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Samenvatting klinische orthopeadgogie: middelenmisbruik $8.64
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Samenvatting klinische orthopeadgogie: middelenmisbruik

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dit is een samenvatting van het onderdeel middelenmisbruik bij het vak klinische orthopedagogie, het andere deel over 'ges' Staat ook op mijn account. De samenvatting heeft een uitgebreide inhoudstafel wat het leren faciliteert. alle lessen die aanbod kwamen staan er grondig en uitgebreid in sameng...

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  • December 19, 2024
  • 85
  • 2023/2024
  • Summary
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KLINISCHE ORTHOPEDAGOGIEK:
MIDDELENMISBRUIK




Noor Desutter
SAMENVATTING MM 2023-2024

,INHOUDSOPGAVE

Les 1 en 2: productinformatie .................................................................................................................................. 4

Overview: ..................................................................................................................................................................... 4

Definiëring en contextschets ........................................................................................................................................ 5
Drugs ........................................................................................................................................................................ 5
Druggebruik:............................................................................................................................................................. 5
Afhankelijkheid (dependence) ................................................................................................................................. 6

Klassificaties (indelingen, groepen) .............................................................................................................................. 7

Pyshcoleptica................................................................................................................................................................ 9
GHB .......................................................................................................................................................................... 9
Gassen en vluchtige oplosmiddelen ....................................................................................................................... 11
Narcotica ................................................................................................................................................................ 12

Psychoanaleptica ....................................................................................................................................................... 15
Cocaïne ................................................................................................................................................................... 15

Psychodysleptica ........................................................................................................................................................ 20
Cannabis ................................................................................................................................................................. 20
Mescaline en psyclocibine (peyotl en psylootjes) .................................................................................................. 23
LSD.......................................................................................................................................................................... 23
Dissociatieven: ketamine ....................................................................................................................................... 24
Synthetische cannabinoïden .................................................................................................................................. 25

Producnten met een meervoudig werkingspatroon ................................................................................................... 26
3,4- methyleendioxyamfetamines (XTC, Mdma, mda ............................................................................................ 26
Para-methoxyamfetamines .................................................................................................................................... 28
Afgeleiden van benzofulraan: 6-APB (benzoFury) ................................................................................................. 28
Cathinonen: mephedrone… ................................................................................................................................... 28

Besluit ......................................................................................................................................................................... 29

Les 3: Het belgisch drugsbeleid .............................................................................................................................. 30

Het drugsfenomeen .................................................................................................................................................... 30
Multidemensionaal (domein) ................................................................................................................................. 30
Multi-level (niveaus) .............................................................................................................................................. 31

Het internationaal kader ............................................................................................................................................ 32
VN: Internationale verdragen ................................................................................................................................ 32
EU: Europese unie .................................................................................................................................................. 33

Historiek van het Belgisch drugsbeleid ....................................................................................................................... 34
Drugswet van 1921 ................................................................................................................................................ 34
Ontwikkelingen 1921-1975 .................................................................................................................................... 34
Jaren ’90: een effectief drugsbeleid ....................................................................................................................... 35

De voornemens van het Belgisch drugsbeleid ............................................................................................................ 36

In welke mate geïmplementeerd? .............................................................................................................................. 38


1

,Les 4: alcohol- en drughulpverlening in Vlaanderen: organisatie, feiten en tendensen .......................................... 42

Inleiding ...................................................................................................................................................................... 42

Middelenmisbruik, afhankelijkheid en verslaving ...................................................................................................... 42
Middelenmisbruik (DSM IV) ................................................................................................................................... 42
Substance use and addictive disorders (DSM V) .................................................................................................... 43
Middelengerelateerde problemen ......................................................................................................................... 43

Ontstaan + organisatie drughulpverlening ................................................................................................................ 44
Ontstaan ................................................................................................................................................................. 44
Een aantal vaststellingen ....................................................................................................................................... 45

Onderscheiden hulpverleningsvormen ....................................................................................................................... 46
1. Drugvrije behandeling .................................................................................................................................... 46
2. Ontwenningsbehandeling .............................................................................................................................. 46
3. Substitutietherapie......................................................................................................................................... 47
4. Harm reduction .............................................................................................................................................. 47
5. Geïntegreerde behandeling ........................................................................................................................... 47
6. Reïntegratie en nazorg (zeer belangrijk) ........................................................................................................ 48
VIDEO: A new kid on the block: private behandeling ............................................................................................ 48

