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The Trifecta: Brain Injury, Mental Illness and Substance Abuse

The Trifecta: Brain Injury, Mental Illness and Substance Abuse. Practical Approaches and Supports for Community Residential Providers. Just People Doing the best that they can. CASE STUDY: Thomas. The Trifecta. The Ying and the Yang of SA and BI/MI incidence. SA Conditions

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The Trifecta: Brain Injury, Mental Illness and Substance Abuse

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  1. The Trifecta: Brain Injury, Mental Illness and Substance Abuse Practical Approaches and Supports for Community Residential Providers

  2. Just People Doing the best that they can CASE STUDY: Thomas

  3. The Trifecta

  4. The Ying and the Yang of SA and BI/MI incidence SA Conditions Pre-Morbid/Occurring Dysfunction: Familial, Behavioral, Environmental Reactionary Self-Medicating Social Tool Socializing, “normal”

  5. Serving people with co-occurring BI/MI/SA Common Issues that arise: vulnerability of other residents, neighbor relationships, health and safety, programming…..

  6. Operations and Programming • Policy and Procedures • Environment • Staff hiring and training • Working with the person • Community Resources

  7. Policy and Procedure • Referral/Intake • Plans • Communication • Suspected Use • Disruption of Placement • Discharge Planning

  8. Environment • Therapeutic • Hiding Places • Safety • Accessibility

  9. Staff • Hiring the “right” staff • Training • Supervision

  10. Philosophy: Wellness • 3 R’s • 3 P’s • Active Engagement • Medications

  11. Working with the Person • Disability Knowledge • Stages of Change • Strategies supporting skill development • Relapse Planning • Responding to Crises • Discharge Planning

  12. Community Resources • Traditional and creative • Individualized • Disability Knowledge • Plan for success

  13. Other Resources • Ohio Valley Center, www.ohiovalley.org, 614-293-3802 • Brain Injury Australia: www.braininjuryaustralia.org • CPI; Restraints booklet, info@crisisprevention.com, 800-758-6048 • Brainline, www.brainline.org • NAMI, www.namihelps.org, 651-645-2948 • National Suicide Hotline: 1-800-273-8255 • Making Cognitive Connections, @ID 4 the Web

  14. Case Study: Thomas A Person Evolving

  15. Conclusion .

  16. ACKNOWLEDGEMENTS • Ohio Valley Center of the Ohio State University • Annette Pearson, LADC, MS, Vinland Center • Brain Injury Australia • Laura Li, MD • SAMHSA • Marty McMorrow, Wayne Gordon, Dr Brent Masel • J Prochaska and C DiClemente’ (Stages of Change theory) • Erwin Concepcion, PhD MN SOS • Marsha Linehan, PhD (DBT)

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