21st Century Teens
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The document discusses substance abuse treatment programs for teens in the 21st century. It outlines key issues like short attention spans and co-occurring disorders. It describes the ten key elements for effective adolescent substance abuse treatment according to SAMHSA, including being community-based, individualized treatment, and engaging and retaining clients. It then details specific program foundation elements like harm reduction, motivational enhancement therapy, relapse prevention, family work, and case management. It provides an example of a two-week intensive after-school substance abuse treatment program called SOAP.
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21st Century Teens
- 1. Texting, Tweeting and Robo-tripping: Substance use disorder treatment for the teen of the 21st century David R. Selden, LICSW Director, SOAP Health and Education Services, Inc.
- 2. Key Issues • Short attention span • Tweet, Text and You Tube • Co-occurring disorders • Family systems
- 3. The Ten Key Elements for Effective Treatment of Adolescent Substance Abuse Community based, substance abuse focused Individualized treatment Self Help/12 Step Opportunities From: SAMHSA Evaluate Outcomes Engage & Retain Continuity of Care School Liaison Gender & Culture Qualified Staff Assessment at Beginning
- 4. Program Foundation Elements Co-occurring disorder/CCISC Co-occurring disorder/CCISC Harm Reduction Harm Reduction Needs of teens & Young adults Erikson's stages TAY Needs of teens & Young adults Erikson's stages TAY Motivational Enhancement Therapy Motivational Enhancement Therapy Relapse Prevention Relapse Prevention Family WorkFamily Work Group TreatmentGroup Treatment Milieu Therapy Milieu Therapy Case ManagementCase Management Self HelpSelf Help
- 5. The Needs of Teens & Young Adults • Erikson’s Stages – Ages 5-12: Industry vs. inferiority – Adolescence: Identity vs. confusion – Young adulthood: Intimacy vs. isolation
- 6. The Needs of Teens & Young Adults • Transitional Age Youth – Engage – Tailor services and supports – Personal choice and social responsibility – Safety-net of support – Enhance competencies to achieve greater self-sufficiency and confidence – Outcome focus – Involve young people, parents, and other community partners From: Transition to Independence Program, Rusty Clark
- 7. Relapse Prevention • The Stages of Relapse –Emotional –Mental –Physical
- 8. Relapse Prevention “If you are not working on your recovery, you are working on a relapse”.
- 9. Harm Reduction • The continuum of risk • Abstinence is final step • Any change is positive • Not everyone may attain sobriety • Goal= reduce harm of habits as much as possible
- 10. Motivational Enhancement • Express empathy • Develop discrepancy • Roll with resistance • Support self-efficacy
- 11. Group Treatment • Provide positive peer support • Reduce sense of isolation • Learn to cope by allowing them to see how others deal with similar problems • Provide useful information • Offer positive family-like experiences • Opportunity to learn or re-learn the social skills they need to cope with every-day life instead of resorting to substance abuse • Instill hope From: Substance Abuse Treatment: Group Therapy. TIP41. US Dept of Health and Human Services
- 12. Co-occurring Disorders • Comprehensive, Continuous, Integrated System of Care (CCISC) • Kenneth Minkoff, MD • www.kenminkoff.com
- 13. Co-occurring Disorders/CCISC 1. Dual diagnosis is an expectation, not an exception 2. Empathic, hopeful, integrated and continuing relationships 3. Treatment must be individualized and structured
- 14. Co-occurring Disorders/CCISC 4. Balance case management and clinical care 5. Each disorder is “primary” 6. “Disease and recovery” model 1.Match to phase of recovery and stage of change 7. No one correct approach
- 15. Milieu Treatment • Multi-disciplinary team • Individualized interactions and understanding of the emotional conflicts that are activated in such human interactions • Examination of client/client, client/staff and staff/staff interactions
- 16. Family Work • Being Family Focused – Family involvement – Family-focused treatment – Family driven – Broad definition of family – Empowering parents – Family voice • Ensuring ongoing family involvement – Family/parent support – Family/parent counseling – Family team – Family preservation – Sibling services – Family/marriage educationFrom: SAMHSA: Designing a Recovery-Oriented Care Model for Adolescents and Transition Age Youth with Substance Use or Co-occurring Mental Health Disorders
- 17. Case Management • Planning • Linkage • Advocacy • Support • Monitoring • Assessment • Outreach
- 18. Self Help • Counters feelings of isolation, powerlessness, alienation • Reciprocal helping exchange • Support sense of self- efficacy • Provides resource to meet like-minded peers • Provides sobriety focused activities
- 19. SOAP • A two week intensive after-school program designed to meet the specific needs of teens and young adults. SOAP provides a safe place for teens and young adults to spend their after school hours where they can learn and develop skills to support recovery from substance use disorders.
- 20. SOAP Class Rooms
- 21. SOAP Class Rooms
- 22. SOAP Gym
- 24. SOAP Music Room
- 25. Monday Tuesday Wednesday Thursday Friday 2:00-2:30 PM StaffMeeting StaffMeeting StaffMeeting StaffMeeting StaffMeeting 2:30-3:30 PM Individual and Intake Mtgs Individual and Intake Mtgs Individual and Intake Mtgs Individual and Intake Mtgs Individual and Intake Mtgs 3:30-3:45PM Check-In Check-In Check-In Check-In Check-In 3:45-4:15 PM Personal Assessment Life Skills Personal Assessment Life Skills Personal Assessment 4:15-4:25PM Break Break Break Break Break 4:25-4:55PM Substance Use Education Therapy Group Activities Therapy Group Activities 4:55-5:05 PM Break Break Break Break Break 5:05-5:35PM Sobriety Planning/ Using the Steps Relapse Prevention Family Group Relapse Prevention Weekend Planning 5:35-5:50 PM Wrap-up Wrap-up Wrap-up Wrap-up Wrap-up Weekly Schedule
- 26. Web Sites Mouse Party: http: //learn.genetics.utah.edu/content/addiction/drugs/mouse.html Intoximeter: http: //www.intox.com/wheel/drinkwheel.asp SAMHSA Report: http://www.chestnut.org/LI/downloads/SAMHSA_Recovery_Report_on_ Adolescents_and_Transitional_Age_Youth.pdf
Editor's Notes
- Who Is Eligible? All of the following criteria are necessary for admission: Individual is between the ages of 13 and 21 and has a DSM-IV diagnosis of substance abuse-related disorder; The individual demonstrates a pattern of drug and/or alcohol use that has resulted in significant impairment of interpersonal, occupational, and/or educational functioning; The individual's condition requires coordinated, comprehensive, multi-disciplinary, and multi-modal treatment; The individual is able to function in a community-based environment. There is, however, impairment in social, medical, family or work functioning; The individual's living situation and support system are supportive of his or her recovery efforts; and The individual is sufficiently motivated to be compliant with treatment at this level of care.