# Presentation: 111808

## Welcome

## Training CurriculumBased on TIP 43: Approaches to Providing Comprehensive Care and Maximizing Patient Retention

- Module 7: TIP Chapter 8

## Course Goals

- The goals of this training are to:
- Familiarize you with the content of TIP 43; and
- Increase your awareness of issues related to medication-assisted treatment of opioid addiction.

## Mod. 7: Approaches to Comprehensive Care and Patient Retention 

- Describe the recommended services for OTPs;
- Explain strategies for retaining patients in MAT;
- Identify approaches for counseling and case management;
- List the benefits of family involvement in MAT;
- Survey integrated approaches to MAT;
- Explain strategies for relapse prevention; and
- Investigate issues regarding referrals to social services, involuntary discharge and patient advocacy.

## Overview

- Core group of basic and extended-care services is essential for MAT.
- Psychosocial interventions contribute to patient retention.
- Well-planned, well-supported comprehensive treatment program increases likelihood of positive treatment outcomes.

## Non-Trivial Pursuit

## Non-Trivial Pursuit: Question 1

- Question 1: Psychosocial interventions contribute to treatment retention and compliance by addressing the ___________ and _________ problems and _________________________.

## Non-Trivial Pursuit: Question 2

- Question 2: A well-planned and supportive comprehensive treatment plan increases the likelihood of __________________________.

## Non-Trivial Pursuit: Question 3

- Question 3: Which of the following should be OTP Core services?
- Psychological assessment.
- Initial and annual medical assessment.
- Marriage counseling.
- Medication dispensing.
- Drug tests.
- Family psychological assessment.

## Non-Trivial Pursuit: Question 4

- Question 4: Which of the following should be OTP Core services?   ** ****   **
- Identification of co-occurring disorders and neuropsychological problems.
- Counseling related to substance abuse.
- Personality testing.
- Evaluation and intervention related to family issues.
- Referral for additional required services.
- HIV and Hepatitis C virus testing and related services.

## Non-Trivial Pursuit: Question 5

- Question 5: Strategies for Extended-Care include which of the following?
- Psychosocial.
- Biomedical interventions.
- Meditation.
- Peer support approaches.
- Exercise and proper diet.

## Non-Trivial Pursuit: Question 6

- Question 6: What other substance abuse addictions do some opioid patients have when they enter treatment?

## Non-Trivial Pursuit: Question 7

- Question 7: People addicted to opioids have greater risk of what medical conditions?

## Non-Trivial Pursuit: Question 8

- Question 8: What three outcomes do people who stay in treatment a year or longer have?

## Non-Trivial Pursuit: Question 9

- Question 9: Name two key factors that affect patient retention?

## Non-Trivial Pursuit: Question 10

- Question 10: Which of the following are strategies for improving patient retention:
- Individualize medication dosages.
- Make people go to a 12-step program.
- Clarify goals and treatment plans.
- Simplify the entry process.
- Inform employers of problems.
- Attend to patients’ financial needs.

## Non-Trivial Pursuit: Question 11

- Question 11: Which of the following are strategies for improving patient retention?
- Psychological assessment.
- Reduce attendance burden.
- Provide useful treatment services as early as possible.
- Explain criminal problems to the neighbors.
- Enhance patient interactions.
- Improve staff knowledge and attitudes about MAT.

## Non-Trivial Pursuit: Question 12

- Question 12: Which of the following should be a focus for MAT counseling?
- Guiding to eliminate substance abuse.
- Monitoring problematic behaviors.
- Making sure patients have all the freedom they need.
- Eliminate physical pain.
- Helping patients comply with the rules.
- Family medical history.

## Non-Trivial Pursuit: Question 13

- Question 13: Which of the following should be a focus for MAT counseling?
- Behavioral style assessment.
- Identifying problems and referring patients to extended services.
- Identifying and removing barriers to full treatment participation.
- Providing motivation for positive changes in lifestyle.
- Learning to discipline children better.

## Non-Trivial Pursuit: Question 14

- Question 14: List five components of substance abuse counseling.

## Non-Trivial Pursuit: Question 15

- Question 15: List five components of individual counseling.

## Non-Trivial Pursuit: Question 16

- Question 16: Name three types of group counseling.

## Non-Trivial Pursuit: Question 17

- Question 17: What is node-link mapping?

## Non-Trivial Pursuit: Question 18

- Question 18: What is the contingency management approach?

## Non-Trivial Pursuit: Question 19

- Question 19: Define psychotherapy.

## Non-Trivial Pursuit: Question 20

- Question 20: Which of the following are psychotherapy strategies?
- Address recent success/failure regarding substance abuses.
- Adopt more active role.
- Strengthen patients’ resolve.
- Take patient out for social events.
- Teach warning signs.
- Develop coping skills.

## Non-Trivial Pursuit: Question 21

- Question 21: Which of the following are psychotherapy strategies?
- Support rearranging priorities.
- Assist patients in managing emotional pain.
- Explore family history.
- Help patients enhance interpersonal functioning.
- Use only after strong therapeutic alliance is developed.

## Non-Trivial Pursuit: Question 22

- Question 22: If an OTP is not in the position to provide onsite HIV testing, how should they handle that?

## Non-Trivial Pursuit: Question 23

- Question 23: List three strategies for psycho-education in MAT.

## Non-Trivial Pursuit: Question 24

- Question 24: List six common education topics for patients.

## Non-Trivial Pursuit: Question 25

- Question 25: What percentage of women in MAT has experienced partner violence?

## Non-Trivial Pursuit: Question 26

- Question 26: What are the most popular and widely used mutual help models?

## Non-Trivial Pursuit: Question 27

- Question 27: What issue causes conflict between MAT and mutual help programs?

## Non-Trivial Pursuit: Question 28

- Question 28: List five patient goals for building relapse prevention skills.

## Non-Trivial Pursuit: Question 29

- Question 29: List three warning signs of relapse.

## Non-Trivial Pursuit: Question 30

- Question 30: What percentage of MAT patients are unemployed?

## Non-Trivial Pursuit: Question 31

- Question 31: What are the dangers in involuntary discharge?

## Non-Trivial Pursuit: Question 32

- Question 32: List three reasons for administration (involuntary) discharge.

## Non-Trivial Pursuit: Question 33

- Question 33: List three advocacy groups for MAT patients.

## Non-Trivial Pursuit

** **

## Training CurriculumBased on TIP 43: Approaches to Providing Comprehensive Care and Maximizing Patient Retention

- Module 7: TIP Chapter 8