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Four Quadrants of Addiction - The Integral Drug Recovery Model

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Four Quadrants of Addiction - The Integral Drug Recovery Model

The Four Quadrant Model is a way of categorizing persons we serve who have co-occurring disorders in order to better plan services and provide the most suitable and successful treatment. Drug Addiction Treatment success is the consequence of giving empathic, hopeful, and continuous treatment during several treatment episodes within the therapeutic partnership. When a person has both a substance and a psychological condition, each should be treated as a primary problem, and integrated therapy is suggested. There is no one-size-fits-all approach to treating co-occurring diseases.

Drug Addiction Is a Serious Problem

There's a good chance you know someone who is addicted. It might be a relative, a friend, or a coworker. Perhaps it's you. It's difficult to estimate the number of addicts in the US or elsewhere. The economic cost of drug usage in the United States, according to the National Institute on Drug Abuse, is in the hundreds of billions of dollars. This gives a sense of the scope of the problem. Despite the fact that it barely mentions the emotional and spiritual costs of addiction—the destruction to families and communities, the utter loss of human potential.

An Introduction to 4 Quadrant Model:

The 4 quadrant model is a diagnostic method that professionals use to assist select the best treatment options.

The instrument is built on a four-box concept, and every person with a co-occurring disorder will fall into one of the four quadrants, as the name suggests.

The four quadrants are as follows:

  1. Quadrant 1: consists of people who have a less severe substance use disorder as well as a less severe mental health disorder.
  2. Quadrant 2: More severe mental illness and less severe substance abuse
  3. Quadrant 3: More severe substance abuse disorder and less severe mental illness
  4. Quadrant 4: Significant mental illness and/or severe substance abuse.

Match Drug Addiction Treatment with Quadrants

Quadrant 1:

Treatment for People with Low-Severity Substance Abuse and Low-Severity Mental Illness

Within the primary-care setting (such as by your physician).

  • Intermediate outpatient addiction therapy or intermediate outpatient mental health treatment are both options (for example, intensive outpatient programs).
  • People in this quadrant may benefit from some service integration between mental health and addiction treatment providers in some situations.

Quadrant 2:

The metal health system is ideal for people with major mental illness and moderate substance use disorders.

  • Outpatient mental health center (such as clinics) and more intensive residential or inpatient program are two ways to access the mental health system. Many mental health professionals will also give addiction treatment, such as motivational interviewing or skill training. Visit SAMHSA's Behavioral Health Locator Tool to identify mental health services in your area.

Quadrant 3:

Substance abuse treatment should be the primary focus of care for people with more serious substance use disorders and less serious mental health issues.

  • Dual diagnosis capable (DDC) or dual diagnosis enhanced (DDE) treatment facilities are those that can provide care for patients in this area (DDE).

Quadrant 4:

Serious mental illness and substance abuse disorders are usually treated in the following settings:

  1. Hospital emergency rooms Psychiatric hospitals
  2. Modified therapeutic communities, for example, are specialized long-term residential substance treatment program (sometimes within the criminal justice system).

Author Bio:

John Das is working with Grant Me The Courage Recovery, which is a California-based Outpatient Treatment Center.

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