Texting, Tweeting and Robo-tripping:
Substance use disorder treatment
for the teen of the 21st
century
David R. Selden, LI...
Key Issues
• Short attention span
• Tweet, Text and You
Tube
• Co-occurring
disorders
• Family systems
The Ten Key Elements for Effective
Treatment of Adolescent Substance Abuse
Community based,
substance abuse focused
Indivi...
Program Foundation Elements
Co-occurring disorder/CCISC
Co-occurring disorder/CCISC
Harm Reduction
Harm Reduction
Needs of...
The Needs of Teens & Young Adults
• Erikson’s Stages
– Ages 5-12: Industry vs. inferiority
– Adolescence: Identity vs. con...
The Needs of Teens & Young Adults
• Transitional Age
Youth
– Engage
– Tailor services and supports
– Personal choice and s...
Relapse Prevention
• The Stages of
Relapse
–Emotional
–Mental
–Physical
Relapse Prevention
“If you are not
working on
your recovery,
you are
working on a
relapse”.
Harm Reduction
• The continuum of risk
• Abstinence is final
step
• Any change is positive
• Not everyone may
attain sobri...
Motivational Enhancement
• Express empathy
• Develop discrepancy
• Roll with resistance
• Support self-efficacy
Group Treatment
• Provide positive peer support
• Reduce sense of isolation
• Learn to cope by allowing them to
see how ot...
Co-occurring Disorders
• Comprehensive,
Continuous,
Integrated System of
Care (CCISC)
• Kenneth Minkoff, MD
• www.kenminko...
Co-occurring Disorders/CCISC
1. Dual diagnosis is an
expectation, not an
exception
2. Empathic, hopeful,
integrated and co...
Co-occurring Disorders/CCISC
4. Balance case
management and clinical
care
5. Each disorder is
“primary”
6. “Disease and re...
Milieu Treatment
• Multi-disciplinary team
• Individualized interactions and
understanding of the
emotional conflicts that...
Family Work
• Being Family Focused
– Family involvement
– Family-focused
treatment
– Family driven
– Broad definition of
f...
Case Management
• Planning
• Linkage
• Advocacy
• Support
• Monitoring
• Assessment
• Outreach
Self Help
• Counters feelings of
isolation, powerlessness,
alienation
• Reciprocal helping
exchange
• Support sense of sel...
SOAP
• A two week intensive after-school
program designed to meet the
specific needs of teens and young
adults. SOAP provi...
SOAP Class Rooms
SOAP Class Rooms
SOAP Gym
SOAP Activity Room
SOAP Music Room
Monday Tuesday Wednesday Thursday Friday
2:00-2:30 PM StaffMeeting StaffMeeting StaffMeeting StaffMeeting StaffMeeting
2:3...
Web Sites
Mouse Party:
http: //learn.genetics.utah.edu/content/addiction/drugs/mouse.html
Intoximeter:
http: //www.intox.c...
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21st Century Teens

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Presented 9/10/10 at the North Shore Medical Center, Salem, MA

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  • 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.
  • 21st Century Teens

    1. 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. 2. Key Issues • Short attention span • Tweet, Text and You Tube • Co-occurring disorders • Family systems
    3. 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. 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. 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. 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. 7. Relapse Prevention • The Stages of Relapse –Emotional –Mental –Physical
    8. 8. Relapse Prevention “If you are not working on your recovery, you are working on a relapse”.
    9. 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. 10. Motivational Enhancement • Express empathy • Develop discrepancy • Roll with resistance • Support self-efficacy
    11. 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. 12. Co-occurring Disorders • Comprehensive, Continuous, Integrated System of Care (CCISC) • Kenneth Minkoff, MD • www.kenminkoff.com
    13. 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. 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. 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. 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. 17. Case Management • Planning • Linkage • Advocacy • Support • Monitoring • Assessment • Outreach
    18. 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. 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. 20. SOAP Class Rooms
    21. 21. SOAP Class Rooms
    22. 22. SOAP Gym
    23. 23. SOAP Activity Room
    24. 24. SOAP Music Room
    25. 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. 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

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