Treating Marijuana Disorders: Science and Practice

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Treating Marijuana Disorders: Science and Practice"

Transcription

1 Treating Marijuana Disorders: Science and Practice Denise D. Walker, Ph.D. University of Washington Supported by NIDA Goals Context for the study of cannabis dependence Overview of the evidence for treatments for cannabis dependence Description of these interventions Highlight innovations Limitations and Future Directions

2 Is Cannabis Addictive? Small treatment literature Scientific community Cannabis addiction as secondary problem Would people seek treatment for cannabis? Societal perceptions Cannabis is not addictive Does not cause problems Hempfest

3 Needs Assessment Study Roffman & Barnhart, 1987 Anonymous telephone survey Purpose of the study was to determine: Did a cannabis dependent population exist? Not concurrently abusing alcohol or other drugs? Would they be interested in treatment for cannabis? 225 participants interviewed 74% had problems only with cannabis 92% were interested in treatment Cannabis Withdrawal Cannabis (cannabinoid) withdrawal has been demonstrated in: Non-human studies (primate, rodent, dog) Clinical survey studies Human inpatient/outpatient laboratory studies

4 Adult Treatment Outcome Literature Randomized Controlled Studies Stephens, Roffman et al. (1994) Stephens, Roffman et al. (2) Budney et al. (2) Copeland et al. (21) Marijuana Treatment Project (24) Budney et al. (26) Carroll et al. (26) Kadden et al. (27) Types of Treatment Adult Treatment Outcome Literature Social Support Group Cognitive Behavior Therapy (CBT) Group Individual Motivational Enhancement Therapy (MET) Contingency Management (CM)

5 Cognitive-Behavior Therapy (CBT) Cannabis use is a learned behavior Structured 45-6 minute sessions Teaching coping skills relevant to quitting cannabis and coping with other related problems that might interfere with good outcome. Drug refusal skills, coping with cravings, selfmanagement planning to avoid drug-use triggers, problem-solving, communication skills, lifestyle-goal management. Brief didactic introduction of skill, role-playing, interactive exercises, practice assignments Typically delivered in 9-12 sessions, but has been tested in a 1 and 6-session model. Motivational Enhancement Therapy (MET) Patient-centered and directive 45-9 minute sessions. Designed to help resolve ambivalence about quitting and strengthen motivation to change. Delivered in 1-4 sessions

6 Motivational Enhancement Therapy (MET) continued Use a motivational style to guide the patient towards commitment to and action towards an abstinence goal. Techniques: expression of empathy, reflection, summarization, affirmation of self-efficacy, exploration of pros and cons of drug use, rolling with resistance, forging a goal plan when ready Review of Personalized Feedback form Personalized Feedback Report (PFR) Assessment Report reviewed with counselor using MI skills PFR includes: Use patterns Normative data Consequences of Use Abuse and Dependence symptoms Pros and cons of quitting

7 CBT vs. Social Support Group Treatments (Stephens et al., 1994) % Ss Abstinent CBT SS 3 mo 6 mo 12 mo CBT vs. Brief MET CBT: 14-sessions, MET: 2 sessions (Stephens et al., 2) % Ss Abstinent CBT MET DTC 1mo 4 mo 7 mo

8 Marijuana Treatment Project (MTPG, 24) A Multi-site Study of the Effectiveness of Brief Treatment for Cannabis Dependence (N=398) 3 Groups: 9-session MET/CBT (individual) 2-session MET (individual) Delayed Treatment Control (No treatment) MTPG Study Questions Are brief treatments for Cannabis Dependence more effective than deferred treatment (referral to a waiting list control group)? Does a 9 session treatment produce better outcomes than a 2 session treatment? Do these treatments vary in effectiveness in diverse population groups in relation to gender, ethnicity, and employment status?

9 % Subjects Abstinent Cannabis Abstinence (MTPG 24) DTC MET MET/CBT 4 Months 9 Months 15 Months % of Days of Cannabis Use MTPG (24) DTC MET MET/CBT 1 Baseline 4-Month 9-Month

10 Percent Improved at 4-Months MTPG (24) DTC MET MET/CBT 5 Improved Abstinent CBT / MET for Adults Good Data to Support Efficacy Outcomes are not satisfying

11 Contingency Management (Budney et al., 2) Intended to get participants invested in continued abstinence Voucher system that rewards non-use of cannabis Based on operant conditioning principles Voucher Program for Marijuana Dependence Weeks 1-2 were a washout period Weeks 3-14 earn points for each cannabis-negative urine specimen / self-report of no use Points have a monetary value Number of points increases with each consecutive cannabis-negative sample $1 bonus for each cannabis-negative week

12 Redeeming Vouchers No cash is provided Vouchers can be spent on approved items any time after they are earned Staff purchase retail items or services (restaurant gift certificates, sport equipment, movie passes, work clothes, etc.) consistent with treatment goals Mean Weeks of Continuous Cannabis Abstinence (Budney et al., 2) # of Weeks of Continuous Abstinence MET/CBT/CM MET/CBT MET

