Identify external motivators and collateral processes for the resistant client
Learn alignment strategies using Motivational Interviewing and Solution Focused Therapy
Practice the art of Crucial Conversations
Practice Parallel Processes
Identify Emotional Attunement
Practice Reflective Listening and Speaking
Identify Ways to Integrate these strategies into your practice
Care Advocacy for the client in treatment
Presentation Objectives:
Review The State of Chronic Pain Today
Discuss the importance of emotions (Anxiety &Depression) with Chronic pain
Discuss the relationship of the Brain to Pain.
Describe, demonstrate the role nutrition, mindfulness, exercise and adventure based therapies has in treatment of chronic pain.
At the end of the presentation, you will be able to:
Identify, Describe and Discuss, How Clients and Families Come to your Practice
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one
Review evidence based strategies
Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span
Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic
Identify and Describe Addiction per ASAM new definition
Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story
OBJECTIVES:
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and Discuss Addiction, Mental Heath , Trauma , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
OBJECTIVES
--Describe and Discuss what is Pain Recovery
--Demonstrate the difference between Acute and Chronic Pain using case examples
--Explain the symbiotic relationship between Chronic Pain-Substance Abuse and Mental Health Disorders
--Identify and Recommend Multidisciplinary Treatment Options for the Behavioral HealthCare Field
Presentation Objectives:
Review The State of Chronic Pain Today
Discuss the importance of emotions (Anxiety &Depression) with Chronic pain
Discuss the relationship of the Brain to Pain.
Describe, demonstrate the role nutrition, mindfulness, exercise and adventure based therapies has in treatment of chronic pain.
At the end of the presentation, you will be able to:
Identify, Describe and Discuss, How Clients and Families Come to your Practice
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one
Review evidence based strategies
Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span
Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic
Identify and Describe Addiction per ASAM new definition
Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story
OBJECTIVES:
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and Discuss Addiction, Mental Heath , Trauma , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
OBJECTIVES
--Describe and Discuss what is Pain Recovery
--Demonstrate the difference between Acute and Chronic Pain using case examples
--Explain the symbiotic relationship between Chronic Pain-Substance Abuse and Mental Health Disorders
--Identify and Recommend Multidisciplinary Treatment Options for the Behavioral HealthCare Field
OBJECTIVES
Identify, Describe and Discuss Trauma and Collective Trauma Describe and Discuss how Holidays are being altered by Covid 19 Identify and Describe How to deal with Holiday Stress
OBJECTIVES
- Identify, Describe How Clients and Families Come to your
Practice
- Identify , Describe and Discuss Addiction, Mental Health ,
Chronic Pain and Process Disorders
-Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
-Identify how we as clinicians, behavioral health care professionals identify our clients
This is the guidebook I wish I had when I was first learning about addiction and mental health disorders when I was a young woman.
It’s the book I give to every client who walks through my door. It is Family Focused, Practical, Hopeful and full of real life examples to help you understand and have the courage to change your experience.
OBJECTIVES:
Learning how to care for ourselves and not being attached to the problem to find joy in recovery.
Letting Go of what we cannot control.
Learning about SA, MH, CP and other Disorders and how they effect us all.
With the ongoing opioid epidemic, availability or marijuana and other drugs addiction has become a problem with no class lines. The story of pain medication following surgery leading to opioid addiction and heroin is everywhere.
As Executive Protection you may not of thought of this as part of your job description , and you are in a unique position of Influence and Trust to identify and help intervene when the persons with problems are clients and their loved ones.
How do you discover joy and gratitude and move forward in life with purpose and hope? We explore these and other issues related to addiction, mental health, chronic pain, and trauma.
This presentation was given at CORE in Amelia Island, FL in 2016. Presentation objective:
Identify, Describe & Explain Resistant Clients
Learn alignment strategies using MI, SFT, Daring way & Rising Strong strategies
Practice Crucial Conversations
Identify Role of Shame and the Practice of Empathy and Compassion
Show how these strategies may be integrated into practice using case examples
Pain management is a critical component to patient care. However, it is leading to opioid addiction at an alarming rate in the United States. For many patients, a paradigm shift is needed to go from pain management to pain recovery.
Newer Drugs emerging
Clinical Practices shifting to recovery management models
DSM V -Basic assumptions being questions
Triple Threat
Evidenced based principles in practice
Technology as a healing helper
Failure to Launch is a subject I recently addressed at the Innovations in Recovery Conference in April 2016.
