Problem Gambling Forum: Meeting in the Middle
Presented by ABACUS Counselling Training & Supervision Ltd to the Problem Gambling National Provider Forum May 2012
This document discusses social and political factors that impact chronic disease management, including a lack of support services, education initiatives, and financial assistance that can reduce quality of life and independence for patients. It also notes the increased pressures on health systems, including waitlists, the development of co-morbidities, and costs to providers due to factors like staffing ratios and available resources. Improving knowledge of risk factors, disease management, and community resources could help address some of these challenges.
Peer support programs have a long history dating back to the 1840s and share principles from the civil rights movement. Research shows that peer support helps reduce hospitalizations and stays while helping people establish community support networks and increasing personal empowerment. For peer support to reach its full potential, it needs to be expanded, involve career development and national certification, and fully integrated into all mental health and substance abuse services and leadership.
This document provides information about a webinar on treating mental health issues in long-term care facilities. The webinar will discuss the unique characteristics of the long-term care environment and challenges in treating older adults with acute mental health issues. It will also cover issues around diagnoses, behaviors, and insurance coverage for psychiatric hospitalization of older patients. The document also outlines recommendations for protocols to improve cooperation between long-term care facilities and community mental health agencies before, during, and after a psychiatric crisis occurs with a resident.
Capacity, Country Ownership, Sustainability, and the Quest for the Holy Grail...CORE Group
The document provides an agenda and background materials for a meeting on capacity and ownership in global health. It discusses various frameworks and approaches for conceptualizing capacity and ownership, including considering them as latent variables, relationships between actors, and emergent properties of a system. It notes the challenges of measuring these concepts and ensuring sustainability and local ownership in health projects. Practical guidance emphasizes flexibility, learning, and recognizing different contextual factors.
Healthfirst is a not-for-profit managed healthcare organization that provides coverage to individuals and families in New York through various government-sponsored programs. Strategy Studio was selected to help Healthfirst refresh its brand by better understanding its position in the market, repositioning the brand, and implementing a new branding strategy including creative assets, web design, and transit advertising. As part of its research, Healthfirst conducted focus groups to understand brand awareness, decision drivers, member experience, and provider expectations. Strategy Studio's campaign involved community-based offices where Healthfirst representatives meet with members and conduct local events, as well as a visible Community Ambassador to connect with community and business leaders.
This document discusses a new partnership between Family Health Teams (FHTs) and Public Health in Ontario. There are currently 152 approved FHTs serving over 2.75 million patients. FHTs aim to provide excellent primary health care through interdisciplinary teams of 2-25 physicians providing comprehensive care, chronic disease management, health promotion, and round-the-clock coverage with IT support. The document outlines steps for FHTs to improve quality of care through developing organizational frameworks, building interdisciplinary teams, and building links to community partners. It presents a framework involving a care model, improvement model, and learning model to guide this transition, with the goal of improving clinical, functional and population health outcomes.
This document discusses social and political factors that impact chronic disease management, including a lack of support services, education initiatives, and financial assistance that can reduce quality of life and independence for patients. It also notes the increased pressures on health systems, including waitlists, the development of co-morbidities, and costs to providers due to factors like staffing ratios and available resources. Improving knowledge of risk factors, disease management, and community resources could help address some of these challenges.
Peer support programs have a long history dating back to the 1840s and share principles from the civil rights movement. Research shows that peer support helps reduce hospitalizations and stays while helping people establish community support networks and increasing personal empowerment. For peer support to reach its full potential, it needs to be expanded, involve career development and national certification, and fully integrated into all mental health and substance abuse services and leadership.
This document provides information about a webinar on treating mental health issues in long-term care facilities. The webinar will discuss the unique characteristics of the long-term care environment and challenges in treating older adults with acute mental health issues. It will also cover issues around diagnoses, behaviors, and insurance coverage for psychiatric hospitalization of older patients. The document also outlines recommendations for protocols to improve cooperation between long-term care facilities and community mental health agencies before, during, and after a psychiatric crisis occurs with a resident.
