This document summarizes a presentation on providing gender responsive services for women with substance use disorders. It discusses that traditional treatment approaches have been based primarily on research with men and may not address the unique needs of women. Women often have different pathways to substance use, motivations for treatment, and recovery needs compared to men. These include issues related to relationships, trauma, mental health, parenting and family responsibilities. The presentation outlines characteristics of gender responsive treatment such as being relational, strength-based, trauma-informed, and addressing these unique needs of women. It provides examples of treatment components, strategies and program elements that can make services more responsive to the experiences and situations of women.
1. Christie's Place provides trauma-informed services for women, children, and families impacted by HIV/AIDS, including clinical, supportive, and empowerment services.
2. The document discusses how trauma disproportionately affects women living with HIV and outlines strategies for implementing trauma-informed care, including understanding trauma's impacts, prioritizing client choice and safety, and incorporating trauma education.
3. Key aspects of Christie's Place's trauma-informed approach are empowering clients, meaningfully including women living with HIV in leadership roles, and establishing a supportive environment through education and community investment.
This document provides an overview of trauma-informed care (TIC). It defines TIC as a strengths-based approach grounded in an understanding of trauma that prioritizes safety, empowerment and resilience. The document outlines key objectives of TIC such as recognizing the prevalence of trauma, understanding how it affects people, and responding with trauma-sensitive practices. It also discusses the impact of trauma, characteristics of resilient individuals and trauma-informed organizations, and the importance of a strengths-based approach to treatment.
Lateral Violence Home Health Aid Conference NITHAgriehl
In Nursing, there exists a culture of lateral violence and bullying, I have finally come to the realization that what we are seeing is the symptom of something much larger, something that starts, grows, and is nurtured with our own participation. We communicate in ways that have the ability to support each other, but we can also communicate in ways that are hurtful, mean, and contribute to a culture of oppression. We need to change our culture.
This document provides an overview of types of trauma, including individual trauma, interpersonal trauma like domestic violence, developmental trauma such as adverse childhood experiences, group trauma, mass trauma, community/cultural trauma, historical trauma, political terror and war, and system-oriented trauma. It discusses the characteristics and impacts of each type of trauma. Key points covered include prevalence of adverse childhood experiences, their association with high-risk behaviors, and how trauma-informed care principles can help avoid re-traumatization.
Deirdre Downes-None of Us Can Do It Alone jewishhome
The document discusses the importance of an interdisciplinary team approach to providing palliative care for patients with dementia. It emphasizes that communication, knowledge sharing, addressing caregiver needs, and focusing on patient comfort are key. The team should include residents, families, nursing, social work and more. Regular meetings help disseminate information, address concerns, and support one another in providing the best care possible.
Nattional Council for Behavioral Health Leadership Innovations in Peer Suppor...Klein, Padron & Associates
This document summarizes US innovations in peer supports. It discusses leaders who shaped peer support through their lived experiences with mental health challenges. These include John F. Kennedy, Mahatma Gandhi, and Abraham Lincoln. It then discusses notable innovators in peer support services, such as Judi Chamberlin and Patricia Deegan. It provides an overview of evidence that peer support services are effective in improving outcomes like reducing hospitalizations and improving quality of life. The document emphasizes that certified peer specialists are best suited to provide services due to their lived experience and subject matter expertise.
The document discusses the concept of recovery in mental health. It defines recovery as reintegrating lost aspects of self that were fragmented due to traumatic experiences. This involves recovering a meaningful life, sense of self, and ability to participate in the community. The recovery model emphasizes an individual's ability to heal themselves, in contrast to traditional medical models that focus on symptom management. The recovery process involves transitioning from a state of despair to discovering hope and ultimately regaining meaning through self-knowledge, choice, support systems, and engagement in work and community.
This document discusses trauma informed care and practice, with a focus on childhood trauma. It notes that while trauma is a core issue for many consumers, current mental health services seldom identify or address trauma. Childhood trauma can have widespread impacts and coping strategies adopted in childhood often persist into adulthood. The document calls for a trauma informed approach that recognizes a person's traumatic life experiences rather than just focusing on diagnoses. It outlines some key principles of trauma informed care including safety, choice, and empowerment.
1. Christie's Place provides trauma-informed services for women, children, and families impacted by HIV/AIDS, including clinical, supportive, and empowerment services.
2. The document discusses how trauma disproportionately affects women living with HIV and outlines strategies for implementing trauma-informed care, including understanding trauma's impacts, prioritizing client choice and safety, and incorporating trauma education.
3. Key aspects of Christie's Place's trauma-informed approach are empowering clients, meaningfully including women living with HIV in leadership roles, and establishing a supportive environment through education and community investment.
This document provides an overview of trauma-informed care (TIC). It defines TIC as a strengths-based approach grounded in an understanding of trauma that prioritizes safety, empowerment and resilience. The document outlines key objectives of TIC such as recognizing the prevalence of trauma, understanding how it affects people, and responding with trauma-sensitive practices. It also discusses the impact of trauma, characteristics of resilient individuals and trauma-informed organizations, and the importance of a strengths-based approach to treatment.
Lateral Violence Home Health Aid Conference NITHAgriehl
In Nursing, there exists a culture of lateral violence and bullying, I have finally come to the realization that what we are seeing is the symptom of something much larger, something that starts, grows, and is nurtured with our own participation. We communicate in ways that have the ability to support each other, but we can also communicate in ways that are hurtful, mean, and contribute to a culture of oppression. We need to change our culture.
This document provides an overview of types of trauma, including individual trauma, interpersonal trauma like domestic violence, developmental trauma such as adverse childhood experiences, group trauma, mass trauma, community/cultural trauma, historical trauma, political terror and war, and system-oriented trauma. It discusses the characteristics and impacts of each type of trauma. Key points covered include prevalence of adverse childhood experiences, their association with high-risk behaviors, and how trauma-informed care principles can help avoid re-traumatization.
Deirdre Downes-None of Us Can Do It Alone jewishhome
The document discusses the importance of an interdisciplinary team approach to providing palliative care for patients with dementia. It emphasizes that communication, knowledge sharing, addressing caregiver needs, and focusing on patient comfort are key. The team should include residents, families, nursing, social work and more. Regular meetings help disseminate information, address concerns, and support one another in providing the best care possible.
Nattional Council for Behavioral Health Leadership Innovations in Peer Suppor...Klein, Padron & Associates
This document summarizes US innovations in peer supports. It discusses leaders who shaped peer support through their lived experiences with mental health challenges. These include John F. Kennedy, Mahatma Gandhi, and Abraham Lincoln. It then discusses notable innovators in peer support services, such as Judi Chamberlin and Patricia Deegan. It provides an overview of evidence that peer support services are effective in improving outcomes like reducing hospitalizations and improving quality of life. The document emphasizes that certified peer specialists are best suited to provide services due to their lived experience and subject matter expertise.
The document discusses the concept of recovery in mental health. It defines recovery as reintegrating lost aspects of self that were fragmented due to traumatic experiences. This involves recovering a meaningful life, sense of self, and ability to participate in the community. The recovery model emphasizes an individual's ability to heal themselves, in contrast to traditional medical models that focus on symptom management. The recovery process involves transitioning from a state of despair to discovering hope and ultimately regaining meaning through self-knowledge, choice, support systems, and engagement in work and community.