According to Psychology Today, the term “failure to launch,” is an increasingly popular way to describe the difficulties some young adults face when transitioning into the next phase of development—a stage which involves greater independence and responsibility. Although this is how it is commonly thought of in industry, from my experience the seedling for this phenomena may have been planted in the early teen and young adult years by over-anxious and well-meaning parents (often called helicopter parents) who wanted a life much easier than they experienced for their offspring.
The effects of FTL can be clearly observed in 49-50-60 and, yes, even 70 years-old individuals who are in need of behavioral health care interventions. These individuals often still live at home or are supported by their parents and do not work. Even if they have been married and have children, they still act as if they were a child and take little responsibility for their financial well-being. My hope is that you find this presentation helpful as we work to reach this fascinating population!
OBJECTIVES
Describe and Discuss what is Pain Recovery
Identify the role Shame has with Chronic Pain
Demonstrate the difference between Acute and Chronic Pain using case examples
Explain the symbiotic relationship between Chronic Pain-Substance Abuse and Mental Health Disorders
Identify and Recommend Multidisciplinary Treatment Options for the Behavioral HealthCare Field
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?
OBJECTIVES
Recognize and define high wealth, high touch, high service
Explain with case examples, 12 evidenced-based points to take into consideration when working with high net worth clients
Illustrate how trauma interfaces in their lives
Introduce Collective Intervention Strategies- CIS
Evaluate treatment options for those impaired- Concierge & Inpatient
Develop, Family, Friend Solution Focused Recovery Plan
OBJECTIVES
To Talk about Family, Friends, & Recovery
To Show Ways in Which Family and Friends May Engage In Healthy Communications
To Demonstrate ways in which Families, Friends can take care of themselves
OBJECTIVES
Identify, Describe and Discuss Trauma and Collective Trauma Describe and Discuss how Holidays are being altered by Covid 19 Identify and Describe How to deal with Holiday Stress
OBJECTIVES
- Identify, Describe How Clients and Families Come to your
Practice
- Identify , Describe and Discuss Addiction, Mental Health ,
Chronic Pain and Process Disorders
-Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
-Identify how we as clinicians, behavioral health care professionals identify our clients
This is the guidebook I wish I had when I was first learning about addiction and mental health disorders when I was a young woman.
It’s the book I give to every client who walks through my door. It is Family Focused, Practical, Hopeful and full of real life examples to help you understand and have the courage to change your experience.
OBJECTIVES:
Learning how to care for ourselves and not being attached to the problem to find joy in recovery.
Letting Go of what we cannot control.
Learning about SA, MH, CP and other Disorders and how they effect us all.
With the ongoing opioid epidemic, availability or marijuana and other drugs addiction has become a problem with no class lines. The story of pain medication following surgery leading to opioid addiction and heroin is everywhere.
As Executive Protection you may not of thought of this as part of your job description , and you are in a unique position of Influence and Trust to identify and help intervene when the persons with problems are clients and their loved ones.
How do you discover joy and gratitude and move forward in life with purpose and hope? We explore these and other issues related to addiction, mental health, chronic pain, and trauma.
This presentation was given at CORE in Amelia Island, FL in 2016. Presentation objective:
Identify, Describe & Explain Resistant Clients
Learn alignment strategies using MI, SFT, Daring way & Rising Strong strategies
Practice Crucial Conversations
Identify Role of Shame and the Practice of Empathy and Compassion
Show how these strategies may be integrated into practice using case examples
Pain management is a critical component to patient care. However, it is leading to opioid addiction at an alarming rate in the United States. For many patients, a paradigm shift is needed to go from pain management to pain recovery.
Newer Drugs emerging
Clinical Practices shifting to recovery management models
DSM V -Basic assumptions being questions
Triple Threat
Evidenced based principles in practice
Technology as a healing helper
Failure to Launch is a subject I recently addressed at the Innovations in Recovery Conference in April 2016.
According to Psychology Today, the term “failure to launch,” is an increasingly popular way to describe the difficulties some young adults face when transitioning into the next phase of development—a stage which involves greater independence and responsibility. Although this is how it is commonly thought of in industry, from my experience the seedling for this phenomena may have been planted in the early teen and young adult years by over-anxious and well-meaning parents (often called helicopter parents) who wanted a life much easier than they experienced for their offspring.
