26 Dec Discussion: Over-Treatment and Under-Treatment of Addiction The ter

Week 4: Levels of Treatment and Intervention

You might imagine that addiction professionals help clients who understand that they are addicted and who want help to overcome their addiction. However, addiction professionals often work with clients who do not want to be helped, which presents a unique set of challenges in intervention and treatment. These challenges may include over or under treating addiction which might present ethical dilemmas related to treatment of addiction.

Learning Objectives

Students will:

· Analyze consequences of over-treatment and under-treatment of addictions

· Apply strategies for mitigating over-treatment and under-treatment of addictions

· Design interventions for the treatment of addictions

Learning Resources

Note:  To access this week’s required library resources, please click on the link to the Course Readings List, found in the  Course Materials  section of your Syllabus.

Required Readings

Doweiko, H. E. (2019). Concepts of chemical dependency (10th ed.). Stamford, CT: Cengage.

· Chapter 28, "The Assessment of Suspected Substance Use Disorders" (pp. 389-404)

· Chapter 29, "Intervention" (pp. 405-413)

· Chapter 30, "Treatment Settings" (pp. 415-422)

· Chapter 33, "The Process of Treatment" (pp.448-468)

Mee-Lee, D., & Gastfriend, D. R. (2015). Patient placement criteria. In M. Galanter, & H. D. Kleber (Eds.), The American psychiatric publishing textbook of substance abuse treatment (5th ed.). Arlington, VA: American Psychiatric Publishing.

Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102–1114.

Clark, C. D. (2012). Tough love: A brief cultural history of addiction intervention. History of Psychology, 15(3), 233–246.

Required Media

Laureate Education (Producer). (2012b). Counseling session 2. [Multimedia file]. Retrieved from https://class.waldenu.edu

Document: "Counseling session 2" Transcript (PDF)

Discussion: Over-Treatment and Under-Treatment of Addiction

The term levels of treatment refers to a continuum arranged by intensity of treatment. The levels of treatment range from the least to the most intense and aggressive approaches. The American Society of Addiction Medicine's Patient Placement Criteria (PPC), the most frequently used and studied treatment levels classification system, divides the intensity continuum into four levels (Mee-Lee & Gastfriend, 2008). The PPC starts with Level I, outpatient treatment, which includes the least aggressive approaches. The system increases incrementally in intensity ending with Level IV, intensive inpatient treatment.

The appropriate level of treatment is determined by many factors, including the severity of addiction, prior treatment history, and the unique needs of the individual receiving the services. It is often desirable to try the least intrusive and restrictive level of treatment appropriate, as long as the individual's safety is not jeopardized. Other important factors must also be considered when determining the appropriate level of treatment, such as the need to continue earning a living or raising a family and the individual's stage of readiness for treatment (Prochaska, DiClemente, & Norcross, 1992). Knowledge of the levels of treatment may help an addiction professional determine the most appropriate levels of care based on the unique needs of each individual. Over-treatment and under-treatment of addiction can interfere with a client's progress on the path toward recovery and result in adverse consequences.

For this Discussion, review this week's readings. Then review the media and reflect on how the counselor employed the continuum of levels of treatment in the counseling session with Marge. Consider potential consequences of over-treating or under-treating Marge.

Provide a 400-word Discussion Post covering the following content, topics, and headings: 

· An example of potential over-treatment and an example of potential under-treatment for Marge.

· Explain the possible consequences of your chosen example.

· As a helping professional, explain how you would mitigate the potential for over-treating or under-treating clients.

· Support your response using the resources and the current and seminal literature regarding such factors as levels of treatment, patient placement criteria, and client's stage of readiness.

Utilize the Learning Resource and Required Readings to provide at least four references and citations sourced only from the Learning Resources and Required Readings.

Learning Resources

Required Readings

Doweiko, H. E. (2019). Concepts of chemical dependency (10th ed.). Stamford, CT: Cengage.

· Chapter 28, "The Assessment of Suspected Substance Use Disorders" (pp. 389-404)

· Chapter 29, "Intervention" (pp. 405-413)

· Chapter 30, "Treatment Settings" (pp. 415-422)

· Chapter 33, "The Process of Treatment" (pp.448-468)

Mee-Lee, D., & Gastfriend, D. R. (2015). Patient placement criteria. In M. Galanter, & H. D. Kleber (Eds.), The American psychiatric publishing textbook of substance abuse treatment (5th ed.). Arlington, VA: American Psychiatric Publishing.

Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102–1114.

Clark, C. D. (2012). Tough love: A brief cultural history of addiction intervention. History of Psychology, 15(3), 233–246.

Required Media

Laureate Education (Producer). (2012b). Counseling session 2. [Multimedia file]. Retrieved from https://class.waldenu.edu

Document: "Counseling session 2" Transcript (PDF)