This document discusses trauma informed care and practice, with a focus on childhood trauma. It notes that while trauma is a core issue for many consumers, current mental health services seldom identify or address trauma. Childhood trauma can have widespread impacts and coping strategies adopted in childhood often persist into adulthood. The document calls for a trauma informed approach that recognizes a person's traumatic life experiences rather than just focusing on diagnoses. It outlines some key principles of trauma informed care including safety, choice, and empowerment.
Restoring balance through cultural safety & the medicine wheel WNRCASNgriehl
North American culture sees health as an individual problem, but we live in dynamic, intercultural communities. Health is multifaceted with issues related to mental, spiritual, emotional, and physical health. Our culture can be a barrier to caring for our clients.
Each area of the medicine wheel needs to be balanced for wholistic health for the client, where the client is the person, family, group, or community. Indigenous teachings support addressing all areas of the person to achieve balance.
Through literature reviews and interviews with elders, it is clear health care providers can serve clients better with knowledge related to the medicine wheel. Cultural safety stresses the importance of reflection and acceptance of differences. As health care providers, and teachers, we should not treat everyone the same, but we do need to recognize and acknowledge our blind spots. Increasing awareness of Medicine Wheel teachings will support health care workers to care effectively for their clients.
Moving beyond our own and into the culture or the ‘other’ is required to provide care, treatment, and support to clients, and students, from diverse backgrounds and experiences. The culture of Western medicine places diagnosis as a central goal, whereas other approaches, including Aboriginal medicine, see diagnoses and the physical aspects of health as less central and pay more attention to finding a safe environment in which the patient may recover.
Are you drinking TOO much?
Alcohol is the most commonly used potentially addictive substance in our society. Alcohol is responsible for over half of the $267 million dollars of substance related hospital costs in Canada. Problematic alcohol use significantly impacts individuals, families, and our community, but many struggle to know if they have a problem and where to go for help.
Learn more: http://www.theroyal.ca/mental-health-centre/news-and-events/newsroom/13411/alcohol-how-much-is-too-much/
Lateral Violence, Bullying, Victims ...Big River Saskatchewangriehl
This document provides an outline for a presentation on lateral violence and bullying in the workplace. It begins by defining lateral violence and describing its causes and effects. It then discusses different types of bullies and how hierarchy and mobbing can contribute to lateral violence. The document emphasizes developing cultural competence and implementing zero tolerance policies. It proposes telling stories from the presenter's own experiences to illustrate issues with lateral violence. The goal is to promote lateral kindness over lateral violence in the workplace.
Dr. Shari L. Harvey-Philpot is the director and CEO of the Nora Blackmon Health Center (NBHC). She has over 10 years of experience working with developmentally disabled individuals and earned her PhD and MD from Saint James School of Medicine in 2010. NBHC provides basic outpatient medical and counseling services on a sliding scale and accepts most insurance. It also offers community outreach, education, and trainings. NBHC's mission is to provide compassionate care to all individuals regardless of attributes and is linked to their pursuit of social justice, continuing the legacy of NBHC's founder Nora Blackmon who provided care to those who could not afford it in the early 1900s.
The document summarizes the 2007 ABIM Foundation Summer Forum which addressed coordination of care. Over 130 healthcare leaders discussed coordination as a missed opportunity. The forum included sessions on coordinating care between inpatient and outpatient settings, the role of physicians in coordination, international models of coordination, and implications for payers, purchasers and policymakers. Key insights from patients, physicians, and other stakeholders were presented.
This study identified three groups along the HIV care continuum: care-engaged, care-inconsistent, and care-detached. Each group faces structural, social, and individual challenges to care engagement. Care-engaged women benefit most from supportive clinical environments and social support. Care-inconsistent women face many challenges but also have some facilitators like supportive providers and community programs. Care-detached women struggle most with HIV stigma and need institution and community support to engage in care. Understanding these multilevel factors is key to improving women's health outcomes.
Mental health continues to be an important issue affecting so many Canadians. I wrote three stories for the series for the Canadian Nurses Association in partnership with the Mental Health Commission of Canada. The stories were: Reducing Stigma in Health-Care Settings; Suicide Prevention and Postvention Initiatives; and When Mental Illness and the Justice System Intersect.
Susan Reyes has over 15 years of experience in clinical social work. She currently works as a counselor providing trauma counseling to combat veterans in Victorville, California. Previously, she has worked as a foster care social worker ensuring the safety of foster children, a bilingual social worker supervising care for the elderly, and a mental health clinician providing therapy to children. She holds a Master of Social Work degree from Boston College and a Bachelor's degree in Sociology and Anthropology from University of Redlands.
The Family Abuse Center provides services to domestic violence survivors in Central Texas, with a mission to eliminate domestic violence through sheltering victims and preventing abuse through education and intervention. It offers a range of services including 24-hour emergency shelter, crisis hotline, counseling, case management, legal advocacy, children's services, and community training. Anyone experiencing domestic violence can access these services, with translation available.
Insights Community gaining insights into personal experiences of AnxietyLatitude Insights
The document summarizes findings from an online research community conducted by beyondblue to understand experiences of people living with anxiety. Key findings include:
1) There is low awareness and understanding of anxiety in Australia, resulting in many being unable to identify anxiety symptoms or realize their experiences were not normal. This limited help-seeking and treatment.
2) High levels of stigma exist, with some perceiving dismissal of anxiety as a real condition. This delayed help-seeking as people felt they did not deserve treatment.
3) Barriers to seeking help included low awareness, stigma, and only seeking treatment in crisis when conditions became overwhelming. Lack of support from others also posed barriers.
Religion and Social Innovation Conference presentation at St Michael s College the Platinum Rule goes beyond the golden rule and focuses on ‘treating others how they want to be treated’.
Abuse of individuals with disabilities webinarFHCCommunity
This document discusses abuse of individuals with disabilities. It notes that individuals with disabilities experience abuse, including physical, sexual, and emotional abuse, at similar or higher rates than the general population. Abuse can also be disability-specific, such as denying access to mobility devices. Risk factors include isolation, a large number of caregiver contacts, and dependency on others for support. However, abuse is often not recognized or reported due to a lack of screening and accessible resources, as well as societal ableism. The document provides tips for screening clients for abuse.
1) How family dynamics, roles, and relationships change when a relative provides care for a child and how these changes impact the relative caregiver's ability to ensure safety and protection.
2) Strategies for supporting relative caregivers in meeting the challenges of ensuring safety, protection, and permanency for children in their care.
The document discusses the recovery model and language used in mental health. It describes the recovery model as focusing on living a meaningful life in the community while achieving one's full potential, rather than being defined by symptoms. Key components of the recovery model include having hope, supportive relationships, empowerment, coping strategies, and finding meaning. The recovery model emphasizes equality, strengths-based approaches, and choice and control in treatment. In contrast, the medical model uses stigmatizing language like "patient" and focuses on illness. The recovery model uses language emphasizing living with mental illness rather than being defined by diagnoses.
