🔑 Key Definitions
MAT (Medication-Assisted Treatment) 💊: Combines medications with psychological interventions for optimal outcomes
Drug Courts ⚖️: Specialized courts offering treatment as alternative to incarceration - combines judicial supervision with treatment
🧪 3 Types of Detox Settings
- Medical Detox - Hospital, 24-hour care, severe withdrawal
- Social Detox - Community-based, minimal medical
- Outpatient Detox - Clinic visits, live at home
🧠 4 Psychological Interventions
- CBT - Functional analysis, skills training, cognitive restructuring
- MET - Motivational Enhancement Therapy (4 sessions)
- Relapse Prevention - Triggers, coping, emergency plans
- Contingency Management - Rewards for clean drug screens (vouchers/prizes)
🍺 Alcohol Medications (3)
- Disulfiram (Antabuse) - Creates unpleasant reaction when drinking (deterrent)
- Naltrexone - Blocks opioid receptors, reduces pleasure from drinking
- Acamprosate (Campral) - Reduces cravings, stabilizes brain chemistry
💉 Opioid Medications (3)
- Methadone - Long-acting agonist, dispensed at clinics daily
- Buprenorphine (Suboxone) - Partial agonist, can take at home, lower overdose risk
- Naltrexone (Vivitrol) - Opioid antagonist, monthly injection, requires full detox first
⚖️ Drug Court Features
- Regular court appearances
- Mandatory treatment & drug testing
- Immediate sanctions for non-compliance
- Rewards for progress
- Graduation ceremony on completion
📊 Relapse Facts
- Common: 40-60% relapse within first year
- Viewed as learning opportunity, not failure
- Long-term recovery often requires multiple treatment episodes
💡 Exam Tips
- Drug courts reduce recidivism & are cost-effective
- Disulfiram = deterrent (makes you sick if you drink)
- Methadone = daily clinic; Buprenorphine = take home
- Relapse = 40-60% first year - it's COMMON and part of recovery
- 12-Step = AA/NA principles (powerlessness, higher power, amends)
- TCs = residential 6-12 months, community as therapy