Capacity, Country Ownership, Sustainability, and the Quest for the Holy Grail...CORE Group
The document provides an agenda and background materials for a meeting on capacity and ownership in global health. It discusses various frameworks and approaches for conceptualizing capacity and ownership, including considering them as latent variables, relationships between actors, and emergent properties of a system. It notes the challenges of measuring these concepts and ensuring sustainability and local ownership in health projects. Practical guidance emphasizes flexibility, learning, and recognizing different contextual factors.
Healthfirst is a not-for-profit managed healthcare organization that provides coverage to individuals and families in New York through various government-sponsored programs. Strategy Studio was selected to help Healthfirst refresh its brand by better understanding its position in the market, repositioning the brand, and implementing a new branding strategy including creative assets, web design, and transit advertising. As part of its research, Healthfirst conducted focus groups to understand brand awareness, decision drivers, member experience, and provider expectations. Strategy Studio's campaign involved community-based offices where Healthfirst representatives meet with members and conduct local events, as well as a visible Community Ambassador to connect with community and business leaders.
This document discusses a new partnership between Family Health Teams (FHTs) and Public Health in Ontario. There are currently 152 approved FHTs serving over 2.75 million patients. FHTs aim to provide excellent primary health care through interdisciplinary teams of 2-25 physicians providing comprehensive care, chronic disease management, health promotion, and round-the-clock coverage with IT support. The document outlines steps for FHTs to improve quality of care through developing organizational frameworks, building interdisciplinary teams, and building links to community partners. It presents a framework involving a care model, improvement model, and learning model to guide this transition, with the goal of improving clinical, functional and population health outcomes.
The document discusses several key points:
1) There are many fragmented funding silos in the aged care system including Commonwealth programs, state-run services, private insurance, and self-funded options.
2) Strategies are needed to delay, mitigate, or alleviate the biological aging process and transition to disease or disability.
3) A preferred future requires focusing initiatives on priorities to close the gap between the current state and desired outcomes. Improvement cycles of planning, doing, reviewing and learning can help progress impact.
4) Partnerships that foster trust, relationships, shared learning and purpose can help providers better serve families and individuals. Moving to support well-being across a person's aging journey from optimal
The document is a resume for Alan Percy, who has over 15 years of experience in learning and development leadership roles in the healthcare industry. He has a background in health education, program management, and staff development. His most recent roles include senior learning consultant at Kaiser Permanente and manager roles at Blue Shield of California, where he developed educational programs, managed budgets, and led teams. He is currently open to new opportunities and resides in southern California.
The document discusses transforming care delivery with data and clinical information systems. It outlines 3 key steps: 1) meeting meaningful use mandates by implementing core clinical systems, CPOE, and connecting providers; 2) building an analytics foundation by establishing data quality, aggregating data in warehouses or marts, and normalizing data; and 3) delivering information-powered care by creating analytical tools, expanding data access, and cultivating internal analytics expertise. Hospitals are taking various approaches to these steps like leveraging informaticists, developing data governance committees, and providing advanced training programs.
This document discusses digital tools for behavior change and identifies some key factors for success. It notes that while many tools exist, the question is whether they are truly effective. Success is defined as measurable health outcomes, engagement over both the short and long term. The challenges are sustaining initial motivation over time and extending changes. The evidence suggests digital tools can impact behaviors like alcohol consumption, safer sex, and smoking cessation. Larger effects may be achieved by incorporating strong theory, persuasion, goal setting, tailoring, and social support. However, defining and measuring success remains difficult.
Collaborative Outcomes In The Public Sector IndustryRuss LeFevre
Executive overview, definition and practical examples of how governments can collaborate intra-agency, inter-agency and across organizational boundaries to maximize their public value, optimize resources and improve citizen service responsiveness.