13 Continuous Abstinence % of Subjects MET/CBT/CM MET/CBT MET 1 > 3 Wks > 7 Wks Marijuana Abstinence End of Treatment 5 % of Subjects MET/CBT/CM MET/CBT MET

14 Summary of Budney, et al., 2 Vouchers added to CBT/MET increase periods of continuous abstinence Only a post-treatment follow-up was included. Durability of effects post-treatment was not studied Questions about the contribution of vouchers Study 2 Adult Cannabis Dependence Budney et al. (26) Replication: Can vouchers enhance MET/CBT? (MET/CBT Vs. MET/CBT/CM ) Do effects endure post-treatment? Does MET/CBT enhance the effect of CM? (CM vs. MET/CBT/CM) Is CM alone feasible and efficacious? (CM vs. MET/CBT vs. MET/CBT/CM)

15 Voucher Program Same as Prior Study, except cutoff for cannabis positive was 5ng/ml. Continuous Abstinence During Treatment % of Participants MET/CBT MET/CBT/CM CM >2 wks >4 wks >6 wks >8 wks

16 Point Prevalence Abstinence Post Treatment MET/CBT MET/CBT/CM CM ETX Months Post-Treatment CM for Adult Cannabis Dependence (Kadden et al. 27) Voucher Program 12 Weeks 1x/weekly testing Total available: $435

17 Abstinence Post-Treatment (Kadden et al. 27) % Subjects Abstinent MO 5 MO 8 MO 11 MO 14 M Control MET/CBT CM MET/CBT/CM Limitations to Contingency Management Additional cost of vouchers make it impractical for many programs to implement (urines + vouchers) Alternative voucher programs have been developed (fishbowl) to reduce costs Voucher programs have started showing up in the US, but dissemination is slow Requires additional staffing Philosophical concerns about rewarding cannabis abstinence with vouchers Counseling staff Programmatic concerns Paying people to abstain

18 Conclusions Cannabis treatments have been identified Current gold standard of treatment is CBT/MET/CM Relatively effective at reducing cannabis use Poor prolonged abstinence rates High rates of relapse post-treatment Future Directions Room for improvement in outcomes Improve ways to help achieve abstinence during treatment Find more efficient ways of delivering CBT/MET (computer) Aftercare interventions Help maintain treatment gains and motivation posttreatment Interventions to help people earlier in their addiction (Check-Up model)

19 Denise Walker

Motivational Incentives: From Research to Practice

Motivational Incentives: From Research to Practice Motivational Incentives: From Research to Practice Maxine L. Stitzer, Ph.D. PI, Mid Atlantic Node NIDA CTN NIDA Blending Conference Seattle, WA October 17, 2006 Outline History of Motivational Incentives

More information

Methamphetamine Behavioral Treatments

Methamphetamine Behavioral Treatments California Addiction Training and Education Series Jeanne L. Obert, MFT, MSM Executive Director, Matrix Institute on Addictions Methamphetamine Behavioral Treatments Behavioral Treatment: Contingency Management

More information

Problematic Marijuana Use (Addiction): Characteristics, Prevalence, Treatment Outcomes

Problematic Marijuana Use (Addiction): Characteristics, Prevalence, Treatment Outcomes Problematic Marijuana Use (Addiction): Characteristics, Prevalence, Treatment Outcomes Alan J. Budney, Ph.D. Dartmouth College, Geisel School of Medicine alan.j.budney@dartmouth.edu National Debate on

More information

Comprehensive Addiction Treatment

Comprehensive Addiction Treatment Comprehensive Addiction Treatment A cognitive-behavioral approach to treating substance use disorders Brief Treatment Eric G. Devine Deborah J. Brief George E. Horton Joseph S. LoCastro Comprehensive Addiction

More information

Current Models of Recovery Support Services: Where We Have Data and Where We Don t

Current Models of Recovery Support Services: Where We Have Data and Where We Don t Current Models of Recovery Support Services: Where We Have Data and Where We Don t Richard Rawson, Ph.D. Integrated Substance Abuse Programs University of California, Los Angeles 1. Define recovery Talk

More information

Health Care Service System in Thailand for Patients with Alcohol Use Disorder

Health Care Service System in Thailand for Patients with Alcohol Use Disorder Health Care Service System in Thailand for Patients with Alcohol Use Disorder Health Care Service System In Thailand Screening for alcohol use disorder and withdrawal syndrome AUDIT MAST CAGE CIWA or AWS

More information

Motivational Interviewing for Binge Eating Disorder. Stephanie E. Cassin, Ph.D., C.Psych.

