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Dr. Dawn-Elise Snipes,[object Object],Wrap Around/Multidisciplinary Services,[object Object]
Objectives,[object Object],Recognize the importance of family, social networks, and community systems in the treatment and recovery process.,[object Object], Know the role of family, social networks, and community systems as assets or obstacles in treatment and recovery processes.,[object Object],Methods for incorporating family and social dynamics in treatment and recovery processes.,[object Object],Describe a variety of helping strategies for reducing the negative effects of substance use, abuse, and dependence.,[object Object],Learnvariety of helping strategies, including but not limited to:,[object Object],– evaluation methods and tools,[object Object],– stage-appropriate interventions,[object Object],– motivational interviewing,[object Object],– involvement of family and significant others,[object Object],– mutual-help and self-help programs,[object Object],– coerced and voluntary care models,[object Object],– brief and longer term interventions.,[object Object]
Maslow,[object Object],Biological: Food, Shelter,[object Object],Safety: Physical and emotional for self and children,[object Object],Love and belonging,[object Object],Self-Esteem,[object Object]
Multidisciplinary Plans,[object Object],Physical,[object Object],Environmental,[object Object],Social,[object Object],Spiritual,[object Object],Emotional/Cognitive,[object Object],Occupational,[object Object]
Family, Social Networks & Community Systems,[object Object],Provide encouragement and emotional support,[object Object],Link clients with needed resources (food, temporary housing, legal assistance),[object Object],Promote prosocial community attitudes and values,[object Object],Often rely on community involvement,[object Object],Provide prosocial places and activities,[object Object]
Community Risk Factors,[object Object],Presence of gangs and drug dealing ,[object Object],Availability of drugs ,[object Object],Lack of effective social and cultural organizations ,[object Object],High levels of community disorganization ,[object Object],High levels of transience or mobility ,[object Object],High levels of unemployment and lack of economic opportunities ,[object Object],High levels of poverty ,[object Object],Accessibility of firearms and other weapons ,[object Object],Community norms which favor violence, drug use ,[object Object],Attitudes that link masculinity with aggression ,[object Object],Frequent exposure to media portrayals of violence and/or drugs,[object Object]
Family Risk Factors,[object Object],Weak family bonds ,[object Object],Exposure to alcohol or drug use,[object Object],Victim of violence in the home ,[object Object],Poor parental supervision, harsh discipline ,[object Object],Frequent conflict within the family ,[object Object],Adult family members who were abused as children or have histories of violence or drug use,[object Object],Families experiencing high levels of stress ,[object Object]
Role of Family and Community,[object Object],Support treatment efforts,[object Object],Develop coalitions and partnerships to increase the availability of resources,[object Object],Identify and remedy obstacles/barriers including language, culture, childcare, timing and transportation,[object Object],Increase public health education,[object Object],Support economic development,[object Object],Identify early warning signs of relapse,[object Object]
Evaluation Methods and Tools,[object Object],CASP Prevention Platform; Prevention Readiness Tool,[object Object],Define the problem and target population,[object Object],Identify risk and protective factors,[object Object],Develop a tentative pathway to change,[object Object],Identify existing resources,[object Object],Perform a gap analysis of needs and resources,[object Object],Build coalitions and networks,[object Object],Develop logic models for overall program components,[object Object],Document, review, assess long and short-term outcomes,[object Object]
Stage-Appropriate Interventions: Individual, Family, Community,[object Object],Precontemplation: Raise awareness through education,[object Object],Contemplation: Increase discrepancy between current and desired behaviors. Decisional Balance exercises,[object Object],Preparation: Increase self-efficacy about ability to change,[object Object],Action: Identify and enhance mitigating factors,[object Object],Maintenance: Support prosocialactivities and behaviors,[object Object]
Motivational Interviewing: FRAMES,[object Object],Feedback,[object Object],Responsibility,[object Object],Advice,[object Object],Menu of options,[object Object],Empathize,[object Object],Self-efficacy,[object Object]
Involvement of Family & Significant Others,[object Object],Support the client,[object Object],Identify early relapse warning signs,[object Object],Help clients overcome obstacles,[object Object]
Mutual-Help and Self-Help Programs,[object Object],Types,[object Object],12-Step Programs,[object Object],Dual Disorder 12-Step Programs,[object Object], Disability oriented mutual help groups,[object Object],Purpose,[object Object],Encouragement,[object Object],Normalization,[object Object],Education,[object Object]
Coerced and Voluntary Care Models,[object Object],Drug Court,[object Object],Mental Health Court,[object Object],Therapeutic Communities,[object Object],Half-way Houses/Group Homes,[object Object],OP/IOP,[object Object]
Brief and Longer Term Interventions,[object Object],Counseling,[object Object],Medication,[object Object],Education,[object Object],Health,[object Object],Parenting,[object Object],Social Support,[object Object],Vocational Placement,[object Object]
Summary,[object Object],Recovery is a multidimensional process,[object Object],Communities and families can help by reducing risk factors,[object Object]

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