How does the alcoholic or addicted individual effect the family and community? In what way do they equally become sick? What does intervention, treatment and aftercare look like for the family and how does this effect the individual with addiction?
This masterclass will examine the origins of addiction throughout a family’s history and find new ways to transform those old stories of shame and blame to survival and resilience. Participants will be provided a number of key points aimed at enhancing professional knowledge and performance. We will examine alternative ways to think beyond individual treatment, which include the entire family not only though current Family Therapy models, but by examining the stories and pain of past generations. This cutting-edge thinking regarding family work can transform the lives of generations yet to come who may escape the prison of addiction due to our ability to stand with our clients in their multigenerational story of trauma and adaptation. In conclusion, participants will examine how family therapy techniques including examining generations of Transgenerational Grief provide an opportunity for feelings that have been previously denied and lost in the family story can be named, explored, reframed and viewed as strength and hope.
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Instagram: AllCEUs
Pinterest: drsnipes
Learn about co-dependency and interventions to help the person with co-dependency issues.
Alcoholism Within A Multigenerational Traumagenic Family FrameworkRobert Rhoton
This is a presentation that presents the nature of traumagenic family dynamics and how those dynamics support the inter-generational transmission of trauma and addictions
We have been told, for the past 40 years, that codependence is a disease or a relationship problem that doesn’t really have a “cure.” The truth is that codependence is a developmental delay and we can grow and develop from where we left off.
The grassroots emergence of codependence in the 80’s was ground-breaking in terms of exposing predictable patterns of relationship behavior that emerge as a result of being brought up in dysfunctional family systems. However, we’ve got stuck in this early work, keeping us from understanding the developmental mechanics of the mind and how it’s possible to get stuck in self-protective patterns.
We have all been operating under the misconception that codependency is due to alcoholic parents, trauma, abuse and other failures of parents to nurture and keep their children safe. While these occurrences stop development, and get the brain stuck in self-protective patterns of behavior, the brain can pick up development AT ANY TIME once the threat is no longer present. It isn’t something to recover from or to be cured.
Knowing you are stuck in a Codependent Relationship Position provides you with the opportunity to resume your development and achieve your potential.
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Instagram: AllCEUs
Pinterest: drsnipes
Learn about co-dependency and interventions to help the person with co-dependency issues.
Alcoholism Within A Multigenerational Traumagenic Family FrameworkRobert Rhoton
This is a presentation that presents the nature of traumagenic family dynamics and how those dynamics support the inter-generational transmission of trauma and addictions
We have been told, for the past 40 years, that codependence is a disease or a relationship problem that doesn’t really have a “cure.” The truth is that codependence is a developmental delay and we can grow and develop from where we left off.
The grassroots emergence of codependence in the 80’s was ground-breaking in terms of exposing predictable patterns of relationship behavior that emerge as a result of being brought up in dysfunctional family systems. However, we’ve got stuck in this early work, keeping us from understanding the developmental mechanics of the mind and how it’s possible to get stuck in self-protective patterns.
We have all been operating under the misconception that codependency is due to alcoholic parents, trauma, abuse and other failures of parents to nurture and keep their children safe. While these occurrences stop development, and get the brain stuck in self-protective patterns of behavior, the brain can pick up development AT ANY TIME once the threat is no longer present. It isn’t something to recover from or to be cured.
Knowing you are stuck in a Codependent Relationship Position provides you with the opportunity to resume your development and achieve your potential.
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
Supervision for Wounded Healers: Using NARM in CPECarolineCupp
This powerpoint presentation was given to fellow students and faculty in Clinical Pastoral Education supervisory training. It was offered as a theory for clinical supervision that takes into account the backgrounds and experiences of adult learners.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
CEs can be earned for this presentation at https://www.allceus.com/member/cart/index/search?q=family+dynamics
Pinterest: drsnipes
YouTUBE: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Family Dynamics of Addiction
Objectives
Define the Family
Examine how addiction impacts the family
Emotionally
Socially
Physically
Spiritually
Why I Care/How It Impacts Recovery
The identified patient does not exist in isolation
As the IPs behaviors/problems developed, the family’s behaviors changed to try and maintain stability
When the IP begins to change in recovery, that disrupts the balance.
