The harm reduction model is becoming more prominent in treatment of addictive behaviors. This model is controversial in challenging the abstinence model, instead implementing acceptance of continued use while at the same time working to improve other aspects of the individual’s life. The controversy over this model stems from the argument that by accepting some level of substance use or engaging in problematic behavior, the counselor is giving the client an excuse to engage in these self-destructive behaviors. Arguments in favor of the harm reduction model include that for many people, abstinence is not a realistic expectation, and that to insist on abstinence merely insures that the client will view himself or herself as a failure, and the result will be continued severe self-destructive behavior.
To successfully complete this learning unit, you will be expected to:
1. Network with other service providers to provide comprehensive services to clients.
2. Review current literature regarding current treatment theories and methodology for treatment of compulsive and addictive behaviors.
3. Demonstrate an understanding of theoretically based treatment approaches.
Complete the following:
o In your Substance Abuse Counseling text, read Chapter 7, “Individual Treatment,” pages 188–201.
o Read the following from the Library. These articles address individual treatment models including cognitive-behavioral therapy, mindfulness, pharmacotherapy, and harm reduction. Support groups are also addressed.
Wesson and Smith’s 2010 article, “Buprenorphine in the Treatment of Opiate Dependence,” from Journal of Psychoactive Drugs, volume 42, issue 2, pages 161–175.
O’Connell’s 2009 article, “Introducing Mindfulness as an Adjunct Treatment in an Established Residential Drug and Alcohol Facility,” from The Humanistic Psychologist, volume 37, issue 2, pages 178—191.
o Take time to thoroughly review the following Web sites. You should use this information to incorporate into upcoming discussions and assignments:
Harm Reduction Coalition.
National Institute on Drug Abuse’s Treatment Approaches for Drug Addiction.
Discussion 1: 1 page needed with two references.
Case Study Review
The following guidelines apply to all discussions throughout this course:
It is much more important to write clearly and concisely rather than lengthily. Remember that the requirement for each discussion is that you write approximately 250 words. Each discussion post should include a minimum of two citations and two references.
For this discussion, review the case study of Jody on pages 189–201 of your textbook. Then, complete the activity by answering these questions excerpted from your text:
Given the information provided:
o How would harm reduction reduce Jody’s use?
o Would suboxone or methadone be most effective form of harm reduction?
o Would motivational interviewing or CBT be the most effective theory when working with Jody?