PRINCIPLES CONSIDERATIONS Robert Neri LMHC CAP Senior Vice

PRINCIPLES CONSIDERATIONS Robert Neri, LMHC, CAP Senior Vice President/Chief Clinical Officer West. Care Foundation, Inc.

PRINCIPLES - CONSIDERATIONS A Brief History Lesson In Recovery

PRINCIPLES - CONSIDERATIONS Learning Objectives / Topics covered will be: 1. 2. 3. 4. 5. Examples of Co-occurring Conditions Co-Occurring Complicating Issues Identify Recovery Factors Intervention Strategies Risk Considerations with Overdose and Suicide Prevention 6. Identifying High-Risk Situations

PRINCIPLES - CONSIDERATIONS Substance Abuse/Mental Health are Treatable Diseases/Disorders

PRINCIPLES - CONSIDERATIONS Substance Abuse is a preventable behavior Addiction is a treatable disease

PRINCIPLES - CONSIDERATIONS Good Mental Health is the Early Attention to Crisis

PRINCIPLES - CONSIDERATIONS Co-Occurring Disorders are the Rule…Not the Exception

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

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

PRINCIPLES - CONSIDERATIONS Complicating Issues: (continued) • Youthful 18 – 26 • Corrective Thinking • Stigma

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

PRINCIPLES - CONSIDERATIONS Recovery Factors: (continued) • The Treatment/Public Safety • Continuum Aligned

PRINCIPLES - CONSIDERATIONS

PRINCIPLES – CONSIDERATIONS Intervention: • Pay Attention to Behavior ~ Don’t Diagnose • Expectations and Accountability • Refer and Assist with Navigating the System

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

PRINCIPLES – CONSIDERATIONS A Word About Overdose and Suicide Prevention • Use Risk Screening • Refer Quickly

PRINCIPLES – CONSIDERATIONS HIGH PAIN HIGH HOPE LOW PAIN LOW HOPE

PRINCIPLES – CONSIDERATIONS EXTERNAL MOTIVATION External Internal IS A GOOD THING! (Coercion)

PRINCIPLES – CONSIDERATIONS STILL USE: “Trust and Verify” Understand Relapse is Usually Situational

PRINCIPLES – CONSIDERATIONS HIGH RISK SITUATIONS: • Relationship Changes • Transitional Periods: § Living Situation Changes § Employment Changes § Loss of a Relationship § Health Conditions Changes

PRINCIPLES – CONSIDERATIONS Questions/Discussion Thank You!