When the IP did _____ the family members always reacted with ____
Example:
When John was late coming home from work….
When Sally started sleeping late and going to bed early…
When Jane starts cleaning a lot and getting irritable…
The family needs to
Understand the impact of the IPs behavior on the family
What the function of the IPs behavior was
How to examine old behaviors in a new context
Creating Trauma Safe Schools - Effects of PTSD in learning and educationMichael Changaris
This presentation explores the impact of PTSD on learning and education. It offers tools for educators, parents and families to increase learning, growth and development for the 10's of 1000's of children and adolescents who suffer from PTSD.
This slide show explores the impacts of trauma on children and how symptoms of trauma impact emotional regulation, attention, relationships and development.
Define what constitutes a “personality disorder”.
Explore the Five Factor Model (FFM) of personality.
Review the three (3) major personality “clusters”.
Look at the ten (10) individual personality disorders.
Many symptoms of addictions and personality disorders overlap. As with any diagnosis, one of the key areas for investigation is---What function does (or did) this seemingly unhelpful---behavior provide, and what healthier alternatives are available, or interventions to make this behavior unnecessary. (For example, improving self esteem can reduce fears of abandonment and unlovability which underscore many of the symptoms we will discuss)
Relational Strategies Working with Borderline Clients (Brief Version)Daryush Parvinbenam
By: Daryush Parvinbenam
Core Issues: Dawson (1993) suggests, chronic patterns of abuse/neglect experiences must have imposed an enduring sense of lack of control, incompetence, and power in the client' psyche.
During the formative years of contemporary psychiatry, much attention was paid to the continuing role of past traumatic experiences on the current lives of people.
The Set Up
Living With Addiction
Tian Dayton MA, PhD, TEP
What Happens to the Family When Addiction Becomes Part of It?
Families where addiction is present are oftentimes painful to live in, which is why those who live
with addiction may become traumatized to varying degrees by the experience. Broad swings, from one
end of the emotional, psychological and behavioral spectrum to the other, all too often characterize the
addicted family system. Living with addiction can put family members under unusual stress. Normal
routines are constantly being interrupted by unexpected or even frightening kinds of experiences that
are part of living with drug use. What is being said often doesn’t match up with what family members
sense, feel beneath the surface or see right in front of their eyes. The drug user as well as family
members may bend, manipulate and deny reality in their attempt to maintain a family order that they
experience as gradually slipping away. The entire system becomes absorbed by a problem that is slowly
spinning out of control. Little things become big and big things get minimized as pain is denied and
slips out sideways.
During early childhood years, living in this intense emotional environment can set up a fear of
feeling or patterns of attachment that are filled with anxiety and ambivalence. In their youth, children of
alcoholics or drug dependent parents (COAs) may feel overwhelmed with powerful emotions that they
lack the developmental sophistication and family support to process and understand. As a result, they
may resort to intense defenses, such as shutting down their own feelings, denying there is a problem,
rationalizing, intellectualizing, over-controlling, withdrawing, acting out or self medicating, as a way to
control their inner experience of chaos. The COA may be difficult to identify. They are just as likely to
be the president of the class, the captain of the cheerleading squad, or the A student, as they are to act
out in negative ways.
A Tense Family Atmosphere: Emotional Disconnection
Families have a remarkable ability to maintain what family therapists call homeostasis. But when
alcohol or drugs are introduced into a family system, the family’s ability to regulate its emotional
and behavioral functioning is severely challenged. The family will generally reach as a unit to
balance itself. In alcoholic homes, this may become a dysfunctional sort of balance. Family members
can become subsumed by the disease to such an extent they lose their sense of normal. Their life
becomes about hiding the truth from themselves, their children and their relational world. Trust and
faith in an orderly and predictable world can be challenged as their family life becomes chaotic,
.
In this video, we're going to unveil the dark reality of emotional and covert incest. This is a topic that is taboo, but it needs to be talked about.
As a society, we need to start addressing this issue head on. There are people out there who are suffering due to the secrecy and emotional manipulation that is perpetuated in relationships with an incestuous nature. In this video, I'm going to share my story and the story of some of the victims of emotional and covert incest.
Let's start the conversation about emotional and covert incest and help victims of this situation find the courage they need to come forward and seek help.
