Clinical vs Non-Clinical Process

Transcription

1 Presented to you by: Kimeko Hagen MS, CSAC, CS-IT Executive Director for Options Treatment Programs Clinical vs Non-Clinical Process Clinical Process: Complete an Assessment deferred diagnosis/abuse diagnosis 3 individual Sessions split up session 1-into 2 sessions complete treatment plan during session 1 1 Family Session Random UAs Parent Consent Form-Signed Non Clinical Process: Screen for substance use Complete 2-3 Individual Sessions Complete Family Session Parent Consent Form-Signed Individual Session 1 Complete Treatment Plan (clinical process only) Complete Client Questionnaire: Questions are related to how often client/student has used alcohol/drugs Ask how much the client/student agrees with various statements regarding use Pros and Cons of Using Pros and Cons of Quitting 1

2 Example of Questionnaire Example of How Much Do You Agree Pros and Cons-Continued Use This worksheet outlines what are the positives and negatives for a client/student to continue their use 2

3 Pros and Cons to Change their Use This worksheet focuses on the pros and cons for a client/student to change his/her substance use. Session 2 (Clinical Process) 1. Triggers/Cravings Worksheet 2. Alternatives to high risk situations 3. Ready to change worksheetkeeping the client/student in the here and now, today I feel 4. Establishing Goals Worksheet Session 2 (Clinical Process) Establishing Goals Worksheet is completed This provides an opportunity for staff and client (student) to be on the same page as to what the client (student) would like to work on. 3

4 Session 3 Staff will cover the following areas: 1)Advantages of not using worksheet 2)Ready to change worksheet (again, keep it in the here and now.) 3)Social supports/networks and having the client access those supports when the client needs it Session 4-Family Session Parent/Guardian Worksheet covers the following questions: 1. How the family gets along? 2. Others who abuse substances besides the client (within the family unit)? 3. What do you (the parents) think caused your son/daughters problem with substances? 4. Have you talked to your son/daughter s friends and friends family about their use? 5. How do you (the parents) think you can best help your son/daughter? 6. What steps have you taken to assist your son/daughter? Session 4-Family Session There is an outline in the material that covers that 6 (six) steps to talk to your kids about alcohol and/or other drugs Create/Discuss the family rules about alcohol and/or other drugs use Have parents complete the parent/guardian questionnaire 4

5 Any Questions??? Contact Information: Kimeko Hagen Phone:

6 Ending the Adolescent Buzz Prime for Life Dawn Schulze, Psy.D., LPC University of WI-Superior Student Health and Counseling What is Prime for Life? It s an evidence-based prevention, intervention and pre-treatment program specifically designed for people who may be making high-risk choices. Used with impaired driving offenders, college students, and young people charged with alcohol and/or drug offenses. Does this by changing beliefs, attitudes, risk perceptions, motivations, and by introducing the knowledge of how to reduce their risk of alcohol and drug related problems throughout their lives. Prime for Life can be used with any audiences o Universal Audience-anyone with or without identified problems. o HR and incoming employees o Incoming College Freshmen o Classroom programming for high school students o Selective Audience-those without any known increased risk factors who may only need the risk reduction information o Students with truancy issues o Students with family members with substance abuse concerns o Indicated Groups- those with DUIs, UAAs, youth in detention centers 1

7 Who uses Prime for Life? Universal, selective, and indicated audiences Court-referred impaired driving offenders (e.g., DUI, DWI, OUI) Individuals referred by a court for other reasons (e.g., possession, public intoxication, diversion program) Youth and young adults ages 13 to 20 who are engaging in drinking and drug use or in a group likely to engage in these behaviors College campuses Parents who have youth participating in court diversion or juvenile justice programs U.S. Army policy violators and referrals U.S. Coast Guard policy violators and referrals U.S. Marine Corps policy violators and referrals What s so special about Prime for life? Nonjudgmental approach No blaming, shaming or telling of war stories Uses Inclusive language No Yous, Thems or Theys. It s us, me, we Doesn t bash drinking Only points out behaviors and choices Shows difference between low risk and high risk behaviors. Has participants learn about themselves/behaviors and decisions New PFL Recidivism Paper Published 4/2015 The peer reviewed scientific journal Accident Analysis and Prevention has published a manuscript showing reduced recidivism when Prime For Life is provided to impaired driving offenders. Using data collected by the state of Maine, the PRI research team found PFL to have lower re-arrest rates than an alternative program. Overall, PFL had fewer rearrests for a wide variety of people: women and men, people of all ages, and first-time and repeat offenders. 2

8 Prime for Life in action PRI uses 4 formats to teach the program Participant Workbook Video sequencing-4 DVDs-Preventing/Reflecting (2)/Protecting Actor vignettes Research Real stories Lecture-Instructor Workbook Instructor Role plays Self assessment and reflection Workbook sheets, written assignments built into the time Unit Descriptions Preventing Reflecting Protecting Silly-buses Universal Prevention syllabus : 4 ½-6 hour frequently used in secondary schools as a component of guidance, science, or health curriculum. Many adult and parent groups receive Prime For Life s Universal Prevention program. 7-8 hour and 10-hour syllabi : are designed for groups whose members may have increased risk for problems and may or may not be making high-risk choices. UAAs 12-, 16- and 20-hour syllabi : members are actively making high-risk choices and who may have incurred legal consequences or sanctions as a result. College students, DUIs 3

9 My Experience PROS Easy to implement, reading from workbook Nonjudgmental Great discussion pieces Self reflection built in DVDs and vignettes PRI Support Eat candy rewards CONS Reading from the workbook Students resistant Can get boring after a while Workbook supply Technology- need I say more? What it looks like at UW-Superior Held once a month in the evenings 2 nights a week 4-8pm or 6-10pm Used to provide beverages due to participants bringing in spiked beverages We do not supply beverages for last few years Have kicked participants out of class fail course not participating, using cell phone during class Provide candy incentives for active involvement Pick and choose which activities to use from the workbook or DVDs. Generally well received and participants surprised Expense and Training Training is approximately 2 days Generally held at a hotel Cost of New Instructor Training: Use of the Instructor Dashboard 4