The document discusses trauma-informed care and practices for trafficked and culturally and linguistically diverse populations. It outlines key elements of providing support including establishing trust, safety and control; addressing vulnerabilities in a client-centered way; explaining rights and choices; regaining control over one's life; and engaging communities in a competent, sensitive manner. Trafficked persons have experienced complex trauma so support must consider trauma impacts, use alternative therapies, and prevent re-traumatization through clear communication and awareness of triggers.
This document discusses unmet needs in various contexts. It defines unmet needs as the gap between an individual's assessed long-term care needs and the resources available to meet those needs. Common unmet needs for people with dementia include psychological distress, lack of company, and lack of daytime activities. Supporting individuals with disabilities and their families requires addressing unmet needs through services, accommodations, assistive technologies, and other supports. Identifying and responding to unmet needs is important for care providers to fulfill their duty of care and support clients' well-being and rights.
Organised Child Abuse in Australia and Internationally - Dr Michael Salter -...WimSalty
Dr Michael Salter - Professor of Criminology:
This presentation will discuss emerging responses to organised abuse in Australia and overseas, identifying areas of strength as well as ongoing gaps and controversies. The internet has leant unprecedented visibility to child sexual exploitation, to the point where government and law enforcement agencies see the problem as primarily a technological one. However, most online abuse images and videos were created through face-to-face abuse, with survivors disclosing family-based and community networks of abusers who remain largely invisible in policy frameworks. The presentation will highlight positive developments, including increased recognition of the dissociative disorders and expanded government interest in sexual exploitation, and identify ongoing challenges, including ritual
abuse and transgenerationally abusive families.
Scientia Associate Professor Michael Salter is a criminologist at the University of New South Wales, where he studies the criminological aspects of complex trauma, including the intersections of technology with abuse, violence and exploitation. He is the author of two books, 'Organised Sexual Abuse' (Routledge, 2013) and 'Crime, Justice and Social Media' (Routledge, 2017), and a range of papers on child abuse, gendered violence and technology. He conducts multi-method research with victims and survivors of child sexual exploitation, domestic violence and sexual assault and conducts multi-sectorial policy analysis with the aim of improving responses to survivors and preventing violence and abuse. He sits on the Board of Directors of the International Society for the Study of Trauma and Dissociation, and he is an expert advisor to the Australian Office of the eSafety Commissioner and the Canadian Centre for Child Protection. He is an associate editor of Child Abuse Review and a member of the editorial board of the Journal of Trauma and Dissociation.
Dr Michael Salter
Scientia Associate Professor of Criminology, Postgraduate Coordinator, School of Social Sciences, 125 Morven Brown, UNSW SYDNEY NSW 2052 AUSTRALIA
W: organisedabuse.com
Family Centered Treatment Ohio 5 19 10 For Printingdebwerner
This presentation discusses family-centered treatment for women with substance use disorders. It provides an overview of families and women with substance use disorders, explores a continuum of family-based services, and discusses a comprehensive model of family-centered services. The presentation is based on papers from the Substance Abuse and Mental Health Services Administration and covers topics like the prevalence of substance abuse in families, the intergenerational cycle of substance abuse, the evolution of family-centered treatment, components of family-centered treatment including clinical and community support services, and adopting a paradigm shift to a family-centered approach.
This document summarizes a presentation on women and driving under the influence (DUI). It discusses how women's alcohol and substance use differs from men's, including higher health risks for women from drinking. Barriers that prevent women from participating in DUI programs are outlined, such as childcare responsibilities and stigma. The presentation aims to help DUI programs understand gender differences and identify ways to engage and motivate female participants.
Restoring balance through cultural safety & the medicine wheel WNRCASNgriehl
North American culture sees health as an individual problem, but we live in dynamic, intercultural communities. Health is multifaceted with issues related to mental, spiritual, emotional, and physical health. Our culture can be a barrier to caring for our clients.
Each area of the medicine wheel needs to be balanced for wholistic health for the client, where the client is the person, family, group, or community. Indigenous teachings support addressing all areas of the person to achieve balance.
Through literature reviews and interviews with elders, it is clear health care providers can serve clients better with knowledge related to the medicine wheel. Cultural safety stresses the importance of reflection and acceptance of differences. As health care providers, and teachers, we should not treat everyone the same, but we do need to recognize and acknowledge our blind spots. Increasing awareness of Medicine Wheel teachings will support health care workers to care effectively for their clients.
Moving beyond our own and into the culture or the ‘other’ is required to provide care, treatment, and support to clients, and students, from diverse backgrounds and experiences. The culture of Western medicine places diagnosis as a central goal, whereas other approaches, including Aboriginal medicine, see diagnoses and the physical aspects of health as less central and pay more attention to finding a safe environment in which the patient may recover.
Are you drinking TOO much?
Alcohol is the most commonly used potentially addictive substance in our society. Alcohol is responsible for over half of the $267 million dollars of substance related hospital costs in Canada. Problematic alcohol use significantly impacts individuals, families, and our community, but many struggle to know if they have a problem and where to go for help.
Learn more: http://www.theroyal.ca/mental-health-centre/news-and-events/newsroom/13411/alcohol-how-much-is-too-much/
Lateral Violence, Bullying, Victims ...Big River Saskatchewangriehl
This document provides an outline for a presentation on lateral violence and bullying in the workplace. It begins by defining lateral violence and describing its causes and effects. It then discusses different types of bullies and how hierarchy and mobbing can contribute to lateral violence. The document emphasizes developing cultural competence and implementing zero tolerance policies. It proposes telling stories from the presenter's own experiences to illustrate issues with lateral violence. The goal is to promote lateral kindness over lateral violence in the workplace.
Dr. Shari L. Harvey-Philpot is the director and CEO of the Nora Blackmon Health Center (NBHC). She has over 10 years of experience working with developmentally disabled individuals and earned her PhD and MD from Saint James School of Medicine in 2010. NBHC provides basic outpatient medical and counseling services on a sliding scale and accepts most insurance. It also offers community outreach, education, and trainings. NBHC's mission is to provide compassionate care to all individuals regardless of attributes and is linked to their pursuit of social justice, continuing the legacy of NBHC's founder Nora Blackmon who provided care to those who could not afford it in the early 1900s.
The document summarizes the 2007 ABIM Foundation Summer Forum which addressed coordination of care. Over 130 healthcare leaders discussed coordination as a missed opportunity. The forum included sessions on coordinating care between inpatient and outpatient settings, the role of physicians in coordination, international models of coordination, and implications for payers, purchasers and policymakers. Key insights from patients, physicians, and other stakeholders were presented.
This study identified three groups along the HIV care continuum: care-engaged, care-inconsistent, and care-detached. Each group faces structural, social, and individual challenges to care engagement. Care-engaged women benefit most from supportive clinical environments and social support. Care-inconsistent women face many challenges but also have some facilitators like supportive providers and community programs. Care-detached women struggle most with HIV stigma and need institution and community support to engage in care. Understanding these multilevel factors is key to improving women's health outcomes.
Mental health continues to be an important issue affecting so many Canadians. I wrote three stories for the series for the Canadian Nurses Association in partnership with the Mental Health Commission of Canada. The stories were: Reducing Stigma in Health-Care Settings; Suicide Prevention and Postvention Initiatives; and When Mental Illness and the Justice System Intersect.
