Drugs of Use and Misuse
Introduce yourself to the class!
Part 1: Introduce yourself to the class including your background, area of health or public health interest/work, and career aspirations.
Part 2: Discuss what you hope to learn in this class.
Part 3: Put forth your own definition of addition, in your own words. Hypothesize what makes something ‘addicting’ or discuss the characteristics of a substance/behavior that can make it addicting.
KINE3355 ADDICTIVE BEHAVIORS
Module 2 Discussion
Drugs of Use and Misuse
How does substance use and misuse vary across populations?
What role does the social determinants of health play in the development and maintenance of substance use and abuse?
There are patterns in the way people use substances. Some groups (e.g., socioeconomic, age, gender, race, locality, etc.) of people may be more likely to use specific substances compared to others based on numerous factors like availability, access, and drug high. It is important to consider how the social determinants of health may impact an individuals or communities access to and use of certain substances. After completing Reading #1, respond to the below prompt.
Instructions:
For this discussion board, you will write a brief report on a chemical substance of your choosing. Review the DrugFacts Sheets to select a substance of interest to you. Research this substance at the UTA Library to find a scholarly article(s) related to how use of this drug varies across populations. Your brief report should provide an overview of substance use and misuse specific to your selected drug. Your report should include:
The prevalence of use among the population.
Are some people more likely to use the substance than others? Who is most at risk?
The patterns of use for this drug, how do people usually take it, frequency, etc.?
Are there other drugs that people commonly use with this substance?
The risk or protective factors that may affect use.
You must cite at least two references using APA format (Links to an external site.).
Your initial post should be at least 250 words. Substantive comments to your classmates should be at least 75 words.
KINE3355 ADDICTIVE BEHAVIORS
Module 4 Discussion
Harm Reduction Approaches
What are the harm reduction strategies used to address substance use and abuse?
How do these strategies affect national opioid crisis policy?
The national opioid crisis has elicited a massive public health response. Each year, millions of people misuse prescription painkillers and opioids are responsible for 115 overdose deaths per day. As seen in your Module 4 readings, there are several harm reduction strategies used to prevent the harm associated with substance misuse including infectious disease, overdose, and death. Select one of the following harm reduction strategies and prepare a brief overview of the strategy, its intended purpose and rationale, and review the evidence for its effectiveness.
Good Samaritan Laws
Needle Exchange Programs
Access to Naloxone
Drug Checking
Supervised Consumption Services (primarily located in other countries)
Instructions:
Select one of the above topics to review. Search the UTA Library for a scholarly article reviewing the implementation and effectiveness of this strategy.
Provide a summary of the strategy, its intended purpose, and rationale for implementation.
Review the evidence provided in your article for its effectiveness at reducing harm associated with drug misuse.
Discuss whether you would recommend the use of this strategy in your community.
You must cite at least one reference using APA format (Links to an external site.).
Your initial post should be at least 200 words. Substantive comments to your classmates should be at least 75 words.
Expectations:
Please post your initial response by 11:59 p.m. (CT) Wednesday of Module 4, and comment on the posts of two classmates by 11:59 p.m. (CT) Saturday of Module 4.
KINE3355 ADDICTIVE BEHAVIORS
Module 5 Discussion
12-Step Self-Help Meeting Reflection
What did you learn visiting a 12-step self-help meeting?
How have your thoughts or feelings about addiction changed during this course?
Now that you have completed your experiential learning opportunity, share your experiences with your discussion group. From your experience, what did you learn about addiction, what concepts from class did you see applied, how did this experience affect your thinking on addiction? Consider what you have learned in this course and how it might apply in your future career. What things will you take with you?
Instructions:
Describe your experience at a 12-step self-help meeting.
Describe how the meeting was facilitated in an online or in-person format.
Describe the attendees and how they interacted with each other.
What did you find interesting or surprising during the session?
What etiological addiction model did this group adopt?
What concepts from this course did you see applied in this meeting?
Discuss how the COVID-19 pandemic might affect treatment attendance, maintenance and relapse among those with substance use disorders.
Discuss how your thoughts or feelings about addiction have changed during this course, if at all.
What have you learned in this course? Will what you learned in this course help you in your career or performing your job? In what ways?
Your initial post should be at least 450 words. Substantive comments to your classmates should be at least 100 words.
Expectations:
Please post your initial response by 11:59 p.m. (CT) Wednesday of Module 5, and comment on the posts of two classmates by 11:59 p.m. (CT) Friday of Module 5.