Motivational Interviewing for Binge Eating Disorder. Stephanie E. Cassin, Ph.D., C.Psych. Motivational Interviewing for Binge Eating Disorder Stephanie E. Cassin, Ph.D., C.Psych. Motivational Interviewing (MI) Developed in the field of addictions Based on the Stages of Change model A non-confrontational

More information

No single substance abuse

No single substance abuse National Survey of Substance Abuse Treatment Services The N-SSATS Report October 14, 010 Clinical or Therapeutic Approaches Used by Substance Abuse Treatment Facilities In Brief In 009, the majority of

More information

Web-based Interventions for the Prevention and Treatment of Substance Use Disorders

Web-based Interventions for the Prevention and Treatment of Substance Use Disorders Web-based Interventions for the Prevention and Treatment of Substance Use Disorders Lisa A. Marsch, Ph.D. Director, Center for Technology and Health (CTH), National Development & Research Institutes (NDRI)

More information

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and

More information

Combining Cognitive Behavioral Therapy and Motivational Interviewing

Combining Cognitive Behavioral Therapy and Motivational Interviewing Combining Cognitive Behavioral Therapy and Motivational Interviewing Jim Carter, Ph.D. Specialty Behavioral Health, La Jolla, CA UCSD SOM Presented At: 39 th Annual Summer Clinical Institute In Addiction

More information

SYLLABUS. TITLE: Counseling Techniques

SYLLABUS. TITLE: Counseling Techniques CODE: PSYC 215 TITLE: Counseling Techniques INSTITUTE: Business and Social Sciences DEPARTMENT: Psychology COURSE DESCRIPTION: Students will study and practice basic strategies for helping within the context

More information

Patients are still addicted Buprenorphine is simply a substitute for heroin or

Patients are still addicted Buprenorphine is simply a substitute for heroin or BUPRENORPHINE TREATMENT: A Training For Multidisciplinary Addiction Professionals Module VI: Myths About the Use of Medication in Recovery Patients are still addicted Buprenorphine is simply a substitute

More information

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment Background Studies show that more than 50% of patients who have been diagnosed with substance abuse

More information

Key Questions to Consider when Seeking Substance Abuse Treatment

Key Questions to Consider when Seeking Substance Abuse Treatment www.ccsa.ca www.cclt.ca Frequently Asked Questions Key Questions to Consider when Seeking Substance Abuse Treatment The Canadian Centre on Substance Abuse (CCSA) has developed this document to address

More information

Brief Intervention: An Approach for Substance Abusing Adolescents. Theory and Application Overview

Brief Intervention: An Approach for Substance Abusing Adolescents. Theory and Application Overview Brief Intervention: An Approach for Substance Abusing Adolescents Theory and Application Overview A CARS Training Program Prepared by Joël l L. Phillips and Pam Smithstan,, MFT Based on the Work of Ken

More information

FOCUS ON INTEGRATED TREATMENT COURSE OBJECTIVES

FOCUS ON INTEGRATED TREATMENT COURSE OBJECTIVES FOCUS ON INTEGRATED TREATMENT COURSE OBJECTIVES INDEX FIT The Complete Program Pages 2-6 FIT Complete Clinician Collection Pages 7-11 FIT Screening & Assessment Page 12 FIT Motivational Interviewing Page

More information

Adolescent Substance Use and Interventions. Tom Freese, PhD Sherry Larkins, PhD May 17, 2011

Adolescent Substance Use and Interventions. Tom Freese, PhD Sherry Larkins, PhD May 17, 2011 Adolescent Substance Use and Interventions Tom Freese, PhD Sherry Larkins, PhD May 17, 2011 Agenda Review importance of epidemiological data understand adolescent substance issues. Review standardized

More information

Marijuana Abuse / Dependence and Its Treatment

Marijuana Abuse / Dependence and Its Treatment Marijuana Abuse / Dependence and Its Treatment Alan J. Budney, Ph.D. Center for Addiction Research University of Arkansas for Medical Sciences Supported by research grants from National Institute on Drug

More information

Observational study of the long-term efficacy of ibogaine-assisted therapy in participants with opioid addiction STUDY PROTOCOL

Observational study of the long-term efficacy of ibogaine-assisted therapy in participants with opioid addiction STUDY PROTOCOL Observational study of the long-term efficacy of ibogaine-assisted therapy in participants with opioid addiction Purpose and Objectives STUDY PROTOCOL This research is an investigator-sponsored observational

More information

MOBC Research Highlights Reel. Mitch Karno Mechanisms of Behavior Change Conference San Antonio, Texas June 20, 2015

MOBC Research Highlights Reel. Mitch Karno Mechanisms of Behavior Change Conference San Antonio, Texas June 20, 2015 MOBC Research Highlights Reel Mitch Karno Mechanisms of Behavior Change Conference San Antonio, Texas June 20, 2015 Starring -Change Talk -Attentional Bias -Self-Efficacy -Social Network -Craving Study

More information

Cognitive Behavioral Interventions for Substance Abuse. Overview Presentation TASC Conference 2013. University of Cincinnati Corrections Institute

Cognitive Behavioral Interventions for Substance Abuse. Overview Presentation TASC Conference 2013. University of Cincinnati Corrections Institute Cognitive Behavioral Interventions for Substance Abuse Overview Presentation TASC Conference 2013 University of Cincinnati Corrections Institute Curriculum Content, Format and Supporting Research Curriculum

More information

Roger Roffman, DSW Professor Emeritus University of Washington School of Social Work

Roger Roffman, DSW Professor Emeritus University of Washington School of Social Work Roger Roffman, DSW Professor Emeritus University of Washington School of Social Work 4.3 million (age 12 and above) met criteria in 2012 9% of those who ever use 17% of those who use marijuana early in

