Improved Treatment Plan: for the M.I.C.A. Mentally Ill Chemically Addicted Patients
Mentally Ill Chemically Addicted patients are patients that fall in line with co-occurring disorders. Typically those who suffer from depression and many other disorders, but use drugs or alcohol as a form of self-medication. The absolute most popular model of substance abuse cure in the United States is the twelve step approach. This approach expanded out of AA and NA Alcoholics Anonymous and Narcotics Anonymous and requires motivating patients to adopt the illness model of dependency, or label themselves as alcoholics or possibly recovering addicts from going to twelve step meetings, to acquire and utilize a sponsor, and to work the 12 steps.
There are two recent studies support the possible effectiveness of this treatment when carried out by mental health professionals. The first studied alcohol addicted outpatients. The number of subjects that received twelve step solutions improved substantially. The second study focused on VA inpatients with alcohol and/or another substance abuse disorders.
At the yearly follow through, the group of subjects that had received twelve step solutions increased significantly in many life areas. Around 80% reduced their consumption of alcohol, 25% not any longer met diagnostic criteria for a substance abuse disorder, 20% were totally abstentions, and roughly 30% improved on anxiety, depression, and/or employment status. If any associated with percentages seem disappointingly lower to you, it must be noted that these were impaired patients.
Many of the subjects were MICA Mentally Ill Chemically Addicted patients, suggesting that twelve step fellowships may be supportive for this sub-population. Though this study had some big flaws e.g. lack random assignment to groups, it’s a valuable first step toward evaluating the strength of twelve step treatment plan for inpatients.
New discovery on Self Medication
An important issue associated with the treatment and assessment for the MICA Mentally Ill Chemically Addicted patients is the self-medication hypothesis. The hypothesis asserts that at least many psychoactive substance users abuse alcohol or other drugs to reduce their psychological distress.
A latest award-winning study conducted at SUNY-Albany gives support to this notion. A graduate student in psychological science was distressed that all patients with an anxiety disorder who were introduced at the clinic of which she worked were turned away and referred elsewhere when they also suffered from drug or alcohol problem. She conducted and designed within-subject, controlled study with three patients, all of whom were diagnosed with both panic disorder and alcohol abuse. An amazing study, it can boost our self-confidence that a lot of chemical abusers self-medicate. This points to your importance of efficiently curing other Axis I disorders if the MICA Mentally Ill Chemically Addicted patients are to remain “clean and sober.”
New discovery on Substance Abuse Treatment.
A quantitative summary of the scientific literature was recently done on the results of psycho-social treatments for substance abuse.
Which do you think has been discovered to be the most effective: individual group, therapy treatment, or couples, family therapy?
If you guessed couples, family treatment, you are right.
It is rarely correct that drug addicts have little contact with their family members. Families obviously are a major part of addicts environments so if you can treat not only the addicts but their environments as well, you’re reducing the possibility of relapse.
Often, well-meaning family members say issues that addicts interpret as overly intrusive or critical. This might increase trigger and stress self-medicating with illegal substances. When family members are taught about the addicts’ issue, they may learn to blame the disorder instead of the addicts. This really is especially relevant to MICA Mentally Ill Chemically Addicted patients. When families are taught how exactly to communicate more efficiently, there ought to be less stress and more support. And with less stress and more support, there are likely to be fewer relapses of both the dependency as well as the other mental disorders.
Conclusion To: Mentally Ill Chemically Addicted
Unfortunately, new research recently completed which was aimed at giving clinicians ideas on how exactly to best match specific alcoholics and addicts with specified treatments yielded indecisive results. Within the absence of such data, clinicians should try to provide the patient as much choice as possible among empirically supported approaches. Such research supported treatments include both some newer and twelve step educational approaches.