1ALCOHOL AND OTHER DRUGS Table of Contents Introduction................................................................................................................................2 Discussion..................................................................................................................................2 Conclusion..................................................................................................................................7 Reference....................................................................................................................................8
2ALCOHOL AND OTHER DRUGS Introduction Alcohol is considered a psychoactive recreational drug that goes hand in hand with other drugs. Mental health disorder is the most common problem that arises with drug abuse. Psychiatricsyndromesbecomesa challengingsituationand isassociatedwith theco morbidity of alcoholism and other drug use.The prevalence rate of alcohol and other drug usage in Australia is considerably high, and it leads to mental disorder among the population. Salvation Foster House has selected an agency that works with AOD and mental health. An evidence-based model followed by Salvation Foster House will be presented. A discussion on the eligibility of the candidate will allow a clear understanding of the criteria to avail the services provided by the selected agency. The AOD programs and services structured by the agency for the chosen group will be evaluated. Along with that application of interagency case management process on the chosen evidence-based model will be included in this study. Discussion The evidence-based model following addiction to alcohol and other drugs (AOD) are: ï‚·Moral theory ï‚·Disease theory ï‚·Learning and Behavioral theory ï‚·Socio-cultural theory ï‚·Psychodynamic Model The evidence-based model that follow co-occurring of mental disorders are: ï‚·Cognitive behavioural theory ï‚·Biological and genetic theory ï‚·Learning theory Moral model
3ALCOHOL AND OTHER DRUGS According to this model, addiction is sin, and the drug –dependants, were said to be morally weak. This model was into play during the 18th-19thcentury. The addicted persons were punished by public beating, whipping, public ridicule. Another mode of punishment was jail sentences. The addicted people were sent to mental hospitals as jails were filled. Spiritual treatment was considered as a treatment (Mackenzie, Rogers & Dodds, 2014). Disease model This model suggests that the origin of addiction remain with oneself. Addiction is seen as a disease from a medical point of view. This model says addicted people cannot come out of the situation once they intake the alcohol or the drug. The diseased condition is irreversible and has no process to cure. The only treatment is lifelong abstinence. Alcoholics Anonymous (AA) is formed based on the disease model. The advantage and disadvantages of the disease model have been analyzed. The advantages include: Drug use is more than just a legal issue. It is now considered a health issue. Addicted individuals are allowed to understand their behaviour. Abstinence treatment approach has adopted that help some individuals The disadvantages of the disease model state that: The treatment is not helpful for all the people of different age groups Not much of evidence has been provided yet. Learning and Behavioral theory Thistheorystatesthataddictionislearnedthroughexperienceorobservation. Individuals observed that addiction helps in coping up with depression, anxiety, anger (Powell, Honey & Symbaluk, 2016).They observed that addiction makes them feel more sociable and relaxed. Individuals who found relief on addiction engaged themselves in the same behaviour again and again.
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4ALCOHOL AND OTHER DRUGS Sociocultural model It states that alcohol use and other drug use should be observed in a social context rather than focussing on addicted individuals. Salvation Foster House, Surry hills follow this evidence-based model. Psychodynamic Model This model is used to treat people with drug problems. The philosophy behind the psychodynamic model is to finding a way to connect the problems to our childhood and cope up as adults. It can be said that the use or misuse of the drug leads to an unconscious state and respondsaccordingly.Theygiveresponsetosomeofthedifficultiesthattheyhave experienced in the childhood. The philosophy gains approach to one’s unconscious mind and try to enhance their self-image. Cognitive Behavioral Theory Formation of irrational thoughts and cognitive distortions leads to negative reactions. The thinking patterns of people change over time. The formation of negative patterns during any problem lead to emotional reactions like stress, anger, depression, anxiety. Skill-building activities and awareness can help them to overcome the situation (Levine, 2018). Biological and Genetic Theory Imbalances attain the negative emotional state in neurotransmitters such as norepinephrine, GABA and serotonin. It is also believed that mental health disorders are transmitted genetically from one generation to another. Unsafe environments and lack of adequate rest and poor nutrition lead to neuro chemical imbalances. Learning Theory Individuals adopt this learning theory by observing people who show cognitive distortions. On observation, the children acquire the same dysfunctions and react in the same way.