The document summarizes that health plans are well positioned to improve healthcare through technology and payment evolution. It discusses how IT-enabled care collaboration can deliver higher value for purchasers by reducing resources, substituting lower cost options, and avoiding complications. It suggests health plans can support providers and value-based care by changing reimbursement models and leveraging plan assets to partner with providers through tools, analytics and shared care management services.
1 mon 0900 das hiv prevention final 8.15.2011CDC NPIN
This document summarizes efforts to improve the HIV care continuum and maximize prevention, care, and treatment outcomes in San Francisco. It outlines San Francisco's approach, which includes universal offering of antiretroviral therapy, using data to evaluate the care cascade, and focusing on primary prevention, linkage to care, retention in care, and viral suppression. The goal is to reduce new infections and improve health through combined prevention strategies and ensuring all people with HIV are able to benefit from treatment.
The document provides an overview of the Journey Into Well-Being chronic disease self-management program. It discusses the importance of self-management skills in chronic disease management compared to more traditional acute disease education approaches where the professional directs care. The program teaches problem-solving, action planning, and other self-management skills to increase patients' self-efficacy and ability to independently manage their conditions. It is a 6-week group program based on the Stanford model and has been shown to reduce healthcare utilization while improving health outcomes. The document also notes opportunities to integrate this program into community health centers.
The document provides guidance on marketing to the NHS. It advises to consider individuals in the marketing process, treat change as an opportunity, and engage commercially with the NHS. It also notes the NHS is not a single entity and its parts are not always joined up. Quality improvement initiatives like QIPP and the NHS Outcomes Framework aim to improve efficiency, outcomes and patient experience.
The Community Health Network Spring Meeting aims to generate collaborative action and learning to improve community health practices for underserved populations globally. Its vision is a world with healthy communities where no woman or child dies of preventable causes. CORE Group, a network of over 70 NGO, university, and government members, facilitates coordination, knowledge sharing, and partnerships to further this mission. Working groups address key health areas while tools and trainings help practitioners apply learning from the field.
The document provides an overview of BzBod, LLC, a proposed social networking portal for health and fitness tracking called BzBod.com. It summarizes the founding team's credentials, the value proposition of enabling health tracking through an online community, the target markets of adults and kids, competitive advantages over other fitness tracking tools, the revenue model of subscriptions and advertising, and 5-year financial projections forecasting profitability.
Strengthening and Measuring Community Capacity for Sustained Health Impact_Sn...CORE Group
The document discusses measuring community capacity and its relationship to social and health outcomes. It provides definitions of community capacity that emphasize assets, abilities, and strengths. Measuring capacity is important because strengthening capacity is predicted to improve health outcomes and sustain positive change. The document reviews the limited state of measuring capacity globally and the lack of agreed frameworks. It presents models of how capacity interventions can lead to social change, health competence, and improved health status. Community mobilization approaches are meant to strengthen capacity and drive sustained behavior and social change.
The document outlines the bare necessities for creating trauma-informed mental health inpatient services. It discusses integrating an understanding of trauma throughout programs, policies, and procedures to prevent re-traumatization. It recognizes the need to meaningfully involve trauma survivors in designing services and prioritizing safety, choice, and control. The document also acknowledges that while progress has been made, more work is needed to fully implement trauma-informed practices, such as establishing a shared definition, increasing training, screening for trauma history, and ensuring emotional and physical safety remain top priorities.
1. The document reports on basic health care and support activities carried out by INSS from April 2008 to December 2008 with support from Memisa Belgium.
2. Key results included increasing antenatal and postnatal care awareness, immunization registration, access to family planning and pregnancy tests, and reducing child and mother mortality. Strategies involved awareness campaigns, home visits, and cooperation with local groups.
3. Lessons learned include the importance of community involvement, inter-sectoral collaboration, and addressing social issues like adolescent health and superstitions. Participation of local leaders and organizations helped scale up services and ensure sustainability of results.
