Rehabilitation Program- Drug Addiction

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Running head: REHABILITATION PROGRAM
REHABILITATION PROGRAM
Name of the Student:
Name of the University:
Author Note:
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1REHABILITATION PROGRAM
Case Study on Bill
Rehabilitation is a process or program that helps an individual get back or improve his
existing life with efficient needs. Rehabilitation therapy offers a stabilised as well as a
controlled environment to help the body. Drug addiction can be overcome and reduced with
the help of rehabilitation therapy (LIU et al., 2017). With the passage of time, drug addiction
will result in drug abuse activities or behaviour. Drug abuse can be any unwanted behaviour
or activities such as theft or community-based crimes and many others. Drug addictions result
in decrease judgment, loss of memory, as well as the failure of inefficient decision-making
(drugabuse.gov, 2020). Therefore, to overcome drug addiction, an integration approach is
very crucial and important. The integration of treatment can be of any appropriate medication
as well as relevant therapy (drugabuse.gov, 2020). This essay intends to discuss the offending
behaviours of Bill and identify the problem area along with the appropriate treatment plan.
Bill has been sentenced for theft. The major problem of him was an addiction to
drugs. Due to his addiction, he ends up doing all the abusive activities like theft. His
offending behaviour can be understood by understanding his long history of crime. From the
age of 9, he started taking a drug called Cannabis. In addition to Cannabis, he also used to
take any other drug LSD and all other party drugs. This situation was the origin of his
behaviour; he started to get addicted due to multiple kinds of drugs. Dugs like Ecstasy,
Heroin as well as other hallucinogen are all other drugs that he used to consume at various
times. He has a previous history of crime and was sentenced due to community-based crime.
All these crimes arose due to serious drug abuse problems. His mother was an indulgent
parent and did not stop him while committing crime or abuse. He had also stolen from his
neighbourhood as well as a family member. The major reason for his behaviour and activities
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2REHABILITATION PROGRAM
is due to his addiction to drugs. The issue of drug addictions need to be addressed and
accordingly should be treated.
The individual offending behaviour is the outcome of drugs intake. According to
social learning therapy, it is found that the majority of offending criminal behaviour is due to
the intake of drugs. It also represents that the major proportion of arrest in the juvenile
population is due to property crimes that include theft. This theory also expresses that human
behaviour has increasingly affected the crime record of juvenile. The social learning theory
also suggests incorporating rehabilitation in juvenile centres (Akers & Jennings, 2016). The
cognitive behaviour is still building in the adolescences and thus, it is necessary to
incorporate with the rehabilitation program. The rehabilitation program will treat the juvenile
in developing the appropriate manner. This program should focus more on building the
cognitive behaviour of an individual.
The best therapy for addressing the problem of Bill is Cognitive Behavioural Therapy
(CBT). According to Kratcoski (2017), CBT is the best treatment plan for drug-addicted
adolescent. It mainly focused on helping drug-dependent individuals. This CBT is usually a
short term approach. It generally offered in 12 to 16 sittings or over 12 weeks. Initially, this
program will work in stabilising the behavioural of an individual (Hollin, 2019). The length
of the sittings as well as fluctuates depending on the nature of the individuals. Every patient
fluctuates from each other and thus, brief treatment may not be feasible for everyone. The
major reason for choosing CBT as the best therapy for treating drug abuse is that it is
structured as well as focus on the instant problem challenged by the offender. This therapy is
flexible as well as can be adopted as per the individual comfort level (Dobson & Dobson,
2018). Another major reason for CBT treatment is that it is harmonious with other ranges of
treatments. For illustration, drug addiction will require the necessary medications as an
additional treatment collaborating with cognitive behavioural therapy (Arip et al., 2015).