5ALCOHOL AND OTHER DRUGS Salvation Foster House uses the sociocultural model as the evidence-based model for the chosen group. Socio cultural model This model focuses on society and not on individuals. The type of society is responsible for alcohol and drug usage. This model builds a connection between drug use and inequality (Akers & Jennings, 2016). This model says that socially and culturally backward groups are much addicted to drug abuse. The drug users under this model are recognized as deviant. According to this model, the treatment is to change the social environment rather than treating drug users. The social environment can improve on addressing poverty, poor housing and discrimination. The presenting issue of the chosen client is the dominance of poverty. There are hardly any opportunities to advance in life; thus, the crime rates increase (Jones & Sumnall, 2016). The agency provides services to them who engage themselves in such work as a consequence of drug abuse. The alcohol and drug users lack basic safety and take such steps to keep away their frustration as leading life becomes challenging for them. This environment creates a great impact on others, thus making drug addiction a prime issue in society. Other than this, the agency provides service to those who cannot refrain from using the drug even after trying to quit. The service is designed for those who lie about drug use or feel guilty after drug use. The service provides support to those who regret after committing a crime or blacked out after alcohol and drug use. Alcohol and drug use is related to mental health disorders like bipolar disorder, anxiety disorders and depression—the agency to provide service for this section of people. To be eligible for availing the service, it is seen if the person feels helpless or change in weight is noticed. Sleep changes, concentration problem, inability to experience pleasure, loss of energy, reckless behaviour, anger, physical pain, irritability, headaches, muscle tension, shortness of breath are the criteria that a person needs
6ALCOHOL AND OTHER DRUGS to undergo to avail the services provided by the agency. On the other hands, if abnormal issues related to a bipolar disorder such as increased energy, hyperactivity, decreased need for sleep, rapid speech, extreme irritability are observed within an individual, then he or she can be helped by providing the services given by Salvation Foster House. Along with this, the mental disorder can get intensified on excessive use of alcohol and other drugs and can lead to a diseased issue like Borderline Personality Disorder, Post-Traumatic Stress Disorder and Schizophrenia. Application of single model is not enough to resolve the changing needs of the people. The interventions of AOD includes respecting consumers choice, respecting their needs, functional analysis to determine appropriate array of interventions at right stage. Continuing care, peer recovery support services and self –help approach needs to be included in continuing care. A wide range of programs and services are available in Salvation Foster House for the AOD and mental health affected individuals to support them to achieve positive outcomes by proper guidance. The programs available are: National Disability Insurance Scheme (NDIS) Mental Health Community Living Supports for refugees Family Mental Health Support Service Anglicare Art Space National Disability Insurance Scheme (NDIS) The registered NDIS service provider in mental health is Anglicare. Under this scheme, psycho-social services are mainly provided. The service is designed in such a way that it can support and fulfil the individuals need. This service makes the individual’s road to recovery easy by empowering the individuals with more control, flexibility and choice (Buckmaster, 2016). Mental Health Community Living Supports for refugees
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7ALCOHOL AND OTHER DRUGS This program aims to deliver recovery-oriented, trauma-informed, psychological distress support and culturally safe program. In this program, the concerned experienced staff will deal with the affected individuals and help them in my recovery journey. The main aim of these programs is to provide person-centred care (Miller & Rasmussen, 2017). FamilyMental Health Support Service (FMHSS) These programs target those who are on the edge of developing a mental –illness. The target audience is children, young people and their families. Free service under this section is free (Gibson, Johnson & Field, 2019). Anglicare Art Space Thisprogramisaninnovativearts-basedprogramthatoffersacreativeand encouraging environment to the people who are at high risk of mental health challenges due to the use of alcohol and other drugs. This program provides a space where people can develop self-confidence, artistic skills and re-engage in society (Murray & May, 2018). Case management is the process of carrying out work in a systematic and timely manner by addressing a set of issues (Savic et al., 2014). The core steps in the case management process are to identify the vulnerable individuals in society and registering them. Along with this awareness is raised in the affected area of the society. The second step of the case management process based on the socio-cultural model is assessment. The needs of the children and families were involved. Preference was given to their needs. The third step is to develop an individual plan by addressing their needs with measurable objects. The fourth step is an initiation of the case plan by incorporating referral services and direct support. After implementation, follow up, and review is said to the fifth step where the changes are monitored. Then the case is closed .
8ALCOHOL AND OTHER DRUGS Conclusion From this assignment, it can be concluded that alcohol and other drug abuse leads to mental disorders that disturb the normal lifestyle of the patient. A brief idea on the evidence- based model has been given, out of which the model used by Salvation Foster House has been discussed. Some criteria have been set by the Salvation Foster House to become eligible for availing the service. Few interventions has been discussed along with it importance has been given to continuing care. Salvation Foster House, Surry Hills, Australia run several AOD and mental health-related programs to support the individuals whose lives are at risk. An idea based on the socio-cultural model has been done, and interagency case management process based on this model has been evaluated.
9ALCOHOL AND OTHER DRUGS Reference Akers, R. L., & Jennings, W. G. (2016). Social learning theory.Wiley Handbooks in Criminology and Criminal Justice, 230-240. Buckmaster,L.(2016).TheNationalDisabilityInsuranceScheme:aquickguide. Parliamentary Library. Gibson, M., Johnson, S., & Field, K. (2019). Taking a Family Systems Perspective in Support Services. Jones, L., & Sumnall, H. (2016). Understanding the relationship between poverty and alcohol misuse.Liverpool: Liverpool John Moores University, 9-17. Levine, D. S. (2018).Introduction to neural and cognitive modeling. Routledge. Mackenzie, C., Rogers, W., & Dodds, S. (2014). Introduction: What is vulnerability and why does it matter for moral theory?.Vulnerability: New essays in ethics and feminist philosophy, 1-29. Miller, K. E., & Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict:anecologicalmodelofrefugeedistress.Epidemiologyandpsychiatric sciences,26(2), 129-138. Murray, S., & May, S. (2018). Envisioning a Community Justice Centre for Western Australia: Feasibility, Challenges, and Opportunities.UW Austl. L. Rev.,43, 221. Powell, R. A., Honey, P. L., & Symbaluk, D. G. (2016).Introduction to learning and behavior. Cengage Learning. Savic, M., Grynevych, A., Best, D., & Lubman, D. (2014). Review of integrated working strategies.