The document outlines Macmillan Cancer Support's approach to raising their profile, building research partnerships, and influencing health commissioning through public engagement. It discusses delivering workshops for commissioners and the public to involve people in discussions around spending £106 billion on health and social care services. The goal is for local people to shape services through involvement in priority setting, developing plans, and ensuring diverse voices are heard in the commissioning process.
The document outlines capacity building efforts for diabetes prevention in Jamaica, including determining the extent of diabetes, identifying stakeholders, obtaining initial funding, establishing intermediate goals such as community facilities, surveys, and partnerships with local organizations, and conducting focus groups and pilot studies to fill research gaps around diabetes prevention and treatment. The overall goal is a community-based approach to tackle diabetes through multi-level interventions beyond just the health system.
The document discusses the importance of evaluating communications activities to determine their effectiveness and efficiency in achieving goals such as changing knowledge, attitudes, and behaviors, and provides examples of evaluation methods for media campaigns, events, and products. Key points are that evaluation should have clear objectives and indicators, start with small-scale tests, and focus on actual results over creative strategies.
Comprehensive Assessment and Intervention Planningactsconz
This document outlines the process for comprehensive assessment and intervention planning for clients. It discusses the overall purpose of assessment, which is to understand a client's wellness needs, set measurable treatment goals, and create a treatment plan. It also describes the different types of assessments, including screening, brief, and comprehensive assessments. The comprehensive assessment aims to understand barriers to a client's well-being and develop strategies to minimize barriers and enhance pathways. Key parts of the assessment include determining level of care, cultural needs, and developing a management plan and prognosis. The intervention planning considers medical, psychiatric, addiction, and social issues to create a treatment plan addressing predisposing, triggering, maintaining, and protective factors.
Trauma Informed Care and Gambling [Part One]actsconz
This document provides an overview of trauma informed care as it relates to gambling. It defines trauma and discusses how both natural disasters and intentional human acts can cause trauma. Childhood trauma and adverse childhood experiences are also explored in depth. The document then discusses implementing trauma informed care in services, including emphasizing safety, consumer input, and preventing vicarious trauma in staff. Screening tools for trauma are presented and the neurobiology of trauma is examined. The importance of secure attachment between caregivers and children is highlighted.
The document discusses several key points:
1) There are many fragmented funding silos in the aged care system including Commonwealth programs, state-run services, private insurance, and self-funded options.
2) Strategies are needed to delay, mitigate, or alleviate the biological aging process and transition to disease or disability.
3) A preferred future requires focusing initiatives on priorities to close the gap between the current state and desired outcomes. Improvement cycles of planning, doing, reviewing and learning can help progress impact.
4) Partnerships that foster trust, relationships, shared learning and purpose can help providers better serve families and individuals. Moving to support well-being across a person's aging journey from optimal
The document is a resume for Alan Percy, who has over 15 years of experience in learning and development leadership roles in the healthcare industry. He has a background in health education, program management, and staff development. His most recent roles include senior learning consultant at Kaiser Permanente and manager roles at Blue Shield of California, where he developed educational programs, managed budgets, and led teams. He is currently open to new opportunities and resides in southern California.
The document discusses transforming care delivery with data and clinical information systems. It outlines 3 key steps: 1) meeting meaningful use mandates by implementing core clinical systems, CPOE, and connecting providers; 2) building an analytics foundation by establishing data quality, aggregating data in warehouses or marts, and normalizing data; and 3) delivering information-powered care by creating analytical tools, expanding data access, and cultivating internal analytics expertise. Hospitals are taking various approaches to these steps like leveraging informaticists, developing data governance committees, and providing advanced training programs.
This document discusses digital tools for behavior change and identifies some key factors for success. It notes that while many tools exist, the question is whether they are truly effective. Success is defined as measurable health outcomes, engagement over both the short and long term. The challenges are sustaining initial motivation over time and extending changes. The evidence suggests digital tools can impact behaviors like alcohol consumption, safer sex, and smoking cessation. Larger effects may be achieved by incorporating strong theory, persuasion, goal setting, tailoring, and social support. However, defining and measuring success remains difficult.
