Why is this so

Why is this so

INTRO TO M.C.A.A.P. (M E N AS H A C O M MU N IT Y AD D IC T ION ASSIS TAN C E P R OGRAM ) Understanding Addiction and Supporting Recovery Presented by Todd Vander Galien Unity Recovery Services PRESENTED BY Fox Valley PRISM Team

ACKNOWLEDGEMENTS Menasha Health Department Menasha Police, Fire and Public Works Departments Menasha Library Gold Cross Ambulance Services Wisconsin Department of Health and Human Services Cities and Villages Mutual Insurance Company Connecticut Community for Addiction Recovery (CCAR) AGENDA THE CHALLENGE

THE SOLUTION What is Addiction ? What is Recovery ? The Window of Opportunity Stages of Recovery Changing Attitudes Barriers to Recovery Spectrum of Attitudes

It Takes a Community Motivating for Change Spectrum of Care / Services HOPE - The Turning Point Seven Dimensions of Wellness AGENDA THE CHALLENGE

THE SOLUTION What is Addiction ? What is Recovery ? The Window of Opportunity Stages of Recovery Changing Attitudes Barriers to Recovery Spectrum of Attitudes

It Takes a Community Motivating for Change Spectrum of Care / Services HOPE - The Turning Point Seven Dimensions of Wellness AGENDA THE CHALLENGE What is Addiction ?

THE SOLUTION Doubt What is Recovery ? The Window of Opportunity Stages of Recovery Changing Attitudes Barriers to Recovery Spectrum of Attitudes

It Takes a Community Motivating for Change Spectrum of Care / Services HOPE - The Turning Point Seven Dimensions of Wellness AGENDA THE CHALLENGE

THE SOLUTION Doubt What is Addiction ? The Window of Opportunity Changing Attitudes $$$ What is Recovery ? Stages of Recovery Barriers to Recovery Spectrum of Attitudes

It Takes a Community Motivating for Change Spectrum of Care / Services HOPE - The Turning Point Seven Dimensions of Wellness AGENDA THE CHALLENGE THE SOLUTION

Doubt What is Addiction ? The Window of Opportunity Changing Attitudes Spectrum of Attitudes $$$ What is Recovery ? Stages of Recovery Servic Barriers to Recovery eGa ps

It Takes a Community Motivating for Change Spectrum of Care / Services HOPE - The Turning Point Seven Dimensions of Wellness AGENDA THE CHALLENGE THE SOLUTION

Doubt What is Addiction ? The Window of Opportunity Changing Attitudes Spectrum of Attitudes Motivating for Change HOPE - The Turning Point $$$ What is Recovery ? Stages of Recovery Servic Barriers to Recovery

eGa ps It Takes a Community Commitme Spectrum of Care / Services nt Seven Dimensions of Wellness AGENDA THE CHALLENGE THE SOLUTION What is Addiction ?

What is Recovery ? The Window of Opportunity Stages of Recovery Changing Attitudes Barriers to Recovery Spectrum of Attitudes It Takes a Community

Motivating for Change Spectrum of Care / Services HOPE - The Turning Point Seven Dimensions of Wellness WHY DO PEOPLE BEGIN USING ADDICTIVE SUBSTANCES? Curiosity and peer pressure To feel good feeling of pleasure, high To relieve stress To improve performance Medical / mental health conditions

THE SLIPPERY SLOPE Use Taking medication as prescribed, drinking responsibly Misuse Taking more than prescribed, getting drunk (occasional) Abuse Frequent misuse Dependence Perceived inability to function without Addiction Obsession with the effect, compulsion to use Genetic predisposition Born with increased risk of becoming addicted The invisible line The undetectable point at which addiction begins WHAT IS ADDICTION ? According to the American Society of Addiction Medicine (ASAM)

addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. If our actions are causing problems in our life, then our actions are a problem. Simply stated, addiction is a brain disorder characterized by compulsive engagement in rewarding stimuli despite adverse consequences. Loss of control (powerlessness) Inability to make good choices (unmanageability) PHYSICAL SYMPTOMS Change in activity level (depending on the drug) Repetitive speech patterns Dilated pupils, red eyes, excessive sniffing and runny nose Looking pale or undernourished

Change in eating habits, weight loss, clothes do not fit the same Missing work or school, dishonesty Illegal activity, borrowing money, unable to pay bills Hiding / possessing drug paraphenalia NON-PHYSICAL STATE Relationship issues, inability to bond, selfishness Loss of control, hopelessness Paranoia, fear Denial, Cease to mature THE WINDOW OF OPPORTUNITY

Crisis legal (arrest), security (job loss), relationship (divorce), medical (overdose), traumatic experience. Pain - the great motivator. Things will change when the pain of circumstances is greater than the anticipated pain of change. Self reflection vs. disease / fear (moment of clarity) SHIFTING APPROACHES Addiction statistics If nothing changes nothing changes Success stories (new programs) PAARI / QRT / Drug courts / Diversion programs Peer-based services CCAR / McShin / Solutions / Apricity

Video clip - The Anonymous People SPECTRUM OF ATTITUDES Treating People as Objects Provider believes they know what is best for the one they are servicing.; and / or they have the right to determine their fate. Those treated as objects have typically made some bad choices that put them there; and they know it. Treating People as Recipients Provider still believes they know what is best for the recipient; but they give them the opportunity to participate in the decision-making process. Those treated as recipients typically feel they are receiving the benefit of services they have chosen.