Supervision for Wounded Healers: Using NARM in CPECarolineCupp
This powerpoint presentation was given to fellow students and faculty in Clinical Pastoral Education supervisory training. It was offered as a theory for clinical supervision that takes into account the backgrounds and experiences of adult learners.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
CEs can be earned for this presentation at https://www.allceus.com/member/cart/index/search?q=family+dynamics
Pinterest: drsnipes
YouTUBE: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Family Dynamics of Addiction
Objectives
Define the Family
Examine how addiction impacts the family
Emotionally
Socially
Physically
Spiritually
Why I Care/How It Impacts Recovery
The identified patient does not exist in isolation
As the IPs behaviors/problems developed, the family’s behaviors changed to try and maintain stability
When the IP begins to change in recovery, that disrupts the balance.
When the IP did _____ the family members always reacted with ____
Example:
When John was late coming home from work….
When Sally started sleeping late and going to bed early…
When Jane starts cleaning a lot and getting irritable…
The family needs to
Understand the impact of the IPs behavior on the family
What the function of the IPs behavior was
How to examine old behaviors in a new context
Creating Trauma Safe Schools - Effects of PTSD in learning and educationMichael Changaris
This presentation explores the impact of PTSD on learning and education. It offers tools for educators, parents and families to increase learning, growth and development for the 10's of 1000's of children and adolescents who suffer from PTSD.
This slide show explores the impacts of trauma on children and how symptoms of trauma impact emotional regulation, attention, relationships and development.
Define what constitutes a “personality disorder”.
Explore the Five Factor Model (FFM) of personality.
Review the three (3) major personality “clusters”.
Look at the ten (10) individual personality disorders.
Many symptoms of addictions and personality disorders overlap. As with any diagnosis, one of the key areas for investigation is---What function does (or did) this seemingly unhelpful---behavior provide, and what healthier alternatives are available, or interventions to make this behavior unnecessary. (For example, improving self esteem can reduce fears of abandonment and unlovability which underscore many of the symptoms we will discuss)
Relational Strategies Working with Borderline Clients (Brief Version)Daryush Parvinbenam
By: Daryush Parvinbenam
Core Issues: Dawson (1993) suggests, chronic patterns of abuse/neglect experiences must have imposed an enduring sense of lack of control, incompetence, and power in the client' psyche.
During the formative years of contemporary psychiatry, much attention was paid to the continuing role of past traumatic experiences on the current lives of people.
The Set Up
Living With Addiction
Tian Dayton MA, PhD, TEP
What Happens to the Family When Addiction Becomes Part of It?
Families where addiction is present are oftentimes painful to live in, which is why those who live
with addiction may become traumatized to varying degrees by the experience. Broad swings, from one
end of the emotional, psychological and behavioral spectrum to the other, all too often characterize the
addicted family system. Living with addiction can put family members under unusual stress. Normal
routines are constantly being interrupted by unexpected or even frightening kinds of experiences that
are part of living with drug use. What is being said often doesn’t match up with what family members
sense, feel beneath the surface or see right in front of their eyes. The drug user as well as family
members may bend, manipulate and deny reality in their attempt to maintain a family order that they
experience as gradually slipping away. The entire system becomes absorbed by a problem that is slowly
spinning out of control. Little things become big and big things get minimized as pain is denied and
slips out sideways.
During early childhood years, living in this intense emotional environment can set up a fear of
feeling or patterns of attachment that are filled with anxiety and ambivalence. In their youth, children of
alcoholics or drug dependent parents (COAs) may feel overwhelmed with powerful emotions that they
lack the developmental sophistication and family support to process and understand. As a result, they
may resort to intense defenses, such as shutting down their own feelings, denying there is a problem,
rationalizing, intellectualizing, over-controlling, withdrawing, acting out or self medicating, as a way to
control their inner experience of chaos. The COA may be difficult to identify. They are just as likely to
be the president of the class, the captain of the cheerleading squad, or the A student, as they are to act
out in negative ways.
A Tense Family Atmosphere: Emotional Disconnection
Families have a remarkable ability to maintain what family therapists call homeostasis. But when
alcohol or drugs are introduced into a family system, the family’s ability to regulate its emotional
and behavioral functioning is severely challenged. The family will generally reach as a unit to
balance itself. In alcoholic homes, this may become a dysfunctional sort of balance. Family members
can become subsumed by the disease to such an extent they lose their sense of normal. Their life
becomes about hiding the truth from themselves, their children and their relational world. Trust and
faith in an orderly and predictable world can be challenged as their family life becomes chaotic,
.
