Gender Specific Treatment

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Utilization of Evidenced Based Practices and other techniques for gender specific treatment of women with co-occurring disorders

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Gender Specific Treatment

  1. 1. Carol D. Miller, mhs, crc, lmhc<br />Senior Clinician, Meridian Behavioral Healthcare, Inc<br />(352) 374-5600 ext. 8224<br />Carol_Miller@mbhci.org<br />
  2. 2. Coping with Addictions through Recovery and Empowerment (CARE)<br />Long-term intensive outpatient treatment program – minimum of 6 months<br />Monday through Friday from 9:00am to 1:00pm<br />Gender specific needs of mothers and pregnant women<br />Addresses substance abuse and mental health<br />Provides After-CARE services<br />Mothers are able to bring their children with them to treatment, when they otherwise would have been unable to attend treatment due to lack of childcare<br />Copyright Carol D. Miller<br />
  3. 3. Trauma Symptom Checklist<br />Instrument used on adults to measure six symptoms associated with childhood or adult traumatic experiences<br />Dissociation<br />Anxiety<br />Depression<br />SATI (Sexual Abuse Trauma Index)<br />Sleep Disturbance<br />Sexual Problems<br />Not a clinical tool – used for research purposes only<br />Copyright Carol D. Miller<br />
  4. 4. Results of Treatment<br />Copyright Carol D. Miller<br />
  5. 5. Clothesline Project<br />Shirts color coded to express the type of abuse<br />White – women who died because of violence<br />Yellow, beige – battered or assaulted women<br />Red, pink, orange – survivors of rape & sexual assault<br />Blue, green – survivors of incest and sexual abuse<br />Purple, lavender – women attacked because of their sexual orientation<br />Black – women attacked for political reasons<br />Included women for all of our programs<br />Displayed shirts for two weeks<br />Copyright Carol D. Miller<br />
  6. 6. Copyright Carol D. Miller<br />
  7. 7. Copyright Carol D. Miller<br />
  8. 8. Copyright Carol D. Miller<br />
  9. 9. Copyright Carol D. Miller<br />
  10. 10. Evidenced Based Practices<br />Guiding Good Choices<br />Substance abuse parenting skills<br />Seeking Safety<br />PTSD and Substance Abuse<br />Solutions for Wellness<br />Stress reduction<br />Nutrition<br />Acupuncture<br />Copyright Carol D. Miller<br />
  11. 11. Evidenced Based Practices, Cont. <br />Motivational Enhancement<br />Not patronizing<br />Reframing<br />Create intrinsic motivation to change<br />Change plan worksheet<br />Cognitive Behavioral Therapy<br />Skills training<br />Reframing<br />Testing irrational beliefs<br />Copyright Carol D. Miller<br />
  12. 12. Evidenced Based Practices, Cont.<br />Motivational Incentives<br />Fish Bowl ticket drawings for chance to win a small prize (30% of tickets), medium prize (15% of tickets), large prize (5% of tickets), or “Good Work!” (50% of tickets)<br />Relapse Prevention Therapy<br />Preventative and in response to relapse<br />Relapse as a process, not an event<br />Coping skills for high risk situations<br />Remain in, or return to, treatment after relapse<br />Copyright Carol D. Miller<br />
  13. 13. Signs and Symptoms of Impending Relapse<br />Apprehension about well-being<br />Denial<br />Adamant commitment to sobriety <br />Compulsive attempts to impose sobriety on others <br />Defensiveness <br />Compulsive behavior<br />Impulsive behavior <br />Tendencies toward loneliness <br />Tunnel vision<br />Minor depression <br />Loss of constructive planning <br />Plans beginning to fail<br />Idle daydreaming and wishful thinking<br />Wish to be happy 100% of the time<br />Feeling that nothing can be solved<br />Copyright Carol D. Miller<br />
  14. 14. Signs and Symptoms, Cont.<br />Periods of confusion<br />Irritation with friends<br />Easily angered<br />Irregular eating habits<br />Listlessness <br />Irregular sleeping habits <br />Progressive loss of daily structure <br />Periods of deep depression <br />Irregular attendance at meetings <br />Development of an “I don’t care” attitude <br />Open rejection of help<br />Dissatisfaction with life<br />Copyright Carol D. Miller<br />
  15. 15. Signs and Symptoms, Cont.<br />Feelings of powerlessness and helplessness <br />Self-pity <br />Thoughts of social use<br />Conscious lying<br />Complete loss of self-confidence<br />Unresolved resentments<br />Discontinuing all treatment <br />Overwhelming loneliness, frustration, anger, and tension<br />Start of controlled using<br />Loss of control <br />Money in pocket/payday <br />Sneaking around<br />Feeling unloved<br />Copyright Carol D. Miller<br />
  16. 16. Resources<br />http://www.clotheslineproject.org/<br />http://nrepp.samhsa.gov/ViewIntervention.aspx?id=111<br />http://nrepp.samhsa.gov/ViewIntervention.aspx?id=107<br />http://nrepp.samhsa.gov/ViewIntervention.aspx?id=146<br />http://nrepp.samhsa.gov/ViewIntervention.aspx?id=97<br />http://nrepp.samhsa.gov/ViewIntervention.aspx?id=139<br />http://www.drugabuse.gov/blending/PAMI.html<br />http://pami.nattc.org/explore/priorityareas/science/blendinginitiative/pami/<br />Copyright Carol D. Miller<br />
  17. 17. Resources, Cont. <br />Briere, J. 1996. Psychometric review of the Trauma Symptom Checklist-40, in B.H. Stamm (Ed.). Measurement of stress, trauma, and adaptation. Lutherville, MD: Sidran Press<br />Center for Substance Abuse Treatment. Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, Number 35. DHHS Pub. No. (SMA) 05-4081. Rockville, MD: Substance Abuse and Mental Health Services Administration, 1999.<br />Change Plan Worksheet: http://www.hhs.gov/opa/familylife/tech_assistance/resources/ami-materials.pdf<br />Hawkins, J. David & Catalano, Richard F. 2002. Guiding Good Choices: A Program for Parents of Children Ages 9-14. South Deerfield, MA: Channing Bete Company, Inc. <br />McConnaughy, E.N., Prochaska, J.O., & Velicer, W.F. 1983. Stages of change in psychotherapy: Measurement and sample profiles. Psychotherapy: Theory, Research and Practice, 20, 368-375.<br />Najavits, Lisa M. 2002. Seeking Safety: A Treatment Manual for PTSD and Substance Abuse. New York: The Guilford Press. <br />Solutions for Wellness and Team Solutions: http://www.treatmentteam.com/Pages/index.aspx<br />Copyright Carol D. Miller<br />

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