With the ongoing opioid epidemic, availability or marijuana and other drugs addiction has become a problem with no class lines. The story of pain medication following surgery leading to opioid addiction and heroin is everywhere.
As Executive Protection you may not of thought of this as part of your job description , and you are in a unique position of Influence and Trust to identify and help intervene when the persons with problems are clients and their loved ones.
3. MEET DR. LOUISE
➤ Clinician -Ed.D, LCSW, CDWF,
CIP
➤ Expert- Author Falling Up-A
Memoir of Renewal & Learn to
Thrive-An Intervention
Guidebook, Thrive Global,
Huffington,Recovery Campus ,
Sober world etc.
➤ Educator-Faculty SDSU,
School of Social Work, SDSU
Interwork Institute,NIH_NIAA
researcher, USD Director AOD
➤ Black Box Client and Advocate
4.
5.
6. You Have the Opportunity
To Play a Key Role
With the ongoing opioid epidemic, availability or marijuana
and other drugs addiction has become a problem with no
class lines. The story of pain medication following surgery
leading to opioid addiction and heroin is everywhere.
As Executive Protection you may not of thought of this as
part of your job description , and you are in a unique
position of Influence and Trust to identify and help
intervene when the persons with problems are clients and
their loved ones.
7. Who is your Client ?
As Executive Protection what are
your legal rights in terms of who
you communicate to?
Who is your client?
It’s easier if you represent the
family or the business entity and
have the power to talk to the
family or business manager
Tricker if your client is the
identified love one with the
problem
8. “Make sure your documents put you
in a position to do something”.
Harry Nelson Esq.
Client engagements should provide sufficient power for you to act to speak
in case of a health crisis .
Clients may have Trust documents include “spendthrift”provisions allowing
trustees to adjust or control spending for people with spending problems
and substance abuse and mental health crisis.
Different states offer different degrees of latitude to put controls on funds -
age 21- 25 th and in some cases beyond
Think that addiction is not an age-bound disease and have management -
control mechanisms beyond these dates
These are discussion you may have with families and business managers etc
9. What do you do?
Executive protection
Event management
Surveillance
Security
Companionship
Safe Passage
Safety and Security Training
Interventions
13. Definitions of Trauma
Overwhelming experiencing that
cannot be integrated and elicit
animal defensive mechanisms and
dysregulated arousal
“A stress that causes physical or
emotional harm that you cannot
remove yourself from”
Larke Huang , Director of Health
Care Equity at SAMSHA
14. Trauma is objective
What happened ( My
father killed himself, My
baby dies of SIDS, I was
date raped , humiliated etc
15. Trauma is subjective :
How do I perceive the situation ?
Relationship to early child-
hood experiences -and
Alcoholism
Adverse Childhood
Experience- 17,000 patients -
Kaiser- effects of trauma are
cumulative and one of most
destructive forms is recurrent
calling and humiliation
16.
17. What do your Clients Say about
Trauma ????
Verbal abuse
Physical abuse
Witnessing a tragedy
Not being told about something
Accidents
Divorce
Death
18.
19. Getting Emotionally Hooked
When I Experience X
I Feel- Body Sensation
I Think -Whats my go-to
thought process
Behavior-What do I do?
20.
21. Signs of Unresolved Trauma
Inability to tolerate feeling or
conflicts
Numbness-Movement to intense
feelings or rage
Depression (problems sleeping, loss
of memory, anxiety, low
motivation
Panic, Feeling like you are having
a heart attack or anxiety
22. Out of Control or Injurious Behavior
Addictive behaviors (over-under
eating, gambling, drinking
Repeated patterns of behavior to
avoid
feelings( Promiscuity,Internet,
sleeping)
Chaos in life
Self-harmful behaviors -Cutting
Scratching , Burning
23. Intense Self Blame
Belief that somehow they were
to blame for original trauma
Survivor Guilt
Belief they they are not good
enough
They may induce other people
into treating them badly
24. Stuck in Victim, Perpetrator, or
Rescuer Roles
Seek out Relationships withAbusive
people
Induce abuse from others
Perceive abuse which confirms they
are no good
ActAggressively to others
Compulsively driven to help others
Acts of generosity not in accordance
with what is warranted
26. Black and White Thinking
Childlike, magical,
paradoxical, oxymorons
Collect evidence to maintain
distortions
Generalizations, all or
nothing, discount conclusions,
assuming, labeling ,
emotional reasoning
27. Intrusive thoughts, images, feelings
and nightmares
Loss of long period of times,
dissociated
Appears to switch personalities
Trances, sleepwalking
Voices too much noise in my head
Confusion over personal identity
or new identity
30. Be On The LookOut
Sudden Changes in Spending
Lying- Increased Irritability
Depressed or Overly anxious and
Worried
Legal -restraining orders, Backmail
Health- Physical Maladies- Lethargy
Relationship Failures
Work- Not able to be on Stage ,not
showing up or overly demanding
School- Missing Classes
31. Watch out for
Nodding Off
What inside the red cup-
Purple Drink on Stage
Constantly going to the
bathroom
Screaming at Staff-Hysteria
Betting
Intergenerational Wounds
32. Shame
Shame is that intensely painful
feeling of believing we are
flawed and therefore
unworthy of love and
belonging.
I am not good enough
Brene Brown
33. Guilt
Have you ever stolen
anything ?
Had guilty thoughts ?
Have you ever lied?
Made up a confabulation?
37. Loss and Grieving
Loss -Something of Value is
gone
Grief = Total response to an
emotional experience related to
loss
Breavement- Subjective
response by loved one
Mourning -behavioral response
38. Temporary Incapacity Of
Clients and their families
Accidents keep happening
Money keeps being missed
Missed Appointments
Fall asleep while talking with
you-Distracted not able to
keep focus
Can’t take care of kids
41. Attributes of Healthy Families
McMannis PHD & MacMcMannis MSW
Talking and Loving Balancing Closeness &
Difference
Expressing Language Accepting Difference
Adapting to Change Seeing The Positive
Sharing Time together Effective Problem Solving
Who’s in Charge Parenting Together
42. Keeping The Status Quo
SA. MH, CP etc .
Organizing structure
Unconscious and
Conscious Gratification
Strategies must be
employed that change
usual ways of relating,
categorizing , and thinking
46. Phone Call For Help
Your client calls you in distress or your
client is obviously in distress
The accountant calls you
The estate attorney calls you
Usually they speak with rapid fire and
They want something done -NOW- Fix
It
You lend an ear and Stop- Pause-
Breathe and Listen
Quick answers are not always the best
answer
48. What does this mean in the
Behavioral Health Care Field
A= AGE OF FIRST USE
B=BIG CHANGES
C=CO-EXISTING
MENTAL / BEHAVIORAL
HEALTH ISSUES
DNA-FAMILY HISTORY
50. And You Can Be A You are
You are a Resource
Listen as best you can - You have a position
of Trust and you can reassure the client
with the problem t
Isolate the concerns
Who, What When, How
Share that you will connect with an expert -
Even if you have had first hand experience
with MH or SA or Process Disorders Not
all Treatment Centers are alike and one size
does not fit all
Before Giving out or Commenting on a
Center its best to seek professional
Consultation
52. Professional Interventionists are
Called when
Families are
Fearful ,Angry &Confused
Attached to the Problem
Cognitively and
emotionally Dis-regulated
Attempts have failed
55. Interventions Include a Village of
Potential Change Agents
Participants are experts
Value Driven
Solution Focused
Evidenced Based
Interventionists job is to bring
people together for the common
good and to identify SA, MH
and other issues
60. Traditional Made Modern
The Storti Model Est. 1973
Heart to Heart: The
HonorableApproach to
Motivational
Intervention, 1995
61. Jeff and Debra Jay
Love First ,A Families
Guide to Intervention
2000
Aging &Addiction ,
Colleran and Jay 2010
It TakesA Family, 2014
62. Action Intervention Model
Jean Campell LCSW, Dr.
