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July 22, 2019

We learn better when learning is a positive experience rather than aversive.

This is the fundamental concept underlying above processes as well as motivational interviewing. Reward system pushing us towards better adaptation.

As in the case of the education of children, more progress is made when the learning is adapted to the child’s particular learning style, strengths and preferences. As often seen in education, ignoring children’s special needs usually ends up in damaged self-image, frustration, and further pressure to maintain maladaptive patterns of behaving.

The learning process is improved further by adapting it to the goals of the individual in their pursuit of happiness or as quantified by their assessment of their quality of life.

This approach is aligned well with current efforts to developed patient-centered care, and evidenced-based medicine in general., and the Recovery Bill of rights endorsed by a wide array of stakeholders.

Long term, positive educative, supportive experience fits well with chronic disease model of care. Long term disease management model allows for a natural process of engagement with clinician’s and trial and error process inherent in changing behavior.

Goals inevitably should support a positive self-image capable of change.

Abstinence from harmful drugs is the optimal long-term goal sometimes reached after a long period of time in an ideal environment for the individual patient to learn, grow and adapt.

A case management care model where both the patient’s progress (clean UA), quality of life, and learning experience in clinic are identified, quantified and used to target intervention based upon evidenced-based guidelines.

The foundation of personalized treatment plan is that it must align with the patient neuroadaptive path towards better quality of life and increasing success avoiding predictable adversity.

Therefore, the ideal learning system for the buprenorphine clinic is a patient-driven problem-solving approach looking forward as the patient reverses the neuroadaptive changes that linger as a result of heavy drug misuse, as well as maladaptive behavioral patterns.

Imbedding this approach to helping the patient change into our suboxone clinic’s policy and procedures allows for real-time monitoring of response this intervention via rating scales and measures of quality of life.

Dr. Clark
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