The goal of our Outpatient Treatment Program is to reduce the risk of harm and decrease problem behaviors that result from continued use of substances. The intent of the intervention is to take action that decreases risk factors related to substance use, abuse or dependency; enhance protective factors; and provide ongoing services, as appropriate.
The specific goal of each individual client is determined by his or her consumption pattern, the consequences of his or her use, and the setting in which the intervention is delivered. The goal of treatment for individuals diagnosed with chemical dependency is to improve social functioning through complete abstinence from alcohol and drugs.
If you are the host or hostess of a party, it is a good idea to have everyone turns over their keys before the drinking begins to a responsible person who intends to remain sober throughout the party. That person can hand back keys to drivers who have clearly not been drinking. This reduces the chance that the person holding the party will be charged with serving alcohol to an intoxicated person.
If a person wants their keys returned and is too intoxicated too drive, you can offer to get them a cab to their home or find a sober driver to take them home.
DUI-Metropolitan Services provides the following levels of care:
Outpatient Treatment (OP)
The frequency and intensity of such treatment will depend on patient need but will be a planned regimen of regularly scheduled sessions that average less than nine hours per week.
Intensive Outpatient Treatment (IOP)
The frequency and intensity of such treatment shall depend on patient need but shall be a planned regimen of scheduled sessions for a minimum of nine hours per week.
Use of drugs, whether legal or illegal, does not constitute a substance use disorder even though it may be unwise and strongly disapproved of by family, friends, employers, religious groups, or society at large.
Substance use is not considered a medical disorder. For a medical disorder to be present, substance use must occur more frequently; occur at high doses; and/or result in a number of problems.
The term substance abuse or substance misuse is sometimes used to refer to any substance use by individuals, because their use of substances is illegal and/or induces behavioral and physical risks associated with substance use.
Substance Use Disorders are separated into two categories:
1. Substance abuse (may also be referred to as misuse)
2. Substance dependence
Substance Abuse/misuse
The DSM-IV TR defines substance abuse as problematic use without compulsive use, significant tolerance, or withdrawal. A diagnosis for substance abuse is made when one or more of the following occur within a 12-month period:
1. Repeated substance use resulting in a failure to fulfill major role obligations
2. Repeated substance use in situations that are physically hazardous
3. Substance-use related legal problems
4. Substance use despite having persistent or recurrent social or interpersonal problems.
Related substance abuse treatment services include but are not limited to:
a) Alcohol and Drug education
b) Outpatient treatment (OP)
Substance Dependence (also referred to as Chemical Dependency)
The DSM-IV TR defines substance dependence as a syndrome involving compulsive use, with or without tolerance and withdrawal. A diagnosis for substance dependence is made when three or more of the following occur within a 12-month period:
1. Tolerance, as defined by either of the following: (a) A need for markedly increased amounts of the substance to achieve intoxication or the desired effector(b) Markedly diminished effect with continued use of the same amount of the substance.
2. Withdrawal, as manifested by either of the following: (a) The characteristic withdrawal syndrome for the substanceor (b) The same (or closely related) substance is taken to relieve or avoid withdrawal symptoms.
3. The substance is often taken in larger amounts or over a longer period than intended.
4. There is a persistent desire or unsuccessful efforts to cut down or control substance use.
5. A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects.
6. Important social, occupational, or recreational activities are given up or reduced because of substance use.
7. The substance use is continued despite knowledge of having a persistent physical or psychological problem
that is likely to have been caused or exacerbated by the substance (for example, current cocaine use
despite recognition of cocaine-induced depression or continued drinking despite recognition that an ulcer
was made worse by alcohol consumption).
Related treatment services for individuals diagnosed with substance dependence disorder include but are not limited to:
