In the social model, chemical dependency is believed to result from environmental, cultural, social, peer or family influences. As a specific strategy, the term harm reduction generally refers to only those policies and programs which aim at reducing drug-related harm without requiring abstention from drug use. Some traditional medical practitioners might say no—that symptom control is what defines recovery. Sue was referred to a psychologist for evaluation of her depression and eating behaviors. As well as showing through lived experience that, given the proper supports, they could live active lives in the community. Aftercare recommendations for Sue will likely include abstinence from all mood altering chemicals unless following the prescription of a doctor , ongoing counseling related to her eating problems and depression, attendance at Twelve Step meetings, securing a sponsor and participation in relapse prevention efforts and support groups. It is neither blaming nor punitive and it views seeking treatment as an appropriate response.
They worked together to assess how much, how often, and under what circumstances Sue drank and what the outcomes of her drinking behavior involved. What about the 40% who can't succeed and whose needs aren't addressed in the recovery model's almost exclusive focus on paid employment? They are concerned that she regularly over-eats to cope with her problems, and are afraid that she might attempt suicide. There is no diagram for this! Sue also talked about drinking alone at home to help her fall asleep at night. All the hope in the world didn't keep my son from having to get so psychotic and paranoid that he broke a law and was put in jail--the same as the remainder of the 11 million people who are routinely denied medical treatment. She was able to communicate with them more openly and effectively. Sue was informed that she would receive support and encouragement primarily from her peers. His entry also makes clear, why it is so important to adhere to the original recovery-concept, without allowing neither psychiatry nor any misunderstood sympathy toward certain users' needs to water down the notion and definition of recovery.
The harm reduction model upholds that abstinence is the ideal goal for those using illegal drugs. Thanks for taking on this ambitious task of reconciling two models that should not be thought of as mutually exclusive, but as complementary. A referral was made for Sue to see a Psychiatrist so that she could be evaluated for the possibility of a trial on antidepressant medication. Case Study Sue is a 29 year-old single white Deaf female who lives alone in a one-bedroom apartment. Disability is seen as something that could hold a person back.
Upon discharge, Sue reported that she felt she had made significant progress. Maryland Addiction Recovery Center offers the most comprehensive addiction treatment in the area. Or a reduction of harm intervention might also be deciding not to drink or use drugs when on medication. Thus it is the system that rehabilitates, while it is the individual who recovers. I hope to make a case for both of these models and ultimately show why they are complementary. How Our Helpline Works For those seeking addiction treatment for themselves or a loved one, the MentalHelp. A discussion and comparison with the harm reduction model will also be discussed.
Sues chemical dependency counselor explained that the philosophy of the program was to encourage her to minimize the harm she caused herself and others through her use of alcohol. Such active engagement and symbiotic relationship within community requires a mutual appreciation of the potential of people with and without mental health problems. These appraisals measured positive and negative psychotic symptoms, depression and anxiety, cognitive deficits, as well as functioning. For instance, if a user is actively seeking treatment and has reduced his or her drinking to only when triggered by emotional events, connecting that person to an Alcoholic Anonymous community might be helpful. Once the current level of use is assessed, this is then used as a baseline from which a reduction of harm begins.
In counseling sessions, Sue was given the opportunity to discuss her family history and other significant events of her development and reflect on how this history impacted her current drinking behavior. I was recently thanked for telling a person that I thought her major issue was in the self-regulation of emotions that is commonly found in borderline personality disorder. The program provided an interpreter for family groups and interactions between Sue, her mother and brother. Thus defined, harm reduction strategies would not include strategies such as abstinence-oriented treatment programs or the criminalization of illicit drug use-even though these policies and programs share the same goals as harm reduction strategies. A drug or alcohol abstainer is at risk of less harm than a drug or alcohol user; a moderate drinker is causing less harm than a binge drinker; a crystal meth smoker or sniffer is causing less harm than a crystal injector. Or it might be refraining from driving while drinking.
These programs typically provide the best match for persons with the following attributes; physically dependent on alcohol, benefit from the support of a self-help group, and have a spiritual orientation. These models can not save my son from himself when he becomes psychotic. In particular in the article Recovery and rehabilitation in the mental health system by, among others, Lene Eplov Falgaard and Henrik Day Poulsen. Connection, compassion, non-judgment, community, and hope are a lot more effective than medications and a diagnosis that stigmatizes and a prognosis that gives no hope. There are many ways this can happen, but one of them, paradoxically, is through overly conscientious parents who do too much for their children. The Medical Model The medical model relies on science—such as a correct biological diagnosis and research.
Serious, chronic, moderate and so-called mild types of 'mental condition' are all vague terms used to describe highly complex processes and dysfunctions in the brain which are largely not understood scientifically. The drug users decision to use drugs is accepted as fact. Recovery meets medical model again in the office. They made it sound like the mental health system equivalent of seeing a probation officer except they were forced to take psych meds. Addiction is a disease and it is a family disease. But like I said, I guess we will have to agree to disagree because I know people who do really well on their medication, and you know people who have had bad reactions. People using this model dont necessarily disagree with the idea of abstinence, but believe that abstinence is an unrealistic goal, and instead focus on other goals such as less problematic use.