Susan Reyes has over 15 years of experience in clinical social work. She currently works as a counselor providing trauma counseling to combat veterans in Victorville, California. Previously, she has worked as a foster care social worker ensuring the safety of foster children, a bilingual social worker supervising care for the elderly, and a mental health clinician providing therapy to children. She holds a Master of Social Work degree from Boston College and a Bachelor's degree in Sociology and Anthropology from University of Redlands.
The Family Abuse Center provides services to domestic violence survivors in Central Texas, with a mission to eliminate domestic violence through sheltering victims and preventing abuse through education and intervention. It offers a range of services including 24-hour emergency shelter, crisis hotline, counseling, case management, legal advocacy, children's services, and community training. Anyone experiencing domestic violence can access these services, with translation available.
Insights Community gaining insights into personal experiences of AnxietyLatitude Insights
The document summarizes findings from an online research community conducted by beyondblue to understand experiences of people living with anxiety. Key findings include:
1) There is low awareness and understanding of anxiety in Australia, resulting in many being unable to identify anxiety symptoms or realize their experiences were not normal. This limited help-seeking and treatment.
2) High levels of stigma exist, with some perceiving dismissal of anxiety as a real condition. This delayed help-seeking as people felt they did not deserve treatment.
3) Barriers to seeking help included low awareness, stigma, and only seeking treatment in crisis when conditions became overwhelming. Lack of support from others also posed barriers.
Religion and Social Innovation Conference presentation at St Michael s College the Platinum Rule goes beyond the golden rule and focuses on ‘treating others how they want to be treated’.
Abuse of individuals with disabilities webinarFHCCommunity
This document discusses abuse of individuals with disabilities. It notes that individuals with disabilities experience abuse, including physical, sexual, and emotional abuse, at similar or higher rates than the general population. Abuse can also be disability-specific, such as denying access to mobility devices. Risk factors include isolation, a large number of caregiver contacts, and dependency on others for support. However, abuse is often not recognized or reported due to a lack of screening and accessible resources, as well as societal ableism. The document provides tips for screening clients for abuse.
1) How family dynamics, roles, and relationships change when a relative provides care for a child and how these changes impact the relative caregiver's ability to ensure safety and protection.
2) Strategies for supporting relative caregivers in meeting the challenges of ensuring safety, protection, and permanency for children in their care.
The document discusses the recovery model and language used in mental health. It describes the recovery model as focusing on living a meaningful life in the community while achieving one's full potential, rather than being defined by symptoms. Key components of the recovery model include having hope, supportive relationships, empowerment, coping strategies, and finding meaning. The recovery model emphasizes equality, strengths-based approaches, and choice and control in treatment. In contrast, the medical model uses stigmatizing language like "patient" and focuses on illness. The recovery model uses language emphasizing living with mental illness rather than being defined by diagnoses.
The document discusses trauma-informed care and practices for trafficked and culturally and linguistically diverse populations. It outlines key elements of providing support including establishing trust, safety and control; addressing vulnerabilities in a client-centered way; explaining rights and choices; regaining control over one's life; and engaging communities in a competent, sensitive manner. Trafficked persons have experienced complex trauma so support must consider trauma impacts, use alternative therapies, and prevent re-traumatization through clear communication and awareness of triggers.
This document discusses unmet needs in various contexts. It defines unmet needs as the gap between an individual's assessed long-term care needs and the resources available to meet those needs. Common unmet needs for people with dementia include psychological distress, lack of company, and lack of daytime activities. Supporting individuals with disabilities and their families requires addressing unmet needs through services, accommodations, assistive technologies, and other supports. Identifying and responding to unmet needs is important for care providers to fulfill their duty of care and support clients' well-being and rights.
Organised Child Abuse in Australia and Internationally - Dr Michael Salter -...WimSalty
Dr Michael Salter - Professor of Criminology:
This presentation will discuss emerging responses to organised abuse in Australia and overseas, identifying areas of strength as well as ongoing gaps and controversies. The internet has leant unprecedented visibility to child sexual exploitation, to the point where government and law enforcement agencies see the problem as primarily a technological one. However, most online abuse images and videos were created through face-to-face abuse, with survivors disclosing family-based and community networks of abusers who remain largely invisible in policy frameworks. The presentation will highlight positive developments, including increased recognition of the dissociative disorders and expanded government interest in sexual exploitation, and identify ongoing challenges, including ritual
abuse and transgenerationally abusive families.
Scientia Associate Professor Michael Salter is a criminologist at the University of New South Wales, where he studies the criminological aspects of complex trauma, including the intersections of technology with abuse, violence and exploitation. He is the author of two books, 'Organised Sexual Abuse' (Routledge, 2013) and 'Crime, Justice and Social Media' (Routledge, 2017), and a range of papers on child abuse, gendered violence and technology. He conducts multi-method research with victims and survivors of child sexual exploitation, domestic violence and sexual assault and conducts multi-sectorial policy analysis with the aim of improving responses to survivors and preventing violence and abuse. He sits on the Board of Directors of the International Society for the Study of Trauma and Dissociation, and he is an expert advisor to the Australian Office of the eSafety Commissioner and the Canadian Centre for Child Protection. He is an associate editor of Child Abuse Review and a member of the editorial board of the Journal of Trauma and Dissociation.
Dr Michael Salter
Scientia Associate Professor of Criminology, Postgraduate Coordinator, School of Social Sciences, 125 Morven Brown, UNSW SYDNEY NSW 2052 AUSTRALIA
W: organisedabuse.com
Family Centered Treatment Ohio 5 19 10 For Printingdebwerner
This presentation discusses family-centered treatment for women with substance use disorders. It provides an overview of families and women with substance use disorders, explores a continuum of family-based services, and discusses a comprehensive model of family-centered services. The presentation is based on papers from the Substance Abuse and Mental Health Services Administration and covers topics like the prevalence of substance abuse in families, the intergenerational cycle of substance abuse, the evolution of family-centered treatment, components of family-centered treatment including clinical and community support services, and adopting a paradigm shift to a family-centered approach.
This document summarizes a presentation on women and driving under the influence (DUI). It discusses how women's alcohol and substance use differs from men's, including higher health risks for women from drinking. Barriers that prevent women from participating in DUI programs are outlined, such as childcare responsibilities and stigma. The presentation aims to help DUI programs understand gender differences and identify ways to engage and motivate female participants.
CADPAAC Prevention Committee 3 22 07 Deb Wernerdebwerner
The document discusses alcohol and drug prevention efforts related to pregnant women. It notes that the American College of Obstetricians and Gynecologists states there is no safe amount of alcohol during pregnancy. Each day in the US, 20-100 babies are born with conditions related to prenatal alcohol or drug exposure. Prevention strategies discussed include education at the individual, family, community levels as well as screening and treatment. Barriers to addressing prenatal substance use and potential areas for improvement are also outlined.
