Integrating mental health and substance abuse into HIV services - PowerPoint PPT Presentation

1 / 23
About This Presentation
Title:

Integrating mental health and substance abuse into HIV services

Description:

Generalized Anxiety Disorder. Post Traumatic Stress Disorder. Obsessive Compulsive Disorder. Adjustment Disorder(5-20%) Depressive Disorder(4-40 ... – PowerPoint PPT presentation

Number of Views:78
Avg rating:3.0/5.0
Slides: 24
Provided by: carolc152
Category:

less

Transcript and Presenter's Notes

Title: Integrating mental health and substance abuse into HIV services


1
Integrating mental health and substance abuse
into HIV services
  • Carol Cano

2
Assessment and Appropriate Placement
  • Drug Use
  • Medical Diagnosis
  • Psychiatric Diagnosis
  • Psychosocial Issues

3
Multiple Diagnosis Patients
  • Chemical Dependency
  • Psychiatric Disorder
  • Medical Diagnosis

4
Medical disorder mimic Psychiatric disorders
  • Diabetes mellitus-Mood swings with fluctuating
    blood glucose levels
  • Cirrhosis(alcoholHCVHBV)- Fatigue/depression
  • Thyroid Disease- Hyperactive-confusion,
    anxiety,agitated depression,mania,delusions,halluc
    inations

5
HIV/AIDSNeuropsychiatric
  • Generalized Anxiety Disorder
  • Post Traumatic Stress Disorder
  • Obsessive Compulsive Disorder
  • Adjustment Disorder(5-20)
  • Depressive Disorder(4-40)
  • Dementia

6
Substance Abuse mimics Psychiatric Disorder
  • Stimulants Bipolar Affective DisorderMajor
    Depressive disorderAnxiety
  • AlcoholAnxietyDepressionPsychosis
  • Heroin/opiates DepressionMasks psychosis
  • Marijuana ParanoiaAnxiety

7
Treatment
  • Need for An Integral Approach
  • Health Education
  • Realistic Goal Setting

8
Ascertain Proper Placement
  • Drug Use
  • Medical Diagnoses
  • Psychiatric Diagnoses
  • Psychosocial Issues

9
Drug Use
  • Type
  • Frequency
  • Duration
  • Withdrawal Symptoms
  • Rule of Thumb

10
Type
  • Alcohol
  • Benzodiazedines
  • Other Sedative-Hypnotics
  • Opiates
  • Stimulants

11
Frequency
  • Several Times A Day
  • Daily
  • 3 Times A Week
  • Weekly

12
Program OptionsOutpatient
  • Social Model
  • Medically neutral
  • Medical Model
  • Methadone or non-methadone

13
Program OptionsInpatient
  • Social Model
  • Medical Model
  • Social Model with medical supervision
  • Therapeutic Community

14
Psychiatric DisorderIn general
  • Antisocial Personality Disorder
  • 30-60 with Substance Abuse
  • Depression
  • 30-50 opioid abuse or dependence
  • 40 alcohol abuse or dependence

15
Alcohol-related disorders
  • Other substance-related disorders
  • Antisocial Personality Disorder
  • Mood Disorders
  • Anxiety Disorder

16
Opioid-dependence
  • Major Depressive Disorder
  • Alcohol Use Disorders
  • Antisocial Personality Disorders
  • Anxiety Disorder

17
Chemical Dependency
  • Methamphetamine
  • Alcohol
  • Herion
  • Other Crack cocaine

18
TreatmentNeed For An Integral Approach
  • Chemical Dependency
  • Mental Health
  • Medical/physical
  • Legal
  • Housing Employment
  • Relationship
  • Education
  • Relationships
  • Family/social
  • Economic/Financial
  • Spiritual
  • Personal/other

19
Multidisciplinary Team
  • Internist/Family Practitioner
  • Psychiatrist-Addictionist
  • Licensed Clinical Supervisor
  • Case Manager
  • Substance Abuse Counselor
  • Spiritual Issues
  • Cultural Sensitivity

20
Develop Virtual Team
  • Where Resources Are Limited

21
Health Education for Patients
  • Fitness
  • Nutrition
  • Chemical dependency and physical illness
  • Chemical dependency and mental illness
  • Medication Adherence/compliance issues
  • Complementary therapies
  • Nature and Healing

22
Realistic Goal Setting
  • Different Outcome Expectations
  • Need for Greater Tolerance working with Multiple
    Dual Diagnosis Patients
  • Capacity for Honoring Diversity Essential

23
(No Transcript)
Write a Comment
User Comments (0)
About PowerShow.com