Substance Use Disorders (PSYT90059)

The unit will provide an introduction into the area of substance abuse - definitions, classification systems, and epidemiology including incidence, prevalence and risk factors. It will cover the major substances of abuse including alcohol and other central nervous system depressants, stimulants and hallucinogens. The unit will have a practical approach, covering issues of features of the substance use disorder, assessment, long term effects and complications, family issues and medical and psychosocial management.

The interface between the substance use disorder and mental health and the issue of “Dual Diagnosis”, i.e. the co-occurrence of serious mental illness and substance use disorder in a particular person will comprise a major focus of the selective. Issues specific to the field of “Dual Diagnosis” such as epidemiology, the relationship between mental disorder and substance use disorder, the diagnosis of the respective conditions and their acute and long-term management will be covered.

Delivery of care in various treatment settings such as inpatient care, home-based detoxification, and residential support and rehabilitation services will be examined. Theoretical aspects of addiction and the psychological framework for treatment such as Prochaska and Di Clemente’s ‘stages of change’, motivational interviewing, 12 steps program of AA, co-dependency, relapse prevention and Zinberg’s social setting will be explored. The wider impact of substance abuse in the community will be covered, including prevention and health promotion, public education, the media, political, economic and social issues related to the availability of substances.