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Module 4 - Treatment Planning: Integrating Tobacco Use Interventions into Chemical Dependence Services

Module 4 - Treatment Planning: Integrating Tobacco Use Interventions into Chemical Dependence Services. Welcome. Add Trainer’s Names. This training was developed by the Professional Development Program, under a contract with the NYS Department of Health, Tobacco Control Program.

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Module 4 - Treatment Planning: Integrating Tobacco Use Interventions into Chemical Dependence Services

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  1. Module 4 - Treatment Planning: Integrating Tobacco Use Interventions into Chemical Dependence Services

  2. Welcome • Add Trainer’s Names

  3. This training was developed by the Professional Development Program, under a contract with the NYS Department of Health, Tobacco Control Program. PDP developed five classroom-based curricula and seven online modules, which are available at www.tobaccorecovery.org

  4. Housekeeping • Hours of Training • Breaks • Restrooms • Tobacco Use Policy • Cell Phones • Active Participation • Complete Training Evaluation

  5. Introductions 5

  6. Training Modules Module 1 - Foundations Module 2 - Assessment, Diagnosis, Pharmacotherapy Module 3 - Behavioral Interventions Module 4 - Treatment Planning Module 5 - Co-occurring Disorders E-Learning - All Modules

  7. Module 4 Agenda • Knowledge and Skills Review • Treatment Planning • Treatment Plan Case Study

  8. Module 4 Objectives Please refer to your manual for a list of module objectives PM 9

  9. Unit 1Review of Skills and Knowledge 9 PM 11

  10. Activity 1 Jeopardy Style Review Exercise PM 12

  11. Discussion What other specific knowledge and skills do you already possess that can be applied to treating tobacco use and dependence? PM 13

  12. Self-Assessment and Debrief Assess your current knowledge and skill, plus your current level of confidence with writing treatment plans. Scaling questions in your participant manual. PM 13

  13. Unit 2Treatment Planning Basics 13 PM 15

  14. Discussion Elements for Writing Treatment Plans • Biopsychosocial Approach • Comprehensive Assessment • Integrated Program of Therapies and Activities PM 16

  15. Biopsychosocial Approach to Chemical Dependence

  16. Discussion • Questions to Consider about Tobacco Use and Treatment of Chemical Dependence • Key Reminders PM 19 - 20

  17. Discussion Assessment Biopsychosocial approachTreatment Plan Program Structure (Integrated Program of Therapies and Activities) PM 21

  18. Discussion • Assessment Domains • Tobacco Use Assessment Areas • Strengths, Barriers, Successes, and Stage of Change PM 22 - 24

  19. Activity 2 Modality, Assessment, and Treatment (MAT) PM 25 - 28

  20. Discussion Treatment Plan Principles: • Addresses biopsychosocial concerns • Individualized and “patient-driven” • “Living document” • Collaborative PM 29 - 30

  21. Review Common Treatment Plan Components • Diagnoses • Problem Statements • Goals • Objectives • Integrated Program of Therapies/Activities • Stage of Change for each Problem PM 31 -32

  22. Unit 3 Treatment Plan Case Studies PM 33

  23. Activity 3 Treatment Plan Case Study for MaryAnn PM 34 and Appendix

  24. Activity 4 Developing the specific components of a treatment plan: • Step 1 - Assessing Change Readiness • Step 2 - Diagnoses • Step 3 - Writing Problem Statements • Step 4 - Writing Goals • Step 5 - Writing Objectives • Step 6 - Integrated Program of Therapies and Activities (IPTA) PM 35

  25. PM 18 - 19 and Appendix

  26. Step 1 - Stages of Change PM 36

  27. Review, Practice, and Discuss Step 1 - Assessing Change Readiness PM 37 and Appendix

  28. Step 2 - Diagnosing Tobacco Use Disorders • Nicotine Withdrawal Criteria • Nicotine Dependence Criteria (a.k.a. Tobacco Dependence) PM 38 – 41 and Appendix

  29. Step 3 – Writing Problem Statements • Specific • Observable • Measureable • Non-judgmental • Avoids the use of jargon PM 42 – 44 and Appendix

  30. Step 4 – Writing Goal Statements • Clear, easy to understand • Free of clinical jargon • Attainable while in the treatment program • Reflects stage of change readiness • Clinician and patient understand and agree PM 45 - 48 and Appendix

  31. Step 5 – Writing Objectives • SMART • Specific • Measureable • Attainable • Realistic • Time-limited PM 49 – 50 and Appendix

  32. Step 6 - Integrated Program of Therapies and Activities (IPTA) Examples: • TAG, 90 minutes, once per week for 5 weeks • Individual counseling, 30 minutes once per week for 5 weeks • Nicotine patch: 21 mg/24 hours for 4 weeks; then 14 mg/24 hours for 2 weeks; then 7 mg/24 hours for 2 weeks • Nicotine gum or lozenge, 2mg, as needed PM 51 – 53 and Appendix

  33. Summary and Review Treatment Plan Development Process Problem Statements Goal Statements Objectives IPTA PM 54 - 56

  34. Summary and Review Refer to the questions in your participant manuals: On a ten-point scale, how knowledgeable are you about writing treatment plans? On a ten-point scale what is your level of confidence for writing treatment plans, which integrates tobacco interventions? PM 55 - 56

  35. Resources The Tobacco Recovery Resource Exchange http://www.tobaccorecovery.org E-Learning and Online Resources OASAS http://www.oasas.state.ny.us/tobacco/index.cfm Email: TobaccoFree@oasas.state.ny.us BeBetter Networks(NRT) http://www.nrtdistribution.com/Welcome.aspx

  36. Workshop Evaluation 36

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