Wrap Around Services And Multidisciplinary Treatment


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NBCC, NAADAC, CAADAC, CBBS, Florida approved continuing education series in mental health, substance abuse and dual disorders counseling for nurses, counselors, therapists, social workers and addictions professionals.

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Wrap Around Services And Multidisciplinary Treatment

  1. 1. Dr. Dawn-Elise Snipes<br />Wrap Around/Multidisciplinary Services<br />
  2. 2. Objectives<br />Recognize the importance of family, social networks, and community systems in the treatment and recovery process.<br /> Know the role of family, social networks, and community systems as assets or obstacles in treatment and recovery processes.<br />Methods for incorporating family and social dynamics in treatment and recovery processes.<br />Describe a variety of helping strategies for reducing the negative effects of substance use, abuse, and dependence.<br />Learnvariety of helping strategies, including but not limited to:<br />– evaluation methods and tools<br />– stage-appropriate interventions<br />– motivational interviewing<br />– involvement of family and significant others<br />– mutual-help and self-help programs<br />– coerced and voluntary care models<br />– brief and longer term interventions.<br />
  3. 3. Maslow<br />Biological: Food, Shelter<br />Safety: Physical and emotional for self and children<br />Love and belonging<br />Self-Esteem<br />
  4. 4. Multidisciplinary Plans<br />Physical<br />Environmental<br />Social<br />Spiritual<br />Emotional/Cognitive<br />Occupational<br />
  5. 5. Family, Social Networks & Community Systems<br />Provide encouragement and emotional support<br />Link clients with needed resources (food, temporary housing, legal assistance)<br />Promote prosocial community attitudes and values<br />Often rely on community involvement<br />Provide prosocial places and activities<br />
  6. 6. Community Risk Factors<br />Presence of gangs and drug dealing <br />Availability of drugs <br />Lack of effective social and cultural organizations <br />High levels of community disorganization <br />High levels of transience or mobility <br />High levels of unemployment and lack of economic opportunities <br />High levels of poverty <br />Accessibility of firearms and other weapons <br />Community norms which favor violence, drug use <br />Attitudes that link masculinity with aggression <br />Frequent exposure to media portrayals of violence and/or drugs<br />
  7. 7. Family Risk Factors<br />Weak family bonds <br />Exposure to alcohol or drug use<br />Victim of violence in the home <br />Poor parental supervision, harsh discipline <br />Frequent conflict within the family <br />Adult family members who were abused as children or have histories of violence or drug use<br />Families experiencing high levels of stress <br />
  8. 8. Role of Family and Community<br />Support treatment efforts<br />Develop coalitions and partnerships to increase the availability of resources<br />Identify and remedy obstacles/barriers including language, culture, childcare, timing and transportation<br />Increase public health education<br />Support economic development<br />Identify early warning signs of relapse<br />
  9. 9. Evaluation Methods and Tools<br />CASP Prevention Platform; Prevention Readiness Tool<br />Define the problem and target population<br />Identify risk and protective factors<br />Develop a tentative pathway to change<br />Identify existing resources<br />Perform a gap analysis of needs and resources<br />Build coalitions and networks<br />Develop logic models for overall program components<br />Document, review, assess long and short-term outcomes<br />
  10. 10. Stage-Appropriate Interventions: Individual, Family, Community<br />Precontemplation: Raise awareness through education<br />Contemplation: Increase discrepancy between current and desired behaviors. Decisional Balance exercises<br />Preparation: Increase self-efficacy about ability to change<br />Action: Identify and enhance mitigating factors<br />Maintenance: Support prosocialactivities and behaviors<br />
  11. 11. Motivational Interviewing: FRAMES<br />Feedback<br />Responsibility<br />Advice<br />Menu of options<br />Empathize<br />Self-efficacy<br />
  12. 12. Involvement of Family & Significant Others<br />Support the client<br />Identify early relapse warning signs<br />Help clients overcome obstacles<br />
  13. 13. Mutual-Help and Self-Help Programs<br />Types<br />12-Step Programs<br />Dual Disorder 12-Step Programs<br /> Disability oriented mutual help groups<br />Purpose<br />Encouragement<br />Normalization<br />Education<br />
  14. 14. Coerced and Voluntary Care Models<br />Drug Court<br />Mental Health Court<br />Therapeutic Communities<br />Half-way Houses/Group Homes<br />OP/IOP<br />
  15. 15. Brief and Longer Term Interventions<br />Counseling<br />Medication<br />Education<br />Health<br />Parenting<br />Social Support<br />Vocational Placement<br />
  16. 16. Summary<br />Recovery is a multidimensional process<br />Communities and families can help by reducing risk factors<br />