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Wrap Around Services And Multidisciplinary Treatment
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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 …

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.

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