The publisher's final edited version of this article is available at Contemp Clin Trials Abstract Smoking cessation is a primary method of reducing excess mortality and morbidity. Unfortunately, the vast majority of cessation attempts end in eventual relapse. Relapse-prevention interventions have shown some success at improving the long-term maintenance of tobacco abstinence among individuals motivated to abstain.
Relapse prevention measures are aimed at maintaining sobriety, delaying imminent relapses and preventing subsequent relapse. Research, for long, has suggested that men attending the relapse prevention sessions for marijuana use are more likely to report reduced use without problems.
Later research has also supported engagement in aftercare as a predictor of marijuana abstinence at follow-up among adolescents.
Marijuana Abuse is a Chronic Condition Marijuana addiction develops over years with a host of biological, psychological and environmental factors contributing to its development. A lot of parallels can be drawn between marijuana addiction treatment and other chronic medical conditions such as hypertension.
Role of personal responsibility, frequently associated with exacerbating the effects of marijuana, has been well established for chronic medical disorders like hypertension as well.
However, effective treatment options are available for the management of marijuana addiction like other chronic medical disorders.
The challenge of poor treatment retention observed with marijuana addiction is observed with hypertension as well with less than 40 percent being fully adherent to the treatment. These rates are comparable to the findings among those seeking treatment for marijuana addiction.
The chronic, relapsing nature of addiction is reflected in the fact that more than half the individuals entering publicly funded addiction programs require multiple episodes of treatment over several years to achieve and sustain recovery. Continuing Care Options Continuing care for marijuana addiction refers to the extension of treatment beyond the initial phase.
Counseling and support is continued throughout, with an aim to prevent relapse and encourage drug- free lifestyle. CBT—administered to individuals as well as in group settings—has been found to be effective for marijuana addiction treatment.
Similarly, a randomized controlled trial of group CBT found a significant reduction in: Days of use of marijuana. Number of uses per day, dependence symptoms.
Problems related to use over a month follow-up. Dennis and colleagues compared five treatment models for their effectiveness among adolescents. These included MET-CBT 5 2 individual and 3 group sessionsMET-CBT 12 2 individual and 10 group sessionsMET-CBT 12 plus family support network 6 parent education group sessions, 4 home visits, and case managementthe community reinforcement approach 10 individual sessions and 4 parent sessionsand multidimensional family therapy 12 to 15 family systems-focused sessions.
The recovery is sought in physical, mental, emotional and spiritual domains as one works through the steps. Members are encouraged to share their process of recovery and associated problems with others in meetings. One is also encouraged to identify a more experienced member of the group as a sponsor to guide through the recovery process.
Such programs have been found to complement the benefits of professional addiction treatment. While the description of possibilities of step self-help program for marijuana addiction in medical literature dates back more than two decades, there is limited information on its utilization and effectiveness for marijuana addiction.
These include respiratory problems such as chronic bronchitis and pneumonia. Cardiovascular problems, especially among older adults with ischemic heart disease, hypertension, and stroke.
It is likely that prolonged marijuana smoking could be a risk factor for lung cancer, although this findings remains to be established unequivocally. Also, marijuana use has been identified as a known risk factor for development of psychoses.
These adverse physical and mental health effects associated with marijuana use warrant regular medical follow-ups during the aftercare.
Marijuana can adversely impact the developing brain of adolescents and lead to adverse educational outcomes.
The duration of exposure to the therapeutic milieu of the community is one of the most important predictors of the successful outcome.Socially, women may be able re-build relationships with non-smoking friends; a good source of support to prevent smoking relapse (Heggie ).
Considering time constraints which often cause a barrier to effective health promotion by the midwife, discussions related to smoking may be brief or . Know Your Smoking Triggers.
If smoking is convenient, it might be easier to relapse. There are things that you can do to break the habit by making simple changes to the way you live. Preventing smoking initiation in children and adolescents will be reviewed here, focusing on interventions that can be performed in the primary care setting.
Management of smoking cessation in adolescents is discussed separately. 1. Introduction. Cigarette smoking is the leading preventable cause of morbidity and mortality in the United States [1, 2].Sustained smoking cessation reduces mortality and morbidity, but most smokers who achieve short-term tobacco abstinence eventually relapse to smoking.
Nov 24, · Make a Relapse Prevention Card to Take with You OK, you’ve read this far, and if you think the 4 Ds make sense, take 5 minutes to write a relapse prevention card to carry around with you. Do it right now (before you get distracted:) and you maximize your odds of having it .
This essay is aim to compare the similarities of three relapse prevention strategies with brief evidences of their effectiveness; meantime, it will contrast the difference between those relapse prevention strategies thereby find the most effective approaches in different situations.