SPECTRUM OF ATTITUDES Treating People as Resources The recipients described previously are most often receiving services from persons / organizations they consider to be resources. There is a attitude of respect by the recipient for what the resource knows or can do. The relationship between the resource and the recipient is a productive one. While the recipient benefits from the services they are receiving, the resource experiences growth in self esteem, self confidence, and connectedness. A culture in which people and organizations are valued as resources has increased capacity to effectively treat people as recipients. STAGES OF CHANGE

One of the most influential models in Substance Use Disorders treatment in the last 20 years. Model developed by Prochaska and DiClemente (1982). Developed for and with people with substance use disorders. Has been used widely to understand change including in prevention and systems change. Taught as part of the CCAR recovery coach certification curriculum. Model is considered cyclical not linear. People typically cycle back from advanced stages to previous ones; however, rarely back to the first stage. STAGES OF CHANGE PRECONTEMPL ATION Person shows no intent to change a problem behavior Person may be unaware behavior is a problem, or unwilling to do anything about it

Person may lack confidence to change behavior due to previous failed attempts Person tends to view target behavior as having more positive than negative (Decisional Balance) Person believes behavior to be under control or at least manageable Characteristics - Defensive, resistant to suggestions of problems associated with their drug use, uncommitted or passive in treatment, avoids steps to change drug use, lacks awareness of the problem, often pressured or mandated to seek treatment STAGES OF CHANGE - CONTEMPL ATION Person is considering change, but has not yet initiated any change behavior Person is considering implications and consequences of target behavior Person is visibly distressed by target behavior Person has started to weigh the positives and negatives of the target behavior

Person will typically seek out relevant information about the target behavior Characteristics - Seeking to evaluate and understand their behavior, distressed about behavior, desire to exert control over behavior, thinking about making change, have not started to make change and are not yet prepared to do so, have made frequent attempts to change behavior in the past, actively evaluating pros and cons of making change STAGES OF CHANGE - PREPARATION Person is getting ready to change the target behavior, both in attitude and behavior Person intends to change soon Person already may have started to increase self-regulation around target behavior Person may be prepared to make or may already be making small changes to the target behavior Characteristics - Intending to change their behavior, Ready and committed to

change behavior both in attitude and behavior, on the verge of taking action, engaged in the change process and/or treatment, prepared to make firm commitments, making or prepared to make decision to change STAGES OF CHANGE - ACTION Person is actively making change to target behavior Person is modifying his/her attitudes and responses to target behavior ,Person is learning skills to prevent relapse or reversal of target behavior Action stage typically lasts an average of 6 months in people working to change substance use. Characteristics - Person has decided to make change, person has made a firm commitment to change and is involved in process, efforts to modify behavior and environment have begun, person presents motivation and effort to achieve behavioral change, person is willing to follow suggested strategies and activities

to change behavior STAGES OF CHANGE - MAINTENANCE Person sustains and strengthens changes made to the target behavior Person is practicing skills to prevent relapse or reversal of target behavior Person establishes basic habits and rituals around modified behavior Characteristics - Person has made change and is working to sustain change behavior, considerable attention is focused on avoiding relapses, person may feel anxiety and fear around relapse and high risk situations, person has less frequent urges to use MOTIVATIONAL INTERVIEWING One of the most influential models in Substance Use Disorders

treatment in the last 20 years Model developed by Prochaska and DiClemente (1982) Developed for and with people with substance use disorders Has been used widely to understand change including in prevention and systems change Taught as part of the CCAR recovery coach certification curriculum. THE TURNING POINT Initiating recovery Physical detox Education Obsession and compulsion

GUEST SPEAKER 1) Describe your bottom (your crisis) ? 2) Who did you reach out to for help ? 3) What community resources did you use; or would you have used, had you been aware they were available to you ? 4) What is required for you to maintain long-term recovery ? WHAT IS RECOVERY ? SAMHSA process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential Process Relearn some of the basic concepts of right living

Commitment Decision to resist urges to react in old ways Make good choices STAGES OF RECOVERY ( F R O M C C A R R E C O V E RY C O A C H T R A I N I N G ) Stabilization Deepening Connectedness Integration Fulfillment STAGES OF RECOVERY - STABILIZATION

learning about addiction anxiety management staying clean and sober, bet free no matter what staying away from risky places, situations and people physical detox and stabilization developing self-responsibility

learning to socialize in a group setting learning to ask for help and support learning to break the pattern of isolation 0 6 months (aligns with the ACTION stage of change) developing role models for healthy recovery