The effects of FTL can be clearly observed in 49-50-60 and, yes, even 70 years-old individuals who are in need of behavioral health care interventions. These individuals often still live at home or are supported by their parents and do not work. Even if they have been married and have children, they still act as if they were a child and take little responsibility for their financial well-being. My hope is that you find this presentation helpful as we work to reach this fascinating population!
OBJECTIVES
Describe and Discuss what is Pain Recovery
Identify the role Shame has with Chronic Pain
Demonstrate the difference between Acute and Chronic Pain using case examples
Explain the symbiotic relationship between Chronic Pain-Substance Abuse and Mental Health Disorders
Identify and Recommend Multidisciplinary Treatment Options for the Behavioral HealthCare Field
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?
OBJECTIVES
Recognize and define high wealth, high touch, high service
Explain with case examples, 12 evidenced-based points to take into consideration when working with high net worth clients
Illustrate how trauma interfaces in their lives
Introduce Collective Intervention Strategies- CIS
Evaluate treatment options for those impaired- Concierge & Inpatient
Develop, Family, Friend Solution Focused Recovery Plan
OBJECTIVES
To Talk about Family, Friends, & Recovery
To Show Ways in Which Family and Friends May Engage In Healthy Communications
To Demonstrate ways in which Families, Friends can take care of themselves
Dr. Louise Stanger of All About Interventions describes SFT, motivational interviewing and parallel processes to help addiction professionals integrate these transformational processes into practice.
This presentation "What's Love Got to Do With It? Boundaries and Relationships" describes how developing compassionate discipline and by choosing to abdicate our role as hostages and hostage-takers that we can really begin to not take love’s glorious and transcendent name in vain.
From identifying ethical decision-making models to the top issues, Dr. Louise Stanger of All About Interventions provides ethical guidelines for addiction and marketing professionals
As a seasoned interventionist, I’ve seen clients from both sides of the mental illness/substance abuse spectrum as well as clients with an avalanche of additional problems that I describe as the TRIPLE THREAT, those who suffer from a tertiary issue either as a result of a prior condition (i.e. disorder or illness) or that one that is exacerbated by additional factors (i.e. physical, legal, traumatic, etc.). These folks and their families present a diagnostic quandary with their kaleidoscope of competing and equally important issues.
Describe and Define Standard of Care & Ethics
Describe and Define Laws
Identify Top Ethical Issues visa vie Snowball Sample
Recommend Ethical Decision
Making Models
CARE Challenge Providers to Develop Mission, and Ethics Statements for Behavioral Health Care Centers
This presentation takes a look at the ethical responsibilities, training, strategic planning and other considerations that should be examined before entering the business of interventions.
The objections of this presentation include: to experience and practice motivational interviewing, learn motivational interviewing styles and principles and see how it integrates into everyday practice.
Dr. Louise Stanger— lecturer, professor, clinician, trainer and international interventionist— has developed and refined her invitational method of mental health and substance abuse interventions using the well-established research methodology of portraiture. She and her teammate have performed thousands of family interventions throughout the United States and abroad.
iCAAD Paris 2019 - Dr Colleen Kelly - Addiction and families - the solution i...iCAADEvents
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.
Do you find yourself avoiding certain people? Or celebrating when that certain person calls in sick? This session will teach you some strategies on how to deal with difficult people instead of avoiding them. Presenter: DeAnne Heersche
Identify, Describe How Clients and Families Come to your Practice
Identify, Describe and Discuss Addiction, Mental Health , Chronic P ain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about Themselves
Identify how we as clinicians, behavioral health care professionals identify our clients
Learn about Treatment Without Walls.
We help individuals AND families navigate life’s challenges.
We work in home – to provide support in the family’s environment.
We create healthy long-term dynamics.
We tailor programs that work toward results-oriented living.
We are fully bespoke. We are there for you and your family, wherever and whenever.
We collaborate with the best behavioral health specialists and centers across the globe.
