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T
he American Society of Addiction Medicine defines addiction as a primary, chronic disease of brain reward, motivation,
memory and related circuitry. Genetics, together with bio-psycho-social-spiritual factors, account for the likelihood one
will develop addiction or other RDS disorders. Health professionals can help individuals manage addiction and other RDs
disorders to realize recovery: A different, better way of life with purpose and meaning. This presentation describes
A Recovery
Model for Addiction and other Reward Deficiency Syndrome Disorders
. The quality of care concept developed by Avedis
Donabedian suggests structure, process, and outcome as a way to organize the model. An ecological paradigm, empowerment
theory, and evidence-based practice support this organization. Ten constructs frame the model: self and surroundings;
management and self-efficacy; change, lifestyle, and well-being; risks for relapse, relapse prevention, and relapse. The model
reflects the shift from the traditional medical psychiatric model of care toward the concept recovery. The definition of recovery
advanced by the Substance Abuse and Mental Health Services Administration grounds the model. The model embraces the
vision and overarching goals of Healthy People 2020. It reflects current addiction practice: i.e., the
DSM-5
and the
ASAM-3
.
Live well! Recovery is an idea whose time has come
Biography
Sandra Rasmussen (PhD, RN, LMHC, CAS-F) is a certified Addiction Specialist in alcohol, other drugs, and gambling. She was recognized by the Virginia Public
Health Association and honored by the University of Minnesota for her teaching excellence, practice expertise, management competence, research production,
scholarly publications, and service contributions in addictions. She currently divides her time among clinical practice, graduate teaching, research, and writing. Her
book
Addiction Treatment Theory and Practice
won the AJN Distinguished Book of the Year Award. A companion volume
Addiction Recovery Theory and Practice
is under contract. Recovery is her personal and professional passion
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