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PRINCIPLES -CONSIDERATIONS

PRINCIPLES -CONSIDERATIONS. Robert Neri, LMHC, CAP Senior Vice President/Chief Clinical Officer WestCare Foundation, Inc. PRINCIPLES - CONSIDERATIONS. A Brief History Lesson In Recovery. PRINCIPLES - CONSIDERATIONS. Learning Objectives / Topics covered will be:

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PRINCIPLES -CONSIDERATIONS

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  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 Rule…Not 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 ~ Don’t 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 • Use Risk Screening • Refer Quickly A Word About Overdose and Suicide Prevention

  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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