# Clinical Interventions - Bio - Medication Assisted Treatment - Reduce withdrawal and cravings, - blunt effects of opioids. - Psycho - CBT to help patients recognise triggers, teach coping skills to manage stress, address cognitive distortions - [[15 Cognitive Distortions in CBT]] - [[Motivational Interviewing]] - To highlight discrepancies between current behaviors and their goals and values - Contingency Management -- Positive Reinforcement - Give rewards for positive behavior - Group Therapy - 12 Steps - Trauma informed - To address PTSD/Trauma history that drive substance use. - Skills building - to cope with stressors. - Social - Family Therapy / Couple Therapy - Peer Support - Practical needs -- financial, housing, employment # Rehabilitation and Recovery Models ==Continuity of Care is important, for the person going through this, it is a life long continuous journey== - There need to be systems/services in place for the different stages of recovery. Community - Intensive Outpatient Programs - Partial Hospitalisation Programs Inpatient - inpatient, residential rehab... structured, detoxification Harm Reduction - Not all individuals are ready. Then need to do harm reduction - supervised injection facilities. - Keep person alive, build rapport. - Community-Based Recovery and Aftercare. - Halfway houses, - Community centers. - Integration with Criminal Justice - Nonviolent offenders send for treatment.