KINE3355 ADDICTIVE BEHAVIORS
Module 1 Assignment
Factors that Influence Addiction Assignment
Differentiate static and dynamic risk and protective factors of addiction.
Explain how physiological and psychological factors influence the initiation, maintenance, abstinence, and recovery from chemical and behavioral addictions.
Have you ever wondered what makes one person become addicted to a substance while others, who use the same substance, do not? Every person has risk and protective factors that influence their thoughts, feelings, behavior, and physiology. These factors interact with genetics, internal traits, and social and environmental influences (Social Determinants of Health (Links to an external site.)) to make it more or less likely that someone will become addicted.
Instructions:
Respond to each of the following prompts. Responses to each prompt must be substantive (about 2 pages single-spaced). Be sure to clearly number your responses. Your paper does not need to be in APA format but your references should be included in APA format. Please use both in-text citations and a reference list at the end. This article by Stone, Becker, Huber, & Catalano (2012) may help you get started.
Explain how useful (or not) static factors and dynamic factors can be from a treatment perspective.
You are a school counselor or nurse. Research ways you could implement strategies, programs, or interventions at your school that would promote dynamic protective factors for your students. Describe: 1) the protective factor you will target, 2) the intervention and how you would implement it, 3) and what outcome you expect. You must cite at least one academic reference using APA format (Links to an external site.).
You are an addiction counselor in a probation office. Research ways you could implement strategies or interventions for your caseload that could help mitigate dynamic risk factors for substance use among your probationers. Describe: 1) the risk factor you will target, 2) the intervention and how you would implement it, 3) and what outcome you expect. You must cite at least one academic reference using APA format (Links to an external site.).
KINE3355 ADDICTIVE BEHAVIORS
Module 3 Assignment 1
Action Plan for Experiential Learning Opportunity
Plan your experiential learning trip details including date/time, location, and group type.
In this course, you will conduct an experiential learning opportunity observing a 12-step self-help meeting. These 12-step self-help meetings can include Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, Gamblers Anonymous, and Overeaters Anonymous, among others. This learning opportunity is integral to understanding addiction from the point of view of the patient and will give you a better idea of what it might be like living with an addiction. For this assignment you need to identify a 12-step self-help meeting that you will attend for your experiential learning opportunity and reflection discussion (Discussion Board 5.1 – Due in Module 5). It is recommended that you conduct your experiential learning opportunity in Module 4.
Due to the COVID-19 pandemic conditions, I am not requiring that you attend a 12-step self-help meeting in-person. Depending on the conditions in your community and your comfort level with masking and social distancing, you can choose to attend a meeting in-person or online. While searching for an in-person/online meeting, please ensure it is listed as an open meeting to the public.
Instructions:
Use this worksheet Assignment 3.1 Action Plan for Experiential Learning Opportunity downloadto plan your experiential learning opportunity at a 12-step self-help meeting. The worksheet includes links to common 12-step self-help websites where you can locate meetings.
Complete the above worksheet with your meeting details.
Review and sign the Rules of Behavior in the worksheet to ensure you understand your role while attending these meetings.
Expectations:
Please submit this assignment by 11:59 p.m. (CT) on Sunday of Module 3. Submit as a Word document or PDF file only in the format provided.
KINE3355 ADDICTIVE BEHAVIORS
Module 3 Assignment 2
Behavioral Addiction Presentation
Differentiate impulsivity and compulsivity in behavioral addiction.
Evaluate the initiation and maintenance of a behavioral addiction.
Explain the biological, psychological, and behavioral signs of behavioral addiction.
Apply the social determinants of health to the initiation and maintenance of behavioral addictions.
There are numerous behaviors that can present biologically or psychologically as addictions or disordered impulsive or compulsive behavior. For this assignment, you will choose one of the below behavioral addictions and develop an overview presentation on your topic. You will research your behavioral addiction including prevalence, clinical characteristics, etiology, social determinants, and treatment (see the instructions for specifics). This report will require a significant amount of research to find peer-reviewed journal articles that address each of the presentation topics.
Food Addiction
Exercise Addiction
Internet or Online Gaming Addiction
Social Networking Addiction
Gambling Addiction
Sex or Love Addiction
Compulsive Buying Disorder
Instructions:
Research your chosen behavioral addiction and develop a PowerPoint presentation report that addresses the below items. Your PowerPoint presentation should be between 10-12 slides, not including your references. Your PowerPoint must also include audio narration from you, as if you were presenting to a class. Your oral presentation should be between 9-11 minutes. See these instructions (Links to an external site.) on how to record audio narration. Be thorough in your research.