Objectives
Describe and Discuss major
Gen Z issues :
Isolation Bullying, Cutting,
Vaping, Texting ,Self Harm
Teen Suicide
Alcohol, Marijuana and Other
Drug Use
Tips for Parents and Counselors
OBJECTIVES:
To describe and explain Gen Z in COVID 19
To highlight the differences between Gen Z and Millennials
To explore the problems of Anxiety and Depression in this group
Demonstrate, Recognize, Define and Identify what we mean by aging
Describe Substance Use Disorders (Marijuna, Alcohol & Opioids)
Identify Mental Health Issues (Depression & Anxiety, Grief and Loss, Suicide )
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one Review evidence based strategies
At the end of this session, participants will be able to:
Identify and define their philosophical orientation
Become Acquainted with Appreciative Inquiry
Identify Intergenerational patterns in their clients
Assess the value of Portraiture as a qualitative mode of inquiry to gain valuable data about an individual and family themes as a nonjudgemental way into story
Demonstrate pictorially family resilience and wounds and use this as broad map for clinical interventions ( in private practice, in interventions and in behavioral health centers
OBJECTIVES:
Examine the history of suicide in the medical professional and how that differs from other groups
Look at variables which contribute to physician burn out
Describe and Discuss Depression, Stress and Anxiety in the Medical Community
Describe how Addiction, Depression and Anxiety and Suicide Effect Families
OBJECTIVES
-Who-s Your Family? Describe and Define using Family Maps
-Learn how to have open ended Conversations through the Art & Science of Portraiture
-Teach the us of Memoir as a way to learn to live with Possibility & Affirm Resilience.
OBJECTIVES:
To describe and explain Gen Z
To highlight the differences between Gen Z and Millennials
To explore the problems of Anxiety and Depression in this group
OBJECTIVES:
Demonstrate, Recognize, Define & Identify what we mean by “AGING”
Identify special considerations for this population including :
Substance Abuse (Alcohol & Opioids) Mental Health (Depression & Anxiety), Grief and Loss,( loss of a loved one or function) , Suicide
Other Physical Maladies -Chronic Pain-Knees, Hips, Shoulders , (Heart Diabetes, Hypertension, Cataracts, Glaucoma , Dementia, Alzheimers
Problematic Gambling, Financial Issues
More from Louise Stanger Ed.D, LCSW, CDWF, CIP (17)
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2. Jeffrey J. Merrick, Esq.
Attorney / Interventionist
Hollywood, California
(949) 280-3603
jeffrey@attorneymerrick.com
Dr. Louise A. Stanger, Ed.D, LCSW, CIP
Interventionist, Author, Speaker
West Hollywood, California
(619) 507-1699
Allaboutinterventions.com
3. Objectives
Identify external motivators and collateral
processes for the resistant client
Learn alignment strategies using
Motivational Interviewing and Solution
Focused Therapy
Practice the art of Crucial Conversations
Practice Parallel Processes
Identify Emotional Attunement
Practice Reflective Listening and Speaking
Identify Ways to Integrate these strategies
into your practice
Care Advocacy for the client in treatment
11. Attributes of Healthy Families
( McMannis PHD & McMannis MSW)
Talking & Loving
Expressing Language
Adapting to Change
Sharing Time Together
Who’s in Charge
Balancing Closeness &
Difference
Accepting Difference
Seeing The Positive
Effective Problem
Solving
Parenting Together
12. Families with SA & MH
Are behavioral systems in which SA and MH-related behaviors have become the central
organizing structure
An identity is forged around this, family accommodates to the special needs of the
person with SA or MH behavior
Daily rituals reflect this new identity and can alter the balance that exists between
growth and regulation in the family
Families begin to count on a conscious or unconscious way of this new identity and are
somewhat resistant to change -- in other words SA is actually maintained by the family
Hence the introduction of change most often appears as emphasis on short term stability
at the expense of long term growth.
Family distortions
15. Family Fusion
Lack of personal space
Taking over-Controlling
Blurred Lines
Blaming
Power
Denying
Rescuing / Faulty Reasoning
Boundaries
Getaway Driving
Bailout
16. So What Type of Families Do You Encounter?
Agreeable Family –Does everything you
ask
The Invisible Family-always in the
background
The Questioner- calls all the time and
emails …
The Know it all-Knows everything about
everything
The Talker – Talks –Talks and Talks
The Complainer- Nothing is ever
good enough
The Worrier
The Micro-Manager
The Confuser-- says one thing does
completely the opposite.
Analysis / Paralysis
18. Families are Hurting / Experts (SFT)
1.Client is the expert about their own
life
2. Professionals adopt posture of not
knowing (easier said then done)!