الرايط الفتوح دراسة في المفاهيم والبناء الهيكلي والتطبيقات في مؤسسات المعلوماتDr. Ahmed Farag
أدى التطور المستمر الذي تشهده أساليب الوصول إلى مصادر وخدمات المعلومات الالكترونية المتاحة لدى ناشري وموردي قواعد المعلومات، إلى تعزيز رغبة كبرى مؤسسات المعلومات لدعم تطبيقات الربط السلس للمصادر والخدمات المراد الوصول إليها. وفي ضوء ذلك تستعرض الدراسة المفاهيم الأساسية للرابط المفتوح ومراحل نشأة وتطور تقنيات الربط الالكتروني وصولاً إلى الرابط المفتوح والذي حظي بقبول المنظمة الوطنية لمعايير المعلومات NISO، مع التركيز على البنية الهيكلية وآلية العمل والتطبيقات العملية في مؤسسات المعلومات على اختلاف أنواعها وخاصة تلك التي تلبي احتياجات المستفيدين في البيئة الأكاديمية.
المكتبات الرقمية المفاهيم والتحديات وأثرها على مهنة المكتبينDr. Ahmed Farag
تتناول الدراسة مفاهيم المكتبات الرقمية من وجهات نظر متباينة وبنيتها التتقنية التحتية، واستعراض التحديات التي تواجهها مع التعرض لتأثيراتها المباشرة على مهنة المكتبات
نحو إطار عام لتطبيق استخدام منظومة التوقيع الالكتروني في مؤسسات المعلومات درا...Dr. Ahmed Farag
تركز هذه الدراسة على عدة محاور من أبرزها استعراض المفاهيم الأساسية والأهداف والتحديات المتعلقة بمنظومة التوقيع الالكتروني، إلى جانب دوره البارز الذي يؤديه في سبيل تأمين أنظمة المعلومات الخاصة بمؤسسات المعلومات، وما يمكن أن يحققه لرفع معدل الوثوق في المعاملات والإجراءات الالكترونية من خلال الخصوصية ووحدة البيانات واستقامتها وعدم القدرة على إنكار القيام بالمعاملات والتحقق من هوية المستخدم. كما تتناول الدراسة الإطار التقني والتنظيمي للتوقيع الالكتروني وهو ما يطلق عليه البنية التحتية للمفاتيح العامة PKI وما تتضمنه من الشهادات الالكترونية سواء كانت شخصية أو خاصة بأجهزة الخوادم وسبل إنشاء واستخدام وحفظ هذه الشهادات والوسائط التي تختزن من خلالها. وتتعلق أيضاً هذه الدراسة بأنماط الكتابة المشفرة من خلال التشفير التماثلي وغير التماثلي والتشفير من خلال المفتاح العام والمفتاح الخاص، إلى غير من المحاور التي تلعب دور جوهري في سبيل تبني تطبيق إطار عام لاستخدام منظومة التوقيع الالكتروني في مؤسسات المعلومات
M/s Sant Lal Gupta is a renowned woolen fabric company established in 1965 in Delhi, India. They offer a wide range of high quality woolen fabrics, tweeds, checks and other wool products. Their vast experience and focus on customer satisfaction has helped them become a preferred global supplier. They aim to be a leader in the market through excellence in products, services and performance.
1) The document describes a conceptual journey through scales of size from 1 meter to billions of light years and back down to fractions of a nanometer.
2) It explores scales from the size of leaves to the size of galaxies and discusses what can be observed at each magnitude of size.
3) The document suggests that the laws of the universe remain consistent across all scales and ponders fundamental questions about humanity's place and understanding of the cosmos.
SRF is a diversified Indian company with businesses in technical textiles, chemicals and polymers, and packaging films. It has a strong financial performance with sales and profits growing. The company is recommended as a buy due to its diversified business model and attractive valuation at 4.57x FY10E earnings which is below its peers. SRF has expanded through acquisitions and has projects underway to grow its packaging films business.
Graduate students' attitude towards e learning a study case at imam universityDr. Ahmed Farag
In the past few years, a new wave of many technologies, particularly the Internet has emerged with the potential to further enhance the teaching and learning environment in higher education. Many studies in the recent years have shown that E-learning use in the classrooms has increased over the past years. However, the process of E-learning and its applications is limited in the Kingdom of Saudi Arabia. Through this empirical study, a limited research was initiated to track the perceptions of the students toward the E-learning. The results indicate an overall positive attitude towards the E-learning
This document contains a poem dedicated to William John Gilbert who passed away. The poem expresses how William always had a special place in the writer's heart, how his advice and smile were invaluable, and how he brought happiness even in low times. It concludes with William's birth and death dates.
Une migration SharePoint réussie! - De la planification à l'exécutionLouis-Philippe Lavoie
Cette session vous présentera des techniques éprouvées pour bien établir la fondation d'un projet de migration réussi - avec des gabarits de documents
à utiliser dans votre entreprise.
De la planification et la gestion du changement jusqu'à l'exécution, plusieurs points doivent être adressés avant de couper le ruban pour votre nouveau serveur SharePoint. Nous discuterons des obstacles et raccourcis et présenterons les différents artéfacts que vous aurez besoin à chaque étape.
Au terme de cette session vous obtiendrez une feuille de route complète de la planification à l'exécution de votre migration, et vous connaitrez les principaux livrables du projet.
Cervical cancer is a major health issue in India, contributing 1/4 of all cervical cancer cases globally. A survey found low awareness - only 30% knew about HPV and 13% saw it as serious. The Fight Against Cervical Cancer initiative aims to generate more awareness through partnerships with organizations, media outlets, hospitals and more to educate women on prevention and early detection of this curable disease.
This document lists numerous career opportunities in family life education and family services across a variety of settings, including social services agencies, hospitals, schools, government agencies, and more. It provides examples of specific career roles for graduates with a bachelor's or graduate degree, such as family financial counselors, youth program directors, child protection case managers, family policy analysts, and family life educators. The document emphasizes the multidisciplinary nature of the field and variety of opportunities available.
1.1.7 AWHN Conference 6 2010 Federation:
Specialist Mental Health and Women’s HealthWorking In Partnership To Better Address the Intersection(s) of Mental Health and Violence and Abuse. Women’s Health Statewide Zhila Javidi, Centre for Anxiety and Related Disorders
This document discusses adolescent female development and the factors contributing to high rates of criminal behavior and justice system involvement among females. It notes that adolescent females experience increased depression, suicide attempts, and lower resilience and self-esteem during development. Many adolescent female offenders have experienced high rates of sexual and physical abuse, as well as trauma. Effective treatments discussed include multi-systemic therapy, cognitive behavioral therapy, dialectical behavioral therapy, and eye movement desensitization and reprocessing therapy.
Dinuba Children's Services provides mental health services to children and families in Dinuba, California. It has a team-based structure including program directors, therapists, and crisis staff. The agency works with schools, health clinics, and other community organizations to serve at-risk children facing issues like abuse, neglect, poverty, and trauma. Its services include therapy, psychiatric evaluations, crisis intervention, and rehabilitation groups focused on social skills, anger management, and parenting support.
The document discusses fundamentals of counselling psychology including the counsellee, counselling, and counselling women and men. It notes that counselling requires understanding the counselee's values, gender, and mental health. Effective counselling of women considers biological differences, socialization patterns, and common concerns like depression, anxiety, and eating disorders. Counselling men requires awareness of how socialization influences their emotional expression and help-seeking behaviors. The document also discusses counselling considerations for individuals with diverse sexual orientations or minority statuses.
