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a state in which an organism functions normally only in the presence of a drug.
- manifested as a physical disturbance when the drug is removed (withdrawal) |
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| A repeated activity that continuously causes harm to oneself or others (e.g. a substance’s continuous presence in the bloodstream). |
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| a medicine or other substance which has a physiological effect when ingested or otherwise introduced into the body. |
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| Reducing or ceasing substance abuse; often followed by one’s personal life being turned around by way of a supportive environment |
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| substance abuse treatment is an organized array of services and interventions with a primary focus on treating substance abuse disorders. For the Treatment Episode Data Set, the Center for Substance Abuse Treatment defines treatment to include the following general categories: hospital, short- and long-term residential, and outpatient. Mental health treatment is an organized array of services and interventions with a primary focus on treating mental disorders, whether providing acute stabilization or ongoing treatment. These programs may exist in a variety of settings, such as traditional outpatient mental health centers (including outpatient clinics and psychosocial rehabilitation programs) or more intensive inpatient treatment units. |
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| a process that attempts to prevent the onset of substance use or limit the development of problems associated with using psychoactive's substances. |
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| A state of being drugged or poisoned; results from abuse of alcohol, barbiturates, toxic drugs, etc. |
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| mentally and physically in harmony with and connected to the culture in which one lives. |
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| a restless inability to keep still. Agitation is most often psychomotor agitation, that is, having emotional and physical components. Agitation can be caused by anxiety, overstimulation, or withdrawal from depressants and stimulants. |
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Definition
| a basic assessment consists of gathering key information and engaging in a process with the client that enables the counselor to understand the client's readiness for change, problem areas, COD diagnosis, disabilities, and strengths. An assessment typically involves a clinical examination of the functioning and well-being of the client and includes a number of tests and written and oral exercises. The COD diagnosis is established by referral to a psychiatrist or clinical psychologist. Assessment of the client with COD is an ongoing process that should be repeated over time to capture the changing nature of the client's status. |
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Definition
| One’s use of a drug not specifically recommended or prescribed when there are more practical alternatives; when drug use puts a user or others in danger |
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| a blackout is a period of amnesia or memory loss, typically caused by chronic, high-dose substance abuse. The person later cannot remember the blackout period. Blackouts are most often caused by sedative-hypnotics such as alcohol and the benzodiazepines. |
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| an ability, capacity, skill, or set of skills. |
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| refers to co-occurring substance use (abuse or dependence) and mental disorders. Clients said to have COD have one or more mental disorders as well as one or more disorders relating to the use of alcohol and/or other drugs. See dually disordered. |
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| A mind- and behavior-altering substance |
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| Condition in which one must increase their use of a drug for it to have the same effect |
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| the feelings, reactions, biases, and images from the past that the clinician may project onto the client with COD. |
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| The body’s physiologic adaptation to a substance |
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| the capacity of a service provider or an organization to understand and work effectively in accordance with the cultural beliefs and practices of persons from a given ethnic/racial group. Also includes an ability to examine and understand nuances and exercise full cultural empathy. |
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| Occurs when one’s tolerance for one drug results in their lessened response to another |
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| A theory of alcoholism that considers the addiction a disease rather than a social or psychological issue. |
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| The age at which one’s addictive behavior began; an important factor in addiction assessment |
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| Culturally Competent Treatment |
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Definition
| biopsychosocial or other treatment that is adapted to suit the special cultural beliefs, practices, and needs of a client. |
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Definition
| The process of the body ridding itself of a toxic substance (e.g. a drug) |
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Definition
| informal collaboration ensures that both mental illness and substance abuse problems are sufficiently understood by all participating providers to allow effective identification, engagement, prevention, and early intervention. An example of this type of collaboration is a telephone request for information or general advice regarding the origins and clinical course of depression in a person abusing alcohol or drugs. Discussion of a particular client usually does not occur, or occurs at a relatively general level. (See also collaboration, service integration.) |
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Definition
| One’s compulsion to use a psychologically based drug for pleasure; may lead to drug misuse |
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| Blood Alcohol Level/Concentration |
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| The concentration level of alcohol in the bloodstream (expressed as a percentage by weight) |
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| an approach to recovery from substance use disorders that emphasizes personal responsibility, self-management, and clients' helping one another. Such programs apply a broad spectrum of personal responsibility and peer support principles, usually including 12-Step methods that prescribe a planned regimen of change. |
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| The action taken when one’s usual coping resources pose a threat to individual or family functioning |
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| approaches that actively seek out persons in a community who may have substance use disorders and engage them in substance abuse treatment. |
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| Scientifically validated treatment approaches |
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Definition
| involving a person's psychological well-being, as well as housing, employment, family, and other social aspects of life circumstances. |
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Definition
| A family member’s or friend’s suffering that is the result of the side effects of one’s addiction; it occurs when one takes responsibility for another’s actions and helps that person avoid facing his or her problems directly to maintain the relationship |
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Definition
| Severe and excruciating physical and emotional symptoms that generally occur between 4 to 72 hours after opiate withdrawal (e.g., watery eyes, yawning, loss of appetite, panic, insomnia, vomiting, shaking, irritability, jitters, etc.) |
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Definition
| a process for facilitating client/consumer access to specialized treatments and services through linkage with, or directing clients/consumers to, agencies that can meet their needs. For COD, referrals are frequently made for detoxification, assessment, special treatment, and medications. |
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Term
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Definition
| a formal process of testing to determine whether a client warrants further attention at the current time for a particular disorder and, in this context, the possibility of a co-occurring substance or mental disorder. The screening process for co-occurring disorders seeks to answer a “yes” or “no” question: Does the substance abuse [or mental health] client being screened show signs of a possible mental health [or substance abuse] problem? Note that the screening process does not necessarily identify what kind of problem the person might have or how serious it might be but determines whether further assessment is warranted. |
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| The chemical and physical reactions carried out by the body to prepare for a drug’s execution |
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| no one set of treatment interventions constitutes integrated treatment. The term refers to the availability and delivery of a comprehensive array of appropriate mental health and substance abuse services and interventions that are identified within a single treatment plan, coordinated by a single treatment team, and both effective and responsive to the high degree of severity of both mental illness and substance abuse experienced by the client. Under the “no wrong door” approach, integrated services should be available, as necessary, through both mental health and substance abuse treatment systems. (See also collaboration and informal collaboration.) |
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| A drug that produces sleep/drowsiness and that also relieves pain while being potentially dependence producing |
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Definition
| a maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by a need for increasing amounts of the substance to achieve intoxication, markedly diminished effect of the substance with continued use, the need to continue to take the substance in order to avoid withdrawal symptoms, and other serious behavioral effects, occurring at any time in the same 12-month period. |
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