STAGES OF RECOVERY - DEEPENING identifying old behaviors that dont feel right anymore increase in the ability to tolerate feelings emotional detox beginning to make distinctions between and among feeling states changes in verbal attitude,

feeling and behavior increase in the quality of physical health increased commitment to working on recovery 6 months 2 years aligns with post-acute withdrawal period STAGES OF RECOVERY - CONNECTEDNESS there is an increase in honesty and depth of emotions the need to go back and redo

some earlier tasks in recovery avoidance of drama in ones life the outer world of the person is beginning to reflect the inner world connections are made to a wider circle of people both in and out of recovery 2 5 years Typically a period of strong spiritual growth STAGES OF RECOVERY - INTEGRATION

relationships based on love rather than need avoiding stuckness the automatic use of tools of recovery an ability to act on knowledge and insight and follow through self-forgiveness having fun and joy in life 5 -15 years maturing, finding ones self STAGES OF RECOVERY - FULFILLMENT

discovering and following through on life purpose living within an aura of peace/serenity dramatic reduction in worry (faith) acceptance high level of morality, integrity confidence balanced with humility embracing the concept of being both precious AND insignificant at the same time gratitude penetrates all actions

celebration 15 + years contentment, peaceful coexistence RECOVERY SERVICES TIMELINE Initial Response Assessmen t / Detox Law Enforcement / Health Care

Aftercare / Sober Living Treatment Maintenanc e AODA DHS Caseworker Prism Team Recovery Coach Recovery network / Support programs BARRIERS TO RECOVERY

Financial (access to services) Lack of resources / service gaps Stigma Fear / lack of understanding Hopelessness / shame / lack of confidence Prejudice Impact Punishment IT TAKES A COMMUNITY Quick Response Team video Develop a continuum of services Prevention, treatment, and recovery assets

Recovery schools, corrections-based programs, recovery coaching, alternative peer groups Address / remove barriers Ensure basic needs are met Embrace an active, vibrant recovery community EIGHT DIMENSIONS OF WELLNESS WHAT SHOULD I DO IF: 1) I encounter a person in a restaurant that is slouched over at their table? 2) A friend asks what they should do because they found paraphernalia hidden in their sons or daughters bedroom.

3) EMS is called to a neighbors house because their son or daughter poisoned themselves with alcohol? NEXT STEPS Peer-based Response Information Support and Maintenance (P.R.I.S.M.) Community Addiction Response Education (C.A.R.E.) Menasha Community Addition Assistance Program (M.C.A.A.P.) QUESTIONS / DISCUSSION

Recently Viewed Presentations

  • CDISC Controlled Terminology Initiative: An Overview 1 June

    CDISC Controlled Terminology Initiative: An Overview 1 June

    Browser caDSR CDE Browser Production Representations Stage I: Standard Definition/Team Initiation Stage III: Education & Support Stage IV: Updates & Maintenance Stage II (a-e): Standards Development/Review/V 1.0 Release Initial terminology, code list and definition development (Excel) Analyze, compare and harmonize...
  • Dispute resolution and civil justice thriving through innovation

    Dispute resolution and civil justice thriving through innovation

    Justice Geoffrey Nettle, 'Technology and the Law' (Speech delivered at the Bar Association of Queensland Annual Conference, Queensland, 27 February 2016) Tanya Sourdin (2012) Exploring civil pre-action requirements: Resolving disputes outside courts,
  • Chapter 2 Saving

    Chapter 2 Saving

    Chapter 4 Saving
  • Measles Catch-up Campaign Bangladesh & Pakistan Quamrul Hasan

    Measles Catch-up Campaign Bangladesh & Pakistan Quamrul Hasan

    Measles Catch-up Campaign Bangladesh & Pakistan Quamrul Hasan WHO - Pakistan
  • Network Security: GSM and 3G Security

    Network Security: GSM and 3G Security

    Using counters. Counters must be monotonically increasing. Never accept previously used values. Persistent state storage needed. Recovering from lost synchronization. Verifier can maintain a window of acceptable values to recover from message loss or reordering. Protocol needed for resynchronization if...
  • The Heart of Darkness A novella study Konrad

    The Heart of Darkness A novella study Konrad

    Literary 3 x 3 . Three, three word sentences that more than summarize the work. Move beyond plot, to state and analyze the essence of a work you have read. Literary 3 x 3. Complete sentences. Effective word order. Strong...
  • The Paris Agreement and Climate Intervention Prof. Tracy

    The Paris Agreement and Climate Intervention Prof. Tracy

    The Paris Agreement and Climate Intervention. Prof. Tracy Hester. Climate Intervention Law Spring 2019. Review - UN Framework Convention on Climate Change (UNFCCC) Entered into force - 1994 (189 parties) ... PowerPoint Presentation Last modified by:
  • Distillation Column - University of Utah

    Distillation Column - University of Utah

    What we have 12 tray bubble-cap distillation column Isoproply alcohol water separation What we want Same distillation column Ethanol water separation How to get there Operate column at total reflux Determine stage efficiency Model the column in Aspen Compare Aspen...