In this video, we're going to unveil the dark reality of emotional and covert incest. This is a topic that is taboo, but it needs to be talked about.
As a society, we need to start addressing this issue head on. There are people out there who are suffering due to the secrecy and emotional manipulation that is perpetuated in relationships with an incestuous nature. In this video, I'm going to share my story and the story of some of the victims of emotional and covert incest.
Let's start the conversation about emotional and covert incest and help victims of this situation find the courage they need to come forward and seek help.
In this video, we're going to unveil the dark reality of emotional and covert incest. This is a topic that is taboo, but it needs to be talked about.
As a society, we need to start addressing this issue head on. There are people out there who are suffering due to the secrecy and emotional manipulation that is perpetuated in relationships with an incestuous nature. In this video, I'm going to share my story and the story of some of the victims of emotional and covert incest.
Let's start the conversation about emotional and covert incest and help victims of this situation find the courage they need to come forward and seek help.
Family Systems Theory Cont’dFamily Projection Process – The wa.docxmglenn3
Family Systems Theory Cont’d
Family Projection Process – The way parents transmit their emotional problems onto a child.
Increases the child’s vulnerability to clinical symptoms.
Examples of issues that may surface later on in adulthood include:
· Heightened need for attention and approval
· Difficulty dealing with expectations
· The tendency to blame oneself or others
· Feeling responsible for the happiness others or that others are responsible for their happiness
· And acting impulsively to relieve the anxiety of the moment rather than tolerating anxiety and acting thoughtfully.
The projection process happens in three steps:
1. The parent focuses on a child out of fear that something is wrong with them;
2. The parent interprets the child’s behavior as confirming the fear; and
3. The parent treats the child as if something really is wrong with the child.
For example: A parent begins to wonder whether or not their child has low self-esteem. The child says and does something that confirms this suspicion. The parent begins to treat the child differently. The parent repeatedly starts affirming and praising the child in an effort to boost their self-esteem. As a result, the child’s self-esteem grows dependent on the parent’s compliments, affirmations, and praise.
Later on in life, the adult needs attention and approval from others to feel good about the self. I may feel as though my spouse is not meeting my esteem needs. They are not meeting my expectations.
Germs – Fear of germs. They might project that fear onto their children. That child may grow up to have the clinical issue. A constant fear or phobia of germs.
Make mommy happy. May project this onto their child and the child develops issues with feeling responsible for the happiness of others and blaming themselves when others are not happy.
Neurotic parent full of anxieties. May project this onto their child and the child develops issues with managing anxiety
Emotional Cutoff – Emotional separation. Where individuals will emotionally begin to separate from their parents/caregivers. Look at the manner in which adolescents begin to emotionally separate from their caregivers.
Examples of emotional cutoff:
1. Isolating or avoiding a relationship with a parent/caregiver
2. Physically move away
3. We may to stop speaking to a parent/caregiver
4. We may argue and fight a lot with our parent or caregiver
5. Alcohol or drug use may be a way of emotionally cutting-off from our parent/caregiver
The more severe the emotional cut-off, the greater the likelihood that the individual will bring their unresolved emotional attachments into their future relationships.
Codependency
Is an unhealthy pattern of relating between a Substance User and Non-User. Because the non-user is to closely involve with the user.
The Codependent – As also known as an Enabler.
The codependent is overly focused and overly involved with the user
The relationship is usually too enmeshed. It’s usually ful.
OBJECTIVES:
If I were starting an adolescent treatment center what would I want to make sure adolescents and families learn?
Identify and Describe How Families Arrive at your door.
To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture.
Clinical and Reverse Interventions - what are these and how to do?
Share Standard Vocabulary Families need to know Family Change Agreements - What are these - when to use?
These slides contain detailed description of family therapy including : Introduction, Definition, Aims/Goals, Indication, Contraindication, Functions, Types, Nursing diagnosis and interventions, Nursing responsibilities, Research.