More information

Boot Camp Substance Abuse Intervention Program

Boot Camp Substance Abuse Intervention Program Boot Camp Substance Abuse Intervention Program Mission Statement The mission of the Twelve Step Intervention Program is to provide a comprehensive substance abuse education and recovery program for adolescents

More information

University of Cincinnati Cognitive Behavioral Treatment for Substance Abuse Curriculum

University of Cincinnati Cognitive Behavioral Treatment for Substance Abuse Curriculum University of Cincinnati Cognitive Behavioral Treatment for Substance Abuse Curriculum Developed by the University of Cincinnati Corrections Institute (UCCI) School of Criminal Justice www.uc.edu/corrections

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the

More information

PERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment

PERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment UPDATED 4.6.2015 PERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment Psychosocial interventions are structured psychological or social interventions used to address substance-related

More information

SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK

SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK National Institute on Drug Abuse SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK U.S. Department of Health and Human National Institutes of Health SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK The goal

More information

The prevalence of marijuana abuse and dependence disorders has been increasing among adults and adolescents in the

The prevalence of marijuana abuse and dependence disorders has been increasing among adults and adolescents in the 4 A D D I C T I O N S C I E N C E & C L I N I C A L P R A C T I C E D E C E M B E R 2 0 0 7 Marijuana Dependence and Its Treatment The prevalence of marijuana abuse and dependence disorders has been increasing

More information

SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK

SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK National Institute on Drug Abuse SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK U.S. Department of Health and Human National Institutes of Health SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK The goal

More information

Special Populations in Alcoholics Anonymous. J. Scott Tonigan, Ph.D., Gerard J. Connors, Ph.D., and William R. Miller, Ph.D.

Special Populations in Alcoholics Anonymous. J. Scott Tonigan, Ph.D., Gerard J. Connors, Ph.D., and William R. Miller, Ph.D. Special Populations in Alcoholics Anonymous J. Scott Tonigan, Ph.D., Gerard J. Connors, Ph.D., and William R. Miller, Ph.D. The vast majority of Alcoholics Anonymous (AA) members in the United States are

More information

Automated telephone-based CBT to support opioid recovery in methadone maintenance patients

Automated telephone-based CBT to support opioid recovery in methadone maintenance patients Automated telephone-based CBT to support opioid recovery in methadone maintenance patients Brent A. Moore, Ph.D. Yale University School of Medicine Funded by NIDA K01 DA022398 NIDA R01 DA 034678 Brent.Moore@Yale.edu

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

SUBSTANCE ABUSE PSYCHO-EDUCATION AND TREATMENT. The Alcohol and Drug Education Program (ASAM Level 0.5)

SUBSTANCE ABUSE PSYCHO-EDUCATION AND TREATMENT. The Alcohol and Drug Education Program (ASAM Level 0.5) SUBSTANCE ABUSE PSYCHO-EDUCATION AND TREATMENT Addiction as a major health problem which demands effective treatments of substance use disorders. Group therapy works well because it engages therapeutic

More information

Suggested APA style reference:

Suggested APA style reference: Suggested APA style reference: Parks, G. A., & Woodford, M. S. (2005). CHOICES about alcohol: A brief alcohol abuse prevention and harm reduction program for college students. In G. R. Walz & R. K. Yep

More information

psychosocial interventions: interventions for cannabis use problems

psychosocial interventions: interventions for cannabis use problems psychosocial interventions: interventions for cannabis use problems Alan J. Budney, Ph.D. University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA introduction Cannabis remains the most

More information

Military Personnel, Veterans and their Families: How Substance Abuse Treatment Research is Effecting Positive Change

Military Personnel, Veterans and their Families: How Substance Abuse Treatment Research is Effecting Positive Change Military Personnel, Veterans and their Families: How Substance Abuse Treatment Research is Effecting Positive Change Kathleen M. Carroll PhD Albert E. Kent Professor of Psychiatry Yale University School

More information

Treating Co-Occurring Disorders. Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services

Treating Co-Occurring Disorders. Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services Treating Co-Occurring Disorders Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services Implementing SAMHSA Evidence-Based Practice Toolkits Integrated Dual Diagnosis Treatment (IDDT) Target group:

More information

Building motivation for behaviour change: Motivational Interviewing

Building motivation for behaviour change: Motivational Interviewing 1 Building motivation for behaviour change: Motivational Interviewing Kim Corace, Ph.D., C. Psych. Clinical Health Psychologist Division of Infectious Diseases The Ottawa Hospital Assistant Professor,

More information

DrugFacts: Treatment Approaches for Drug Addiction

DrugFacts: Treatment Approaches for Drug Addiction DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please

More information

MST and Drug Court. Family Services Research Center Medical University of South Carolina Funded by NIDA and NIAAA

MST and Drug Court. Family Services Research Center Medical University of South Carolina Funded by NIDA and NIAAA MST and Drug Court Family Services Research Center Medical University of South Carolina Funded by NIDA and NIAAA Project Staff Scott Henggeler Jeff Randall Phillippe Cunningham Colleen Halliday-Boykins