Slide(s): Epidemiologic Data
Report the prevalence of the addictive behavior in the population.
Describe how this behavioral addiction varies across sub-populations (e.g,, race, gender, location, etc.). Who is most at risk?
Slide(s): Clinical Characteristics and Phenomenology
Describe the physical, neurological, psychological, and behavioral characteristics present in this addiction.
Review the diagnostic criteria, if available. What would a clinical professional want to look for in the patient?
Are there common co-morbid conditions that occur with this addiction?
What is the role of impulsivity and compulsivity in this addiction?
Slide(s): Etiology
Review the risk and protective factors that may contribute to developing this addiction.
Slide(s): Social Determinants of Health
Discuss the social determinants of health (Links to an external site.) that may affect the etiology or maintenance of this addiction.
Slide(s): Treatment
What are the common treatments used to treat this addiction?
Slide: References
Use course provided materials or find resources at the UTA Library.
Cite your resources using APA format (Links to an external site.).
Expectations:
Please submit this assignment by 11:59 p.m. (CT) on Sunday of Module 3. Submit as a PowerPoint file only in the format provided above.
This assignment must be your own original work. Please do not copy and paste sentences or paragraphs from any resource, even if you include a citation, it is considered plagiarism to not write in your own words. Submissions are reviewed by UniCheck plagiarism checker. Your similarity index must be below 20%.
KINE3355 ADDICTIVE BEHAVIORS
Module 3 Assignment 3
Action Plan for Group Policy Brief
Select your Group Policy Brief paper topic and assign responsibilities for Assignment 4.1.
In Module 4, you will write a group policy brief. You and your team members will select an evidence-based policy that targets substance use or abuse in communities, states, or at the federal level. A list of potential topics is provided below, other policy or prevention efforts can also be chosen as your topic and should be approved by the faculty member. Contact your Academic Coach if you would like to request a topic not listed below.
Tobacco Policy Topics (Links to an external site.)
Warning statements on tobacco packaging
Regulation of flavored/menthol tobacco products
Raising taxes on tobacco products
Smoke-free public housing project
Smoke-free restaurants, bars, public places, etc.
Alcohol Policy Topics (Links to an external site.)
Alcohol taxes
Regulation of drink specials or wholesale pricing
Blood alcohol concentration limits
Prohibitions against underage drinking
Pregnancy and drinking warnings in restaurants/bars
Cannabis Policy Topics (Links to an external site.)
Legalization of recreational use
Cultivation restrictions
Price controls and taxes
Seed-to-sale inventory tracking systems
Warning labels on packaging
Additional evidence-based prevention programs can be found at the SAMHSA Evidence-Based Practices Resource Center (Links to an external site.). Please keep your topics focused on policy or prevention efforts, not treatment.
Instructions:
Connect with your group: Team members can be found under global navigation on the left-hand toolbar under Groups, look for the Assignment Group for this course.
See also these Canvas Guides for finding your group (Links to an external site.) and emailing your group (Links to an external site.).
If you click on your Group under the global navigation, it will take you to your private Group Homepage where you can create discussion threads, post announcements, and share files with each other. I suggest that you use the Collaborations function in Canvas to create a Google doc that all members can view and edit at any time (without having to email versions back and forth).
Complete this worksheet Assignment 3.3 Action Plan for Group Policy Paper with your team members to choose a topic and assign responsibilities.
Each team member should provide their preferred contact information (university email, phone, text, etc.).
Collectively choose a policy topic for your paper.
Outline each team members individual responsibilities to be completed in Module 4.
Expectations:
Please submit this assignment by 11:59 p.m. (CT) on Sunday of Module 3. Submit as a Word document or PDF file only in the format provided. Only one person needs to submit the action plan on behalf of the group.
KINE3355 ADDICTIVE BEHAVIORS
Module 4 Assignment
Group Policy Brief
Numerous effective policies and prevention efforts have been identified for preventing or reducing substance use and abuse. However, as Dr. Murthy mentioned, effective policy and prevention efforts often are not funded appropriately and some people may not understand how the effort is supposed to work, whether it will be effective or produce a return on investment. In this group project, you and your team members will select an evidence-based policy or prevention effort that targets substance use or abuse and provide a review of its purpose, effectiveness, and recommendations for future work.
