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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Beyond Brief Intervention
• Use an intervention which occurs under
the guidance of a skilled counselor and
several significant people in abusers’ life
which confront the individual.
• Use no more than 1 to 2 relatives or close
associates.
• Having too many people may be
overwhelming or confusing.
• Inclusion of grandchildren is discouraged.
Motivational Interviewing
• Acknowledges differences in readiness to
change, so it “meets people where they
are”.
• Intensive process that enlists patients in
their own recovery by avoiding labels,
avoiding confrontations, accepting
ambivalence, and placing responsibility for
change on the client.
Patient Placement and Patient
Matching
• Triage-the process of organizing and prioritizing
treatment service.
• Patient placement-process by which a
recommendation is made for placement in a
specific level (intensity) of care that ranges from
medication managed (high intensity) inpatient
services to outpatient services (low intensity.
• Triage process is influenced by other factors like
physical accessibility of facility, types of therapy
used, etc.
Levels of Treatment Services
• Inpatient/Outpatient Detoxification Treatment
(first, one must consider whether detoxification
management is needed because it’s riskier for
the elderly).
• Inpatient Rehabilitation (those who are fail or
acutely suicidal)
• Residential Rehabilitation (slower paced and
range from high to low intensity).
• Outpatient Services (may include partial
hospitalization, daytime treatment that requires a
patient to attend day-long for 5 days a week).
Program Philosophy
• Supportive and nonconfrontational
• Cope with loneliness, depression, or loss
• Rebuilds social support network
• Acceptance
• Provides links with medical services and
community programs
Treatment Approaches
• Cognitive-Behavioral
• Group-Based approaches
• Individual counseling
• Medical/Psychiatric approaches
• Marital/Family Therapy
• Case-Management/Community Linked
Services
• A.A./N.A./Self-Help Groups
• Educational programs
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