Treatment for Stimulant Use Disorders (TIP 33) Module 3 (3 Hours)

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In Module 3 readers will learn that:
  • There are no FDA-approved medications for managing stimulant use disorders.
  • CM is by far the psychosocial treatment with the greatest scientifc support.
  • After CM, the three other psychosocial interventions with the most support are CBT, community reinforcement, and MI.
  • Other forms of psychosocial treatment with less but still some support are the Matrix model, behavioral family or couples therapy, and case management/coordinated care.
  • There is growing evidence that physical exercise, mindfulness, and transmagnetic cranial stimulation also may help people with stimulant use disorders reduce their stimulant use or otherwise improve their health and well-being.
  • Not all people with stimulant use disorders will be interested in formal SUD treatment.
  • People seek treatment for any number of reasons, and clinicians will better understand how to help their patients engage and stay in treatment if they know why their patients are entering treatment.
  • Factors that can make treatment engagement more likely include: – Identifying barriers to treatment engagement. – Making treatment highly accessible. – Providing support for treatment participation. – Offering multiple treatment options. – Discussing with patients their expectations for treatment and any ambivalence they may have about treatment. – Working collaboratively with patients to develop a clear, fexible treatment framework.
  • Staff should be educated about how to provide person-centered, respectful, empathic services, which can help encourage patients to stay engaged in treatment.
  • To start treatment off “on the right foot,” clinicians should work with patients to set their treatment goals, fully assess their clinical needs, discuss reducing or discontinuing all substance use, and help them manage stimulant withdrawal symptoms.
  • Treatment retention is critical.
  • Many strategies can help patients maintain progress in recovery,
  • Other services that can help patients maintain recovery are vocational counseling, social skills training, relationship counseling, mutual-help support programs, and wellness counseling.

Lessons

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