Instructions:
Your policy brief will describe the substance use issue your selected policy addresses, describe the policy, discuss the evidence for why it was developed and implemented, and evaluate the effectiveness of this policy in communities. Your policy brief should be 4-5 pages of written content formatted as follows:
Title: Quickly communicates the contents of the brief.
Executive Summary: 1-2 paragraphs providing an overview of the problem, policy review, evidence for effectiveness, and recommendations.
Context or Scope of the Problem: Communicate the importance of the problem and aim to convince the reader of the necessity of this policy action.
Policy Review: Describe in detail the selected policy approach; what does the policy propose to do and its rationale for implementation; how will it prevent substance use or abuse?
Policy Effectiveness: Evaluate the evidence for its effectiveness; review evidence of success in other countries, states, or communities. Is there evidence that is reduces or prevents substance use or abuse?
Conclusion: Discuss whether the policy is effective or sufficient as it is written; what recommendations do you have for improvement; what other recommendations do you have for policymakers?
Reference List: Use course provided materials or find resources at the UTA Library or government websites.
Write your policy brief using APA format (Links to an external site.) including a title page, reference page and 4-5 pages of double-spaced content.
Here is an example student policy brief: Raising Tobacco Taxes
Expectations:
Please submit this assignment by 11:59 p.m. (CT) on Sunday of Module 4. Submit as a Word document or PDF file only in the format provided.
This assignment must be your own original work. Please do not copy and paste sentences or paragraphs from any resource, even if you include a citation, it is considered plagiarism to not write in your own words. Submissions are reviewed by UniCheck plagiarism checker. Your similarity index must be below 20%.
KINE3355 ADDICTIVE BEHAVIORS
Module 5 Assignment
Chronic Care Management Plan
People living with a chemical or behavioral addiction often struggle with daily living functions, employment, family, and social relationships. Applying a chronic care management plan can be useful to help a patient manage their chronic disease. Utilize the case below and outline a chronic care management plan for this patient.
Instructions:
Review this case scenario.
Use this template Assignment 5.1 Chronic Care Management Plan to create your chronic care management plan.
Be sure to thoroughly address each area (review the grading rubric for more information). You will be graded based on the thoroughness of your responses and the integration of course materials.
Support your response with evidence and/or examples from the course materials and/or find additional resources from the UTA Library.
Cite any resources using APA format (Links to an external site.).
Expectations:
Please submit this assignment by 11:59 p.m. (CT) on Friday of Module 5. Submit as a Word document or PDF file only in the format provided.
Discussion Board 5.2: Case Scenario
Suzanne has come by the free drop-in counseling clinic where you work to get some information and advice. Suzanne is a 22-year-old single woman who has been living with her boyfriend Jack in Manhattan’s lower east side for the last four years. She and Jack have been heroin addicts for as many years.
When Suzanne was 10 years old, her father, whom she says was a very heavy drinker, left her mom and the kids and never came back. At 14 she started drinking and smoking marijuana. At 16 she had dropped out of high school and at 18 she moved in with Jack. He introduced her to heroin. She reports using about a 1/2 gram of heroin per day just to be able to function and feel comfortable. In order to pay for the heroin and pay the rent on their apartment, Jack doesn’t work, instead, she works the streets at night. She usually drinks four or five beers each night before going out to work. If she can’t score enough heroin, she will try to score either some Valium or Klonopin to “tide me over until I can get some ‘horse’.” She says she has tried cocaine but, “I really didn’t care for the high all that much.” Suzanne tells you that the alcohol and heroin help to calm her nerves and get her through the night.
She and Jack are not having sex all that much. When they do make love, he never wears a condom. He says that’s what makes him different from her John’s. “Which is true because I won’t work without a condom.” Lately she has noticed that her breasts have become swollen and more tender. She also hasn’t had her period in the last 12 weeks. She is pretty sure she is pregnant and knows it’s her boyfriend’s baby. However, she not sure she can stop using dope or work to have the baby even though Jack wants her to keep it. She is really confused at what she should do and is asking for you to help her make some decisions. Her friend who works with her at night told her not to stop using dope if she is pregnant because it’s worse for the baby than to keep using. “I just don’t know what I should do?”
Considerations
As you write your care management plan for Suzanne, consider the following questions.
