COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Age-Appropriate Levels of Distribution • No more than one drink per day. • Maximum of two drinks per occasion. • Lower limits for women. • “Safety zone”- foster sensible drinking that avoids health risks, while allowing beneficial effects that may occur from drinking. Types • Early On-Set drinkers compromise the majority of those receiving treatment. Plus, psychiatric comorbidity is common. • Late On-Set drinkers may appear healthier, and are more likely to have begun drinking due to recent losses (death, divorce, and decreased health). Easily overlooked by health care providers. Patterns of Drinking • Continuous is ongoing drinking. • Intermittent-is regular, daily, heavy drinking after a period of abstinence of three to five days. • Binge- for older adults drinking four or more per occasion. Prescription Drugs • Those age 65+ consume more prescription drugs and over-the-counter medications than any other age group in the U.S. • Older adults comprise 13% of the population but received 25-30% of all prescriptions. • Experienced more than ½ of all reported adverse drug reactions leading to hospitalization. Facts • 80-86% of those 65+ suffer from one or more chronic diseases or conditions. • 83% of those 60+ take at least one medication. • 30% of those aged 65+ take eight or more prescriptions daily. • Usually, prescriptions are for psychoactive, mood-changing drugs that carry potential for misuse, abuse, or dependence. • More likely to continue use for longer periods than younger adults. Patterns of Use • Elderly’s abuse usually fall within the “misuse” category of the DSM-IV (unintentional misuse). • Usually because they are more likely to misunderstand the directions for appropriate use. • Overdose, addictive effects, and adverse reations are more likely to occur from combining drugs. 4
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Unintentional Misuse • Poly-Pharmacy • Doctor shopping • Sharing medication • Compliance issues – “If one works two will work better” – Not taking enough – Forgot if taken on and then take another – Taking the wrong drug (confusing the bottle) Unintentional Misuse • Can progress to a person using for the “desirable effects”. • Can become physiologically dependent on psychoactive mediations without meeting dependence. • Tolerance and psychological dependence can develop when taken regularly. • An abstinance symptom or withdrawal effects may occur if a drug stopped immediately. • Can become dependent without knowing it. Risk Factors • The aging process (needing more medications because of physiological changes, accumulating physical health problems and psychosocial stressors. • Female gender • Middle/Late life divorce • Widowhood • Lack of education • Chronic somatic Problems • Increased Stress • Lower income • Depression, Anxiety System and Environmental Influences Health care systems: • Order medications without adequate diagnosis. • Prescribe medications for too long without adequate diagnosis. • Prescribe drugs with a high potential for side-effects in older adults. • Prescribe drugs without reviewing whether they interact adversely with other medications. • Diminished nervous system. • Impaired reaction time. • Loss of coordination • Ataxia • Falls • Excessive daytime drowsiness • Confusion/Rage • Amnesia/Delirium • Constipation • Dry mouth • Urinary difficulty • Withdrawal seizures • Development of dependence Adverse Effects Withdrawal of Benzodiazepines • Anxiety • Agitation • Lethargy • Nausea/Loss of Appetite • Insomnia • Dizziness • Tremor • Depersonalization • Confusion • Disappear within 3-5 weeks because they have longer half-lives (up to 200 hours). But some report side effects for several months. 5
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Program Description: The Commonweal
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Conference Information: The Pennsyl
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MONDAY May 15 th , 2006
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Monday Morning Plenary Session “S
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COSIG Co-Occurring Disorders Confer
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M01: The Addiction Psychiatry Couns
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5. Criminal Logic: This is a 3- to
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12 Roadblocks of Communication 1 Or
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3 G.R.A.C.E. G- For Gap. Often our
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5 _________________________________
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7 Overall, what do you gain by drug
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9 2. What time of day would be best
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11 10. What good things would happe
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13 Decisional Balance for Drug Use
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15 ________________________________
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17 Drug use: Antecedents, Consequen
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Certificate of Achievement Temple U
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M06: An Overview: Co-Occurring Diso
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Requirements for CCDP Employment CC
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ecertification cycle (PCB approved
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Work Experience Verification Applic
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Code of Ethical Conduct UNLAWFUL CO
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psychoactive substance impairs the
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Easy Pass for PCB credentialed prof
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CCDP Checklist for applicants with
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TABLE OF CONTENTS Purpose of the Ca
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confidentiality in substance abuse
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Task 4 - Recognize signs and sympto
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individual’s needs and circumstan
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and community resources and service
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3. Social supports and networks for
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COUNSELING Task 1 - Provide a safe,
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CASE MANAGEMENT information. Task 1
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ensure continuity of care whenever
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disciplinary codes of ethics and st
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2. Effective public relations techn
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2. Eliciting accurate evaluation da
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2. There are seven elements in the
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elationship is established with the
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In taking the test, you may find it
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REFERENCES The following resources
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Other Drug Abuse Counselors. Columb
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Stern, T., Herman, J., & Slavin, P.
