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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Sedatives/Hypnotics • Are usually prescribed for insomnia (which is common among the elderly). • Sleep patterns change due to aging. • Deep sleep lessens and they are more likely to awake during the night more often. • Plus, other medications may cause insomnia (e.g. MAO and SSRI’s). Ways to Treat Sleep Problems • Keep a sleep diary (times take naps, awake during the night, etc.). • Educate about sleep hygiene. • Educate about sleep patterns (naps). • Relaxation Techniques. Withdrawal from Sedatives/Hypnotics • Increased pulse rate • Hand Tremors • Insomnia • Nausea/Vomiting •Anxiety • Hallucinations •Seizures Opiates • Estimated that 2-3% of noninstitutionalized older adults receive prescriptions for opioid analgesics. • Use for the management of severe pain. • Treatment for cancer-related pain. Problem with Elderly Taking Opiates • The duration of action is longer (due to decreased metabolism and liver functioning). • More adverse side effects because of changes in receptor sensitivity. • May cause impairment of psychomotor performance. • More potent ones may cause impairment of vision, attention and motor coordination. Withdrawal from Opiates • Restlessness/dysphonic mood • Nausea/Vomiting • Tearing and Yawning • Insomnia • Diarrhea/Fever • However, not life-threatening like benzodiazepines. 6
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Interactions with Drugs and Alcohol • Some combinations may be deadly (e.g. alcohol and diazepam). • Increases lithium toxicity and enhances CNS depression and those taking tricyclic antidepressants. • Can be extremely dangerous to mix. Identification, Screening and Assessment • 87% see physicians regularly but 40% of those at risk do not self-identify or seek services for substance abuse on their own. • Are unlikely to be identified by physicians. Who Should Identify Problem • Health care workers • Friends/Family • Staff of senior centers (drivers/volunteers) • Therapists •Clergy • Anyone involved with this age group. Barriers to Screening • Ageist assumptions—failure to recognize symptoms. • Lack of knowledge about screening. • Family members may be biases about the problem. • Symptoms may be confused with other medical conditions. (psudodementia) • Inappropriate screening procedures (amount and frequency levels). Who and When to Screen • Every 60+ year-old as a part of regular physical examinations. • As older patients experience life transitions, stress, or loss. Or those who complain about: • Sleep (changes, fatigue, drowsiness) • Cognitive impairments (memory, concentration) • Seizures, or malnutrition • Liver Function abnormalities • Poor hygiene • Blurred vision/Dry mouth • Slurred Speech • Frequent Falls/Unexplained bruising. Introduction of Screening • Depending on the setting, the topic of screening can be introduced in a number of ways. • Self-Administered and self-scored mass screenings • Self-administered but machine-scored computerized screens • Nurses, home-health aides, etc. can give a brief screen by asking typical questions. 7
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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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