Early Intervention with Youth. Leanne Paisley Addiction Counsellor The Royal Ottawa Mental Health Centre January 27, 2014

Transcription

1 Early Intervention with Youth Leanne Paisley Addiction Counsellor The Royal Ottawa Mental Health Centre January 27, 2014

2 Me! What more to know Expectations for today Participation

3 ROIS = Regional Opioid Intervention Service Began officially January 2013 Outpatient opioid detox/withdrawal support to decrease waitlist challenges for our inpatient detox beds at The Royal Community linkages for clients seeking alternate services Originally out of an Innovation Fund to connect the region and train health care providers as well as treat clients within the Ottawa area and beyond Hub and Spoke Model of Partnership

4

5 ROIS Today Today we have become a specialized service with quick access for clients and service providers to either seek treatment and support or discuss their situation and have near immediate access to answers about programs within The Royal and/or the region Interdisciplinary team of Doctors, Psychologist, Nurse, Addiction Counsellor with access to research team, outreach and psychiatry consultations

6 How it works Clients contact addiction counsellor to discuss their situation and explore options for assisting them with their goals If appropriate for outpatient services, person is given assessment appointment with one of our addiction specialized physicians and treatment planning begins If not appropriate for outpatient services other options provided and explored

7 How we engage youth Parents Friends Partners Open conversations No shaming, eye contact, positives for talking Client-centred approach Multi-level partnerships Interdisciplinary team

8 How we support youth - Before Addiction Counsellor is the one screening the client for appropriate treatment option fits This is the same person they will see during and after there treatment plan is created Allows connection and relationship building at the beginning of the client seeking support, to allow to ease of conversation and exploration once client is engaged in the process

9 Support - During Addictions Counsellors office is located directly in the clinic space and clients walk by it to get in and out of the physicians office for appointments Daily contact when they are present in the clinic and allowances for telephone and face-to-face support for as much is necessary to increase comfort and success Treatment planning throughout the process and an understanding that they are individuals with multiple life events and experiences

10 Support After (not an end) Clients are encouraged to participate in other support options and continue to see the Addiction Counsellor on a weekly basis, until such a point they decide to go to bi-weekly, monthly or as desired appointments Addiction Counsellor is available by phone and clinic is a continued option for them if things are challenging and they need to re-start on Suboxone or seek out other treatment avenues

11 Goals of my clients: Multi-faceted: Medically supported detox Medically supported substitution therapy taper Non-medically supported detox Linkages to substitution/maintenance options Mental health exploration Medication support Individual counselling Education Advocacy Partnership

12 Why this approach? What do you see as benefits to this approach? What do you see as challenges to this approach? Where would the family and other external supporters fit in to this design?

13 What we know from CAMH 2013 Report CAMH survey distributed to Ontario school results: 49.5% of students grade 7-12 drank alcohol 23% of students grade 7-12 used cannabis 12.4% of students grade 7-12 used pain medication (use increases in each grade level when separated out and peaks in grade 12 with 16% of students) 12.4% is equal to 120,010 students in Ontario! 8.5% of students grade 7-12 used cigarettes (The 2013 OSDUHS Drug Use Report CAMH)

14 Youth Life Skills What type of skills do you envision for youth to be learning or have learned by the time they turn 19?

15 Youth Risk Factors for SU/MH Stress Trauma Exposure Peer-Pressure Expectations of themselves and expectations of others on them Boredom Self-esteem

16 Youth Life Skills (cont d) Ok so - who is teaching and modelling these life skills for the youth that you know of, work with, or see in your surroundings?

17 Youth Life Skills How do we incorporate this into practice? Give them the opportunity to feel listened to and that it is ok to talk about whatever is happening in their life Ask open questions Explore all their coping strategies Discuss what their typical day looks like, what groups of friends they have, their relationships

18 Self-care Us vs. Them!? What is this and how do we use it? What does that mean about how we teach selfcare to our clients? Is self-care equally necessary for clients and clinicians?

19 What Next? Prevention what are the underlying challenges how are they coping/who is assisting them in learning positive coping skills/who supports and encourages them? Education honest and upfront information about substance use and mental health community wide

20 Thank You!