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CBT program has mainly two serious components. The first component is a functional
analysis therapist who tries to understand the nature of patients or individuals
(integration.samhsa.gov, 2020). Here therapists identify feelings as well as the circumstances
of the patients before incorporating the intake of drugs. They examine the thoughts as well as
the frame of the patient’s mind. Before the treatment begins, it is very much crucial to
examine and understand the major reason for the intake of drugs. Measuring the elements of
drug use gives an overview for the therapist to incorporate the further procedure of the
treatment plan. Post the treatment, and the functional analysis will help in understanding the
coping skill of an individual. The second component is skills training, and the therapist will
reduce the older behaviour of the individual or patient (naadac.org, 2020). The alternative
healthier behaviour or habits need to be incorporated with the older behaviour. The training
for incorporating skills will be done in broader as well as wider aspects. In the initial sittings
of skill training, the therapist will focus on the control of drug intake. Here, the individual or
patient will learn the coping skills to avoid drugs. Apart from these, skills training will also
incorporate the overall behaviour of an individual or patient. This therapy not only focuses on
the restriction of drug abuse. However, it also provides efficient skills that can be beneficial
in the long run (archives.drugabuse.gov, 2020). CBT believes in changing the person
behavioural prospects that include the thought process of an individual. The therapist works
efficiently to understand the insight of the negative thought in the mind of an individual. It is
majorly focused on the recovery of the individual as well as provide the complete benefits to
the individual. This therapy understands the past situation along with acknowledged it and
incorporate the alternative initiative to be taken (Morin, Harris & Conrod, 2017). The
negative thought process will be interrupted with the help of alternative initiatives. The
coping skill will be improved to adapt the healthier or alternative behaviour. It will also
improve as well as addressed the self-esteem of an individual. The major approach of
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cognitive behavioural therapy is to form a strong base for the recovery of addiction towards
drugs (Hayes & Hofmann, 2018). The CBT incorporated the medication that will detoxify as
well as keep the patient safe. However, therapy will address the mental aspects. For
illustration, medication will help in reducing the cravings of drugs, and therapy will help in
coping with the situation of relapse. CBT program mainly focused on the behavioural
approach towards an individual. The first component program of CBT that is functional
analysis, it will help the therapist to understand the behaviour of Bill. The focus is on
identifying the troubling conditions of his life. He started getting involved in multiple abuse
activities that are due to the addiction of drugs. Functional analysis will also help in
identifying other conditions such as his family background. The CBT programs can work
with a group session, individual session, as well as phone coaching sessions. In the case of
Bill, the therapist should select an individual session, as it will help in better analysing of the
scenarios. After gaining the entire insight of a problematic area, the second component
program under CBT that is skills training needs to be followed. In this program, it will
address the negative behaviour of Bill. For illustration, it is identifying the triggering point
that leads to the intake of drugs. He was addicted majorly to party drugs and thus, avoiding
visiting such places will trigger the intake of drugs or maximise the chances of relapse. This
program can be difficult, as it needs the behavioural changes of Bill. He has to adopt the habit
of continuing behaviour. It will increase the coping behaviour over the intake of drugs.
Apart from Bill undergoing therapy, it is important for the family member as well to
get the therapy for supporting Bill. Family therapy will address the relationship between the
individual and his family. In the case of Bill, his mother was an indulgent parent, and she
supported Bill in every situation. On the other hand, his father was a distant figure along with
a strict nature. Family therapy will lead in flexibility with the mutual understanding between
individual and his family. CBT will incorporate parental training to the parents for changing
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the attitude towards their child. This program will focus in the maladaptive behaviour of the
parents. It will focus on the target behaviour that result as a triggering point for child in drugs
abuse. The mode of the interaction can be identified as well as changes in improving the
communication skills.
The major objective of this therapy is that it provides efficient handling skills that are
very much crucial to resist makes as well as leads to avoid relapse. Cognitive behavioural
therapy (CBT) is a part of behavioural therapy (Rangé & Robbe, 2020). This therapy is an
effective therapy for drug addictions. This therapy can help addictive adolescence to come
out of their current situation. This therapy can also act as individual therapy as well as they
can work more efficiently with the addition of other settings. This therapy can be used in both
the scenarios of individuals as well as in groups. This therapy also focuses on the
interconnection among behaviours, emotions as well as thoughts. Cognitive behavioural
therapy can be done with multiple approaches, such as an individual or based on the group. It
will encourage the individual to rely on his own capabilities effectively. This therapy will
replace the pattern of drug intake with alternative healthier behaviour.
