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Substance Abuse Disorder Presentation Final
Substance Abuse Disorder Presentation Final
USE DISORDERS
ERIC MERIZON AND TAYLOR
BRYANT
SUBSTANCE USE DISORDERS (SUD) - DSM-5
Continued use of alcohol, tobacco, marijuana, or medications not prescribed despite significant disruption to meaningful
activities
Four criterion categories, 11 criteria total
Impaired control
Social impairment
Risky use of the substance
Pharmacological criteria
Psychological component
Certain personality traits associated with greater likelihood of substance use
problems
Trauma exposure
1 out of 8 adults struggled with an alcohol and drug use disorder simultaneously
8.5 million American adults had a mental health disorder and a substance use
disorder at the same time (more on this later)
Non-drinking cultures
Environment?
(Islam, LDS)
PREVALENCE OF CO-OCCURRING DISORDERS
Functional impairment
due to mental illness
(% of total population) 64%
61%
39%
36%
4% 5%
9%
85%
27%
15% 82%
73%
Symptoms managed
Sarah sought out
through social drinking of
behavioral health
alcohol and partying with
counseling services a few
friends, sometimes binge
times but graduated.
drinking.
CO-OCCURRING DISORDER CASE STUDY: SARAH
Relapse is Often
expected self-resolving
COURSE OF CO-OCCURRING SUBSTANCE USE DISORDER
(MAJOR DEPRESSIVE DISORDER)
Precipitation model:
Self-medication model:
Early alcohol use Model 3: common
Early adult MDD
disorder in adolescence factors elicit SUD
predicted later adult
predicted MDD in early ~and~ MDD.
alcohol use disorder
adulthood
SIGNS AND SYMPTOMS
Substance Use Disorder can negatively affect ALL occupations described in the
framework
Occupational scientists propose that disordered substance use can sometimes meet the
criteria for an occupation
Engaging in activities that are free of substance use could be very hard
After multiple
CO-OCCURRING DISORDER CASE STUDY: SARAH
miscarriages,
After a few days
in the hospital
emotional
and a new
condition
medication
escalates.
regimen, Sarah
Hospitalized to
was discharged
treat major Husband at to go home.
depression. work, feeling
isolated and
alone, starts to
drink alcohol
Failing to during the day.
consistently
perform basic
self-care and
home
management
daily activities.
MODELS/FRAME OF REFERENCE THAT COULD BE USED
EFFECTIVELY IN TREATMENT
MOHO
Behavioral Cognitive Framework
Sensorimotor approaches
COMMON OT INTERVENTION APPROACHES (INPATIENT)
Psychosocial therapies
Facilitating medication-assisted treatments
Sensory integration approaches
CO-OCCURRING DISORDER CASE STUDY: SARAH
Sarah sought
voluntary Inpatient focus:
readmission to adjustment of
treat her dual her medication
diagnosis of regimen
MDD and AUD.
Inpatient focus:
OT evaluation
for impact on
Inpatient focus:occupations
Group
interventions
focusing on the
use of cognitive
behavioral
therapy coping
strategies.
COMMON OT INTERVENTION APPROACHES
Boyt Schell, B. A., & Gillen, G. (2019). Willard and Spackman's Occupational Therapy (13th ed.). Baltimore, MD:
Wolters Kluwer. 229, 608, 1007
Brown, C., Stoffel, V., & Munoz, J. P. (2019). Occupational therapy in mental health: a vision for participation.
Philadelphia: F.A. Davis Co.
Dubner, S. J. (2020, January). The Opioid Tragedy, Part 2: “It's Not a Death Sentence” (Ep. 403) [Audio
podcast] http://freakonomics.com/podcast/opioids-part-2/
McLellan, A. T. (2017). Substance Misuse and Substance use Disorders: Why do they Matter in Healthcare?
Retrieved February 12, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5525418/
Opp, A. (n.d.). Recovery With Purpose: Occupational Therapy and Drug and Alcohol Abuse. Retrieved February 12, 2020,
from https://www.aota.org/About-Occupational-Therapy/Professionals/MH/Articles/RecoveryWithPurpose.aspx
Staff, M. C. (2017, October 26). Drug addiction (substance use disorder). Retrieved February 12, 2020, from
https://www.mayoclinic.org/diseases-conditions/drug-addiction/symptoms-causes/syc-20365112
Thomas, S. (n.d.). Addiction Statistics: Drug & Substance Abuse Statistics. Retrieved February 12, 2020, from
https://americanaddictioncenters.org/rehab-guide/addiction-statistics