Collaborative Outcomes In The Public Sector IndustryRuss LeFevre
Executive overview, definition and practical examples of how governments can collaborate intra-agency, inter-agency and across organizational boundaries to maximize their public value, optimize resources and improve citizen service responsiveness.
The document summarizes that health plans are well positioned to improve healthcare through technology and payment evolution. It discusses how IT-enabled care collaboration can deliver higher value for purchasers by reducing resources, substituting lower cost options, and avoiding complications. It suggests health plans can support providers and value-based care by changing reimbursement models and leveraging plan assets to partner with providers through tools, analytics and shared care management services.
1 mon 0900 das hiv prevention final 8.15.2011CDC NPIN
This document summarizes efforts to improve the HIV care continuum and maximize prevention, care, and treatment outcomes in San Francisco. It outlines San Francisco's approach, which includes universal offering of antiretroviral therapy, using data to evaluate the care cascade, and focusing on primary prevention, linkage to care, retention in care, and viral suppression. The goal is to reduce new infections and improve health through combined prevention strategies and ensuring all people with HIV are able to benefit from treatment.
The document provides an overview of the Journey Into Well-Being chronic disease self-management program. It discusses the importance of self-management skills in chronic disease management compared to more traditional acute disease education approaches where the professional directs care. The program teaches problem-solving, action planning, and other self-management skills to increase patients' self-efficacy and ability to independently manage their conditions. It is a 6-week group program based on the Stanford model and has been shown to reduce healthcare utilization while improving health outcomes. The document also notes opportunities to integrate this program into community health centers.
The document provides guidance on marketing to the NHS. It advises to consider individuals in the marketing process, treat change as an opportunity, and engage commercially with the NHS. It also notes the NHS is not a single entity and its parts are not always joined up. Quality improvement initiatives like QIPP and the NHS Outcomes Framework aim to improve efficiency, outcomes and patient experience.
The Community Health Network Spring Meeting aims to generate collaborative action and learning to improve community health practices for underserved populations globally. Its vision is a world with healthy communities where no woman or child dies of preventable causes. CORE Group, a network of over 70 NGO, university, and government members, facilitates coordination, knowledge sharing, and partnerships to further this mission. Working groups address key health areas while tools and trainings help practitioners apply learning from the field.
The document provides an overview of BzBod, LLC, a proposed social networking portal for health and fitness tracking called BzBod.com. It summarizes the founding team's credentials, the value proposition of enabling health tracking through an online community, the target markets of adults and kids, competitive advantages over other fitness tracking tools, the revenue model of subscriptions and advertising, and 5-year financial projections forecasting profitability.
Strengthening and Measuring Community Capacity for Sustained Health Impact_Sn...CORE Group
The document discusses measuring community capacity and its relationship to social and health outcomes. It provides definitions of community capacity that emphasize assets, abilities, and strengths. Measuring capacity is important because strengthening capacity is predicted to improve health outcomes and sustain positive change. The document reviews the limited state of measuring capacity globally and the lack of agreed frameworks. It presents models of how capacity interventions can lead to social change, health competence, and improved health status. Community mobilization approaches are meant to strengthen capacity and drive sustained behavior and social change.
The document outlines the bare necessities for creating trauma-informed mental health inpatient services. It discusses integrating an understanding of trauma throughout programs, policies, and procedures to prevent re-traumatization. It recognizes the need to meaningfully involve trauma survivors in designing services and prioritizing safety, choice, and control. The document also acknowledges that while progress has been made, more work is needed to fully implement trauma-informed practices, such as establishing a shared definition, increasing training, screening for trauma history, and ensuring emotional and physical safety remain top priorities.
1. The document reports on basic health care and support activities carried out by INSS from April 2008 to December 2008 with support from Memisa Belgium.