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2004 PA Certification Board (PCB).
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Prochaska, J.O. & DiClemente, C.C.,
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M12: An Overview of Adolescents and
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G. Benson, 2004 G. Benson 2004 COSI
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M13: Tri-Recovery Process: Improvin
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M15: TIP 42 Treatment for Persons w
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M16: Housing Implications for the O
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DRAFT - Community Based and Recover
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are perceived as necessary for stat
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esponsibility shared with consumers
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or provided at other rehab programs
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Supportive housing is a successful,
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Living on the Edge: Substance Use a
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M26: Dual Recovery: 12-Step Program
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Using Dialectical Behavior Therapy
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Using Dialectical Behavior Therapy
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TUESDAY May 16 th , 2006
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Article by Kenneth Minkoff, MD and
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RESOURCE BIBLIOGRAPHY (2005) 1. Ame
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38. Foundation Associates, Making M
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71. Minkoff K & Cline C, Developing
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co-occurring psychiatric and substa
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T31: Implementing Evidence-Based Pr
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T32: Berks County Adolescent Pilot
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T35: CCISC Implementation in Pennsy
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Volume 1, Issue 5 The Trainers meet
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Volume 1, Issue 1 BLAIR COUNTY’S
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Volume 1, Issue 1 Vision/Mission CO
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Volume 1, Issue 1 3. The population
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Volume 1, Issue 1 Complete
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Volume 1, Issue 1 The forgoing Cons
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Volume 1, Issue 1 Language for Inte
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Volume 1, Issue 1 Language for Inte
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T36: The Co-Occurring Distinction:
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Integration or Occupation? •QUEST
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Coming to a Balance “Rather shall
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T41: Offering Positive Incentives t
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Motivational Incentives for Enhance
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T43: Prison to Community: Reducing
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T45: Workforce Issues and Co-occurr
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T46: Creation of Local Housing Opti
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Fetal alcohol spectrum disorders fo
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MY 9-YR-OLD SON’S HISTORY OF MEDI
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Don’t Ask My Child to Fly Bruce R
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1 Multisystemic Therapy MST Model H
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3 NCFAS RESULTS: Adolescents & Pare
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Adelphoi Village Multisystemic Ther
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DISCHARGES PER AGENCY TOTAL DISCHAR
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T53: Using Change Theory to Assess
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The following questionnaire is desi
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THE STAGES OF CHANGE APPLIED TO COU
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T55: Creating Co-Occurring Centers
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12. What is the diagnosis: |___| 1
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Fact Sheet A Project to Establish A
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Planning and Implementing a Welcomi
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All organizations signing this memo
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3. Region I organizations will assi
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e) Link organizations with websites
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Planning and Implementing a Welcomi
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Welcome to the Johnson Institute ht
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johnsoninstitute.com - History http
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johnsoninstitute.com - President's
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MISA PILOT TAKES FLIGHT: A PILOT AP
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In Flight Changes for COD in Washin
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Crisis & Counseling Centers Co-occu
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Fact Sheet A Project to Establish A
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Mental Health Network Co-Occurring
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100% Treatment Team Improvement in
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T67: Antisocial Personality Disorde
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Wednesday Morning Plenary Session
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Cultural Clashes in Co-Occurring Di
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W72: Use of Animal Assisted Therapy
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W86: Fairweather Lodge - An Evidenc
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Housing, Employment, Social and Aut
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Principle VI. Successful Lodges res
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Fidelity to Autonomy Principles 1.
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W87: Physical Disorders and Persons
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W91: Collaborative Care for Concurr
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W96: Stigma & Co-occurring Disorder
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