The document provides information about the Be Well program run by Women's Health and Family Services. It offers group and individual support for women experiencing mental illness. The program aims to support participants' wellbeing across six life domains. It provides an 8-week open group format, individual sessions, art therapy, and social outings. Participants complete assessments to identify needs and goals. Research shows the benefits of women-centered care, including increased treatment completion and satisfaction. The program looks to improve data collection, expand peer and carer support, and mark progress with graduation ceremonies.
Chapter 10Intervention Reporting, Investigation, and AsseEstelaJeffery653
Chapter 10
Intervention: Reporting, Investigation, and Assessment
Culturally Sensitive Intervention:
Cultural Competence Defined
• Culture: goes beyond race and ethnicity, including religious
identification, gender identity/expression, & sexual
orientation.
• Cultural Competence: “a heightened consciousness of how
culturally diverse populations experience their uniqueness
and deal with their differences and similarities within a larger
social context” (NASW, 2015, p.10)
Culturally Sensitive Intervention: Putting
Cultural Competence into Practice
• Determine family’s level of acculturation and the reason for
their immigration
• Assess how the family views a social worker’s power
• Understand how the family views itself, and their sense of
family cohesion
• Acknowledge varying communication styles
• Learn about culture, but do not over-generalize
• Consult with bilingual and bicultural staff
• Know how one’s (helping professional’s) own values interface
with the client’s
Understanding the Intervention
Process: Reporting
• Mandated reporters: individuals who, in their professional
relationship with the child and family, may encounter child
maltreatment.
• State laws specify repointing agency, reportable conditions,
responsibility of mandated reporters, and the investigation
process
• Although anonymous reports may be accepted, they are not
preferred since they do not allow for follow-up questions
Understanding the Intervention
Process: Child Protection Teams
• Child Protection Teams (CPT): comprised of staff from
different disciplines
• Ex) School-based CPT include an administrator, a guidance
counselor, school nurse, and one or two teachers.
• Suspicions of child maltreatment are brought to CPT.
• If CPT agrees with the report, then the child protection
agency is notified.
• CPTs are effective in medical facilities & churches.
Understanding the Intervention Process:
Investigation & Assessment
• Intake worker meets with the child & his/her family to assess
risk, protective factors, and impact of disclosure on stability of
the family
• If the report is substantiated, the worker identifies goals and
strategies for the family
• If unsubstantiated, the case is referred or closed
• Treatment planning and services begins
• Must evaluate the family’s progress and revise service plan as
necessary
Understanding the Intervention Process:
Family Reactions & Home Visiting
• The family is in a state of crisis, disequilibrium, when
disclosure takes place, experiencing fear: fear of authority,
fear of having the child removed, the fear of helplessness.
• Responses (defense mechanisms) to fear: denial, projection,
blaming the system, antagonism towards social services, or
withdrawal.
• Workers must evaluate the family’s strengths too.
• Home visitation allows assessment, but also requires
additional sensitivity and interviewing skills.
Assessing Risk and Protective
Factors
• Is the ...
The document outlines the programs and services offered by Dr. Roz's Healing Place, a center for empowerment and healing for survivors of domestic violence. The center provides: (1) front line counseling and follow up programs, (2) transitional housing and support, (3) programs for building opportunities for women, and (4) child and youth programs. The goal is to help survivors move through trauma towards healing by providing counseling, advocacy, housing assistance, and educational support.
Better Communication in Nursing - Ending Nursing Violencegriehl
In Nursing, there exists a culture of lateral violence and bullying, I have finally come to the realization that what we are seeing is the symptom of something much larger, something that starts, grows, and is nurtured with our own participation. We communicate in ways that have the ability to support each other, but we can also communicate in ways that are hurtful, mean, and contribute to a culture of oppression. We need to change our culture.
This document discusses respectful maternity care and disrespect/abuse during childbirth. It defines respectful maternity care and outlines major causes of maternal morbidity/mortality. Disrespect/abuse can include physical/verbal abuse and denial of care. Factors contributing to disrespect/abuse include lack of resources, staff shortages, and disrespectful working conditions for healthcare providers. Solutions involve ensuring women's rights during childbirth, addressing health system weaknesses, and improving working conditions for providers. Respectful care is critical to improving maternal health outcomes.
Presentation by Angie Perkins and Anna Scott of Zonta House Refuge Association. Recvery Support Program, presented at the Western Australian Mental Health Conference 2019.
This document discusses protecting homeless youth from sexual trafficking. It outlines that homeless and runaway youth are vulnerable targets for commercial sexual exploitation. National data estimates that hundreds of thousands of children are sexually exploited each year. Local data from Seattle found over 200 sexually exploited youth were identified in one year. The document describes common risk factors and signs that a youth may be exploited. It then outlines a continuum of services provided by the Bridge program to identify, shelter, and rehabilitate exploited youth through trauma-focused therapy, education, employment assistance, and community reintegration support. Challenges and emerging best practices are also discussed.
The document summarizes the key topics and themes discussed in Sarah Thebarge's memoir "The Invisible Girls". It provides biographical information about Thebarge and introduces the Somali refugee family she befriends. The rest of the document then outlines some of the challenges faced by the refugee family in terms of cultural adjustment, domestic abuse, health issues like breast cancer, and effects of relocating frequently. It also discusses the role spirituality and religion played in Thebarge's own recovery and how she found support through her faith.
The Lord's Place provides services to homeless individuals in Palm Beach County, Florida, including supportive housing, job training, case management, and healthcare services. Founded in 1979, it aims to break the cycle of homelessness through innovative, compassionate programs. Over 70% of its clients have a history of mental illness or substance abuse issues. The organization implements best practices like housing first and assertive community treatment to help this vulnerable population.
This document provides an overview of substance abuse and treatment. It discusses the definitions of use versus abuse and normal versus problematic substance use. It also outlines the challenges in treating substance abuse disorders, including co-occurring mental health and medical conditions. Finally, it summarizes the levels of substance abuse treatment based on the ASAM criteria and principles of treatment matching to provide the appropriate level and type of care.
The document provides an agenda for a training on implementing SBIRT (Screening, Brief Intervention, and Referral to Treatment) in a health center. The key points covered include:
- Discussing cultural aspects to consider when providing SBIRT, such as being aware of one's own biases and the diverse cultures of patients.
- Addressing co-occurring disorders and the high rates of substance use disorders occurring alongside mental illness. Integrating treatment for both is important.
- Reviewing a learning activity where participants diagrammed their SBIRT workflow from a patient's perspective and discussed it in a group.
- Previewing a future learning activity where participants will observe and evaluate
Spirit of Women is a non-profit organization that provides a holistic substance abuse program and other services to culturally diverse women in Fresno County, California. The program addresses issues like substance abuse, emotional management, vocational counseling, and art or mental health therapy. It offers inpatient treatment programs up to 180 days along with aftercare support. The goal is to provide a safe environment for women, especially those below 250% of the poverty level, to discover their identity and overcome substance abuse issues.
Spirit of Women is a non-profit organization that provides a holistic substance abuse program and other services to culturally diverse women in Fresno County, California. The program addresses issues like substance abuse, emotional management, vocational counseling, and art or mental health therapy. It offers inpatient treatment programs up to 180 days along with aftercare support. The goal is to provide a safe environment for women, especially those below 250% of the poverty level, to discover their identity and overcome substance abuse issues.