The presentation sheds light on relationship, attachment theory, types of attachment, breakups and the healthy, unhealthy coping mechanisms used generally.
Chemical Dependency and the Family - October 2012Dawn Farm
"Chemical Dependency and the Family" was presented on October 30, 2012; by Dr. Lynn Kleiman Malinoff, Ed.D. Chemical dependency affects all members of the family, not just the person with the alcohol or other drug addiction. This program provides participants with a basic understanding of how addiction impacts each member of a family. The presenter describes the roles and behaviors that family members often acquire when living with addiction, ways in which each family member is affected by addiction in the family, and options for family members to obtain help to cope with addiction in the family. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org.
DeCoteau Trauma-informed Care - Relationships MatterAiki Digital
By Tami DeCoteau...
"I’ve entitled my presentation “Relationships Matter” because I am going to talk to you about the important bond between a child and his caregiver, and how that bond occurs and how it impacts the child at all levels of development."
Presented by Tami DeCoteau
I’ve entitled my presentation “Relationships Matter” because I am going to talk to you about the important bond between a child and his caregiver, and how that bond occurs and how it impacts the child at all level of development.
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Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
2. Meditation
70 to 80 thousand thoughts daily, 50 thousand repetitive ones
Meditation increases our awareness and slows down our racing
Reduce reactivity, increase well being, strengthening of prefrontal cortex
Increase immunological response, increase ability to manage pain
Increase present state attentiveness
Lowers blood pressure, reduction in amydala (fear)
3. Attachment Theory
How our closest relationships are vital to our growth, development, and well being.
John Bowlby (b.1907) found that without a loving connection to a caregiver a child’s physical, emotional, intellectual growth was stunted.
After the war not enough caregiver in orphanages so children who had medical care, shelter, food, toys, education were still not developing.
Their brains were not developing properly and many of the children died. Without holding and interacting. Failure to thrive.
Suddenly science was interested in relationships.
Children form expectations about the reliability and accessibility of their caregivers then these expectation and how well they were met
get generalized to other intimate relationships across the person’s lifespan. One example is having a depressed mother. Child internalizes
that mom and forms ideas about who they are and what they can expect from the world and carries that unmet need into, gives up or becomes anxiously attached.
4. Neurobiology of addiction
Under threat, real or perceived, physical or emotional - it’s registered the same way by the brain.
“A coward dies a thousand deaths.” - Shakespeare
We are wired to connect. Fear and uncertainty activate our attachment needs for comfort and safety.
You can track where clients are by the physical changes of where they are in their perceived threat level.
Alcoholic families live in fear and uncertainty convinced that fixing the patient would solve this.
Because of homeostasis, they are sick now too.
Addiction is the antidote to intimacy.
5. Neurobiology of addiction
Our experience of Pain and fear can be modulated by being in contact with someone we love or trust.
Attachment theory in adult relationships says we can go to our partner or family member for comfort and understanding
(sometimes) but the key is the ability to self soothe.
Intimate relationships exist to expose all the unhealed, empty and unmet needs in us. The task is for us to grieve,
acknowledge and heal them not to ask the other person to fill them today. We can stand by each other and be supportive
but we cannot heal childhood wounds for each other.
Dr. Sue Johnson’s MRI landmark study: Soothing the threatened brain
www.drsuejohnsoncom
6. The Hungry Ghosts (Dr. Gabor Mate)
“Drinking in Ireland is not simply a convivial pastime, it
is a ritualistic alternative to real life, a spiritual placebo, a
fumble for eternity, a longing for heaven, a thirst for
return to the embrace of the Almighty.”
– John Waters (Irish journalist)
7. Benefits of Family/Couples Therapy
-- Primary problems in family functioning are delineated.
-- Neutralize Scapegoating.
-- Decrease guilt and blame.
-- Increase empathy for differences..
-- Challenge family myths and nonfunctional rules.
-- Form new agreements for living together.
-- Improve the mental and physical state of each family member
-- Prevent the substance abuse from spreading throughout the family or down generations.
-- Improve communication styles and relationship quality.
-- Assist the substance user to gain awareness of their needs and behaviors.
-- Help families understand and avoid enabling behaviors.
-- Address codependent behavior.
-- Permit family members to gain self-care interventions to improve their own well being.
-- Develop problem solving skills, motivation for change, and accountability.
