💊🏥 Quick Overview
This chapter covers detoxification, psychological interventions, pharmacological treatments, drug courts, and treatment settings.
🧪 Detoxification (Detox)
- Medical Detox: Hospital/residential, 24-hour care for severe withdrawal
- Social Detox: Community-based, minimal medical intervention
- Outpatient Detox: Regular clinic visits, living at home
🧠 Psychological Interventions
- CBT: Functional analysis, skills training, cognitive restructuring
- MET: Motivational Enhancement Therapy (4 sessions)
- Relapse Prevention: Triggers, coping strategies, emergency plans
- Contingency Management: Rewards for clean drug screens
💊 Pharmacological Treatments
Alcohol:
Disulfiram (Antabuse) - deterrent; Naltrexone - reduces pleasure; Acamprosate - reduces cravings.
Opioids:
Methadone - long-acting agonist; Buprenorphine (Suboxone) - partial agonist; Naltrexone - antagonist.
⚖️ Drug Courts
Specialized courts offering treatment as alternative to incarceration. Regular appearances, mandatory treatment, drug testing, immediate sanctions, rewards for progress. Research shows reduced recidivism and cost-effectiveness.
📊 Treatment Outcomes
Relapse is common (40-60% first year) but viewed as learning opportunity. Long-term recovery often involves multiple treatment episodes.