Jim Tracey and Bill
Maher
Psychodrama , sociometry
and other action oriented
strategies for families
63. Thought Leaders in Invitational
Models
Spaere & Raitner -
Systemic
Arise -Garret and Landau
Breakfree- Lamm
73. What makes Good
Treatment
Accreditation of Center- CARF-JACHO
Staff-Credentials
Ethics
Emphasis of Treatment and Treatment
Modalities
Accommodations
Auxiliary Services
How Long In Business
Flexibility They do what they say and say
what they do
74. Types of Treatment
Medical Detoxification
Residential Treatment
Florida Model
Structured Sober Living
Intensive Outpatient
In-Home Treatment Plans
Intensives
Sober Companions
Sober Coaches
MOST IS MULTIFACTED
75. SPECIALITIES
PROFESSIONALS
SENIORS
GENDER SPECIFIC -WOMAN- MEN
LGBT-TRANSGENDER
YOUNG ADULT-WILDERNESS - SCHOOL- DIGITAL
ADDICTIONS-AFFLUENZA
FAILURE TO LAUNCH
GAMBLING
SEX
SHOPPING
DiIGITAL ADDICTION-GAMING
DISCORDED EATING
CHRONIC RELAPSERS
DUAL DIAGNOSIS -MH AND SA OR PD
MENTAL HEALTH- BD, DEPRESSION, ANXIETY
TRAUMA INFORMED
76. Treatment Costs
Inpatient -from $ 300,000 per month-to
o
Average is around $45,00 a month though
there is good treatment at the $15,000.00
a month range
Average length of stay is 45 days
Average length of all treatment types 6
months to 1 year
Insurance -No Insurance
Aston Abernathy COO,AVA Billing and
Consulting - Can check Insurance
949-315-1818 or 949-397-2288
77.
78.
79.
80. Meet Josh
age 52 Embezzlement
A=14 played poker and
Texas hold um in high
school, trips to Vegas
B= Divorce pending , two
sons Fractured family,
C- high strung -anxiety -
Possibly Manic -Cocaine -
alcohol -pills
DNA-, hx of religiosity ,
workaholism MH ,
holocaust three generations
81. Meet Sylvia
age 69 Embezzlement
A= 30 Valium from Mom
B= Suicide adopted son.
Divorce, two daughters,
Fractured family,
C- Cognition Problems /
Mental Health/ SA R/O/
early dementia
DNA- three sisters, hx of
SA, MH three generations
82.
83.
84. Getting Back to the ABC’s and
Failure to Launch
Meet Arthur
Entitled
Never Had to Work
College Education
Enmeshed Family System
93. RESOURCES
Dr. Louise Stanger Ed.D, LCSW, CDWF,CIP, ,http://
www.allaboutinterventions.com, 619-507-1699
Harry Nelson JD. Nelson Hardiman -Behavioral Health Care Law-
http://www:www.nelsonhardiman.com/ 310-203-2800
Dr. James Flowers, LPC -CEO Driftwood Recovery, Austin- https://
www.driftwoodrecovery.com /715-205-1493
Aston Abernathy COO,AVA Billing and Consulting - Can check
Insurance 949-315-1818 or 949-397-2288
Cherylene Short Majors Ph.D- Senior Strategic Advisor, Constellation
Behavioral Health 310-924-9139 http://
www.constellationbehavioralhealth.com
94. Resources
Brown, Brene- Rising Strong . Speiegel & Grau International 2015 NYC NY
Brown, Brene, DaringGreatly. Gothom Books 2012
Lawrence Lightfoot,Sarah & Hoffman Jessica .TheArt and Science of
Portraiture. Joey Bass. 1997
LawrenceLightfoot, S. Respect , 1998. Press Books, Mass.
Lawrence, Lightfoot,S. I’ve Known Rivers , Penguin Publishing. Ny 1995
Lawrence, Lightfoot, S Growing Each Other Up, University of Chicago Press.
2016
96. Resources
Kopp, Sheldon- If You Meet The Buddah on the Road , Kill Him, 1982. Penguin House
Random House, NY, NY
Stanger, Louise. Falling Up-A Memoir of Renewal 2015, WZY Press
stangerttp://www.huffingtonpost.com/entry/interventions-safety-security-are-the-top-
priority_us_591b5042e4b0f31b03fb9f99S
Stanger,http://www.huffingtonpost.com/entry/tricksters-addiction-
you_us_592f0f7ee4b0d80e3a8a329e
Stanger http://www.huffingtonpost.com/entry/what-are-the-differences-between-
trauma-addiction_us_58f4e7aee4b048372700da27
www.allaboutinterventions.com
98. ASAM Definition of
Substance Abuse 3-11-2015
Addiction is a primary , chronic disease of brain reward ,
motivation , memory and related circusy. Dysfunction in
these circuits leads to characteristic biological,
psychological, social and spiritual manifestations. This is
reflected in an individually pathological;;y pursuing
reward and/or relief by substance abuse use and other
behaviors.