2. Key results included increasing antenatal and postnatal care awareness, immunization registration, access to family planning and pregnancy tests, and reducing child and mother mortality. Strategies involved awareness campaigns, home visits, and cooperation with local groups.
3. Lessons learned include the importance of community involvement, inter-sectoral collaboration, and addressing social issues like adolescent health and superstitions. Participation of local leaders and organizations helped scale up services and ensure sustainability of results.
The document outlines Macmillan Cancer Support's approach to raising their profile, building research partnerships, and influencing health commissioning through public engagement. It discusses delivering workshops for commissioners and the public to involve people in discussions around spending £106 billion on health and social care services. The goal is for local people to shape services through involvement in priority setting, developing plans, and ensuring diverse voices are heard in the commissioning process.
The document outlines capacity building efforts for diabetes prevention in Jamaica, including determining the extent of diabetes, identifying stakeholders, obtaining initial funding, establishing intermediate goals such as community facilities, surveys, and partnerships with local organizations, and conducting focus groups and pilot studies to fill research gaps around diabetes prevention and treatment. The overall goal is a community-based approach to tackle diabetes through multi-level interventions beyond just the health system.
The document discusses the importance of evaluating communications activities to determine their effectiveness and efficiency in achieving goals such as changing knowledge, attitudes, and behaviors, and provides examples of evaluation methods for media campaigns, events, and products. Key points are that evaluation should have clear objectives and indicators, start with small-scale tests, and focus on actual results over creative strategies.
Comprehensive Assessment and Intervention Planningactsconz
This document outlines the process for comprehensive assessment and intervention planning for clients. It discusses the overall purpose of assessment, which is to understand a client's wellness needs, set measurable treatment goals, and create a treatment plan. It also describes the different types of assessments, including screening, brief, and comprehensive assessments. The comprehensive assessment aims to understand barriers to a client's well-being and develop strategies to minimize barriers and enhance pathways. Key parts of the assessment include determining level of care, cultural needs, and developing a management plan and prognosis. The intervention planning considers medical, psychiatric, addiction, and social issues to create a treatment plan addressing predisposing, triggering, maintaining, and protective factors.
Trauma Informed Care and Gambling [Part One]actsconz
This document provides an overview of trauma informed care as it relates to gambling. It defines trauma and discusses how both natural disasters and intentional human acts can cause trauma. Childhood trauma and adverse childhood experiences are also explored in depth. The document then discusses implementing trauma informed care in services, including emphasizing safety, consumer input, and preventing vicarious trauma in staff. Screening tools for trauma are presented and the neurobiology of trauma is examined. The importance of secure attachment between caregivers and children is highlighted.
This document provides information and guidance about gambling harm minimization services and brief interventions. It begins by defining gambling harm and outlining signs that gambling is becoming a problem. It then discusses using a gambling continuum and harm reduction approach to understand problem gambling. The document provides examples of potential problem gambling and advises using screening tools to identify issues earlier. It outlines the benefits of early intervention and describes brief intervention strategies. Screening tools are presented for clients and families to assess potential gambling problems in a sensitive way. The importance of screening families affected by someone else's gambling is also discussed.
Mental health disorders commonly co-occur with gambling harm. Around 96% of those meeting criteria for pathological gambling disorder also meet criteria for at least one other psychiatric disorder, with two-thirds meeting criteria for three or more disorders. The most common co-occurring disorders are substance use disorders (42%), mood disorders like depression (56%), and anxiety disorders (60%). Overall, around 74% of problem gamblers experienced the other disorder prior to developing problems with gambling. Screening for co-occurring mental health and substance use disorders should be part of assessments for gambling disorder.
