NBCC, NAADAC, CAADAC, CBBS, Florida approved continuing education series in mental health, substance abuse and dual disorders counseling for nurses, counselors, therapists, social workers and addictions professionals.

1. Dr. Dawn-Elise Snipes Wrap Around/Multidisciplinary Services

2. Objectives Recognize the importance of family, social networks, and community systems in the treatment and recovery process. Know the role of family, social networks, and community systems as assets or obstacles in treatment and recovery processes. Methods for incorporating family and social dynamics in treatment and recovery processes. Describe a variety of helping strategies for reducing the negative effects of substance use, abuse, and dependence. Learnvariety of helping strategies, including but not limited to: – evaluation methods and tools – stage-appropriate interventions – motivational interviewing – involvement of family and significant others – mutual-help and self-help programs – coerced and voluntary care models – brief and longer term interventions.

3. Maslow Biological: Food, Shelter Safety: Physical and emotional for self and children Love and belonging Self-Esteem

4. Multidisciplinary Plans Physical Environmental Social Spiritual Emotional/Cognitive Occupational

5. Family, Social Networks & Community Systems Provide encouragement and emotional support Link clients with needed resources (food, temporary housing, legal assistance) Promote prosocial community attitudes and values Often rely on community involvement Provide prosocial places and activities

6. Community Risk Factors Presence of gangs and drug dealing Availability of drugs Lack of effective social and cultural organizations High levels of community disorganization High levels of transience or mobility High levels of unemployment and lack of economic opportunities High levels of poverty Accessibility of firearms and other weapons Community norms which favor violence, drug use Attitudes that link masculinity with aggression Frequent exposure to media portrayals of violence and/or drugs

7. Family Risk Factors Weak family bonds Exposure to alcohol or drug use Victim of violence in the home Poor parental supervision, harsh discipline Frequent conflict within the family Adult family members who were abused as children or have histories of violence or drug use Families experiencing high levels of stress

8. Role of Family and Community Support treatment efforts Develop coalitions and partnerships to increase the availability of resources Identify and remedy obstacles/barriers including language, culture, childcare, timing and transportation Increase public health education Support economic development Identify early warning signs of relapse

9. Evaluation Methods and Tools CASP Prevention Platform; Prevention Readiness Tool Define the problem and target population Identify risk and protective factors Develop a tentative pathway to change Identify existing resources Perform a gap analysis of needs and resources Build coalitions and networks Develop logic models for overall program components Document, review, assess long and short-term outcomes

10. Stage-Appropriate Interventions: Individual, Family, Community Precontemplation: Raise awareness through education Contemplation: Increase discrepancy between current and desired behaviors. Decisional Balance exercises Preparation: Increase self-efficacy about ability to change Action: Identify and enhance mitigating factors Maintenance: Support prosocialactivities and behaviors

11. Motivational Interviewing: FRAMES Feedback Responsibility Advice Menu of options Empathize Self-efficacy

12. Involvement of Family & Significant Others Support the client Identify early relapse warning signs Help clients overcome obstacles

13. Mutual-Help and Self-Help Programs Types 12-Step Programs Dual Disorder 12-Step Programs Disability oriented mutual help groups Purpose Encouragement Normalization Education

14. Coerced and Voluntary Care Models Drug Court Mental Health Court Therapeutic Communities Half-way Houses/Group Homes OP/IOP

15. Brief and Longer Term Interventions Counseling Medication Education Health Parenting Social Support Vocational Placement

16. Summary Recovery is a multidimensional process Communities and families can help by reducing risk factors