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PRINCIPLES -CONSIDERATIONS

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PRINCIPLES -CONSIDERATIONS Robert Neri, LMHC, CAP Senior Vice President/Chief Clinical Officer WestCare Foundation, Inc. PRINCIPLES - CONSIDERATIONS A Brief History ... – PowerPoint PPT presentation

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Title: PRINCIPLES -CONSIDERATIONS


1
PRINCIPLES -CONSIDERATIONS
Robert Neri, LMHC, CAPSenior Vice
President/Chief Clinical OfficerWestCare
Foundation, Inc.
2
PRINCIPLES - CONSIDERATIONS
  • A Brief History Lesson
  • In
  • Recovery

3
PRINCIPLES - CONSIDERATIONS
  • Learning Objectives / Topics covered will be
  • Examples of Co-occurring Conditions
  • Co-Occurring Complicating Issues
  • Identify Recovery Factors
  • Intervention Strategies
  • Risk Considerations with Overdose and Suicide
    Prevention
  • Identifying High-Risk Situations

4
PRINCIPLES - CONSIDERATIONS
  • Substance Abuse/Mental Health
  • are
  • Treatable Diseases/Disorders

5
PRINCIPLES - CONSIDERATIONS
  • Substance Abuse
  • is a preventable behavior
  • Addiction
  • is a treatable disease

6
PRINCIPLES - CONSIDERATIONS
  • Good Mental Health
  • is the Early Attention to Crisis

7
PRINCIPLES - CONSIDERATIONS
  • Co-Occurring Disorders
  • are the RuleNot the Exception

8
PRINCIPLES - CONSIDERATIONS
  • Some Examples of Co-Occurring
  • Substance Abuse/Mental Health
  • HIV or Multiple Chronic Conditions
  • Learning Disabilities
  • Anxiety, Depression, PTSD, TBI

9
PRINCIPLES - CONSIDERATIONS
  • Complicating Issues
  • Arrested Development (Maturity)
  • Habilitation vs. Rehabilitation
  • Criminality (Crime Before Drugs)
  • Social Skill Deprivation
  • Treatment Retention
  • Medical Adherence

10
PRINCIPLES - CONSIDERATIONS
  • Complicating Issues
  • (continued)
  • Youthful 18 26
  • Corrective Thinking
  • Stigma

11
PRINCIPLES - CONSIDERATIONS
  • Recovery Factors
  • Integrated Care
  • Dosage Length of Stay
  • Therapeutic Alliance
  • Evidence Based Approach (MI/CBT)
  • Family Support
  • Treatment is Cumulative

12
PRINCIPLES - CONSIDERATIONS
  • Recovery Factors
  • (continued)
  • The Treatment/Public Safety
  • Continuum Aligned

13
PRINCIPLES - CONSIDERATIONS

14
PRINCIPLES CONSIDERATIONS
  • Intervention
  • Pay Attention to Behavior
  • Dont Diagnose
  • Expectations and Accountability
  • Refer and Assist with Navigating
  • the System

15
PRINCIPLES CONSIDERATIONS
  • Intervention
  • (continued)
  • Refer to Contracting Agencies
  • Managed Care/Medicaid Providers
  • EAP/DCF/VA/DOC Providers

16
PRINCIPLES CONSIDERATIONS
A Word About Overdose and Suicide Prevention
  • Use Risk Screening
  • Refer Quickly

17
PRINCIPLES CONSIDERATIONS
HIGH PAIN
HIGH HOPE
LOW PAIN
LOW HOPE
18
PRINCIPLES CONSIDERATIONS
EXTERNAL MOTIVATION (Coercion)
IS A GOOD THING!
External
Internal
19
PRINCIPLES CONSIDERATIONS
  • STILL USE
  • Trust and Verify
  • Understand Relapse

is Usually Situational
20
PRINCIPLES CONSIDERATIONS
  • HIGH RISK SITUATIONS
  • Relationship Changes
  • Transitional Periods
  • Living Situation Changes
  • Employment Changes
  • Loss of a Relationship
  • Health Conditions Changes

21
PRINCIPLES CONSIDERATIONS
  • Questions/Discussion

Thank You!
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