More information

CEIC Training Resource Guide

CEIC Training Resource Guide CEIC Training Resource Guide DDCAT/DDCMHT Program Structure Module 1 Introduction Module 2 Implementing COD Treatment Module 24 Philosophy and Perspectives of Recovery Module 29 Integrating Medical, Psychiatric

More information

In this final issue in our series on cognitive

In this final issue in our series on cognitive Ideas for Treatment Improvement JUNE 2005 VOLUME 8, ISSUE 6 PLEASE COPY OR POST SERIES 18 Cognitive-Behavioral Therapy (CBT) - Part 3 CBT and Adolescent Marijuana Dependence Northwest Frontier Addiction

More information

Approaches to Drug and Alcohol Counseling

Approaches to Drug and Alcohol Counseling Approaches to Drug and Alcohol Counseling Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Dual Disorders Recovery Counseling This recovery model emphasizes

More information

mental health-substance use

mental health-substance use mental health-substance use recognition and effective responses from General Practice Gary Croton Eastern Hume Dual Diagnosis Service www.dualdiagnosis.org.au This talk: 25 minutes The territory 5 minutes

More information

Motivational Incentives: Principles and Particulars

Motivational Incentives: Principles and Particulars Motivational Incentives: Principles and Particulars Maxine Stitzer, Ph.D. mstitzer@jhmi.edu JSTEPS Training Conference January 11-13, 2010 Premise: Focus is on drug users in enhanced supervision How drug

More information

PERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment

PERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment UPDATED 31.5.2016 PERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment Psychosocial interventions are structured psychological or social interventions used to address substance-related

More information

Structured intervention in preparing dependent drinkers towards abstinence Windmill Team Alcohol Care Pathway evaluation. May 2014

Structured intervention in preparing dependent drinkers towards abstinence Windmill Team Alcohol Care Pathway evaluation. May 2014 45 Structured intervention in preparing dependent drinkers towards abstinence Windmill Team Alcohol Care Pathway evaluation. May 2014 E. Sharma, A. Smith, K.J. Charge and C. Kouimtsidis Windmill Drug &

More information

LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult

LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders of the American

More information

Minnesota Co-occurring Mental Health & Substance Disorders Competencies:

Minnesota Co-occurring Mental Health & Substance Disorders Competencies: Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held

More information

A Brief Introduction to Motivational Interviewing

A Brief Introduction to Motivational Interviewing A Brief Introduction to Motivational Interviewing Stephen Pont, MD, MPH Ava Wood, MSN, RN, NEA-BC Texas Center for the Prevention and Treatment of Childhood Obesity Dell Children s Medical Center April

More information

Summary of Goals & Objectives for the Maine Differential Substance Abuse Treatment (DSAT) Community Program for Women

Summary of Goals & Objectives for the Maine Differential Substance Abuse Treatment (DSAT) Community Program for Women Summary of Goals & Objectives for the Maine Differential Substance Abuse Treatment (DSAT) Community Program for Women Women s Community DSAT Pre-Treatment Orientation Sessions Intended Audience Women who

More information

Ernest Marshall, LCSW, CADC II Motivational Interviewing 3/24/11. Why are you here? What motivated you? What are your goals?

Ernest Marshall, LCSW, CADC II Motivational Interviewing 3/24/11. Why are you here? What motivated you? What are your goals? Ernie Marshall, LCSW, CADC II Ernest.Marshall@csh.dmh.ca.gov 1 Why are you here? Good Morning What motivated you? What are your goals? 2 Introduction Overview of MI concepts Experiential and didactic Won

More information

CONTINGENCY MANAGEMENT AND ANTISOCIAL PERSONALITY DISORDER

CONTINGENCY MANAGEMENT AND ANTISOCIAL PERSONALITY DISORDER CONTINGENCY MANAGEMENT AND ANTISOCIAL PERSONALITY DISORDER Karen K. Chan 1,3, Alice Huber 1,2,3, John M. Roll 1,3, and Vikas Gulati 1,3 Friends Research Institute, Inc. 1 Long Beach Research Foundation:

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

Motivational Interviewing

Motivational Interviewing Motivational Interviewing Enhancing readiness to Denise Hall, MS, LPC, NCC Bradley Finegood, MA, LLPC June 2006 change Learning Objectives By the end of the session, participant will be able to Explain

More information

The FUNDAMENTALS Of DRUG TREATMENT COURT. Hon. Patrick C. Bowler, Ret.