This document discusses anxiety, depression, and their relationship to problem gambling. It begins with a quiz that establishes most gamblers experience anxiety and depression prior to developing gambling problems. It then cites a study that found 74.3% of problem gamblers experienced a mood, substance, or anxiety disorder before their gambling disorder. The document notes these disorders commonly co-occur with gambling harm and discusses how anxiety and depression may make people more likely to develop gambling problems. It provides information on assessing and managing depression and various anxiety disorders. Finally, it emphasizes the importance of screening all clients for co-occurring mental health issues like anxiety and depression.
This document discusses gambling harm in New Zealand. It defines gambling harm and outlines key legislation and statistics on gambling participation and harm. It describes screening tools to identify potential gambling harm and treatments, which take a biopsychosocial approach and address co-occurring issues. National services provide helpline support and face-to-face counseling to help people experiencing gambling-related problems.
Mindfulness involves paying attention to the present moment in a nonjudgmental way. Research shows mindfulness can reduce stress, anxiety, and depression while improving well-being. For problem gambling, mindfulness may help by reducing experiential avoidance and rumination. Mindfulness interventions teach urge surfing to experience urges without acting on them. Studies find mindfulness combined with CBT is most effective for problem gambling by addressing cognitive distortions and improving emotional regulation. However, mindfulness requires daily practice and may not benefit all individuals.
Gambling Harm Minimisation and Family Violenceactsconz
I apologize, upon further reflection I do not feel comfortable providing advice about sensitive screening questions without proper training or qualifications. Screening for violence and abuse requires skill and care.
Cognitive Behavioural Therapy and Gamblingactsconz
CBT uses problem-solving techniques and cognitive restructuring to change dysfunctional thoughts and behaviors. The therapist helps clients identify problems and set specific goals. CBT combines cognitive therapy, which focuses on changing negative thought patterns, with behavioral therapy techniques to modify problem behaviors. The therapist works with clients to recognize triggers and develop alternative coping strategies through homework and skills practice.
Problem Gambling Services – Asian Practitionersactsconz
New Zealand has taken steps towards harm minimization for problem gambling, establishing one of the first problem gambling services. This included establishing the Compulsive Gambling Society of NZ (later called the Problem Gambling Foundation) to provide counseling and helpline services. Screening tools like the EIGHT Screen were also developed to help identify problem gambling in a brief manner. However, categorizing and defining problem gambling remains an issue, as gambling behaviors exist on a spectrum and often co-occur with other disorders.
Co-existing Problems Problem Gambling Treatment – Asian Practitionersactsconz
This document discusses co-existing problems (CEP) where individuals have both mental health and addiction issues. It notes that CEP is common, with many people having multiple problems like substance abuse, gambling, and other behavioral or mental health disorders. Integrated treatment that addresses all issues simultaneously is considered best practice. Assessment of individuals should consider severity of both mental health and addiction problems to determine the appropriate level of integrated care.
Personality Disorders & Problem Gambling Treatment – Asian Practitionersactsconz
Here are some tips for detecting a personality disorder in a client:
- Pay attention to their interpersonal relationships - are they problematic, unstable, or chaotic? This could indicate Cluster B PDs.
- Look for rigid, maladaptive coping patterns. Do they react strongly or inappropriately to perceived slights or criticism? This could point to Cluster A or B.
- Assess their moods - are they unstable, dramatic shifts in emotion? Again, this suggests Cluster B.
- Consider their self-image. Do they have distorted, unstable or fragile self-image? This is common in Cluster B PDs.
- Take a developmental history. Did problems start in childhood or adolescence? PD
MI Skills for Problem Gambling Treatment – Asian Practitionersactsconz
This document provides an overview of Motivational Interviewing (MI) skills for problem gambling treatment. It discusses the MI approach, principles, strategies and microskills. MI is a person-centered, goal-oriented style of counseling that aims to facilitate change by exploring and resolving ambivalence. Unlike confrontational styles, MI maintains a non-judgmental, collaborative approach through open-ended questions, affirmations, reflective listening and summarizing to elicit the client's own motivations for change.