The evaluation of CBT outcomes can be seen in multiple areas. The major methods
for treating individuals of drug abuse need to do with the help of primary as well as
secondary disorders. In clinical settings, the analysing of the primary disorder is difficult. It
has been noticed that before the treatment that is during the diagnosis, there was no difference
was found in the variables of patients. After the treatment provided to patients, it was found
that the p-value is lesser than 0.05. That indicates that Cognitive behavioural therapy is
affecting the treatment process of patients or individuals. It was found that self-esteem’s p-
value is lesser than 0.001, a self-liking p-value is lesser than 0.001. In the same manner, all
the other parameter including self-competence, back depression inventory, as well as back
anxiety inventory, is lesser than 0.05 (Bador & Kerekes, 2019). Thus, this evaluates the CBT
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program is good and can be easily adapted to treat the individual to resist the intake of drug
abuse. The major and important elements in drug abuse syndrome are anxiety as well as
depression. Thus, it is found that with the help of CBT, all the critical elements can be
improved. The outcome of CBT results in reducing the symptoms of intake of drugs as well
as reduce in the relapse of drug use. Although the outcome of CBT has affected the treatment
of drug abuse offenders positively, the sample size in the research is small. The low sample
size results in the accuracy of the results. Another research was conducted in Australia on
cognitive behavioural therapy; it was found that CBT has resulted effectively in reducing the
depression that is an element for the intake of drugs. It was found 95 per cent has effected on
mild to moderate depression (Goswami, Jayalakshmi & Mathur, 2019).
After the successful completion of Cognitive behaviour therapy, it will reduce the
temptation as well as cravings for relapse. An individual (Bill) can avoid all the triggering
points for drug abuse; it may be places, persons, or any other events. An individual may able
to restrict his behaviour that causes drug abuse activities. Finally, it reinforces a healthy
relationship or bond, behaviour as well as environments that support moderation (Dehkordi &
Solati, 2017). Ultimately, being mindful is all that matters. An individual should remain
focused on his recovery goals while also being aware of potential threats to his moderation.
The selected rehabilitation program is Cognitive behavioural therapy. It is the best
approach towards Bill to come out from the addiction of drugs. Bill has expressed that he is
not going to repeat the crime. However, his family member, as well as youth workers,
suggested that he is not going to develop improvement in his action. Therefore, Bill
efficiently needs a rehabilitation centre to develop improvement and not to make him do the
crime again. Bill is a teenager and he has committed a juvenile crime. CBT is behavioural
therapy and it will help Bill to understand his nature and his action due to drug abuse. It is
found that the level of emotional, anxiety, depression as well as negative self-image increases
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7REHABILITATION PROGRAM
in the juvenile system. All these behaviour, such as depression, will result in the development
of self-harm as well as a personality disorder. This therapy will assist the therapist in
understanding the trauma or any other significant issue faced either at home or in school. It is
found in a study that between the ages of 0 to 17, children often experienced a minimum of
one number of traumas and it is also found that 20 per cent of a population often finds
adverse experiences (Scholes-Balog et al., 2016). This trauma also results in developing an
unhealthy lifestyle to overcome the trauma. Therefore, Cognitive behavioural therapy will
develop an approach to developing coping techniques and lead a healthy life in a healthy
environment. Bill was involved in crimes like theft as well as a community-based crime; all
these activities are the outcomes of drug abuse. Hence, CBT will restrict the intake of drugs
and change the behavioural approach of Bill.
From the above discussion, it has been concluded that Cognitive behavioural therapy
is the selected approach for the rehabilitation program for Bill. He needs to stop the intake of
drugs, and he should adopt healthy behaviour. CBT is a part of cognitive behavioural therapy
that will help Bill to stay away from the situation, places, or people that results in the intake
of drug in the first place. Apart from CBT, medication is also very crucial and necessary that
helps in making the treatment more effective. Drug addiction cannot be stopped overnight,
and thus with the help of a rehabilitation program that includes therapies as well as the
medication will result in resistance towards the intake of drugs. Besides, family members,
including his mother who always support him, as well as youth workers close to him, should
support during the entire rehabilitation program. Finally, with all the systematic procedure,
Bill can eventually start a new fresh life with all the positive behaviour.
