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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
What Else to Assess
• Comorbid Disorders
• Physical Comorbidities
• Psychiatric Comorbidities
– Cognitive Impairments
– Dementia-is chronic, progressive, and
irreversible impairments.
– Delirium-is a potentially life-threatening illness
that requires acute intervention.
Guidelines for Interviewing
• Areas that are most likely to motivate the
client are their physical health, loss of
independence, and financial security.
• Decisions must include the patient in order
to be successful.
• May be important to include family.
• Treatment strategies must be culturally
competent.
Appropriate Treatment
• After screening and assessment have identified
a problem the clinician and patient must choose
an appropriate treatment.
• The least intensive treatment options should be
explored first.
• Less intensive options will not resolve issues for
some people but can move them by helping
them overcome resistance and ambivalence
about changing.
• Pretreatment activities can be conducted in a
client’s home (ideal for homebound clients).
Brief Intervention for At-Risk
Drinkers
• 10-30% of dependent problem drinkers
decrease their drinking to moderate levels
following a brief intervention by clinicians.
• Consists of one or more sessions (may
include motivation for change, education,
assessment, direct feedback,
contracting/goal setting, and behavioral
modification).
Conducting Brief Interventions
• Since many older at-risk and problem drinkers
are ashamed, initial strategies need to be
nonconfrontational and supportive.
• Provide feedback
• Discuss types of drinkers and where the
patient’s pattern’s fit into the population norms
for their age.
• Consequences for heavier drinking and reasons
to cut down or quit.
• Setting agreed upon limits and having the
patient sign them.
FRAMES Approach
•FEEDBACK for risk of problem.
•RESPONSIBILITY for change.
•ADVICE to change
•MENU for change options
•EMPATHIC counseling style
• Enhanced client SELF-EFFICACY
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