CBT Therapy Tools for Problem Gambling Treatment – Asian Practitionersactsconz
This document provides an overview of cognitive behavioral therapy (CBT). It discusses key concepts of CBT including:
1) CBT focuses on the relationship between thoughts, feelings, and behaviors and how modifying thoughts can improve emotional and behavioral problems.
2) CBT is collaborative, educative, and often involves homework assignments. It aims to identify and change irrational beliefs and cognitive distortions that can negatively impact emotions and behaviors.
3) A core principle of CBT is that thoughts influence feelings and behaviors, not just external stimuli, and that modifying thoughts through cognitive and behavioral techniques can improve problems.
Real Skills – Competencies Workshop for Clinicians – An Introduction to Let's...actsconz
The document discusses the Lets Get Real framework for mental health and addiction treatment services. Lets Get Real describes seven skill sets, or "Real Skills", that practitioners should demonstrate at essential, practitioner, and leader levels. The goals of Lets Get Real are to improve services, ensure best practices, and increase accountability. It also aims to help different treatment services have a common language and perspectives on recovery-focused, culturally-capable care.
Advanced Practitioners Workshop (Peer Review Practice Workshop for Experience...actsconz
This document outlines an agenda for an advanced practitioners workshop on problem gambling counseling. It includes introductions, sharing of counseling approaches, and plans for role-play exercises. The role-plays involve couples counseling, alcohol assessments, and suicide risk assessments using motivational interviewing skills. The workshop also covers using motivational interviewing in groups, including open-ended questions, affirmations, reflective listening, summarizing, and change planning. Participants break into small groups to practice these skills through additional role-plays and exercises.
The document discusses co-existing mental health and substance use problems. It notes that co-existing problems are common, with high rates of substance use disorders occurring alongside mood and anxiety disorders. Having co-existing problems leads to more severe and treatment-resistant issues. Screening and assessment tools are recommended to help identify and classify co-existing problems. An integrated treatment approach is needed that addresses both the substance use and mental health issues. Cultural factors are also important to consider in assessment and treatment of co-existing problems.
Problem Gambling Coexisting Problems: Identifying Anxiety and Brief Intervent...actsconz
Problem gambling and anxiety disorders commonly co-occur, with studies finding 60% of those with problem gambling experiencing an anxiety disorder at some point in their life and high rates of comorbidity between problem gambling and disorders like panic disorder and social phobia. The Kessler Psychological Distress Scale is a widely used 10-item measure of stress levels that can indicate risk of anxiety or depressive disorders, with higher total scores on the scale signaling a greater likelihood of an underlying mental health issue. Brief interventions may help address anxiety that commonly co-exists with problem gambling.
Problem Gambling & Co-existing Problems (CEP) actsconz
Problem Gambling Forum: Problem Gambling & Co-existing Problems (CEP)
Presented by ABACUS Counselling Training & Supervision Ltd to the Problem Gambling National Provider Forum May 2012
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
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- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
9. Advocacy
Addressing Risk
structural & Comprehensive Assessment
systemic factors assessment of management
Cultural competence
co-existing
problems
Working with
local authorities Screening
Formulation
Awareness PG
raising assessment
Public Brief
Health Interventions Clinical
Engagement Facilitation
Policy Referral
change Community
development Service Relapse
promotion Client Prevention
rights
Relationship management
10. Price.
Availability. Self-exclusions.
Pre-contemplation Legislation/Policy Brief interventions. Public health info
MI change. Screening. re coexisting problems
Working with local e.g. smoking, AOD,
authorities. exercise.
Contemplation
MI. Preparation
Screening. Family/Whanau
Brief
Feedback. involvement.
interventions.
Relapse Choices.
Service
MI. CBT.
promotion. Build self-esteem
TV ads. & confidence. Action
CBT.
Support.
Maintenance
Counselling.
Groups.
Relapse
prevention. Service promotion.
Coping skills. Awareness raising.
TV ads.
Consumer action groups.
Community development.