ADDICTION

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ADDICTION

• Jean Sassatelli RN, MS
• Senior Director Behavioral Health Services
• Catholic Charities of Omaha

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WHAT IS ADDICTION

• When the use of alcohol and/or mood altering
  drugs causes problems in the individuals family,
  social, work, school, legal, physical and/or
  emotional aspects of their life.

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WHAT IS ADDICTION

• Addiction is a pathological love relationship
  with a mood altering chemical, (or activity
  i.e. gambling, sex, food).
• (McAuliffes Essentials of Chemical Dependency)

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BEHAVIORAL SIGNS ADDICTION

• Change in attitude/personality for no
  identifiable reason.
• Change in friends, new hangouts
• Decreased performance at school, work and/or
  home.
• Change in activities or hobbies
• Change in habits at home
• Loss of interest in family and family activities

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BEHAVIORAL SIGNSADDICTION

• Forgetfulness and difficulty paying attention
• Lack of motivation, energy, self-esteem I dont
  care attitude
• Sudden over sensitivity, temper tantrums
• Moodiness, irritability, or nervousness
• Silliness or giddiness
• Paranoia

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BEHAVIORAL SIGNSADDICTION

• Excessive need for privacy
• Secretive or suspicious behavior
• Chronic dishonesty
• Unexplained need for money
• Change in personal grooming
• Sudden change in wardrobe, hairstyle, or jewelry

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ADOLESCENT ADDICTIONUsage by Youth in Grades 9
-12

• Alcohol 82
• Marijuana 31
• Inhalants 13
• Meth. 8
• Cocaine 7

1999 Youth Risk Behavior Survey of Nebraska
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CURRENT TRENDS ADOLESCENT ADDICTION

• 26 of youth have their first drink of alcohol
  before the age of 13.
• 28 of all fatal alcohol related motor vehicle
  accidents involve youth between 15 20.
• Alcohol is a major factor in 50 of all motor
  vehicle accidents, homicides, and suicides among
  youth.

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ADOLESCENT ADDICTIONJuvenile Justice Link

• 83 of youth involved with the Juvenile Justice
  System have alcohol and drug use problems.
• Inhalant Use is more common in this group

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Substance Abuse Prevalence Data Based on Nebraska
1999 Census
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Substance Abuse Prevalence Data Based on Nebraska
1999 Census
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ADDICTIONCo-Occurring Disorders

• Substance Abuse combined with Mental Illness,
  occurs in 70 of those addicted.
• The presence of co-occurring disorders reduces
  the responsiveness to treatment.
• There is serious risk of missing a co-occurring
  disorder because the symptoms are masked by the
  substance use.

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Homeless

• National 2,000,000
• Nebraska 9,280

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Nebraska Homeless
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FAMILY MATTERSThe Effects of Addiction on the
Family

• U.S. Dept. of Health Human Services
• 10 million untreated persons in 2000
• 3 million received treatment in 2000

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FAMILY MATTERSThe Effects of Addiction on the
Family

• Addiction is one of the families most guarded
  secrets.
• Co-Dependency Condition characterized by
  preoccupation and extreme dependency (emotional,
  social physical) on a person or object. This
  becomes pathological.

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FAMILY MATTERSThe Effects of Addiction on the
Family

• FAMILY ROLES
• Dependent
• Enabler
• Hero
• Scapegoat
• Lost Child
• Mascot

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FAMILY MATTERSThe Effects of Addiction on the
Family

• FAMILY SYSTEMS
• All members assume specific roles relate to
  each other in characteristic ways.
• The roles that family members adopt how they
  relate to each other operate according to
  rules. Roles and patterns constitute
  equilibrium.
• Any shifts in family equilibrium will cause
  resistance system will seek a return to
  equilibrium.
• No matter how sick/abnormal it may appear, the
  established equilibrium represents the familys
  attempt to minimize threat of pain disruption

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FAMILY MATTERSThe Effects of Addiction on the
Family

• THE FAMILY SECRET ?

Family requires intervention all have affected,
all need treatment!
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ADDICTIONGRIEF REACTION

• Grief is at the core of the recovery process.
  Much like the death or ending of a long-term
  relationship, the addicted individual has a
  committed, love relationship with their chemical,
  person, thing, and the discontinuation of this
  relationship causes a significant and very real
  experience of loss.

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ADDICTION5 STAGES OF GRIEF

• Denial Isolation
• Anger
• Bargaining
• Depression
• Acceptance

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ADDICTIONTREATMENT

• Philosophical Approach
• Holistic
• Family Systems Oriented
• Developmentally Based
• Treatment Components
• Comprehensive Assessment
• Plan of treatment based on the development
  strengths and needs of the adolescent, as well as
  the family strengths and needs.

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• Crisis Services
• Medically Monitored Detoxification
• Civil /Emergency Protective Custody

• Prevention Education Services
• Community Support
• Post Primary Group
• Correctional Services
• Alumni Association

• Treatment Services
• Outpatient Treatment
• Intensive Outpatient
• Short Term Residential

• Transitional Services
• Intermediate Residential
• Halfway House