The FUNDAMENTALS Of DRUG TREATMENT COURT. Hon. Patrick C. Bowler, Ret. The FUNDAMENTALS Of DRUG TREATMENT COURT Hon. Patrick C. Bowler, Ret. Drug Treatment Courts A New Way Partner with Treatment Transform Roles Non-adversarial/Team Shared Goal of Recovery Communication Immediate

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

Chronic Pain in Patients with Alcohol or Drug Use Disorders. Mark Ilgen Elizabeth Haas Linda Webster Stephen Chermack Kristen Barry Frederic Blow

Chronic Pain in Patients with Alcohol or Drug Use Disorders. Mark Ilgen Elizabeth Haas Linda Webster Stephen Chermack Kristen Barry Frederic Blow Chronic Pain in Patients with Alcohol or Drug Use Disorders Mark Ilgen Elizabeth Haas Linda Webster Stephen Chermack Kristen Barry Frederic Blow Overview Background information on overlap between pain

More information

On-line Continuing Education. Course Material: Exam Questions Packet

On-line Continuing Education. Course Material: Exam Questions Packet BREINING INSTITUTE 8894 Greenback Lane Orangevale, California USA 95662-4019 Telephone (916) 987-2007 Facsimile (916) 987-8823 On-line Continuing Education Course Material and Exam Questions Packet Course

More information

TRADITIONAL APPROACH TO HEALTH BEHAVIOR CHANGE. Client/Patient Education. Client/Patient

TRADITIONAL APPROACH TO HEALTH BEHAVIOR CHANGE. Client/Patient Education. Client/Patient TRADITIONAL APPROACH TO HEALTH BEHAVIOR CHANGE Client/Patient Education Client/Patient MI: THE BASICS Focus on Behavior Change Motivational Interviewing Style or Spirit Asking Open Ended Questions Affirmation

More information

VIETNAMESE AND AMERICANS IN PARTNERSHIP TO FIGHT HIV/AIDS

VIETNAMESE AND AMERICANS IN PARTNERSHIP TO FIGHT HIV/AIDS Tr ainer Manual Training Curriculum on Drug Addiction Counseling Appendix VIETNAMESE AND AMERICANS IN PARTNERSHIP TO FIGHT HIV/AIDS In July 2011, FHI became FHI 360. FHI 360 is a nonprofit human development

More information

Treatment for Adolescent Substance Use Disorders: What Works?

Treatment for Adolescent Substance Use Disorders: What Works? Treatment for Adolescent Substance Use Disorders: What Works? Mark W. Lipsey Emily E. Tanner-Smith Sandra J. Wilson Peabody Research Institute, Vanderbilt University Addiction Health Services Research

More information

Treatment of Methamphetamine Dependence: A brief overview

Treatment of Methamphetamine Dependence: A brief overview Treatment of Methamphetamine Dependence: A brief overview Richard A. Rawson, Ph.D Adjunct Associate Professor Semel Institute for Neuroscience and Human Behavior David Geffen School of Medicine University

More information

Overview of Colorado SBIRT

Overview of Colorado SBIRT Integrating Mental Health and Substance Use Services with HIV/AIDS Prevention Overview of Colorado SBIRT U.S. Conference on AIDS Orlando, Florida September 13, 2010 Presenter: Leigh Fischer, Program Manager

More information

Effects of Distance to Treatment and Treatment Type on Alcoholics Anonymous Attendance and Subsequent Alcohol Consumption. Presenter Disclosure

Effects of Distance to Treatment and Treatment Type on Alcoholics Anonymous Attendance and Subsequent Alcohol Consumption. Presenter Disclosure Effects of Distance to Treatment and Treatment Type on Alcoholics Anonymous Attendance and Subsequent Alcohol Consumption Jamie L. Heisey, MA Katherine J. Karriker-Jaffe, PhD Jane Witbrodt, PhD Lee Ann

More information

Brief Treatment for CT SBIRT

Brief Treatment for CT SBIRT Brief Treatment for CT SBIRT Karen Steinberg Gallucci, Ph.D. March 5, 2012 3/12/2012 1 Model Based on Clinical Trial Integrated treatment CSAT Marijuana Treatment Project (MTP) Significant results demonstrating

More information

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD Youth Residential Treatment- One Step in the Continuum of Care Dave Sprenger, MD Outline Nature of substance abuse disorders Continuum of care philosophy Need for prevention and aftercare Cost-effectiveness

More information

Motivational Interviewing 10 Things You Should Know. Jonathan Lofgren, Ph.D., LADC Faculty, MCTC

Motivational Interviewing 10 Things You Should Know. Jonathan Lofgren, Ph.D., LADC Faculty, MCTC Motivational Interviewing 10 Things You Should Know Jonathan Lofgren, Ph.D., LADC Faculty, MCTC jonathan.lofgren@minneapolis.edu Outline What is Motivational Interviewing? What is Motivational Interviewing

More information

Evidence-Based Treatments for Drug and Alcohol Problems in Ethnic Minority Populations

Evidence-Based Treatments for Drug and Alcohol Problems in Ethnic Minority Populations Evidence-Based Treatments for Drug and Alcohol Problems in Ethnic Minority Populations Stan Huey, Ph.D. Department of Psychology University of Southern California SARC Meeting September 23, 2008 Background

More information

Dual Diagnosis. Location: VA Boston Healthcare System, Brockton Campus

Dual Diagnosis. Location: VA Boston Healthcare System, Brockton Campus Track Director: Justin Enggasser, Ph.D. Psychology Service (116B) 940 Belmont Street Brockton, MA 02301 Telephone: (774) 826-1380 Email: justin.enggasser@va.gov Dual Diagnosis Location: VA Boston Healthcare

More information

Certified Addiction Professional Training

Certified Addiction Professional Training Certified Addiction Professional Training (CAS/CAC/CAP) Recovery U 2413 E Atlantic Blvd. Pompano Beach, FL 33062 (954) 946-7121 Phone (866) 552-7502 Fax www.brtaddictionservices.org FCB Provider #5124A

More information

Evidence Based Approaches to Addiction and Mental Illness Treatment for Adults

Evidence Based Approaches to Addiction and Mental Illness Treatment for Adults Evidence Based Practice Continuum Guidelines The Division of Behavioral Health strongly encourages behavioral health providers in Alaska to implement evidence based practices and effective program models.