-- Emphaze the strengths of the complete family and diminish the influence of substance use for all family members.
8. Risks of Family/Couples Therapy
Risks are low but include:
One member of the family feeling attacked.
An escalation of anger and violence in a family member.
The substance user being triggered to continue to increase use.
- Thoroughly screen and assess each member of the family before
treatment begins to ensure safety.
9. Specific skills for the Family Therapist
- The ability to deal specifically with high conflict families and behavioral issues.
- Must have strong communication skills and be comfortable acting as traffic cop and
controlling high conflict sessions
- Must be able to listen to various points of view from various family members in session
without over-identifying with one member or appearing judgmental
- Must be comfortable facilitating the communication process in live time between family
members when they are reluctant to talk about certain issues or even acknowledged that
they exist.
10. Specific Skill set for Family Therapist
- Must be perceptive enough to understand each members varied point of view and
have the empathy to place themselves in each person’s shoes.
- Need strong leadership skills to develop the necessary trust to persuade family
members to follow the recommended course of action
- Need the necessary teaching skills to educate families about addiction and family
systems.
- Must be skilled at various steps in conflict resolution
The Family or the Couple is the client not the individual
11. CHARACTERISTICS OF A DYSFUNCTIONAL FAMILY/COUPLE
-- Blurred boundaries. -- Shaming/Blaming
-- Confused communication patterns. -- Punishing/Permissive
-- Overprotection. -- Secrets
-- Enmeshment, lack of autonomy or privacy. -- Compulsive/addictive
-- Denial of conflict except as it involves the identified patient. -- Frozen feelings
-- Inability to resolve conflict. -- Unhealthy competition
-- Scapegoating. -- Parentified
children
-- Low toleration for stress and physical illness. -- Loss of freedom
-- Fragmented, disjointed, isolated individuals. -- Closed system
-- Noncohesive, noncommittal, pseudo-closeness. -- Approval and love must be earned
-- Divisions and separations with alliances in conflict. -- Idealization of parents/ fantasy bond
-- Skewed relationships, isolation of one family member. -- Perfectionistic
-- Rigid positions. -- Roles
assigned for family needs
-- Lack of respect for individual differences.
12. Legacy of Shame
Stigma
Chronic fear
Suppressed rage
Self loathing
Procrastination
Low self-esteem
False pride and grandiosity
Vulnerability to use alcohol again as remission for suffering - past and present
Chronic trauma over and over
13. Family Roles
Addiction is a family disease seeking homeostasis
The Dependent/IP The Mastermind
The Enabler The Scapegoat
The Hero The Problem Child
The Lost Child
The Mascot
14. Family Rules
1. Don’t Talk
2. Don’t Trust your feelings, intuitions
3. Don’t Feel
4. Don’t ask questions
5. Don’t share family secrets
6. Don’t admit what you don’t know
7. Don’t focus on yourself, only others
8. Don’t make problems and rock the boat
15. Permission for new rules
Acceptance - we can’t control others
Imperfection - It’s okay to be wrong or not know the answer
It’s okay to feel your feelings, think your thoughts, have your opinion, want
what you want, to talk openly, to resolve differences, to disagree, to see a
problem
Reliability - Learn to trust yourself and trustworthy people
16. Bader/Pearson Developmental Couples Model
● Bonding: initial honeymoon period, couples seek closeness, uncover their similarities, and begin falling in love.
● Differentiation: couples begin to acknowledge and address their differences. A central task of this developmental
stage is finding ways to resolve conflict.
● Practicing: During this period, couples explore their independence, nurture outside friendships, and spend time
developing their self esteem and competence in areas separate from the relationship.
● Rapprochement: This is a stage during which couples move away from and then return to one another. Often, a
couple’s sex life will deepen during this phase.
● Synergy: This phase of development embraces true intimacy, recognizing a couple can come together and be stronger
together than each member is alone.
www.couplesinstitute.com
17. Couples Therapy addiction/high conflict
Anxiety emerges when our attachment bonds are being threatened and when our needs are
in danger of becoming unattainable.
When a partner fails to respond to the other’s basic attachment needs for safety and security, PTSD like symptoms
occur: States of hyper-arousal, clinging, and withdrawing.
