PRINCIPLES -CONSIDERATIONS

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PRINCIPLES -CONSIDERATIONS
Robert Neri, LMHC, CAPSenior Vice
President/Chief Clinical OfficerWestCare
Foundation, Inc.
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PRINCIPLES - CONSIDERATIONS

• A Brief History Lesson
• In
• Recovery

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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

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PRINCIPLES - CONSIDERATIONS

• Substance Abuse/Mental Health
• are
• Treatable Diseases/Disorders

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PRINCIPLES - CONSIDERATIONS

• Substance Abuse
• is a preventable behavior
• Addiction
• is a treatable disease

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PRINCIPLES - CONSIDERATIONS

• Good Mental Health
• is the Early Attention to Crisis

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PRINCIPLES - CONSIDERATIONS

• Co-Occurring Disorders
• are the RuleNot the Exception

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PRINCIPLES - CONSIDERATIONS

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

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PRINCIPLES - CONSIDERATIONS

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

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PRINCIPLES - CONSIDERATIONS

• Complicating Issues
• (continued)
• Youthful 18 26
• Corrective Thinking
• Stigma

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PRINCIPLES - CONSIDERATIONS

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

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PRINCIPLES - CONSIDERATIONS

• Recovery Factors
• (continued)
• The Treatment/Public Safety
• Continuum Aligned

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PRINCIPLES - CONSIDERATIONS

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PRINCIPLES CONSIDERATIONS

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

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PRINCIPLES CONSIDERATIONS

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

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PRINCIPLES CONSIDERATIONS
A Word About Overdose and Suicide Prevention

• Use Risk Screening
• Refer Quickly

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PRINCIPLES CONSIDERATIONS
HIGH PAIN
HIGH HOPE
LOW PAIN
LOW HOPE
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PRINCIPLES CONSIDERATIONS
EXTERNAL MOTIVATION (Coercion)
IS A GOOD THING!
External
Internal
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PRINCIPLES CONSIDERATIONS

• STILL USE
• Trust and Verify
• Understand Relapse

is Usually Situational
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PRINCIPLES CONSIDERATIONS

• HIGH RISK SITUATIONS

• Relationship Changes
• Transitional Periods
• Living Situation Changes
• Employment Changes
• Loss of a Relationship
• Health Conditions Changes

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PRINCIPLES CONSIDERATIONS

• Questions/Discussion

Thank You!