19. Solution Focused Coaching
Not necessary to understand deeper
cause or meaning
Goals are defined by client, focusing on
the possible and changeable, honoring
client choice
Small change is often all that is possible
20. Families/Clients are experts
3. Counselor expertise is
called along the way.
4. Remember this is not
about you
5. Avoid one upmanship
21. Assumption: Families are Motivated
Probability of behavior change
or movement toward or against
goal
Extrinsic…….
Intrinsic ……
What are they motivated to do?
22. Braving- Trust- Brene’ Brown……..
B-Am I clear in helping client respect
their own boundaries?
R-Am I reliable did I do what I said I
was going to do?
A-Did I hold myself accountable
V -Did I respect confidentiality and
share
I- Did I act from integrity?
N did I ask for what I needed-Was I
nonjudgmental ?
G-Was I generous in my
interpretation of myself and others
23. Parallel Processes
Families must have opportunities to
grow alongside their loved one that is in
treatment
The Truth is all parents fail their
children …
The Task of growing is to find our own
ways of parenting ourselves
To Parent from a Place of Love
Krissy Pozatek. LICSW
24. Parallel Process
Letting Go of the reins
Emotional Attunement
Listening-Reflective
Learning how to speak
Shifting Responsibility Back to your loved
one
Separate but coordinated processes --
bringing in our clients’ motivators
25. Who Moved My Cheese? Traps to Avoid
Expert
Question- Answer
Labels
Taking sides
Blaming Others
Runaway Defense –
Healthy versus Unhealthy Help?
Know your boundaries
26. Intervention
Treatment Indicated / Client Unwilling
Client in Trouble / Loss of Control
Family Focus Higher/ Problem More Visible
Court Involvement / Assistance
Maximum Consequences / Leverage / External Motivators
In Custody / Threat of Custody / Return to Custody
Access to client over time / Single location
More Willingness / Freedom vs. Treatment
Needs Attorney, Bail, Etc.
Redefining Freedom
Fear – The Great Motivator
29. Assumptions To Avoid
Person OUGHT to change
Person WANTS to change
Persons health is prime
motivation factor
If she/he decides not to
change consultation is a
failure
Individuals are either
motivated to change or they
are not
Now is the right time to
consider change
A tough approach is
always the best
approach
I am the expert and
know best
I am right my child,
young adult , grown
child is wrong
A equalitarian approach
is always best
30. Strategies for Handing Resistance
Clarification
Shift focus away from
stumbling block
Emphasize Personal Choice
and Control
What Are The External
Motivators?
31. Crucial Conversations
Client is always right
Agree with clients goal, its about
choice
Use client’s language
Develop Compliments to support
change
32. Case Examples
I want to know everything that
is said in treatment
You are not responding to my
child’s needs
You call yourself a case
manager?
You can’t talk to me?
34. Bar Intervention
Substance Abuse- Alcohol & Other Drugs
Mental Health
Breast Cancer Survivor
Intergenerational Issues
Relational Attachment Issues
35. In The Law Office………….
Alice - 42
Alcohol Dependant
Divorce
Falls Asleep on Desk
Empty Bottles in Trash Can
Work Complaints
Security Complaints
Partner-Super Lawyer
38. King Baby
I am very important
and only can talk with
the CEO at least 3
times a day at my loved
one
39. Queen Baby
The problem is you, your treatment center
does not understand our daughter. She is
unique
My daughter must talk to me at least once
a day
My daughter demand s a special diet
My daughter wants her phone
What you need to know about my daughter
is …
You’re my lawyer – I hired you!
Oh no you don’t! That’s not the outcome I
like!
40. Family’s After Treatment –Heroic
Operate from a Place of Love
Shift Responsibility from bailing out
to responsible choice
Attunement
Individualization
Healthy Boundaries-enforce
consequences
Own Recovery
Talking care of themselves
Good physical health
Emotionally sound
Acting from ones values
43. Resources
The Daring Way- Raising Strong -Brene’ Brown
Crucial Conversations – Patterson etal
The Parallel Processes- Kathy Prozatek LICSW
The Journey of The Heroic Parent –Brad M Reedy PHD
If You Meet The Buddha On The Road-Kill Him- Sheldon Kopp
Motivational Interviewing- Miller and Rollnick
http://www.motivationalinterviewing.org
Solution Focused Therapy- Young and Berg
Dr Louise Stanger http://www.allaboutinterventions.com