A negative model of self is experienced as being undeserving. The partner is seen as undependable. Small
disappointments, and minor incidents, for the insecure spouse, echo back to early attachment injuries.
“When your hysterical it’s historical”
18. Couples Therapy anxious needs defenses
Non-committal individual
Criticism and Complaints
Defensiveness
Anger
Depression, in the relational context (disconnection)
Judgement and blame
Countertransference - therapist feeling disconnected
19. Basic Human Needs
Attachment Needs:
Acceptance, Acknowledgement, Affection, Attune, Appreciation, Belonging, Cooperation, Communication,
Closeness, Companionship, Compassion, Consideration, Consistency, Empathy, Inclusion, Intimacy, Love,
Mutuality, Nurturing, Recognition, Responsiveness, Respect, Safety, Security, Stability, Support, To know and be
known, To see and be seen, To understand and be understood, Trust, Warmth
Physical Well-Being Needs:
Air, Food, Movement, Rest, Sleep, Sexual expression, Safety, Shelter, Touch, Water
Autonomy Needs:
Choice, Freedom, Independence, Space, Spontaneity
20. Basic Human Needs
Play Needs:
Fun, Joy, Humor
Search for Meaning Needs:
Achievement, Authenticity, Awareness, Celebration of life, Challenge, Clarity,
Competence, Communion, Consciousness, Contribution, Creativity, Discovery, Efficacy,
Effectiveness, Equality, Growth, Harmony, Hope, Inspiration, Integrity, Learning,
Mourning, Order, Participation, Presence, Purpose, Self-expression, Stimulation,
Understanding
21. Helping clients with their Unmet Needs
● Unrealistic needs and expectations
● The limitations of the partner
● The limitations of self
● The limitations of the environment
Grief work towards acceptance
Differentiation
Affect Regulation
Note: Maintain awareness of cultural diversity issues as they relate to feeling deserving of one’s needs, and to the
communication of needs.
22. Initiator
Focus on one issue
Express your feelings and thoughts
Avoid Blaming, accusing, name calling
Be open to self discovery
This is my problem – it’s an expression of who I am.
It’s about me revealing myself and my being willing to express my thoughts and feelings.
23. Inquirer
Listen calmly
Ask questions
Listen with openness. I do not own this problem. It’s up to me to manage my reactions
Empathize
Recap
My partner is a separate person with their own feelings, thoughts, personality and family history. I only need listen, not look for solutions.
24. Family Counseling Techniques
Sequencing. Ask questions like who does what, when? When kids are fighting, what is
mother doing? Father?
Hypothetical Questions. Who would be most likely to stay home if mother got sick?
Which child can you visualize living at home as an adult?
Reframing. Describe negative behavior in different ways. Acting out, for example, can be
described as displaced anger from an unresolved family conflict. Empowering. Resiliance.
25. Family Counseling Techniques
Tracking. How does a family deal with a problem. "What was it like for you when. . . ?"
rather than "How did you feel when. . . ?" These kinds of questions help keep the focus
on the family rather than on the individual.
Sculpting. Create a still picture of the family that symbolizes relationships by having
members position one another physically. This technique helps to cut through
intellectualized defenses, and gets nonverbal members to express themselves.
Eco-Map. Organize data about the family's total environment and their relationship to it.
26. Family Counseling Techniques
Paradoxical Intervention. Instruct a family to do something they don't expect and
observe how the family then changes by rebellion or noncompliance. This approach is not
appropriate in crisis situations such as violence, grief, or suicide, or for families with
minimal resistance. It is reserved for highly resistant and rigid families and is clearly an
advanced therapeutic skill.
Unbalancing. Support an individual or subsystem at the expense of others. This modifies
family structure and introduces the possibility for alternative ways of living together.
27. Solution Focused
Non Pathologizing
Goal orientated, visualizing moving toward ideal
Strengths based vs. weakness
Solution based
Seeks to understand client within their sociopolitical, cultural, and historical
context
28. Solution Focused Family Therapy
Looking for Previous Solutions - people have solved many, many problems on their
own and have some idea how to solve the current one. “Are there times when this
has been less of a problem” “What has worked in the past?’ Something the family
tried.
Looking for Exceptions - times the problem could occur but does not. Something
that happened instead of the problem. “What is different about the times when this is
less of a problem? Resources? Self care? Support? Threat?”
