Developmental Recovery A Habilitation Model of Care

Transcription

1 Developmental Recovery A Habilitation Model of Care Robert L. Neri, LMHC, CAP November 29, 2017

2 Thomas Durham, PhD Director of Training NAADAC, the Association for Addiction Professionals

3 Produced By NAADAC, the Association for Addiction Professionals

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6 Cost to Watch: Free CE Hours Available: 1 CEs CE Certificate for NAADAC Members: Free CE Certificate for Nonmembers: $15 CE Certificate To obtain a CE Certificate for the time you spent watching this webinar: 1. Watch and listen to this entire webinar. 2. Pass the online CE quiz, which is posted at 3. If applicable, submit payment for CE certificate or join NAADAC. 4. A CE certificate will be ed to you within 21 days of submitting the quiz.

7 Using GoToWebinar (Live Participants Only) Control Panel Asking Questions Audio (phone preferred) Polling Questions

8 Webinar Presenter Robert L. Neri Ext WestCare Foundation Your

9 Webinar Learning Objectives Participants will be able to define and identify multiple factors that complicate recovery for these clients in a developmental recovery process LO #1: Participants will learn the knowledge, skills and attitude model. LO #2: Participants will be able to apply a hopefulness approach to problem solving. LO #3: Practice framework that addresses the many aspects of arrested development, LO #4: Identify a list of core clinical issues and how to address these issues.

10 Developmental Recovery A Habilitation Model of Care

11 Polling Question: Which modality best describes where you work? 1. Administration 2. Outpatient or Iop 3. Shorter term residential (under 30 days, including detox) 4. Residential (over 30 days) 5. Other service modality

12 Developmental Recovery A blueprint for building, creating and tailoring specialized treatment for those clients with early onset and multiple chronic conditions.

13 Developmental Recovery Requires: Duration and intensity Creative focus Foundational approach Drill down on KSA s

14 Client Characteristics Parental conflicts Childhood stressors Peers unable to help each other Rigid Consequences not thought through Well defended Arrested and under-functioning

15 Developmental Recovery Principles It is a process, not an event Treatment is cumulative (dose matters) Developmental Psychology means: The Psychology of Maturation

16 Developmental Recovery Key Points Arrested development Learning styles KSA s Knowledge, skills and attitude

17 Stages & Developmental Tasks Pre/Early Recognize control strategies Establish a sobriety based value system Facilitate Movement Along the Continuum: Submission Compliance Acceptance Surrender Grieve the loss of drugs

18 Stages & Developmental Tasks Pre/Early Build affiliation/belonging Resolve addict self/sober self dynamic Spiritual framework Purpose/meaning Attachment, trust, affiliation Learned helplessness/hopefulness Social support Trauma impact

19 Relapse Risk Test personal control Stabilization skills: Internalize structure Self comfort/soothing skills

20 Middle Stage Recovery Tasks Relationship mending Practice new behaviors Drill down and resolve emotional pain Manage the pace of change Transitional points Social skill development

21 Middle Stage Focus on Core Issues Power and control Deeper level of acceptance Excitement, drama, crisis Relationship stages Attachment, nurturing, separation Victim stance reversal Un-mourned grief Quieting one s own critical inner voice/self sabotage

22 Relapse Risk Stress of real life problems, especially relationships

23 Late/Maintenance Stage Tasks Avoid self sabotage Make peace with family of origin issues Expand identity Practice service to keep fresh memories Refresh memories Continue personal growth Resist complacency

24 Relapse Risk Becoming complacent Transition points Medical and pain challenges Family of origin issues

25 Learning by doing: The best model for knowledge and skill acquisition is immersion.

26 Innovative ways to immerse clients in the process: Role play KSA testing Internalization vs. adaptation clinical work

27 Programs that Embrace Developmental Recovery Embrace mistakes and failures as a wonderful opportunity to learn Commit to an incentive based model