Spirit of Women is a non-profit organization that provides a holistic substance abuse program and other services to culturally diverse women in Fresno County, California. The program addresses issues like substance abuse, emotional management, and vocational counseling using approaches like art therapy and group support. Services include inpatient treatment up to 180 days followed by aftercare and housing assistance, with a focus on pregnant women, mothers, and those below 250% of the poverty level.
Integrating the Transgender into Homeless Servicesmesalisb
This workshop presentation focused on integrating transgender individuals into homeless services. It provided an overview of key terminology, national survey data on discrimination faced by transgender people seeking shelter, and the importance of transitioning genders through psychological, social, medical, and legal processes. Barriers to resources and next steps for moving forward through trans-inclusive policies, practices, education and outreach were discussed. Scenarios and a strategy planning activity were used to explore practical applications.
Integrating the Transgender into Homeless Services
Deb Werner Dui And Women Part 2
1. California Association of Drinker Driver Treatment Programs
2007 Fall Forum
Women and DUI Part II
Deborah Werner
Children and Family Futures, Inc.
4940 Irvine Boulevard, Suite 202 * Irvine, CA 92620
714/505.3525 * dwerner@cffutures.org
www.cffutures.org/calwcf
This Presentation is Made Possible Through a Contract
with the State of California Department of Alcohol and Drug Programs
Part 1I: Gender Responsive Services
2. Gender Differences at Treatment
Reasons cited for not getting treatment by
women classified as needing but not receiving
treatment and who felt a need for treatment
included:
• 33% felt not ready to stop using
• 27% felt could handle the problem on their own
• 22% were concerned with stigma (compared to 10%
of men)
• 17% could not afford treatment
ld t ff d t t t
• 9 % did not have time (compared with 2% of men)
• 8% did not know where to go, 7% indicated the
program type unavailable, 4% no openings and 4%
transportation.
Source: Online analysis of the NSDUH 2003 Public Use file
Male-Based Approach
• Knowledge of factors that contribute to DWI and
high-risk driving almost exclusively from studies of
males.
• Factors: demographic characteristics; excessive
alcohol use; personality traits; acute states of
emotional distress; and driving-related attitudes.
• DUI Services based on a cognitive-behavioral model
that integrates the influence of these factors on
driving risk
risk.
(Donovan et al., 1983).
3. Treatment for Women
GENDER DIFFERENCES SERVICE RESPONSES
80s/90s Gender Specific:
• Bi l i l
Biological • S
Separate f iliti
t facilities
• Psycho-social • Separate groups/services
• Parenting/Family • Childcare
• Motivators & Barriers 2000s Gender Responsive:
• Treatment Needs • Trauma Informed
• Recovery Support Needs
y pp • Strengths Based
g
• Relational Theory
Adapted from Christine Grella, Ph.D., What’s so Special About Specialized Treatment for Women presented
at National Conference on Women, Addictions and Recovery, July 2006.
CSAT Model of Comprehensive Services
for Women & Children
CSAT Women, Youth and Families Task Force (2004). Unpublished draft.
4. Comprehensive Model includes:
Components
• Clinical treatment services for women
• Clinical support services for women
• Community support services for women
• Clinical treatment services for children
• Clinical support services for children
• Community support services for children
Cultural Competence, Gender Competence and
Developmentally Appropriate
Characteristics of Gender Responsive
Services
• Relational
• Strength-based, motivational
• Comprehensive
• Trauma informed
• Address the different pathways to use,
consequences of use, motivations, treatment
issues and relapse prevention needs unique to
women
• Provided in an environment where women feel
comfortable and safe
5. Culturally Relevant Treatment
• Honors traditions and values
• Acknowledges cultural pain and racism
• Builds appropriate efficacy and support
• Staff, management and Board reflective
• Respects individuals
• Differentiates drug culture from culture itself
• Helps people learn cultural traditions
• Relational
i
Clinical Treatment Services
FOR WOMEN FOR CHILDREN
• Outreach and Engagement • Intake
• Screening • Screening
• Pharmocotherapy
a ocot e apy • Medical Care a Services
e ca Ca e and Se v ces
• Drug monitoring • Therapeutic Child Care
• Treatment planning • Development Services
• Mental health Services • Mental Health and Trauma
• Detoxification Services
• Medical Care and Services • Assessment
• Assessment • Residential Care in Residential
• Substance Abuse Counseling and Settings
Education • Case Management
• Trauma Informed and Trauma- • Substance Abuse Education &
Specific Services Prevention
• Crisis Intervention • Care Planning
• Case Management
• Continuing Care
6. Clinical Support Services
FOR WOMEN FOR CHILDREN
• Life skills • Primary health care services
• Advocacy • Onsite or healthy child care
• Primary health care services • Recovery community
• Family programs support services
• Parenting and child • Advocacy
development education • Educational services
• Housing support • Recreational services
• Education remediation and • Prevention services
support • Mental health and
• Employment readiness remediation services
services
• Linkages with legal system
and child welfare systems
• Recovery community
support services
• Life skills
Community Support Services
• Transportation
• Child care
• H
Housing services
i i
• Family strengthening
• Recovery community support services
• Employer support services
• TANF linkages
• Vocational and academic education services
V i l d d i d i i
• Faith based organization support
• Recovery management
7. Strategies for Working with Women
Characteristics of Gender Responsive
Services
• Relational
• Strength-based, motivational
• Comprehensive
• Trauma informed
• Address the different pathways to use,
consequences of use, motivations, treatment
issues and relapse prevention needs unique to
women
• Provided in an environment where women feel
comfortable and safe
9. Relational
• Role Models
• People who Care
• People to Talk with
• Safe Environment
• Not a Tool for the Group Process
• Female Staff and Peers
Strength-Based Focus
• What does she have - rather than what she
does not have
d th
• What can she do - rather than what she
cannot do
• What has she been successful at rather than
how she has failed
10. Trauma
Major and/or repeated trauma becomes the core
event in the life of the woman that defines:
• Sense of self
• Sense of efficacy
• World view
• Coping skills
• Relationships with others
• Ability to regulate emotions
• How one approaches services
• How one approaches the culture of the courts
Trauma
A meta-analysis of 126 studies on co-occurrence
between childhood abuse and substance abuse
found an average of 45% of adult women in
f d f f d lt i
treatment experienced childhood sexual
abuse and 39% childhood physical abuse. For
adolescent girls prevalence was 61% for sexual
abuse and 46% for physical abuse. (Simpson
and Miller, 2002)
11. 3 Selves
• The Real Self – contains the true self – the highest
potentialities for self realization and the actual self – those
elements of personality such as strengths and weaknesses,
p y g ,
assets and liabilities
• The Despised Self– all of the unacceptable character defects
which make one “unlovable” and despicable are stored.
Contains shame, hurt, anger, inadequacy and fear.
• The False Self – delusion based on how people believe they
should be, think, behave and feel. Can be grandiose or self-
effacing, Based on others.
from Sandel, James “From Self to Self: Making Recovery Real” The Counselor, Nov/Dec 1990
Women benefit from nurturing strategies
for actualizing the Real Self.