29. Solution Focused Family Therapy
Present and future-focused questions vs. past focus - Problems are best solved focusing on
what’s working. AA’s live in the solution. “What will you do this week that will indicate to you that
you are making progress?”
Compliments - esteem and strength building. Validate what clients did and are doing well.
Normalizing past choices from a systems perspective. Shows the therapist has been listening and
encourages change. “How did you do that?” “That was a life saving skill as a child.”
Paradoxical Interventions - defiance based. Symptom Prescription, Restraining Strategies,
Agreeing with dysfunction. Evidence based as helpful because clients attribute the change to
themselves not the therapist.
30. Solution Focused Family Therapy
The Experiment - once a positive frame is established, clients have been validated
and normalized, previous solutions and exceptions discovered the therapist can invite
the client to experiment and try to push the envelope and do more of what is working.
Invites clients to drop their script and forge new neuropathways.
Scaling Questions - Client self assessment, assess their situation, track their progress
or evaluate how others might rate them on a scale of 0 to 10. Invites the therapist to
talk about their motivation, level of hope or despair, wishes, confidence and progress.
31. Solution Focused Family Therapy
Miracle Question - longest intervention, can almost be hypnotic. Brings about
reframing, new ways of thinking, hope. Second part is to identify moment client
experience some of this today. Small miracles.
Coping Questions - Highlights a family’s coping skills even in the depth
overwhelming difficulties. In despair many clients still get out of bed, feed their kids
and do things that take major effort. “How have you managed to carry on?” “How
did you survive that?” “How have you managed to prevent things from getting
worse?” Opens up a channel for examining family’s resiliency and determination.
32. Solution Focused Family Therapy
Highlighting choice - in a system that has over feeling of powerless, pointing out
choices. Thanks for coming today even when court ordered is a choice. Minimizes
victim stance. Increases responsibility and ownership.
Family as expert - continue to consult and reassess “Is there anything that I did not
ask that you think it would be important for me to know?” “Do you feel you got what
you needed today?” “Is there anything you can tell me that you think will be helpful
to me in working with your loved one or with this family?”
33. Solution Focused Family Therapy
Using Countertransferece
Joining the family system with permission by offering to give words to the
situation. “Can I be you for a minute?” “Can I try to give this some words?”
Speak as you imagine the family member wishes he could say or what another
family member needs to hear. You are offering a new direction a new voice
when they are stuck. Then process it with them.
Helpful when BPD is detached so therapist is board or reluctant.
34. Virginia Satir Parts Party
Write down three
1. People you admire, and what you admire them for.
2. People you detest, and what you detest them for.
● Have them party together, either externalized by a sculpt. role play, or imagination.
● Observe what happens.
● If and when, investigate clashes and conflicts, and the effects on the other parts.
● Resolve oppositions and conflicts by reclaiming valued, alienated, extruded, and/or unknown parts.
35. Virginia Satir Parts Party
The purpose of a Parts Party is to integrate different aspect or facets of the personality, hence, “parts”.
We regularly freeze the parts party to hear what particular parts have to say, especially those that the star or focal person
recognizes. We freeze only those situations that seem to evoke powerful emotions in the star.
Then we bring conflicting pairs together and ask which other parts they would like to assist them in dealing with and
resolving the polarization or conflict. We can even make up new parts for that.
The focal person can negotiate for conditions, or for more resolution before we move to integration.
36. Healing
To get to the truth of the matter requires realistic and fearless confrontation with the ugly, destructive, and dangerous
consequences of untreated alcohol abuse and dependence in society, as well as an awareness of the shame-based system
of economic, social, psychological, religious, political and cultural denial that has evolved over the centuries to banish the
problem from public consciousness. 60,000 French people die a year from alcoholism alone.
Formal efforts to address the problem must be led by individuals whose fundamental understanding of alcohol abuse and
dependence is based on personal recovery, and a broad knowledge of scientific advances in the field of addiction that now
promise an excellent prognosis for recovery if treatment is followed.
We must establish forums for recovery guided by principles of peace and honest reconciliation instead of shame, blame and
punishment. We must be at the front line of ending the stigma and focusing on the solution and strengths in families and
individuals to help end the suffering of addiction.