More information

An Introduction to Motivational Interviewing

An Introduction to Motivational Interviewing AN INTRODUCTION TO MOTIVATIONAL INTERVIEWING For Non-Clinicians Kate Speck, PhD WHAT YOU WILL LEARN IN THIS SERIES This Webinar will review the basics of Motivational Interviewing and will provide an overview

More information

Evidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson

Evidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson Evidence Based Practice in the Treatment of Addiction Treatment of Addiction Steve Hanson History of Addiction Treatment Incarceration Medical Techniques Asylums What We Learned These didn t work Needed

More information

Utah Juvenile Drug Court Certification Checklist May, 2014 Draft

Utah Juvenile Drug Court Certification Checklist May, 2014 Draft Utah Juvenile Drug Court Certification Checklist May, 2014 Draft Standards followed by an R are required features of a drug court, and adherence to these standards is required for certification. Standards

More information

Substance Abuse Treatment: Group Therapy

Substance Abuse Treatment: Group Therapy Substance Abuse Treatment: Group Therapy Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Chapter 1 This natural propensity in humans makes group therapy

More information

3/28/2012. Enlisting social support

3/28/2012. Enlisting social support Behavior and contextual factors Different theoretical approaches Learning Theories Self-efficacy theory Transtheoretical Model Health Belief Model Practical applications across theories Relapse prevention

More information

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state.

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state. 1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside

More information

MobileCoach Tobacco. A text messaging based smoking cessation intervention for young people. Funded by the Swiss Tobacco Prevention Fund

MobileCoach Tobacco. A text messaging based smoking cessation intervention for young people. Funded by the Swiss Tobacco Prevention Fund MobileCoach Tobacco A text messaging based smoking cessation intervention for young people Funded by the Swiss Tobacco Prevention Fund Severin Haug, Raquel Paz, Tobias Kowatsch, Michael Schaub BACKGROUND

More information

Accelerated Students (2D) in Psychiatric Clinical Setting

Accelerated Students (2D) in Psychiatric Clinical Setting Accelerated Students (2D) in Psychiatric Clinical Setting Strengthening the self efficacy through the use of Motivational Interviewing Andrea Katz, RN, MSN, PMHCNS, BC Deborah Schiavone, RN, PhD, PMHCNS,

More information

Dual Diagnosis: Models of Care and Local Pathways AGENDA. Part one: Part two:

Dual Diagnosis: Models of Care and Local Pathways AGENDA. Part one: Part two: Slide 1 Dual Diagnosis: Models of Care and Local Pathways St. Anne s Community Services Dual Diagnosis Project Slide 2 AGENDA Part one: Models of Care. Clinical Guidelines & Evidence Base Local Care Pathways

More information

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD)

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Learning Objectives Upon completion of this module, you should be able to: Describe how

More information

Mary Alcorn: Executive Director GCDC

Mary Alcorn: Executive Director GCDC Mary Alcorn: Executive Director GCDC A TC is a structured method and environment for changing human behavior in the context of community life and responsibility. Distinctive Features of TC s TC Language

More information

Disclosure. Learning Objectives. Motivational Interviewing. Christian Hopfer, M.D. University of Colorado Health Science Center Denver, CO

Disclosure. Learning Objectives. Motivational Interviewing. Christian Hopfer, M.D. University of Colorado Health Science Center Denver, CO Motivational Interviewing Christian Hopfer, M.D. University of Colorado Health Science Center Denver, CO Based on the work by: W. R. Miller, Ph.D. S. Rollnick, Ph.D. and Colleagues Thanks also to Steve

More information

Treatment of Substance Abuse and Co-occurring Disorders in JRA s Integrated Treatment Model

Treatment of Substance Abuse and Co-occurring Disorders in JRA s Integrated Treatment Model Treatment of Substance Abuse and Co-occurring Disorders in JRA s Integrated Treatment Model Henry Schmidt III, Ph.D. Cory Redman John Bolla, MA, CDP Washington State Juvenile Rehabilitation Administration

More information

MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT

MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT June, 2014 Dean L. Babcock, LCAC, LCSW Associate Vice President Eskenazi Health Midtown Community Mental Health Centers Why is Evidence-Based

More information

MANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY

MANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY MANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY Presented by: William L. Mock, Ph.D., LISW,LICDC, SAP Professional Training Associates Inc North Ridgeville, Ohio 1 (216) 299-9506

