourage family members to discuss their experiences, concerns, and worries
5. encourage discussion of the family's expectations of treatment
6. provide support and help the family reduce their emotional burden
7. facilitate assessments of family members who may have a physical problem, mental health disorder, substance use disorder, or all three
8. help family members distance or detach from the ill family member
9. help family members focus on themselves and the needs of other family members, not just the ill one
10. help family access other resources needed for the dual-disordered member
11. help family members become aware of, and reduce enabling behaviors
12. help family members deal with specific behaviors or problems including suicidality
13. help family members prepare for setbacks
14. help parents help their children
15. be aware of your own issues and limitations |
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Term
| Substance abuse underlies what (5) family problems? |
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Definition
1. divorce
2. welfare dependence
3. spousal abuse
4. child abuse and neglect
5. criminal behaviors |
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Term
| Children of alcoholics find increased rates of what (5) disorders? |
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Definition
1. alcohol and drug abuse
2. conduct problems
3. antisocial personality disorder
4. anxiety disorders
5. combined mood and anxiety disorders |
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Term
| List (8) problems caused by parental alcoholism. |
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Definition
1. parents were inconsistent or unpredictable
2. non alcoholic family member upset a lot of the time
3. people don't like you or pity you
4. experience loss of respect or feelings of shame
5. financial problems
6. physical abuse between parents
7. alcoholic got into accidents; went to jail
8. alcoholism was destroying the alcoholic or family |
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