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Intervention Models for Substance Abusers

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Substance abuse can be looked at in two distinctly different ways. One of these is a medical model, examining the physical aspects of a personÆs biological make-up that compel or make it relatively easy for him or her to become psychologically and sometimes physically dependent upon some substance to the extent that the person is unable to manage their lives without the drug. Often substance abuse is the same as substance dependence or addiction, when a person has a compulsion to take a drug in order to experience its psychological (or physical) effects. Addiction is a severe form of dependence, existing when the drug has produced physiological changes in the body, as evidenced by the development of tolerance and of a withdrawal syndrome after the drug's effects have worn off.

While this is a very useful model, it is not the one that is generally referred to when people speak of substance abuse. What is generally being referred to by that term is the psychological and social costs incurred by individuals û and inflicted on their intimates and acquaintances û when they are unable to use certain legal drugs wisely and in moderation and/or when they use certain illegal drugs at all. This paper examines two models of intervention for substance abuse offenders after a brief general discussion of the issue of substance abuse.

It should be noted initially that while substance abuse as a general term is a widely used one it is in many ways deceptive because it implies a uniformity i

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the point at which people enter either the criminal justice system or in-house drug treatment facilities, psychiatric hospitalization, et cetera Fullard, 1998, p. 63). Fullard (1998, p. 63) describes the elements of such a boot-camp model and what makes it effective, most importantly the fact that it is a ôtotal learning environmentö that includes academic and vocational education, substance abuse intervention, discharge planning, independent living skills lessons, and individual and group counseling. The importance of responsibility is also stressed. The program's three major areas of responsibility are self-responsibility, responsibility to others, and accountability. In developing self-responsibility, inmates set personal goals and use their skills to accomplish these goals. Participants learn self-assessment, decision-making, and communication skills. In learning responsibility to others, participants learn to maintain healthy, strong, mature relationships and assimilate confrontation skills from group sessions (giving and receiving feedback). This helps pinpoint obstacles to success and reverse the negative effects of dependent/unhealthy relationships (Fullard, 1998, p. 64). Perhaps the most important element of such pro
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Approximate Word count = 2274
Approximate Pages = 9 (250 words per page)

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