More information

Treatment of marijuana dependence: a review of the literature

Treatment of marijuana dependence: a review of the literature Journal of Substance Abuse Treatment 24 (2003) 369 376 Review article Treatment of marijuana dependence: a review of the literature Aimee L. McRae, Pharm.D. a, *, Alan J. Budney, Ph.D. b, Kathleen T. Brady,

More information

Foundation Skills for Substance Abuse Counseling. Geoff Wilson, LCSW, CADC The Ridge Behavioral Health System

Foundation Skills for Substance Abuse Counseling. Geoff Wilson, LCSW, CADC The Ridge Behavioral Health System Foundation Skills for Substance Abuse Counseling Geoff Wilson, LCSW, CADC The Ridge Behavioral Health System The Take Home!! What do you want to leave with today? Agenda TAP 21: Addiction Counseling Competencies:

More information

Clinical Skills for Evidence-Based Substance Abuse Treatment Practices with Offenders. Treatment of Co-Occurring Disorders

Clinical Skills for Evidence-Based Substance Abuse Treatment Practices with Offenders. Treatment of Co-Occurring Disorders Clinical Skills for Evidence-Based Substance Abuse Treatment Practices with Offenders Treatment of Co-Occurring Disorders National TASC Conference, Columbus, Ohio; May 8, 2013 Roger H. Peters, Ph.D., University

More information

Treatment of Prescription Opioid Dependence

Treatment of Prescription Opioid Dependence Treatment of Prescription Opioid Dependence Roger D. Weiss, MD Chief, Division of Alcohol and Drug Abuse McLean Hospital, Belmont, MA Professor of Psychiatry, Harvard Medical School, Boston, MA Prescription

More information

Rethinking Substance Abuse Treatment: What Works and Why

Rethinking Substance Abuse Treatment: What Works and Why Rethinking Substance Abuse Treatment: What Works and Why NFL, Phoenix November 2007 Disclosure of Interest William R. Miller, Ph.D. Date of Presentation: 16 November 2007 Sources of Research Support: National

More information

These core elements are included in three increasingly detailed levels of definition:

These core elements are included in three increasingly detailed levels of definition: A Definition of Motivational Interviewing The definition of Motivational Interviewing (MI) has evolved and been refined since the original publications on its utility as an approach to behavior change.

More information

Clinical Trial of Abstinence-Based Vouchers and Cognitive Behavioral Therapy for Cannabis Dependence

Clinical Trial of Abstinence-Based Vouchers and Cognitive Behavioral Therapy for Cannabis Dependence Journal of Consulting and Clinical Psychology Copyright 2006 by the American Psychological Association 2006, Vol. 74, No. 2, 307 316 0022-006X/06/$12.00 DOI: 10.1037/0022-006X.74.2.307 Clinical Trial of

More information

INSTRUCTIONS AND PROTOCOLS FOR THE IMPLEMENTATION OF CASE MANAGEMENT SERVICES FOR INDIVIDUALS AND FAMILIES WITH SUBSTANCE USE DISORDERS

INSTRUCTIONS AND PROTOCOLS FOR THE IMPLEMENTATION OF CASE MANAGEMENT SERVICES FOR INDIVIDUALS AND FAMILIES WITH SUBSTANCE USE DISORDERS 201 Mulholland Bay City, MI 48708 P 989-497-1344 F 989-497-1348 www.riverhaven-ca.org Title: Case Management Protocol Original Date: March 30, 2009 Latest Revision Date: August 6, 2013 Approval/Release

More information

once) to develop appropriate treatment programs based on cognitive-behavioural technique or

once) to develop appropriate treatment programs based on cognitive-behavioural technique or Psychosocial treatment of cannabis disorders (draft) Thomas Lundqvist, clinical psychologist & associate professor Drug Addiction Treatment Centre, Lund University hospital, Kioskgatan 19, SE- 22185 Lund,

More information

Psychosocial interventions for the management of cannabis dependence [Updated 2015]

Psychosocial interventions for the management of cannabis dependence [Updated 2015] Psychosocial interventions for the management of cannabis dependence SCOPING QUESTION: Which psychosocial interventions are effective in the management of cannabis dependence? BACKGROUND The United Nations

More information

RELAPSE PRECIPITANTS IN OPIATE ADDICTION : ASSESSMENT IN COMMUNITY TREATMENT SETTING

RELAPSE PRECIPITANTS IN OPIATE ADDICTION : ASSESSMENT IN COMMUNITY TREATMENT SETTING Indian Journal of Psychiatry, 2000, 42 (), 25-257 RELAPSE PRECIPITANTS IN OPIATE ADDICTION : ASSESSMENT IN COMMUNITY TREATMENT SETTING HEM RAJ, R. RAY & BRAHM PRAKASH ABSTRACT Drug and alcohol dependence

More information

Alcohol intervention programs in other countries

Alcohol intervention programs in other countries Alcohol intervention programs in other countries Assist. Prof. Dr. Suttiporn Janenawasin Siriraj Hosp. Mahidol Univ. A Major Task for Drug Treatment is Changing Brains Back! The Most Effective Treatment

More information