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References
Akers, R. L., & Jennings, W. G. (2016). Social learning theory. Wiley Handbooks in
Criminology and Criminal Justice, 230-240.
archives.drugabuse.gov. (2020). Therapy Manual for Drug Addiction (pp. 1-137).
archives.drugabuse.gov. Retrieved from
https://archives.drugabuse.gov/sites/default/files/cbt.pdf
Arip, M. A. S. M., Ahmad, A., Saad, F., Jais, S. M., & Salim, S. S. S. (2015). The effect of
drug prevention programme based on cognitive-behavioural therapy (CBT) and
multidimensional self concept module towards resiliency and aggression among atrisk
youth in Malaysia. International Journal of Medical, Health, Biomedical,
Bioengineering and Pharmaceutical, 9(3), 278-282.
Bador, K., & Kerekes, N. (2019). Evaluation of an Integrated Intensive Cognitive Behavioral
Therapy Treatment Within Addiction Care. The journal of behavioral health services
& research, 1-11.
Dehkordi, A. H., & Solati, K. (2017). The effects of cognitive behavioral therapy and drug
therapy on quality of life and symptoms of patients with irritable bowel
syndrome. Journal of advanced pharmaceutical technology & research, 8(2), 67.
Dobson, D., & Dobson, K. S. (2018). Evidence-based practice of cognitive-behavioral
therapy. Guilford Publications.
drugabuse.gov. (2020). principles of drug addiction treatment (pp. 1-44). drugabuse.gov.
Retrieved from https://www.drugabuse.gov/sites/default/files/podat_1.pdf
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drugabuse.gov. (2020). Psychotherapy and Counseling in the Treatment of Drug Abuse (pp.
1-143). drugabuse.gov. Retrieved from
https://archives.drugabuse.gov/sites/default/files/monograph104.pdf
drugabuse.gov. (2020). The Science of Addiction (pp. 1-36). drugabuse.gov. Retrieved from
https://www.drugabuse.gov/sites/default/files/soa_2014.pdf
Goswami, Y. P., Jayalakshmi, L. S., & Mathur, D. M. (2019). EVALUATE THE
EFFECTIVENESS OF COGNITIVE BEHAVIOUR THERAPY (CBT) ON
DEPRESSION AMONG DETOXIFIED INMATES OF DE-ADDICTION
CENTERS AT SELECTED DISTRICTS OF RAJASTHAN.
Hayes, S. C., & Hofmann, S. G. (Eds.). (2018). Process-based CBT: The science and core
clinical competencies of cognitive behavioral therapy. New Harbinger Publications.
Hollin, C. R. (2019). What is Cognitive Behavioral Therapy (CBT) With Offenders?. The
Wiley International Handbook of Correctional Psychology, 623-636.
integration.samhsa.gov. (2020). Cognitive Behavioral Therapy (pp. 1-5).
integration.samhsa.gov. Retrieved from https://www.integration.samhsa.gov/clinical-
practice/sbirt/cbt_overview_part_1.pdf
Kratcoski, P. C. (2017). Cognitive Behavioral Therapies Used in Correctional Treatment.
In Correctional Counseling and Treatment (pp. 255-271). Springer, Cham.
LIU, Y., LUO, Y., WANG, C., SU, X., LIU, S., & ZHAO, L. (2017). The cognitive of taking
drugs and Drug Addiction of Teenagers in Xining compulsory drug addiction
rehabilitation center. Henan Journal of Preventive Medicine, (1), 5.
Morin, J. F. G., Harris, M., & Conrod, P. J. (2017). A review of CBT treatments for
substance use disorders. New York: Oxford Handbooks.
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naadac.org. (2020). Cognitive Behavioral Therapy for Substance Use Disorders [Ebook] (pp.
1-45). naadac.org. Retrieved from https://www.naadac.org/assets/2416/2018-09-
26_cognitive_behavioral_therapy_webinarslides_2.pdf
P. Rangé, B., & Robbe Mathias, A. (2020). Cognitive-Behavior Therapy for Substance
Abuse (pp. 1-15). Retrieved from
http://kognitifterapi.com/cbtistanbul/wp-content/uploads/2014/01/cognitive-behavior-
therapy-for-substance-abuse.pdf
Scholes-Balog, K. E., Hemphill, S. A., Evans-Whipp, T. J., Toumbourou, J. W., & Patton, G.
C. (2016). Developmental trajectories of adolescent cannabis use and their
relationship to young adult social and behavioural adjustment: A longitudinal study of
Australian youth. Addictive behaviors, 53, 11-18.
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