Addressing Trauma
• Avoid retraumatizing women
• Non-confrontational soft approach
• Traumatized women over-respond to neutral cues
and under-respond to danger
• Create safe environments
• Be aware of possible triggers and avoid triggering
trauma response.
p
• Develop referrals and linkages to support clients to
identify triggers, self-soothe, ground and remain in
services.
12. Trauma Programs
• Clark, C., Fearday, F. (eds) (2003) Triad Women’s Project: Group
facilitators manual. Tampa, FL: Louis de la Parte Florida Mental
p
Health Institute, University of South Florida. (contact Colleen
Clark at cclark@fmhi.usf.edu)
• Covington , S. S. (2003) Beyond Trauma: A Healing Journey for
Women. Center City, MN: Hazelton Press. (Contact Stephanie
Covington at sscird@aol.com)
• Ford, J.D., Mahoney, K., Russo, E., Kasimer, N., & MacDonald, M.
(2003). Trauma Adaptive Recovery Group Education and Therapy
(TARGET): Revised Composite 9-Session Leader and Participant
Guide. Farmington, CT: University of Connecticut Health
Center. (Contact Julian Ford at ford@psychiatry.uchc.org )
Trauma Programs continued
• Harris, M. (1998). Trauma, Recovery and Empowerment: A
Clinician’s Guide for Working with Women in Groups. New York,
NY: Free Press. (Contact Rebecca Wolfon Berley at
rwolfson@ccdc1.org)
• Miller, D., & Guidry, L. ( 2001). Addictions and Trauma Recovery:
Healing the Mind, Body, and Spirit. New York: W.W. Norton.
(Contact Dusty Miller at dustymi@valinet.com)
• Najavits, L. (2001). Seeking Safety: Cognitive-Behavioral Therapy
fo
for PTSD a d Substance Abuse. New York: Guilford. (Go to
S and Substa ce buse. ew o : Gu o d.
www.seekingsafety.org)
• Saakvitne, K. W., Gamble, S.J., Pearlman, L.A., Lev, B.T. (2000).
Risking Connection: A Training Curriculum for Working with
Survivors of Childhood Abuse. Maryland: Sidran. (Go to
www.sidran.org)
13. Supportive Relationships
• Women, compared to men, are:
• More likely to report that their spouse/partners
i i /
encouraged initial and current drug use and less likely to
pressure them to enter treatment
• Less likely to report help/support from family or friends
• More likely to report that family or friends used drugs in
the past year (Grella & Joshi, 1999)
• Outcomes all improve when a partner/family
participates in treatment BUT
• More than three-fourths of women participating
in the RWC/PPW reported that their families
were involved in alcohol- or drug-related
activities
• Almost half (42.9%) of women in the RWC/PW
programs reported having fewer than two friends
who did not use drugs (Conners et al., 2004).
h t d
14. Relationships
• Counselor:Client relationship
• Peer support (what is a healthy friendship?)
• Family (as defined by client)
• Self-esteem building interactions
• Reduced powerless … more assertiveness
• Communication skills
• Knowing children are safe
• Filling the “empty hole inside”
Relapse and Recovery
• Recovery - act of regaining or returning
toward a normal or healthy state
• Relapse - slip or fall back into a former worse
state (as of illness) after a change for the
better.
• Must first admit have problem
• Relapse does not occur until after action
• Moving from Acute to Chronic Perspective of
Treatment
15. Current Drinking Pattern of Individuals Meeting Criteria
for Alcohol Dependence in the Past Year
percent of percent of
females males
No past month alcohol use 0.9% 1.9%
Past month use but not binge use 3.5% 4.3%
Binge use but not heavy use 17.5%
17 5% 19.2%
19 2%
Heavy use 44.9% 44.6%
Office of Applied Studies (August 2, 2007). Gender Differences in Alcohol Use and Alcohol
Dependence or Abuse: 2004 and 2005. Rockville, MD: Substance Abuse and Mental Health
Services Administration. Available at http://www.oas.samhsa.gov
Considerations in Relapse
• Women have more barriers to sustained
participation than men.
• W
Women are judged more harshly for alcohol/drug
j d d h hl f l h l/d
problems than men.
• Women take on the alcohol/drug patterns of their
partners, where men do not.
• Women with alcohol/drug problems have more
emotional problems than men.
p
• Women are more likely to experience negative
feelings prior to relapse. Men are more likely to
experience positive experiences and use as a reward.
16. Motivational Interviewing &
Engagement Strategies
Motivational Interviewing
• Express empathy through reflective listening.
• Develop discrepancy between client s goals or
client’s
values and their current behavior.
• Avoid argument and direct confrontation
• Adjust to client resistance rather than opposing it
directly.
• S
Support self-efficacy and optimism.
t lf ffi d ti i
(source: SAMHSA TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment)
17. FRAMES approach
• Feedback: regarding risk is given to individual.
• Responsibility: for change is placed with individual.
• Advice: about changing is clearly given in a non-judgmental
manner.
• Menu: of self-directed change options and treatment
alternatives.
• Empathetic Counseling: showing warmth, respect, and
understanding. (uses reflective listening).
• Self-Efficacy: optimistic empowerment is
engendered to encourage change.
(source: SAMHSA TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment)
Listening
• Empathy. Put yourself in someone else's shoes.
Empathy is not the same as sympathy.
• Non-judgmental behavior
• Repeat what you hear (paraphrase)
• Nod, Make statements like "Uh huh"
• Speak clearly, slowly and simply
• Be direct, do not use jokes
• Avoid arguments about what the participant is
g p p
experiencing, seeing, feeling
• Understand how the situation affects the participant.
What affects one person, may not affect another.
• Help participant understand the available options
18. Body Language
• Be aware of your facial expressions
• Be aware of tone, volume, cadence (i.e. "Is there
something bothering you?" is a statement that could be
you?
said with caring and concern or with an "attitude.”)
• Be aware of your posture and stance
• Do not fold arms or clench fists. This represents an
authoritative position which might threaten the client.
• Do not conceal your hands. An individual who is paranoid
may b li
believe that you h
h have a weapon.
• Personal Space
• Avoid the challenge position which is eye-to-eye, toe-to-
toe.
• Maintain 2-3 feet between you and participant for safety.
Enhancing Motivation
• Distress levels
• Critical life events
• Cognitive evaluation or appraisal
• Recognizing negative consequences
• Positive and negative external incentives
• Cli i i ’ t k is to elicit and enhance
Clinician’s task i t li it d h
motivation
(source: SAMHSA TIP 35: Enhancing Motivation for Change in Substance Abuse
Treatment)
19. Motivators
• Contingency’s
Contingency s
• Contracts
• Carrots and Sticks
• Build on Strengths
• Building Self-Efficacy
Self Efficacy
• Do-able Goals and Objectives
• Celebrating Successes
Comprehensive Development
• Knowledge
• Skills
Skill
• Attitude
• Efficacy and Sense of Worth
• New Habits Emerge with Time
do for … do with … cheer on
20. Program Analysis
• Staffing
• Education – female examples and experiences
• Education – uses emotional examples, non-
shaming
• Counseling – addressing powerlessness
• Check-ins – resources and case management,
screening for mental health, violence
g
• Safe Environment