1. What substance does she seem most addicted to and which pose the greatest danger to withdraw from?
2. What dangers do you see in this case, for Suzanne and for the baby?
3. What treatment options would you offer Suzanne?
4. What referrals would you give her?
5. What legal issues are likely to present themselves if she decides to keep the baby?
KINE3355 ADDICTIVE BEHAVIORS
Module 1 Quiz
Question 1Addiction has been understood in three distinct ways:
Immoral conduct
Environmental consequence
Personal choice
Maladaptive behavior
Disease
Question 2Disease models have facilitated the adoption of inhumane public policies, such as medical care refusal and criminal punishment.
True
False
Question 3Different views of substance use throughout U.S. and British history are the direct result of changes in economic, religious, and other social conditions.
True
False
Question 4Which model is considered the least stigmatizing model for understanding addiction?
Maladaptive Behavior
Disease
Moral
Question 5History suggests punishment is an effective means for reducing the prevalence of addictive problems in the population.
True
False
KINE3355 ADDICTIVE BEHAVIORS
Module 2 Quiz
Question 1The addiction process involves a three-stage cycle including:
Withdrawal
Disease
Tolerance
Intoxication
Preoccupation
Question 2Match the terms with the correct definition.
Inability to resist urges, deficits in delaying gratification, and unreflective decision-making.
Removal of a stimulus to increase the probability of a behavior
Repetitive behaviors in the face of adverse consequences and are inappropriate to a particular situation
Presentation of a stimulus to increase the probability of a behavior
Question 3The rewarding affects of substances involve activity in the nucleus accumbens by activating which neurotransmitters?
Dopamine and serotonin
Glutamate and dopamine
Opioid and serotonin
Opioid and dopamine
Question 4Symptoms of withdrawal only occur with certain hard drugs like cocaine and heroin, regardless of the frequency of use.
True
False
Question 5What are the two fastest ways to get a drug to the brain.
Transdermal
Smoking
Ingesting
Injecting
KINE3355 ADDICTIVE BEHAVIORS
Module 3 Quiz
Question 1Behavioral addictions are defined by which components [select all that apply]?
Relapse
Tolerance
Mood/affect modification
Co-morbid substance use
Salience
Question 2We understand behavioral addictions through the lens of which model?
Public Health
Biopsychosocial
Moral
Disease
Question 3When the behavior becomes the most important activity in the person’s life and dominates his or her thinking, feelings, and behavior, this refers to ___________.
Anticipation
Salience
Mood modification
Cues/triggers
Question 4A common theme across behavioral addictions is the comorbidity with [select all that apply]:
Mood and anxiety disorders
Personality disorders
Psychotic disorders
Eating disorders
Question 5Impulsivity and compulsivity may be considered ____________ factors that range independently across disorders.
Parallel
Equivalent
Combined
Intersecting
KINE3355 ADDICTIVE BEHAVIORS
Module 4 Quiz
Question 1Evidence-based programs and policies markedly reduce substance misuse and related threats to population health but are underutilized.
True
False
Question 2 What are the three types of prevention interventions?
Targeted
Selective
Protective
Indicated
Universal
Question 3Which of the following are true?
Preventive interventions aim to alter the balance between protective factors and risk factors.
The dissemination and transfer of research findings to practice is a relatively quick process.
The majority of schools offer effective content and delivery methods for preventing substance use in children.
The optimal way to reduce human cost associated with substance use is to prevent or delay the onset.
Question 4Which of the following is not true regarding the gateway hypothesis?
Most people that use legal substances do not progress to using illicit substances.
Marijuana causes other hard drug use.
Legal substance use, like alcohol and tobacco, are a gateway to hard drug use.
There is a predictable sequence by which people become involved in substance use.
Question 5Which is an example of a universal prevention intervention?
Jail-based programs targeting harm reduction among heroin users
Group-based programs targeting lifeskills among families in permanent supportive housing homes
School-based programs promoting social and emotional competencies
KINE3355 ADDICTIVE BEHAVIORS
Module 5 Quiz
Question 1The key elements of the self-determination theory are [select all that apply]:
Desire
Competence
Relatedness
Commitment
Autonomy
Question 2During the early stages of addiction, there is a clear connection between affect and urge to use. As addiction progresses, users like the drug less but feel they need it more.
True
False
Question 3Motivational interviewing is a patient-centered conversational-style approach to talking to clients about making changes therefore, therapists are passive and do not set a direction for the conversation.
True
False
Question 4Linguistic categories that demonstrate motivation for change include all of the following except:
Need
Ability
Commitment
Desire
Responsibility
Question 5Relational components of Motivational Interviewing, such as empathy, collaboration, and evocation, are important for client-therapist relationship development but do not predict change outcomes.
True
False
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