28 Mistakes and Failures are time for: Resetting the table Iterations and personal growth

29 Hopefulness must increase before pain does High Hope High Pain Low Hope Low Pain

30 Let s take one problem and practice

31 Relationship Core Issue Attachment and trust Ability to form close, personal connections to others

32 Internalize that you can accept people who care Allows a self care/soothing/comfort - can be learned Allows for leaning on others Allows for comforting others Teaches empathy skills

33 Listen for (the opposite) I can only trust myself Everyone leaves People are users I have a bad picker

34 Knowledge Relationship values Receive, accept and express love and connection What you learned and where you learned it Inter-dependence

35 Continued Knowledge Walls and gates Walls for protections Gates for connection Boundaries for new relationships

36 Skills Making contact with others Expressing emotions Active listening Asking for what you want Giving others in need Handling and receiving feedback Establishing and defining boundaries Providing feedback Handling arguments/fight fair Etc.

37 Attitudes Willingness to grown and change personally Willingness to establish rapport to learn more regarding relationships Appreciation of importance of empathy in building relationships

38 Some clinical sessions focus on practicing this teaching model: Planning Doing Experimenting Emulation Adjusting You never stop learning

39 This teaching model is built into program phases: Orientation Primary treatment Re-entry/integration

40 Residential A therapeutic community structure works well as the environment/community is the teacher.

41 Therapeutic Community Concepts Self and mutual help Earned privilege system Social learning opportunity Role modeling Community expectations Belonging and individuality

42 Other relationship KSA work involves: Separation Boundaries Intimacy Power Etc.

43 Competency Based Approaches Each clinical issue creates a learning opportunity Some of this can be peer facilitated Some can be done using technology

44 Developmental Recovery An exciting methodology to increase dose, duration and intensity.

45 References Great Thought Leaders Alan Godwin Helping Adult Clients Grow Up Terry Gorski CENAPS corporation William White Chestnut corporation Dr. Gabor Mat e In the Realm of Hungry Ghosts Janet Woititz and Alan Garner Lifeskills for Adult Children Elizabeth Kolbert Why Facts Don t Change Our Minds

46 Thank You! Robert L. Neri Ext WestCare Foundation Your

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48 Cost to Watch: Free CE Hours Available: 1 CEs CE Certificate for NAADAC Members: Free CE Certificate for Nonmembers: $15 CE Certificate To obtain a CE Certificate for the time you spent watching this webinar: 1. Watch and listen to this entire webinar. 2. Pass the online CE quiz, which is posted at 3. If applicable, submit payment for CE certificate or join NAADAC. 4. A CE certificate will be ed to you within 21 days of submitting the quiz.

49 Upcoming Webinars December 6, 2017 January 10, 2017 Mindfulness in Recovery by Leanne Jamison, NCC, LPC Working with Individuals Diagnosed with Personality Disorders By Malcolm Horn, LCSW, MAC, SAP December 20, 2017 Using Acceptance and Commitment Therapy by Joseph Troncale, MD, DFASAM January 24, 2018 Brief Intervention: Process and Techniques By Rebecca Bullion, LCSW, CIP, SAP, MAC

50 Free CEs for Members Levels: Professional Associate Student join

51 WEBINAR SERIES Over 75 CEs of free educational webinars are available. Education credits are FREE for NAADAC members. MAGAZINE ARTICLES In each issue of Advances in Addiction & Recovery, NAADAC's magazine, one article is eligible for CEs. FACE-TO-FACE SEMINARS NAADAC offers face-to-face seminars of varying lengths in the U.S. and abroad. INDEPENDENT STUDY COURSES Earn CEs at home and at your own pace (includes study guide and online examination). CONFERENCES NAADAC Annual Conference October 5-9, 2018 Houston, TX CERTIFICATE PROGRAMS Demonstrate advanced education in diverse topics with the NAADAC Certificate Programs.

52 Contact Us! NAADAC 44 Canal Center Plaza, Suite 301 Alexandria, VA phone: / fax: / naadac@naadac.org NAADACorg Naadac NAADAC