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NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at ...

NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com CJJP, Criminal Justice Series

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Tip 30 Tip 30 Presentation Transcript

  • Based on TIP 30 Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Assessments
    • Transition Plans
    • Transition Plan Checklist
    • Important Services
    • Special Populations
    • Confidentiality Issues
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • 1 in 144 crimes is related to substance use, abuse or sale
    • Less than 13 percent of offenders identified as needing treatment receives it
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Assessments for offenders should be conducted within the institution as early and often as possible
      • Every 90 days is a good guide
      • At least 3–6 months before the offender's release.
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Should Assess
      • Needs
      • Treatment Readiness
      • Treatment Progress
    • Should produce
      • Appropriate treatment plan
      • Feasible outcome measures
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Activities of Daily Living
      • Housing
      • Hygiene
      • Nutrition
      • Transportation
    • Social Abilities
      • Empathy/Respect for others
      • Ability to form and maintain relationships
      • Anger/Impulse management
      • Addicted/Criminal Thinking
    • Ability to access needed services
      • Medical
      • Vocational
      • Social service
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Vocational Skills and Abilities
      • Knowledge/Academic skills
      • Physical Skills
      • Responding to authority
      • Transportation
      • Timeliness/reliability
    • Family Issues
      • Interpersonal relationships
      • Current family substance abuse
      • Child care and custody issues
      • Level of family support
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • 24 Hour Principle
      • Success depends on continuity of care and gradual step-down
    • Placement in appropriate treatment setting
      • Residential
      • IOP/OP
        • Treatment times supportive of job or vice versa
        • Accessibility
        • Linkages with self-help groups and sponsors
        • Linkages with prosocial activities
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Relapse Prevention Plan
      • Multidisciplinary team: probation officer, counselor, case manager, sponsor/peer support
      • All basic needs must be addressed
        • Safety and Security
        • Food and Health Care
        • Social and Emotional
        • Self Esteem
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Accountability, Incentives and Sanctions
      • Accountability builds self esteem only if there is respect for the person to whom he or she is accountable
      • Behaviors are chosen based on what provides the greatest perceived reward or the lease perceived punishment
      • Rewards are more effective than sanctions
      • You cannot replace chocolate with celery
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Increased number of urinalyses
    • Breathalyzer™
    • More frequent contacts/Day reporting
    • Curfew
    • Extension of term or time
    • Community service
    • Increased AA and/or NA meetings
    • Withholding of privileges and personal freedoms
    • Electronic monitoring
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Facility transfer
    • Increased intensity of treatment
    • Additional reporting with additional charges or costs assessed
    • Return to incarceration, i.e., supervision violation
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Minimize/Rationalize
    • Blame problems on external circumstances
    • Lack of empathy
    • Entitlement
    • Power and Control
    • Overconfidence
    • Lack of ability to delay gratification/Need for frequent rewards
    • Pleasure/excitement first
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Lack of safety/security, physical or emotional
    • Lack of a sense of love and belonging
      • Emotionally or physically absent parents
      • Foster system
    • Lack of community and/or family organization
    • Lack of prosocial role models
    • Positive attitudes towards drugs and criminal behavior
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • The strength of a reward or sanction is dependent on the preferences of the offender
      • Miracle question
      • Motivational Interviewing strategies
    • Rewards in criminal behavior
      • Power
      • Sense of Belonging
      • Recognition/Loyalty
      • Money/Sex
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Contact numbers for
      • Peer support group
      • Probation officer
      • Counselor/Case Manager
    • Warning Sign Identification Card
    • Relapse Prevention/Continuing Care Plan
    • Final Assessment and Placement Sheet
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Reductions in substance use, extended periods of abstinence, substance-free days, crime-free days, reductions in the number of arrests
    • Restoration or establishment of ongoing and recovery-supporting social network
    • Substance-free and crime-free for at least a year
    • Consistent employment
    • Stable housing
    • Bank account with savings
    • Agreed-upon treatment goals met
    • Consistent participation in support groups
    • Correctional obligations (terms and conditions) met
    • Restitution (fines and fees) paid
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Transitional Housing
    • Mentors and Role Models
    • Self Help Groups
    • Prosocial Activities
    • “ Family” Involvement
    • Employment
    • Financial Planning/Banking
    • Prosocial Peers
    • Transportation
    • Education/Vocational Training as needed
    • Health Care
    • Child Care
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Domestic Violence
    • Drug-Involved Significant Others
    • Economic Self-Sufficiency
    • Department of Children and Families Case Plans
    • HIV/AIDS
    • Mental Illness
    • Physical Disabilities
    • Cognitive Disabilities
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Must be in a “safe” environment
    • Must provide sufficient income to feed/clothe/house
    • Consistent, daytime or early evening schedules (day labor not ideal)
    • Regular drug testing
    • Initial high supervision
    • Low to medium stress environment initially
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Respect federal guidelines for confidentiality
    • Recognize differences in confidentiality regulations between voluntary and involuntary clients
    • Ensure client provides full informed consent
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Criminal behavior and drug use have been the mainstay
    • They numb pain, protect from vulnerability, provide social contacts
    • Transition needs to be gradual
    • Strife and stress need to be avoided as much as possible initially (H.A.L.T.)
    • Ensure the person has safe housing, sufficient food, medical care and social supports
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • Discharge plan needs to
      • Identify relapse warning signs
      • Outline a relapse prevention plan
      • Provide a timeline and measurable, meaningful goals
    • As desirable behaviors are rewarded and increase, undesirable behaviors will subside
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
    • The criminal/addicted mentality developed as a method of survival over time, so recovery will not happen over night.
    Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC