This document summarizes SAMHSA's strategic initiatives and challenges around prevention of substance abuse and mental illness. It discusses how health reform presents new opportunities and challenges, including 32 million more Americans being eligible for coverage by 2014. SAMHSA's strategic initiatives focus on goals like preventing onset of substance abuse and mental illness through primary prevention, reducing underage drinking and prescription drug misuse, and preventing suicides. The document outlines challenges for state leadership in implementing prevention programs and ensuring access to evidence-based services under health reform.
The document discusses intensive service interventions for families with disabilities. It describes who these interventions target, including those experiencing homelessness, mental health issues, substance abuse, and more. It discusses how these interventions are provided, including through transitional housing programs, permanent supportive housing, trauma-informed care, and harm reduction approaches. The core goals and philosophies of interventions include housing first, meeting families where they are, and empowering families.
Behavioral Health Integration in Primary Care 1MPCA
Hackley Community Care Center (HCCC) provides integrated behavioral health services at their primary care center located in Muskegon Heights, Michigan. They serve over 15,000 clients, many of whom have Medicaid or are uninsured. HCCC uses the 5 levels of behavioral health integration model, currently implementing level 4 where behavioral health providers are on-site and share some systems with primary care providers. They provide services like therapy, psychiatric consultations, and care management for depression. Barriers to further integration include reimbursement issues and lack of coordination with community mental health services.
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...Epstein Becker Green
Although mental health and substance abuse (behavioral health) services have historically been segregated from traditional medical care, its impact on patients’ well-being, physical health and cost-of-care has become increasingly critical to improving clinical quality outcomes while significantly decreasing financial costs by tens of billions of dollars. Drs. Daviss and Coleman will discuss the advances in policy and practice regarding the integration of behavioral health with physical health, as well as some of the gaps in identifying, aggregating, and analyzing data critical to a more holistic and comprehensive view of the individual.
In addition, the speakers will:
* Identify the clinical, legal, social, and financial impacts of behavioral health disorders on chronic medical conditions.
* Describe the challenges involved in improving clinical and financial outcomes in patients with chronic medical conditions who also have behavioral health symptoms and/or conditions.
* Demonstrate the rewards for implementing new information technology applications and analysis for better clinical and financial outcomes for these specific populations.
Moderator
* Mark E. Lutes, Member of the Firm and Chair of Epstein Becker Green's Board of Directors
Speakers
* Charles A. Coleman, PhD, Senior Sponsor of IBM's Population Health Insights and Programs Management of IBM's Healthcare Solutions Board
* Steven R. Daviss, MD, DFAPA, Chief Medical Officer at M3 Information, LLC, a DC-based mobile mental health information technology company that developed the peer-reviewed multi-dimensional, patient-centered mental health screening tool, M3Clinician
Epstein Becker Green Webinar - Moderated by Mark E. Lutes - http://www.ebglaw.com/events/the-challenges-and-rewards-of-integrating-behavioral-health-into-primary-care-%E2%80%93-thought-leaders-in-population-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
This document discusses the impact that a person's problematic substance use can have on their family members and friends. It notes that while interventions often focus on supporting the individual with the substance use problem, less attention is paid to the effects on family and friends. These effects can include physical and mental health problems, financial issues, relationship challenges, and domestic violence. The severity of impact depends on factors like whether family members live with the individual, provide their care, experience abuse, or use substances themselves. The document provides an overview of research demonstrating the stress, health problems, and emotional difficulties family members may face when a loved one has problematic substance use.
The document provides an orientation for behavioral health services at House of New Hope. It introduces the executive director and describes the organization's mission to help those in need through faith-based services. It discusses House of New Hope's treatment philosophy which focuses on empowering individuals and supporting their recovery and well-being rather than viewing their conditions as defining them. The document also outlines the roles of clinical support staff and describes the shift in behavioral health from a traditional medical model to one centered on individual-driven recovery.
One of the problems with coercion is that it is not apparent to the casual observer, especially when the victim has a mental disorder. This slide show illustrates the dynamics of this stealth-like characteristic characteristic of coercive abuse and why it is important that law enforcement and attorneys recognize coercive abuse in legal proceedings.
This document summarizes SAMHSA's strategic initiatives and challenges around prevention of substance abuse and mental illness. It discusses how health reform presents new opportunities and challenges, including 32 million more Americans being eligible for coverage by 2014. SAMHSA's strategic initiatives focus on goals like preventing onset of substance abuse and mental illness through primary prevention, reducing underage drinking and prescription drug misuse, and preventing suicides. The document outlines challenges for state leadership in implementing prevention programs and ensuring access to evidence-based services under health reform.
The document discusses intensive service interventions for families with disabilities. It describes who these interventions target, including those experiencing homelessness, mental health issues, substance abuse, and more. It discusses how these interventions are provided, including through transitional housing programs, permanent supportive housing, trauma-informed care, and harm reduction approaches. The core goals and philosophies of interventions include housing first, meeting families where they are, and empowering families.
Behavioral Health Integration in Primary Care 1MPCA
Hackley Community Care Center (HCCC) provides integrated behavioral health services at their primary care center located in Muskegon Heights, Michigan. They serve over 15,000 clients, many of whom have Medicaid or are uninsured. HCCC uses the 5 levels of behavioral health integration model, currently implementing level 4 where behavioral health providers are on-site and share some systems with primary care providers. They provide services like therapy, psychiatric consultations, and care management for depression. Barriers to further integration include reimbursement issues and lack of coordination with community mental health services.
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...Epstein Becker Green
Although mental health and substance abuse (behavioral health) services have historically been segregated from traditional medical care, its impact on patients’ well-being, physical health and cost-of-care has become increasingly critical to improving clinical quality outcomes while significantly decreasing financial costs by tens of billions of dollars. Drs. Daviss and Coleman will discuss the advances in policy and practice regarding the integration of behavioral health with physical health, as well as some of the gaps in identifying, aggregating, and analyzing data critical to a more holistic and comprehensive view of the individual.
In addition, the speakers will:
* Identify the clinical, legal, social, and financial impacts of behavioral health disorders on chronic medical conditions.
* Describe the challenges involved in improving clinical and financial outcomes in patients with chronic medical conditions who also have behavioral health symptoms and/or conditions.
* Demonstrate the rewards for implementing new information technology applications and analysis for better clinical and financial outcomes for these specific populations.
Moderator
* Mark E. Lutes, Member of the Firm and Chair of Epstein Becker Green's Board of Directors
Speakers
* Charles A. Coleman, PhD, Senior Sponsor of IBM's Population Health Insights and Programs Management of IBM's Healthcare Solutions Board
* Steven R. Daviss, MD, DFAPA, Chief Medical Officer at M3 Information, LLC, a DC-based mobile mental health information technology company that developed the peer-reviewed multi-dimensional, patient-centered mental health screening tool, M3Clinician
Epstein Becker Green Webinar - Moderated by Mark E. Lutes - http://www.ebglaw.com/events/the-challenges-and-rewards-of-integrating-behavioral-health-into-primary-care-%E2%80%93-thought-leaders-in-population-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
This document discusses the impact that a person's problematic substance use can have on their family members and friends. It notes that while interventions often focus on supporting the individual with the substance use problem, less attention is paid to the effects on family and friends. These effects can include physical and mental health problems, financial issues, relationship challenges, and domestic violence. The severity of impact depends on factors like whether family members live with the individual, provide their care, experience abuse, or use substances themselves. The document provides an overview of research demonstrating the stress, health problems, and emotional difficulties family members may face when a loved one has problematic substance use.
The document provides an orientation for behavioral health services at House of New Hope. It introduces the executive director and describes the organization's mission to help those in need through faith-based services. It discusses House of New Hope's treatment philosophy which focuses on empowering individuals and supporting their recovery and well-being rather than viewing their conditions as defining them. The document also outlines the roles of clinical support staff and describes the shift in behavioral health from a traditional medical model to one centered on individual-driven recovery.
One of the problems with coercion is that it is not apparent to the casual observer, especially when the victim has a mental disorder. This slide show illustrates the dynamics of this stealth-like characteristic characteristic of coercive abuse and why it is important that law enforcement and attorneys recognize coercive abuse in legal proceedings.
Addiction is characterized as a chronic disease that dysfunctions the brain's reward system. It is caused by both genetic and environmental factors. Symptoms include an inability to abstain from rewarding behaviors, impaired control, craving, and relationship and emotional problems. Without treatment, addiction progresses and can lead to disability or death due to relapses triggered by substance cues, stress, or environmental factors. Overcoming addiction requires accepting feelings, developing alternative rewards, avoiding triggers, and gaining social support.
Addiction {Co-Occurring} Mental Health Disorders Story of HOPE & SURVIVALMemoirs Rhonda Johnson
This document discusses co-occurring disorders, where an individual suffers from both a mental health disorder and substance abuse disorder. It notes that co-occurring disorders can be difficult to diagnose as the symptoms can mask one another. Only a small percentage of individuals receive treatment for both conditions. Those with co-occurring disorders face greater challenges including higher rates of issues like relapse and homelessness compared to those with a single disorder. The document advocates for greater understanding and treatment of co-occurring disorders.
1) Tracking student progress over time through a shared tracking system and regularly reviewing information can help identify students experiencing academic or behavioral problems or who are at risk of adverse childhood experiences (ACEs).
2) Providing volunteers and staff with brief training on common ACEs faced by the community and strategies to support students can help strengthen relationships between students and mentors.
3) Integrating ACE prevention, early detection, and community support are recommended to interrupt the intergenerational cycle of ACEs and promote resilience among students attending the Out-of-School Time program.
Legal & ethical issues provisions and programmes for elderlypradeepmk8
This document discusses several ethical issues related to research involving elderly subjects. It notes that elderly subjects may be more vulnerable due to physiological and psychological factors. Key issues include obtaining proper informed consent, assessing subjects' ability to make decisions, and evaluating risks and benefits of research for this population. The document calls for more interdisciplinary research on ethical guidelines to properly address these challenges and protect elderly participants.
What does harm reduction have to with me anywayAIDSCalgary
This document discusses harm reduction and its importance for organizations and communities. It argues that harm reduction provides skills for self-care, lowers personal risk, encourages access to treatment, and saves lives. Harm reduction recognizes that substance use is enduring and focuses on decreasing adverse consequences while building supportive relationships. The document outlines criticisms of harm reduction and evidence that contradict those criticisms. It discusses goals for organizations to implement harm reduction approaches, including engaging clients and promoting human rights.
This document discusses homelessness, substance misuse, and recovery. It notes that for many experiencing homelessness and substance misuse, substance issues typically develop before homelessness. Shared housing models, partnerships between organizations, housing first approaches, and integrated health and social care budgets are presented as housing solutions that can support recovery. Developing "recovery capital" through social networks, activities, health, housing stability, and economic independence is highlighted as important for long-term recovery.
This document provides information about family caregivers in Canada. It defines a caregiver as someone who provides informal care for a family member with long-term illness, disability, or age-related needs. Most caregivers are women and have been providing care for over a year. Common types of care include elder care for parents and care for a spouse with a health condition. Caregiving can cause stress due to effects on employment like lost hours or benefits, financial hardship, and less time for family. The number of caregivers is expected to rise as the population ages.
Douglas Ziedonis M.D. -
Member, RiverMend Health Scientific Advisory Board for Addiction & Psychiatry
Department of Psychiatry, University of Massachusetts Medical School & UMass Memorial Health Care
Dr. Ziedonis addresses the RiverMend Health Scientific Advisory Board on co-occurring addictions and processes to help treat them.
To watch lecture visit :http://vimeo.com/100314352
For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html
The document summarizes a substance use disorder treatment program for families that implements trauma-informed and evidence-based practices. It finds that participants have extensive trauma histories, including high Adverse Childhood Experience scores and trauma symptoms. The program uses therapies like Celebrating Families!, Family Behavior Therapy, and Seeking Safety to treat co-occurring substance use and trauma and improve family outcomes. Post-treatment, families reported improved housing stability, permanency for children, and mental well-being.
The document is a final reflection paper on improving the US healthcare system. It argues that while the US spends the most on healthcare, it underperforms compared to countries that spend less. This is due to a lack of cost control, universal access, and transparency. The paper proposes adopting aspects of Singapore and Japan's healthcare models, which emphasize social harmony, personal responsibility, and transparency. It suggests establishing a flat fee for all healthcare services paid by providers to control costs and incentivize value-based care between payers and providers. Overall the paper argues the US could lower costs by improving collaboration, transparency, and personal responsibility in the healthcare system.
Substance abuse treatment is tailored to help with recovery from drug and alcohol addiction. Comprehensive services are the key to success. Learn more about substance abuse treatment at FindRehabCenters.org and get help finding the appropriate treatment center for you. (877) 322-2450
The document discusses services provided by Hamilton Family Center to help families experiencing homelessness and substance abuse issues. The Center uses a Housing First approach to provide housing and comprehensive support services to promote self-sufficiency. Services are trauma-informed, harm reduction based, and include substance abuse treatment, healthcare, parenting support, and collaborative programs with social services. Challenges include differing perspectives between providers, and balancing client needs with requirements of social services agencies.
The National Counselling Service (NCS):
1) Provides free counseling and psychotherapy to adults who experienced childhood abuse, with a focus on those abused in institutions.
2) Has served over 20,000 clients since being established 10 years ago in response to reports of institutional abuse.
3) Offers easily accessible counseling nationwide through self-referral and free phone access, with the majority of clients reporting benefits such as improved management of feelings and ability to cope.
This document summarizes presentations from a training on trauma-informed care. It discusses the Adverse Childhood Experiences (ACE) Study which found that childhood trauma is common and influences adult health and behaviors. Presenters discuss how trauma impacts individuals over their lifetime through mental health issues, health risks, diseases, and social problems if left unaddressed. They advocate for trauma-informed systems and cultures of care across behavioral health, social services, and communities to facilitate recovery and prevent retraumatization. The speakers provide their visions of a future where trauma is addressed and communities are empowered partners in wellness promotion.
The document summarizes a presentation about the Family Wellness Court in Santa Clara County, California. The FWC uses a trauma-informed approach to work with parents struggling with substance abuse issues. It provides comprehensive services and support to help parents achieve sobriety and regain custody of their children. Data shows the FWC has helped over 290 parents since 2008 and achieved a 71% family reunification rate for fast-track cases, higher than the county average. The keys to its success include commitment across agencies, a shared value of helping families heal from trauma, and providing a wide array of services tailored to each family's needs.
This document summarizes research on reducing self-stigma and discrimination for those with mental health issues. It finds that empowerment, disclosure, and positive group identification are key to this. Providing education through personal stories, increasing positive contact between peers/the public, and protesting discrimination can challenge stereotypes and interrupt the stigma cycle. While education alone is insufficient, combining it with other approaches can improve attitudes and inclusion.
Mental Health is more prevalent than what we think. Current care models and technology solutions are targeting medical conditions but the fact is most of the mental health patients are also chronic condition patients. It is important to provide holistic care for mental and medical conditions. vCareConnect technology helps organizations deliver holistic care to their patients with mental illness and chronic conditions.
Addiction is characterized as a chronic disease that dysfunctions the brain's reward system. It is caused by both genetic and environmental factors. Symptoms include an inability to abstain from rewarding behaviors, impaired control, craving, and relationship and emotional problems. Without treatment, addiction progresses and can lead to disability or death due to relapses triggered by substance cues, stress, or environmental factors. Overcoming addiction requires accepting feelings, developing alternative rewards, avoiding triggers, and gaining social support.
Addiction {Co-Occurring} Mental Health Disorders Story of HOPE & SURVIVALMemoirs Rhonda Johnson
This document discusses co-occurring disorders, where an individual suffers from both a mental health disorder and substance abuse disorder. It notes that co-occurring disorders can be difficult to diagnose as the symptoms can mask one another. Only a small percentage of individuals receive treatment for both conditions. Those with co-occurring disorders face greater challenges including higher rates of issues like relapse and homelessness compared to those with a single disorder. The document advocates for greater understanding and treatment of co-occurring disorders.
1) Tracking student progress over time through a shared tracking system and regularly reviewing information can help identify students experiencing academic or behavioral problems or who are at risk of adverse childhood experiences (ACEs).
2) Providing volunteers and staff with brief training on common ACEs faced by the community and strategies to support students can help strengthen relationships between students and mentors.
3) Integrating ACE prevention, early detection, and community support are recommended to interrupt the intergenerational cycle of ACEs and promote resilience among students attending the Out-of-School Time program.
Legal & ethical issues provisions and programmes for elderlypradeepmk8
This document discusses several ethical issues related to research involving elderly subjects. It notes that elderly subjects may be more vulnerable due to physiological and psychological factors. Key issues include obtaining proper informed consent, assessing subjects' ability to make decisions, and evaluating risks and benefits of research for this population. The document calls for more interdisciplinary research on ethical guidelines to properly address these challenges and protect elderly participants.
What does harm reduction have to with me anywayAIDSCalgary
This document discusses harm reduction and its importance for organizations and communities. It argues that harm reduction provides skills for self-care, lowers personal risk, encourages access to treatment, and saves lives. Harm reduction recognizes that substance use is enduring and focuses on decreasing adverse consequences while building supportive relationships. The document outlines criticisms of harm reduction and evidence that contradict those criticisms. It discusses goals for organizations to implement harm reduction approaches, including engaging clients and promoting human rights.
This document discusses homelessness, substance misuse, and recovery. It notes that for many experiencing homelessness and substance misuse, substance issues typically develop before homelessness. Shared housing models, partnerships between organizations, housing first approaches, and integrated health and social care budgets are presented as housing solutions that can support recovery. Developing "recovery capital" through social networks, activities, health, housing stability, and economic independence is highlighted as important for long-term recovery.
This document provides information about family caregivers in Canada. It defines a caregiver as someone who provides informal care for a family member with long-term illness, disability, or age-related needs. Most caregivers are women and have been providing care for over a year. Common types of care include elder care for parents and care for a spouse with a health condition. Caregiving can cause stress due to effects on employment like lost hours or benefits, financial hardship, and less time for family. The number of caregivers is expected to rise as the population ages.
Douglas Ziedonis M.D. -
Member, RiverMend Health Scientific Advisory Board for Addiction & Psychiatry
Department of Psychiatry, University of Massachusetts Medical School & UMass Memorial Health Care
Dr. Ziedonis addresses the RiverMend Health Scientific Advisory Board on co-occurring addictions and processes to help treat them.
To watch lecture visit :http://vimeo.com/100314352
For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html
The document summarizes a substance use disorder treatment program for families that implements trauma-informed and evidence-based practices. It finds that participants have extensive trauma histories, including high Adverse Childhood Experience scores and trauma symptoms. The program uses therapies like Celebrating Families!, Family Behavior Therapy, and Seeking Safety to treat co-occurring substance use and trauma and improve family outcomes. Post-treatment, families reported improved housing stability, permanency for children, and mental well-being.
The document is a final reflection paper on improving the US healthcare system. It argues that while the US spends the most on healthcare, it underperforms compared to countries that spend less. This is due to a lack of cost control, universal access, and transparency. The paper proposes adopting aspects of Singapore and Japan's healthcare models, which emphasize social harmony, personal responsibility, and transparency. It suggests establishing a flat fee for all healthcare services paid by providers to control costs and incentivize value-based care between payers and providers. Overall the paper argues the US could lower costs by improving collaboration, transparency, and personal responsibility in the healthcare system.
Substance abuse treatment is tailored to help with recovery from drug and alcohol addiction. Comprehensive services are the key to success. Learn more about substance abuse treatment at FindRehabCenters.org and get help finding the appropriate treatment center for you. (877) 322-2450
The document discusses services provided by Hamilton Family Center to help families experiencing homelessness and substance abuse issues. The Center uses a Housing First approach to provide housing and comprehensive support services to promote self-sufficiency. Services are trauma-informed, harm reduction based, and include substance abuse treatment, healthcare, parenting support, and collaborative programs with social services. Challenges include differing perspectives between providers, and balancing client needs with requirements of social services agencies.
The National Counselling Service (NCS):
1) Provides free counseling and psychotherapy to adults who experienced childhood abuse, with a focus on those abused in institutions.
2) Has served over 20,000 clients since being established 10 years ago in response to reports of institutional abuse.
3) Offers easily accessible counseling nationwide through self-referral and free phone access, with the majority of clients reporting benefits such as improved management of feelings and ability to cope.
This document summarizes presentations from a training on trauma-informed care. It discusses the Adverse Childhood Experiences (ACE) Study which found that childhood trauma is common and influences adult health and behaviors. Presenters discuss how trauma impacts individuals over their lifetime through mental health issues, health risks, diseases, and social problems if left unaddressed. They advocate for trauma-informed systems and cultures of care across behavioral health, social services, and communities to facilitate recovery and prevent retraumatization. The speakers provide their visions of a future where trauma is addressed and communities are empowered partners in wellness promotion.
The document summarizes a presentation about the Family Wellness Court in Santa Clara County, California. The FWC uses a trauma-informed approach to work with parents struggling with substance abuse issues. It provides comprehensive services and support to help parents achieve sobriety and regain custody of their children. Data shows the FWC has helped over 290 parents since 2008 and achieved a 71% family reunification rate for fast-track cases, higher than the county average. The keys to its success include commitment across agencies, a shared value of helping families heal from trauma, and providing a wide array of services tailored to each family's needs.
This document summarizes research on reducing self-stigma and discrimination for those with mental health issues. It finds that empowerment, disclosure, and positive group identification are key to this. Providing education through personal stories, increasing positive contact between peers/the public, and protesting discrimination can challenge stereotypes and interrupt the stigma cycle. While education alone is insufficient, combining it with other approaches can improve attitudes and inclusion.
Mental Health is more prevalent than what we think. Current care models and technology solutions are targeting medical conditions but the fact is most of the mental health patients are also chronic condition patients. It is important to provide holistic care for mental and medical conditions. vCareConnect technology helps organizations deliver holistic care to their patients with mental illness and chronic conditions.
Success in preventing homelessness and achieving rapid re-housing relies on developing and maintaining strong relationships with landlords. This workshop will discuss how to reach out and build working relationships with landlords, whether individuals or for-profit or not-for-profit entities. Consideration will be given to walking the fine line between acting as a liaison to landlords and being a consumer advocate when tenants have legal conflicts with property owners or requests for reasonable accommodations with property owners.
The document discusses systems integration, which aims to identify barriers that families face in accessing resources and improve coordination across systems. The key pillars of systems integration are environmental scans to understand needs, building relationships between stakeholders, and mechanisms for change like coalition building, cross-training staff, and advocating for policy changes. The ultimate goal is to improve outcomes for families by reducing gaps and barriers between systems like housing, child welfare, education and more.
Rapid re-housing programs are reducing the length of time people reside in shelter before returning to housing in the community. This introductory workshop will provide an overview of the rapid re-housing approach for practitioners and local policymakers unfamiliar with the model. Housing search, landlord negotiation, rental assistance, and home-based case management service strategies will be reviewed.
Presented by Kim Leach.
Responding to rural family homelessness is complicated by problems of identifying homeless families and allocating scarce resources across wide service areas. Rural communities across the country have made significant progress in reducing family homelessness and increasing the effectiveness of their Continuums of Care (CoC). This workshop will profile the strategies of effective rural programs and communities and identify how these strategies can facilitate successful HEARTH implementation.
Integrated housing models provide affordable housing for a swath of income levels and supportive housing for clients with mental or physical health disabilities. This workshop will examine several model types for integrated housing. Speakers will also discuss the funding and development on this type of housing model.
Communities across the country have submitted questions to the HUD Homelessness Prevention and Rapid Re-Housing Program (HPRP) Virtual Help Desk. Now you can meet the experts! Program experts will offer their insights, discuss frequently asked questions, and field queries from participants.
The document discusses services provided by Matt Talbot Services for drug and alcohol treatment of young people. It summarizes the challenges of working with adolescents and emphasizes building therapeutic relationships and tailoring treatment to individual needs. Treatment programs aim to engage and retain young people through a holistic, multidisciplinary approach incorporating counseling, education, activities and family support.
The document discusses issues related to substance abuse among teens. It notes that teens who abuse drugs and alcohol are more likely to engage in criminal behavior and end up in the juvenile justice system. Four out of five teens in the justice system have substance abuse problems. Treatment is more effective and cheaper than incarceration, but many teens do not receive treatment. Effective treatment requires a coordinated, long-term, family-focused approach addressing multiple needs.
DRUG ADDICTION AMONGST YOUTH IN LOCKDOWNRomitBishayi
The document discusses drug addiction among youth during lockdown and how the government plans to tackle the issue. It notes that lockdown caused relapses in drug addicts as 12-step programs stopped meeting. Many addicts sought help from de-addiction centers during lockdown due to withdrawal symptoms. The government aims to reduce drug use, increase recovery rates, restrict supply, build recovery support, and take global action against drugs. Prevention strategies include communication, listening, parenting by example, and strengthening family bonds.
This document summarizes findings and recommendations from a project on kinship carers. It finds that kinship carers' needs and those of children in their care are often unmet. It recommends that more research be done to understand kinship care placements and the core needs of carers. National and local authorities should give increased attention to meeting kinship carers' needs, and other agencies should consider the whole family's needs. Reducing stigma and developing resources for carers could have positive impacts. More research is also recommended on prevention programs and risks for children in kinship care.
This document discusses harm reduction approaches in housing programs for individuals experiencing homelessness and substance use disorders. It outlines key principles of harm reduction, including meeting clients where they are at without requiring abstinence, focusing on small positive steps, and avoiding punitive responses to relapses. The stages of change model is reviewed as it applies to engaging clients who are not yet ready to change substance use. Specific harm reduction strategies for housing programs include allowing substance use while providing other services and supports to reduce risks, accepting relapses as part of recovery, and having open conversations about mental health and substance use issues. The goal is to provide compassionate services to as many individuals as possible to improve health and housing stability.
1Effective Treatment for AddictedCriminal Justice Client.docxfelicidaddinwoodie
1
Effective Treatment for Addicted
Criminal Justice Clients
Harvey Weiner, DSW
Arlin Silberman, DO
Peter Glowacki, MD
W. Charles Folks, MSW
ABSTRACT. Addicted criminal justice clients present unique challenges because of the
complex biopsychosocial problems which frequently accompany their addiction. An
overview of the current understanding of addictive disease is presented, including the
important distinction between abstinence and sobriety.
In the Eagleville Recovery Program, each client's medical, psychosocial, educational,
vocational and psychiatric assessments are used to develop an individualized treatment
plan. Group therapy is the primary treatment modality, supplemented by individual and
family therapy, a unique Adult Basic Education component, work therapy, and active
involvement in the 12-step programs. Group therapy is important because these clients
often reject suggestions from professionals but are willing to accept feedback from peers.
Even minor successful accomplishments in the educational program enhance clients' self-
esteem and reinforce other areas of growth and change, while work therapy provides an
opportunity to learn how to relate to a supervisor and "straight" co-workers.
A case study is presented to illustrate the course of treatment for a typical client. [Article
copies available for a fee from The Haworth Document Delivery Service. 1-800-342-
9678. E-mail address: [email protected]]
______________________________________________________________________________
Harvey Weiner, Arlin Silberman, Peter Glowacki, and W. Charles Folks are affiliated with
Eagleville Hospital, 100 Eagleville Road, Eagleville, PA 19403-1800.
Alcoholism Treatment Quarterly, Vol. 15(4) 1997
1997 by The Haworth Press, Inc. All rights reserved.
2
Substance abuse has been called the nation's number one health problem (Robert Wood
Johnson Foundation, 1993), and the impact of drugs on America has been summarized by Joseph
Califano (1995) as follows:
For 30 years, America has tried to curb crime with more judges, tougher punishments and
bigger prisons. We have tried to rein in health costs by manipulating payments to doctors
and hospitals. We've fought poverty with welfare systems that offer little incentive to work.
All the while, we have undermined these efforts with our personal and national denial about
the sinister dimension drug abuse and addiction has added to our society.
Providing effective treatment to addicted criminal justice clients presents special challenges
because of the complexity and severity of the biopsychosocial problems which frequently
accompany their addiction. The purpose of this paper is to describe the Eagleville Recovery
Program, a residential program which has been very effective in treating these clients of particular
interest is the program's structure, its multidisciplinary treatment team, and its unique adult basic
education and work therapy components.
To provide a framework for ...
The Physician's Campaign is an educational initiative designed to equip physicians and healthcare providers with up-to-date information about the impact of bullying exposure on patients' health. It aims to train providers to screen youth for bullying involvement and help those affected. The campaign will provide continuing education programs and online resources to help physicians translate research on bullying's health consequences into practice. Its goal is to empower physicians to champion children's well-being and mental health by improving their ability to detect and respond to bullying exposure.
ISPCAN Jamaica 2018 - The Impact of Domestic Violence on Children's Functioni...Christine Wekerle
The Impact of Domestic Violence on Children's Functioning: Care Planning Approaches to Foster Trauma-Informed Care
Shannon Stewart, Yasmin Garad, Natalia Lapshini
FidelityEHR Care Coordination eBook Final PrintMatt Schubert
FidelityEHR is an electronic health record designed to support coordinated care models and improve outcomes for children and youth with behavioral and mental health challenges. It was developed based on evidence-based practices like system of care and wraparound models. FidelityEHR allows for family-driven, youth-guided care by capturing each person's insights and preferences. It also supports culturally competent, individualized, and community-based care. The platform facilitates team collaboration and tracks outcomes to help organizations deliver high-fidelity coordinated care.
FidelityEHR is an electronic health record designed to support coordinated care models and improve outcomes for children and youth with behavioral and mental health challenges. It was developed based on evidence-based practices like system of care and wraparound models. FidelityEHR allows for family-driven, youth-guided care by capturing each person's insights and preferences. It also supports culturally competent, individualized, and community-based care. The platform facilitates team collaboration and tracks outcomes to help organizations deliver high-fidelity coordinated care.
EVERFI Webinar: Addressing Prescription Drug Abuse on CampusMichele Collu
This document discusses addressing prescription drug abuse on college campuses. It begins by outlining the scope of the problem, noting that while the US makes up 5% of the world's population, it consumes 75% of the world's prescription drugs. Contributing factors to misuse include easy access to medications, misperceptions about safety, and direct-to-consumer drug advertising. The document then defines misuse and outlines the most commonly abused drug types - opioids, stimulants, and depressants. It presents data on misuse rates among college students and 18-25 year olds. Finally, it discusses prevention strategies including information dissemination, skill building, problem identification and referral services, environmental approaches, and campus-
This paper will discuss the definition, roles and evolution of
the family caregiver, before delving into the topic of caregiver fear – including the sources, consequences and mechanisms for alleviation.
The document discusses adolescent addiction as a public health crisis influenced by multiple factors. It notes that 90% of Americans with addiction started using substances before age 18, and adolescent brains are more vulnerable to addiction. While teens are influenced by permissive cultural and media messages about substance use, families, schools, and communities also share responsibility. The document calls for prevention through youth empowerment, education, limiting advertising, and expanding access to treatment.
Youth rise harm reduction for young people - barriersyouthrise
Youth RISE is a global network that promotes evidence-based drug policies and harm reduction strategies involving young people who use drugs. They work to build capacity for harm reduction, advocate for more effective drug policies, and increase youth involvement in advocacy. Their approach supports local youth organizations through grants, training, and research to understand local drug scenes. Effective youth harm reduction requires services that are culturally sensitive, address multiple health issues, ensure youth involvement, and include skills training. Criminalization and punitive drug policies worsen HIV by forcing people underground and alienating youth from services.
Developing non-clinical approaches and are pathways to fundamental socioeconomic issues that are presented in the primary care and secondary care settings
There are many misconceptions about harm reduction. In this presentation, we will debunk the myths, explain what harm reduction is and provide examples of harm reduction in action throughout our province and nation. This presentation also includes how individuals can become volunteers with our agency.
Harm reduction Project 25: Meeting of the Minds JOComm
Started in 2011, Project 25 aims to solve the many difficulties associated not just with chronic homelessness, but especially those who are frequent users of public systems such as local hospitals and law enforcement. In its first year alone, Project 25 demonstrated the following results and these trends have continued into subsequent years. First year results include:
• 56 percent decline in number of hospitalizations
• 58 percent decrease in days spent in the hospital
• 62 percent drop in ambulance rides
• 66 percent reduction in emergency room visits
• 63 percent cut in costs
The document summarizes challenges and opportunities in substance abuse and mental health prevention. It discusses how health reform aims to expand access to care through Medicaid expansion and insurance exchanges. This will provide opportunities to integrate behavioral health prevention and treatment into primary care. The document also outlines SAMHSA's strategic initiatives to focus on prevention, trauma, military families, recovery support, and using data and health IT to drive performance and outcomes.
This document discusses the key elements of a successful integrated care program between primary care and psychiatry based on the experiences of Packard Health and Community Support and Treatment Services (CSTS). The three main points are:
1) Many primary care patients have mental health conditions and integrating care can help address these conditions and improve physical health outcomes.
2) Core factors for successful integration include recognizing the need, making a conscious plan, establishing a learning environment, strong leadership, understanding practice capacity, and ensuring appropriate staff roles.
3) Integrated care requires overcoming cultural divides between primary care and psychiatry through education, clear communication of roles, and psychiatrist involvement in areas like consultations, co-visits, and case
The document discusses substance abuse and child maltreatment from the perspective of Child Protective Services. It recognizes that addiction affects the entire family and that most parents struggling with substance abuse still want the best for their children. It also discusses that risks to children can often be managed through intensive services while preserving the family unit. The document provides an overview of addiction, noting that it is progressive and systemic, anyone can become addicted, denial and relapse are common, and polysubstance abuse can pose unique risks. It emphasizes looking beyond stereotypes to understand addiction's complex nature and impacts.
Similar to 2.7: Addressing the Substance Abuse Challenges of Homeless Families (20)
This presentations by Carl Falconer is from the workshop 3.03 Implementing Effective Governance to End Homelessness from the 2015 National Conference on Ending Homelessness.
Effective governance sets the tone for a systemic focus on ending homelessness. Speakers will discuss the essential elements of effective governance, including managing and measuring performance and right-sizing the crisis response system through resource allocation.
Slides from a presentations by Cynthia Nagendra of the National Alliance to End Homelessness from a webinar that originally streamed on Tuesday, April 7, 2015 covering steps one and three of the Alliance's "5 Steps for Ending Veteran Homelessness" document.
"Housing First and Youth" by Stephen Gaetz from the workshop 4.6 Housing and Service Models for Homeless Youth at the 2014 National Conference on Ending Homelessness.
Frontline Practice within Housing First Programs by Benjamin Henwood from the workshop 5.9 Research on the Efficacy of Housing First at the 2014 National Conference on Ending Homelessness.
Rapid Re-Housing with DV Survivors: Approaches that Work by Kris Billhardt from the workshop Providing Rapid Re-housing for Victims of Domestic Violence at the 2014 National Conference on Ending Homelessness.
Non-chronic Adult Homelessness: Background and Opportunities by Dennis Culhane from the workshop 1.7 Non-Chronic Homelessness among Single Adults: An Overview at the 2014 National Conference on Ending Homelessness
California’s Approach for Implementing the Federal Fostering Connections to Success Ac by Lindsay Elliott from
5.8 Ending Homelessness for Youth Aging Out of Foster Care at the 2014 National Conference on Ending Family and Youth Homelessness.
This document summarizes key aspects of health care reform related to homeless families and youth. It discusses how the Affordable Care Act expands Medicaid eligibility for youth and reduces costs for families. It then provides details on Medicaid eligibility categories and coverage groups impacted by the reforms. The rest of the document outlines core Medicaid concepts, different means of covering services including waivers and managed care, and concludes with an overview of Louisiana's permanent supportive housing program.
This document summarizes a workshop on retooling transitional housing programs into rapid re-housing models. The workshop included presentations from providers who have successfully made this transition. They discussed the challenges they faced, such as resistance to change from staff and partners, and the solutions they implemented, like developing new screening and employment assistance components. Presenters emphasized the importance of communication, aligning with community plans, and evaluating outcomes when retooling programs. Retooling requires considering funding, staffing, housing issues, and starting a pilot program before fully implementing changes. Overall, the presentations showed how transitional housing can effectively transition to serving more families through a rapid re-housing model.
The Fusion Project is directed by Kim Wirth and focuses on supporting vulnerable youth through building relationships. It utilizes a theory of change that supports youth to meet basic needs, build relationship skills, and reconnect with family/community for long-term self-sufficiency. The program is relationship-focused, invites voluntary engagement, aims to be authentic and youth/family-led, and inspires change through living its values. Preliminary outcomes show a reduction in homelessness and increased natural supports for youth after engaging with the program.
The document discusses programs and services provided by the LA Gay & Lesbian Center to support homeless LGBTQ youth. It notes that around 6,000 youth experience homelessness in LA County each year, and 40% of homeless youth in Hollywood identify as LGBTQ. The Center provides emergency housing, a transitional living program, independent apartments, and youth development programs focused on education, employment, and permanent connections. Services are trauma-informed and use positive youth development approaches. Outcomes include over 300 youth served annually, with many obtaining education, jobs, housing and community support. The RISE project also aims to improve permanency outcomes for LGBTQ foster youth.
This document summarizes a presentation on the impact of budget cuts to housing assistance programs. It discusses how the Budget Control Act led to automatic spending cuts (sequestration) that have significantly reduced funding for programs like housing vouchers. As a result, hundreds of thousands fewer families are receiving housing assistance. Advocates are urged to contact members of Congress to emphasize how cuts threaten efforts to end homelessness and ask that housing programs be prioritized in any budget deal. Restoring funding could help maintain assistance for vulnerable groups and prevent increased homelessness.
Family Reunification Pilot, Alameda County, CA from the work shop 6.1 Partnering with Child Welfare Agencies to End Family Homelessness at the 2013 National Conference on Ending Homelessness.
Avenues for Homeless Youth operates four programs in the Twin Cities that provide shelter and transitional housing for over 200 homeless youth per year. The programs include a shelter in North Minneapolis, as well as GLBT, suburban, and Minneapolis host home programs. Host homes provide a safe, stable transitional housing option at 50% lower cost than congregate housing. They aim to build long-term supportive relationships critical for youth success. The host home model places homeless youth with volunteer community members who are trained and supported by program managers.
This document describes a learning collaborative hosted by EveryOne Home in Alameda County, California to improve their homeless assistance system. The collaborative was called the EveryOne Housed Academy and brought together staff from homeless services organizations over two days. The goals were to develop a shared understanding of housing first and rapid rehousing approaches, align around common language and tools, and create customized implementation plans to help organizations move more people quickly into permanent housing. Guiding principles for effective learning collaboratives that were followed included making topics concrete and practical, creating space for ongoing learning and application, and unlocking new possibilities through a collaborative process.
This document summarizes a presentation on advocating for policy priorities at the state level. It discusses:
- Why state advocacy is important, such as educating leaders, directing policy and resources, and building coalitions.
- Examples of state advocacy from North Carolina and Minnesota, including securing Medicaid funding for permanent supportive housing in NC and forming a coalition called "Homes for All" in MN to pass affordable housing legislation.
- Tools for effective state advocacy, such as using data to tell a story, developing strategic advocacy plans, and setting priorities at the state level by focusing on key audiences and policy asks.
Shelter diversion by Ed Boyte from 6.5 Maximizing System Effectiveness through Homelessness Prevention from the 2013 National Conference on Ending Homelessness
"Evaluating Philadelphia’s Rapid Re-Housing Impacts on Housing Stability and Income," by Jamie Vanasse Taylor Cloudburst and Katrina Pratt-Roebuck from the 2013 National Conference on Ending Homelessness/.
More from National Alliance to End Homelessness (20)
Gender and Mental Health - Counselling and Family Therapy Applications and In...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
THE SACRIFICE HOW PRO-PALESTINE PROTESTS STUDENTS ARE SACRIFICING TO CHANGE T...indexPub
The recent surge in pro-Palestine student activism has prompted significant responses from universities, ranging from negotiations and divestment commitments to increased transparency about investments in companies supporting the war on Gaza. This activism has led to the cessation of student encampments but also highlighted the substantial sacrifices made by students, including academic disruptions and personal risks. The primary drivers of these protests are poor university administration, lack of transparency, and inadequate communication between officials and students. This study examines the profound emotional, psychological, and professional impacts on students engaged in pro-Palestine protests, focusing on Generation Z's (Gen-Z) activism dynamics. This paper explores the significant sacrifices made by these students and even the professors supporting the pro-Palestine movement, with a focus on recent global movements. Through an in-depth analysis of printed and electronic media, the study examines the impacts of these sacrifices on the academic and personal lives of those involved. The paper highlights examples from various universities, demonstrating student activism's long-term and short-term effects, including disciplinary actions, social backlash, and career implications. The researchers also explore the broader implications of student sacrifices. The findings reveal that these sacrifices are driven by a profound commitment to justice and human rights, and are influenced by the increasing availability of information, peer interactions, and personal convictions. The study also discusses the broader implications of this activism, comparing it to historical precedents and assessing its potential to influence policy and public opinion. The emotional and psychological toll on student activists is significant, but their sense of purpose and community support mitigates some of these challenges. However, the researchers call for acknowledging the broader Impact of these sacrifices on the future global movement of FreePalestine.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
2.7: Addressing the Substance Abuse Challenges of Homeless Families
1. Addressing the Substance
Abuse Challenges of Homeless
Families
Deborah Werner
Advocates for Human Potential, Inc,
This presentation is made possible with support from the
Substance Abuse and Mental Health Services Administration
2. Substance Use
Abstinence
Experimental Use
Responsible Use
Episodic or Situational Abuse
Chronic Abuse
Dependence
Responsible use = moderate, legal consumption
in low-risk settings 2
3. Not all Use is Addiction
Use of Illicit Substances
Heavy consumption
Binge drinking
Poor coping strategy
High-Risk Settings
Driving under influence
While caring for child
Episodical/Situational Abuse
Common co-occurrence with intimate partner
violence
Interventions include: education, brief interventions, 3
harm reduction, alternative activities, coping skills
4. Addiction and Dependency
Brain disorder
Brain impacted
Cravings
Tolerance
The individual becomes controlled by the
substance at a cellular level. Use continues
despite catastrophic consequences.
– Nora Volkow, MD, paraphrased 4
6. Reforms
Ensures consumer Allows states the option of
protections in the insurance continuing Medicaid
market. coverage to former foster
care children up to the age
Creates immediate options
of 25 years old.
for people who can’t get
insurance today. Ensures free preventive
services.
Expands health insurance
coverage to 32 million Small business owners and
Americans. employees will be insured
Adds 16 mil with incomes Reduces uncompensated
below 133% of the federal care.
poverty level to Medicaid.
7. Impact of Reform & Parity
Creates guaranteed access to mental health and substance use
disorder services at parity in most major public programs
including Medicaid and Qualified Health Plans (QHPs) to cover the
uninsured and small businesses.
Provides changes to the Medicaid program to continue and
expand home and community-based services for individuals with
mental health and substance use disorders.
Allows state Medicaid programs to establish health homes for
those with chronic illnesses. States that seek this option must
consult and coordinate with SAMHSA regarding the prevention
and treatment of mental illness and substance use disorders
among those with chronic illnesses.
8. Impact of Reform & Parity
Includes mental health and substance use disorder
services as essential health benefit services for
qualified health plans (QHPs) offered in the state-
based exchanges.
Provides for grants to community mental health programs for co-
locating primary and specialty care.
Creates a grant program for school-based health clinics to
provide mental health and substance abuse assessments, crisis
intervention, counseling, treatment and referrals.
Anticipate reductions in residential services over time.
Increased need for mental health and substance use
treatment agencies to collaborate with housing programs
9. While
substance use/abuse
in and of itself is
not child abuse –
behaviors
associated with
substance use/
abuse can put
children at
significant risk
10. Inter-Generational Cycle of Substance Abuse
Substance use disorders affect the entire family unit
and all the individual members.
Parental substance abuse increases the likelihood
that a family will experience
financial problems
shifting of adult roles onto children
child abuse and neglect, inconsistent parenting
violence and disrupted environments
Children of parents with substance use disorders
have a significantly higher likelihood of developing 10
substance use problems themselves.
12. Lessons from the Treatment Field
Each family is different and their solutions are unique.
Children often have service needs of their own.
Developing motivation for recovery is a service not a
pre-requisite.
Many women with SUDs experienced childhood trauma
and/or poor parenting which can significantly effect
their relationships with their own children but effective
supports and parenting programs are available.
Relapse is common. Prognosis/relapse the same as for
hypertension or diabetes. Early intervention can end a
relapse.
12
Recovery communities have powerful synergy.
13. Ending the Cycle
Accessible Gender-Responsive, Trauma-Informed Behavioral
Health Services
Children’s Assessments, Developmental Services, Education
Comprehensive Services for Families and Family Members
An array of safe, affordable housing options
Recovery residences
Supportive housing
Service-enriched housing
“mainstream” safe, affordable housing
Clean/sober communities
Accessible recovery support
Opportunities for growth, economic and social well-being
13
14. We all want to:
Help families access supports and resources
Strengthen/support families and family members
Preserve individual rights and self-determination
Support recovery and reduce risks associated with
use
See children thrive
Create wellness focused
communities
14
15. Voluntary/Mandatory Continuum
Least restrictive Most restrictive
No services Service Most Services fall in here. Mandatory Mandatory
Housing Coordinator Case Plan Participation Participation
only checks in Contracts, agree to attend In Services in all
Standard regularly. certain services, contingency Relapse services.
lease client management, drug testing, addressed, Removal if
provisions decides on relapse does not necessarily may result in use alcohol
no special service or result in loss of participation discharge /drugs
rules objective
related to No
alcohol or abstinence
drugs requirements
Where are you? 15
The Werner Hartman Group, 2006
16. Approach Varies Depending on
Agency mission, values philosophical framework
Availability of collaborative partners and quality
community services
Funding agency requirements/constraints
Individual Family Needs
Sense of urgency
What works for one family won’t
necessarily work for another. Our
villages benefit from having an array
of options.
16
17. Program Variations – depending on
population, philosophy and options
Acknowledging alcohol or drug use may vary
depending on policies, legality of use, drug testing
policies, client service plan
Response to alcohol or drug use may vary by type of
use, risk to children, mental health status, resources
available, “rules,” perceived risk to other residents,
Policies on if or when to evict family when householder
is using.
Respect parental authority and roles when you see
marginal care of children you care about.
Focusing on strengths when needs are so visible
17
18. Resources
The Treatment Improvement Exchange
http://www.tie.samhsa.gov/
http://womenandchildren.treatment.org/
Homeless Resource Center
http://www.homeless.samhsa.gov
National Institute on Drug Abuse
http://www.drugabuse.gov/
Join Together
http://www.jointogether.org/
Werner, D., Young, N.K., Dennis, K, & Amatetti, S.. Family-Centered Treatment
for Women with Substance Use Disorders – History, Key Elements and 18
Challenges. Department of Health and Human Services, Substance Abuse
and Mental Health Services Administration, 2008.