AADAC Family Violence Treatment Initiative Providing the addiction component of the Provincial Family Violence Treatment Program Laura Heal and Lorna Hutt February 7, 28 Overview Provincial FV Program: AADAC s Role Profile of Client Clinical Practice Summary and Discussion 2 Provincial Program Lead by Alberta Mental Health Board Multiple service and treatment providers Collaborative treatment approach 3 1
Initiative Partners Forensic Services & Initiatives (Psychiatry) AB Justice & Attorney General Mental Health Clinics AB Solicitor General & Public Security 4 Initiative Partner and Agencies John Howard Society Women s Shelters Child & Family Services Authority Family Violence & Bullying Community Treatment Agencies 5 AADAC s Role Provide the addiction component of the Family Violence Treatment Program Screening, assessment, counseling/treatment for individuals mandated through the DV Courts 6 2
Site Locations Red Deer Lethbridge Medicine Hat Edmonton Calgary (Airdrie) 7 Red Deer Referral, initial screening process and recommendations Treatment Collaboration with Family Violence Treatment Provider and Probation Advantages & Opportunities 8 Client Profile Gender What do you expect a typical profile to look like? Missing rate for current period= 1% (N=7). 9 3
Age in Years 18-24 25-34 35-44 45-54 55-64 65+ Age Number 69 183 144 71 16 4 % 14 38 3 15 3 1 1 Status Single (never married) Married/CL/ Partnered Widowed Separated Divorced Marital Status Number 151 211 3 89 2 Percentage 32 45 1 19 4 Missing rate for current period= 3% (N=13). 11 Education Completed Education Level 58% grade 12 or higher 42% grade 11 or less Missing rate for current period= 3% (N=17). 12 4
35 3 311 Employment Status 25 2 15 5 24 32 58 44 Empl oyed - f ul l time Empl oyed - par t time Empl oyed - sel f - empl oyed Unempl oyed - l ooki ng for paid work Unempl oyed - not looking for paid work Missing rate for current period= 4% (N=18). 13 Number of Clients 45 4 35 3 25 2 15 5 Table 7: Substance Use: One or More Times in the Past Twelve Months Number (Own Use) 48 Drank beer, wine, or liquor 369 Tobacco - smoke 169 Marijuana or hashish 76 Cocaine 65 Opiates 68 Anti-depressants 22 Psychedelics 22 Tranquilizers 12 Barbituates/sedatives 39 Consumed other substances Missing rate for current period= 7% (N=35). 14 Substance Use of Concern Past 12 Months Number of Clients Reporting Use 18 16 14 12 8 6 4 157 Figure 1: Substance Use of Concern, Past 12 Months (Own Use) 139 47 27 2 13 11 7 Drank beer, Marijuana or wine or liquor hasish Cocaine Opiates Antidepressants Substances Used Tobacco Other Substances Missing rate for current period= 9% (N=42). 15 5
5 4 3 2 Identified Substance Use of Condern out of Total Use Alcohol Cannabis Cocaine Tobacco Use of Concern Total Use Combined data from: Alcohol Other Drugs and Tobacco Use in Past 12 Months (Own Use) and Use of Concern. 16 Client Profile Summary Predominately male (9%) Employed: Full/Part/Self (78%) Majority between age 25-44 years Majority use alcohol and over 1/3 are concerned about alcohol use 1/3 report using cannabis Over half have a grade 12 or higher education. Nearly ½ are married/common law/partner 17 Clinical Practice Who is the client? Ongoing Risk Assessment Safety Planning Addiction screening and assessment Motivational Interviewing 18 6
Safety Planning Identify High Risk Situations/Triggers (return to substance use, financial stress, etc.) Steps the client can take to decrease chance of future domestic assault (abstain, time outs, etc) Identify support people the client can talk to/stay with during a difficult time or relapse 19 Summary and Discussion Addictions treatment does not to replace Family Violence treatment and vice versa. Importance of Collaboration Feedback & Questions 2 Thank you for your participation For information about Telemental Health education sessions: (43) 783-7736 www.amhb.ab.ca Initiatives Telemental Health Telelearning Current Telelearning Sessions 21 7
35 3 311 Employment Status 25 2 15 5 24 32 58 44 Employed - f ull time Employed - par t time Employed - self - Unempl oyed - l ooki ng Unempl oyed - not empl oyed f or pai d wor k looking f or paid wor k Missing rate for current period= 4% (N=18). 13
Table 7: Substance Use: One or More Times in the Past Twelve Months Number (Own Use) 45 48 369 4 35 3 25 169 2 15 68 76 65 Number of Clients 39 12 22 22 5 Consumed other substances Barbituates/sedatives Tranquilizers Psychedelics Anti-depressants Opiates Cocaine Marijuana or hashish Tobacco - smoke Drank beer, wine, or liquor 14 Missing rate for current period= 7% (N=35).
Substance Use of Concern Past 12 Months Number of Clients Reporting Use 18 16 14 12 8 6 4 157 Figure 1: Substance Use of Concern, Past 12 Months (Own Use) 139 47 27 2 13 11 7 Drank beer, wine or liquor Marijuana or hasish Cocaine Opiates Antidepressants Substances Used Tobacco Other Substances Missing rate for current period= 9% (N=42). 15