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Giving the Gift of Health

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Newer Drugs emerging
Clinical Practices shifting to recovery management models
DSM V -Basic assumptions being questions
Triple Threat
Evidenced based principles in practice
Technology as a healing helper

Publicado en: Salud y medicina
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Giving the Gift of Health

  1. 1. Giving the Gift of Health Interventions -Clinical & Reverse Louise Stanger Ed.D, LCSW, CIP Director All About Interventions MINT Trainer of Trainer Faculty SDSU Interwork Institute President, Sydney D. Holland Foundation
  2. 2. The Changing Tides Of Treatment Newer Drugs emerging Clinical Practices shifting to recovery management models DSM V -Basic assumptions being questions Triple Threat Evidenced based principles in practice Technology as a healing helper
  3. 3. ASAM 2011 Addiction is a primary,chronic disease of the brain, reward , motivation and related circuitry Dysfunction in these circuits leads to characteristic biological, social, psychological and spiritual manifestations Reflected in individual pathologically pursing reward or relief by substance use or other behaviors
  4. 4. What’s Relapse Lapse Single-short lived where someone deviates from goal of abstaining Prolapse-Person learns what triggered relapse and how to prevent again Relapse-series of lapses which ended with renewed symptoms of Substance Abuse, Mental health or Process Disorders
  5. 5. What’s Recovery Recovery is defined as a voluntarily maintained lifestyle characterized by sobriety, personal health and citizenship Includes medication if Needed BFC-Consenus Panel
  6. 6. Family Strengths Communication Caring Health Commitment Resilience Spirituality
  7. 7. !0 Keys to Healthy Families Adapting to Change Seeing the Positive Who’s in charge Closeness & Difference Talking & Loving Language Accepting Difference Time Together Effective Problem Solving Parenting Together Mc.Macnais & Macmanis
  8. 8. Before Interventions Families Are Fearful & Confused Attached to the Problem Emotionally and Cognitively Dis-regulated
  9. 9. Accountability Teams Are Angry-Resentful Sad- Disgusted Depressed-Mad Loving-Worried Frustrated -Shocked Embarrassed- Shame Terrified-Controlling At Wits End- Want Pain to go away Immunity to Change
  10. 10. Interventions Include Everyone Participants are experts Psycho-educational Value Driven Homework Evidenced Based Solution Focused Be sure and identify MH , SA and other issues
  11. 11. Traditional Surprise Model Vern Johnson-I’ll Quit Tomorrow Frank Picard-Family Intervention Seeley-Intervention 911 Southworth and Associates
  12. 12. Traditional Styles Made Modern Love First-Jeff and Debra Jay Authentic Model-Ed Storti Combine Elements of MI into Traditional approaches
  13. 13. Action Intervention Model Jim Tracey DDS, Jean Campbell LCSW, Bill Maher Action Institute Uses Intervention ModalitiesPsychodrama, Sociometry
  14. 14. Invitational Models Systemic - Speare & Raitner Arise - Judith Landau & Garret Break Free - Brad Lamm Stanger - Stanger Process
  15. 15. Stanger’s 11 Step Process Phase One;Intervention Agreement and Initiative Step 1: Engagement Step 2: Determine Key Stakeholders Step 3 Define Client Guidelines,Confidentiality
  16. 16. Phase2: Information Gathering ,Objectives &Action Plan Step 4:Identify Background Information (Family Mapping) Step 5 :Assess ILO and Key Stakeholders (Portraiture- Retrospective Analysis Step 6: Teach and Survey Accountability Teams Involvement Step 7: Develop Measurable Action Plan
  17. 17. Phase 3: Implementation, Review , Follow Up Step 8: Coaching, Delivering the Invitation Step 9: Intervention Progress Review and Feedback Step 10: Progress Review Step 11: Follow Up-Case Management
  18. 18. Counseling Skills Used Listening Echoing Key words Body Language Open Ended Questions Paraphrasing Summarizing Self Disclosure-To Do No Harm
  19. 19. Evidenced Based Strategies SFT CBT MI 12 Step Facilitation DBT Values Clarification Negotiation Boundary Setting
  20. 20. Counseling Skills Used Listening Echoing key words Body Language Open Ended Questions Paraphrasing Summarizing Self-Discluse-Do Not Harm
  21. 21. Clinical Interventions What is your definition of a Clinical Intervention? What have you done? Definition Of Lets Role Play
  22. 22. Reverse Interventions Whats is a reverse Intervention Some Examples Lets Role Play
  23. 23. Other Considerations Time available for this work Working with an Outside Provider Multicultural Considerations Ethical Consideration
  24. 24. Resources Stanger www.allaboutinterventions.com Systemic Model www.systemicintervention.com Arise www.linkingsystems.com Jays www.lovefirst.net Lamm www.bradlamm.com Seeley www.intervention911.com
  25. 25. Resources Storti www.stortimodel.com Mintz www.realifeis.com I’ll Quit Tomorrow-Vern Johnson Family Intervention-Frank Picard TAP 35 Motivational Interviewing www.motivational interviewing.org
  26. 26. Reach out!! ■ Dr Louise A. Stanger Ed.D , LCSW, BRI II, CIP ■ MINT Trainer of Trainers ■ Director All About Interventions ■ http://www.allaboutinterventions.com ■ 1-619-507-1699 ■ drstanger@allaboutinterventions.com

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