Onderzoeksbevindingen mbt behandeliing middelenafhankelijkheid ........................................................................ 49
Zorggebruik ............................................................................................................................................................ 49
Effectiviteit van (residentiële) behandeling? ......................................................................................................... 49

Benchmark-onderzoek alcholbehandeling 2007 ........................................................................................................ 49
Recente evoluties mbt drughulverlening ............................................................................................................... 50
Toenemende aandacht voor herstel ...................................................................................................................... 50
→ naar meer kwaliteit van zorg ............................................................................................................................. 50

Les 5: residentiële behandeling en drugvrije behandeling in therapeutische gemeenschappen ............................. 51

The third generation of therapeutic communities ..................................................................................................... 51
First generation TG’s .............................................................................................................................................. 51
Second generation TG’s ......................................................................................................................................... 52
Third generations TG’s ........................................................................................................................................... 53

Interconnections: interconnections between first European TC’s and American TC’ (vbn. TG’s) ............................... 53
Alfa house (’68) ...................................................................................................................................................... 53
Aebi Hüs (’73) ......................................................................................................................................................... 53
Daytop Germany (’72) ............................................................................................................................................ 53
Daytop Sweden ...................................................................................................................................................... 54
Emiliehoeve (’72), Essenlaan & Breeweestee ........................................................................................................ 54
De sleutel (’74) ....................................................................................................................................................... 54

Kritiek op traditionele aanpak dus er was een nieuwe aanpak nodig ........................................................................ 54
De Kiem (’76) .......................................................................................................................................................... 54
Trempoline (’78) ..................................................................................................................................................... 54
De spiegel (’79)....................................................................................................................................................... 54

European identity ....................................................................................................................................................... 55
Discussie: adaptation of American models into own culture (in Europa) .............................................................. 55

2

, The drug-free therapeutic community ....................................................................................................................... 56
definitie van the drug-free therapeutic community .............................................................................................. 56
Fundamentele principes......................................................................................................................................... 56

Nieuwe TG’s ............................................................................................................................................................... 57
De filosofie van nieuwe TG’s .................................................................................................................................. 57
De bewoners .......................................................................................................................................................... 58

Fasen van behandeling............................................................................................................................................... 58
Crisis intervention .................................................................................................................................................. 58
Ambulantory level .................................................................................................................................................. 58
Reception ............................................................................................................................................................... 58
Induction ................................................................................................................................................................ 59
Treatment .............................................................................................................................................................. 59
Social (re)integration .............................................................................................................................................. 59

Principes van de behandeling ..................................................................................................................................... 60
Veiligheid en acceptatie (veilige omgeving) ........................................................................................................... 60
Hiërarchische structuur .......................................................................................................................................... 60
Mondelinge berispingen en leerervaringen ........................................................................................................... 60
Ontmoeting (=encounter) (hart van de TG) .......................................................................................................... 61
Familie werk ........................................................................................................................................................... 61

Integrated treatment systems.................................................................................................................................... 62
Introductie van geïntegreerde behandelingssystemen ......................................................................................... 62
Definitie van geïntegreerde behandelsystemen .................................................................................................... 62
Linken met democratische TG en drugsvrije TG .................................................................................................... 63

Les 6: Samenwerken en lokale netwerken in de jeugdhulp .................................................................................... 64

Samenwerking en lokale netwerken .......................................................................................................................... 64

Case study van Brugge(n) voor jongeren ................................................................................................................... 64
Historiek ................................................................................................................................................................. 64
Methodologie ......................................................................................................................................................... 65
Resultaten .............................................................................................................................................................. 66
Discussie en aanbevelingen ................................................................................................................................... 70

Les 7: alcohol en drugpreventie in de praktijk ........................................................................................................ 72

Evolutie van preventie ................................................................................................................................................ 73
Klassieke indeling van preventie: ziektedenken .................................................................................................... 73
Informatiegerichte benaderingen → vroeger!!! .................................................................................................... 74

Epidemiologie ............................................................................................................................................................. 77

benaderingen ............................................................................................................................................................. 83
Informatiegerichte preventie benaderingen ......................................................................................................... 83
Sociale invloed benaderingen ................................................................................................................................ 83
Individuele benaderingen ...................................................................................................................................... 83
Omgevingsgerichte benaderingen ......................................................................................................................... 83

implementatie ............................................................................................................................................................ 84

3

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