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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
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
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
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
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
Family Strengths
Communication
Caring
Health
Commitment
Resilience
Spirituality
!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
Before Interventions
Families Are
Fearful & Confused
Attached to the Problem
Emotionally and Cognitively
Dis-regulated
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
Interventions Include Everyone
Participants are experts
Psycho-educational
Value Driven
Homework
Evidenced Based
Solution Focused
Be sure and identify MH ,
SA and other issues
Traditional Surprise Model
Vern Johnson-I’ll Quit
Tomorrow
Frank Picard-Family
Intervention
Seeley-Intervention 911
Southworth and Associates
Traditional Styles Made Modern
Love First-Jeff and Debra
Jay
Authentic Model-Ed Storti
Combine Elements of MI
into Traditional approaches
Action Intervention Model
Jim Tracey DDS, Jean
Campbell LCSW, Bill Maher
Action Institute
Uses Intervention
ModalitiesPsychodrama,
Sociometry
Invitational Models
Systemic - Speare & Raitner
Arise - Judith Landau &
Garret
Break Free - Brad Lamm
Stanger - Stanger Process
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
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
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
Counseling Skills Used
Listening
Echoing Key words
Body Language
Open Ended Questions
Paraphrasing
Summarizing
Self Disclosure-To Do No
Harm
Evidenced Based Strategies
SFT
CBT
MI
12 Step Facilitation
DBT
Values Clarification
Negotiation
Boundary Setting
Counseling Skills Used
Listening
Echoing key words
Body Language
Open Ended Questions
Paraphrasing
Summarizing
Self-Discluse-Do Not Harm
Clinical Interventions
What is your definition of a
Clinical Intervention?
What have you done?
Definition Of
Lets Role Play
Reverse Interventions
Whats is a reverse
Intervention
Some Examples
Lets Role Play
Other Considerations
Time available for this work
Working with an Outside Provider
Multicultural Considerations
Ethical Consideration
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
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
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
Giving the Gift of Health

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Giving the Gift of Health

  • 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. 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.
  • 4. 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
  • 5. 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
  • 6. 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
  • 8. !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
  • 9. Before Interventions Families Are Fearful & Confused Attached to the Problem Emotionally and Cognitively Dis-regulated
  • 10. 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
  • 11. Interventions Include Everyone Participants are experts Psycho-educational Value Driven Homework Evidenced Based Solution Focused Be sure and identify MH , SA and other issues
  • 12. Traditional Surprise Model Vern Johnson-I’ll Quit Tomorrow Frank Picard-Family Intervention Seeley-Intervention 911 Southworth and Associates
  • 13. Traditional Styles Made Modern Love First-Jeff and Debra Jay Authentic Model-Ed Storti Combine Elements of MI into Traditional approaches
  • 14. Action Intervention Model Jim Tracey DDS, Jean Campbell LCSW, Bill Maher Action Institute Uses Intervention ModalitiesPsychodrama, Sociometry
  • 15. Invitational Models Systemic - Speare & Raitner Arise - Judith Landau & Garret Break Free - Brad Lamm Stanger - Stanger Process
  • 16. 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
  • 17. 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
  • 18. 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
  • 19. Counseling Skills Used Listening Echoing Key words Body Language Open Ended Questions Paraphrasing Summarizing Self Disclosure-To Do No Harm
  • 20. Evidenced Based Strategies SFT CBT MI 12 Step Facilitation DBT Values Clarification Negotiation Boundary Setting
  • 21. Counseling Skills Used Listening Echoing key words Body Language Open Ended Questions Paraphrasing Summarizing Self-Discluse-Do Not Harm
  • 22.
  • 23. Clinical Interventions What is your definition of a Clinical Intervention? What have you done? Definition Of Lets Role Play
  • 24.
  • 25. Reverse Interventions Whats is a reverse Intervention Some Examples Lets Role Play
  • 26. Other Considerations Time available for this work Working with an Outside Provider Multicultural Considerations Ethical Consideration
  • 27. 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
  • 28. 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
  • 29. 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