Towards Developing a Manual for Residential Treatment Centers to Support Individuals with an FASD and Their Families
|
|
- Nickolas Allison
- 8 years ago
- Views:
Transcription
1 Towards Developing a Manual for Residential Treatment Centers to Support Individuals with an FASD and Their Families Presented By Dr. Pamela Gillen University of Colorado Anschutz Medical Campus and Dan Dubovsky MSW, FASD Specialist
2 Learning Objectives: By the end of this session, participants will be able to: Examine the importance of effective residential treatment in the continuum of services for individuals with an FASD; Discuss why typical programming in residential treatment is not often effective for individuals with an FASD; Describe modifications to treatment approaches that can improve outcomes for individuals in treatment, their families, and the agencies that provide services for them.
3 Why Residential Treatment Different people need different levels of support People need different levels of support at different times in their lives It is important to have a continuum of care options
4 Why Residential Treatment This continuum needs to range from non-intrusive community based informal supports through to hospitalization It is important to determine the least restrictive setting that is the most helpful for an individual at a specific time
5 The Importance of Residential Settings They can provide Safety Support Consistency A controlled setting Help with peers Respite for the family Support for the family in how best to help the individual
6 Learning Objectives: Examine the importance of effective residential treatment in the continuum of services for individuals with an FASD; Discuss why typical programming in residential treatment is not often effective for individuals with an FASD; Describe modifications to treatment approaches that can improve outcomes for individuals in treatment, their families, and the agencies that provide services for them.
7 Why May Residential Care Be Ineffective for Individuals with an FASD? Many residential programs operate on a system where everyone follows the same reward and consequence system How to earn points, stars, levels, etc. When points, stars, or levels are reviewed What happens when points or levels are earned What happens when points or levels are not earned
8 Why May Residential Care Be Ineffective for Individuals with an FASD? Many residential programs operate on a system where everyone follows the same process Treatment is based on the concept that people need to take responsibility for their actions and learn by experiencing the consequences of their actions It is easier to treat everyone the same way Fair and equal are seen as interchangeable terms Individuals are seen as unmotivated or noncompliant if they do not follow the protocols They do not take into account the brain damage in FASD
9 Co-Occurrence in Individuals with an FASD FASD occurs in any community where women drink Many pregnancies are unplanned Many women do not know when they first become pregnant Alcohol is part of the social structure for many We are aware of multigenerational alcohol use in some families For women with mental illness, one of the reasons for substance use is self-medication
10 Co-Occurrence in Individuals with an FASD For women with mental illness, one of the reasons for substance use is self-medication A number of mental illnesses have a genetic component The genetic vulnerability is passed to the next generation Research has shown that the number of stressors and the ability to cope with stress increase the risk of underlying vulnerabilities to develop into full blown disorders The child is at higher risk of developing the mental illness while we miss the co-occurring FASD
11 The Importance of Recognizing All Co-Occurring Issues We need to expand our thinking beyond co-occurring disorders to co-occurring issues Optimal outcomes in the treatment of cooccurring issues only occur when all are accurately diagnosed and treated simultaneously If one, or more, co-occurring issues is not recognized, outcomes will be sub-optimal If issues are misdiagnosed or not recognized, approaches will likely not be optimally effective
12 Risks of Not Accurately Recognizing an FASD Inaccurate diagnosis Mislabeling Inappropriate treatment Unemployment Psychiatric hospitalization Loss of family Homelessness Jail Death Suicide, accident, murder, untreated physical illness
13 D Dubovsky 2010 Substance Use Disorder FASD Mental Health Disorder
14 Substance Use Disorder Homeless Mental Health Disorder FASD D Dubovsky 2010
15 Likely Co-occurring DSM Disorders With FASD Attention-Deficit/Hyperactivity Disorder Schizophrenia Depression Bipolar disorder Substance use disorders
16 Likely Co-occurring DSM Disorders With FASD Sensory integration disorder Reactive Attachment Disorder Separation Anxiety Disorder Posttraumatic Stress Disorder Traumatic Brain Injury Risk for Borderline Personality Disorder Medical disorders (e.g., seizure disorder, heart abnormalities)
17 Possible Misdiagnoses for Individuals With an FASD ADHD Oppositional Defiant Disorder Conduct Disorder
18 Comparing FASD, ADHD and ODD (D Dubovsky 2002) Behavior Underlying cause for the behavior FASD ADHD ODD Does not complete tasks May or may not take in the information Cannot recall the information when needed Cannot remember what to do Takes in the information Can recall the information when needed Gets distracted Takes in the information Can recall the information when needed Chooses not to do what they are told Interventions for the behavior Provide one direction at a time Limit stimuli and provide cues Provide positive sense of control, limits, and consequences
19 Possible Misdiagnoses for Individuals With an FASD Adolescent depression Bipolar disorder Intermittent Explosive Disorder Autism Asperger s Syndrome Reactive Attachment Disorder Traumatic Brain Injury Antisocial Personality Disorder Borderline Personality Disorder
20 Comparing FASD, Adolescent Depression and Adolescent Bipolar Disorder D Dubovsky 2006 FASD Acting out, antisocial behavior Misreading social cues; modeling others; issues communicating thoughts and feelings Provide a mentor to model positive behaviors; utilize a lot of role playing; Adolescent Depression Acting out, antisocial behavior Depression Psychotherapy to address issues; protect from harm; medication (antidepressant) with careful monitoring Adolescent Bipolar Disorder Acting out, antisocial behavior Mania or hypomania Psychotherapy to address issues; protect from harm; medication (mood stabilizer)
21 Challenges for Professionals in Recognizing FASD Recognizing an FASD challenges the basic tenets of treatment and interactions with people Most professionals have been taught that people need to take responsibility for their actions and learn by experiencing the consequences of their actions People are in control of their behavior If a person says that she or he knows what to do and then does not do it, it is because she or he does not want to do it Enabling and fostering dependency are to be avoided in treatment A person has to learn to do things on her or his own because that s the real world
22 Challenges for Professionals in Recognizing FASD Because of the brain processing issues in FASD, these individuals do not tend to learn by experiencing the consequences of their actions Natural consequences are often ineffective and may put the person at risk of being homeless, in jail, or dead In order to improve outcomes for this population, the concepts of dependency and enabling as negative terms need to be rethought Getting someone to their appointment or filling out forms with them may improve their outcomes
23 Challenges for Professionals in Recognizing FASD Some staff in treatment settings are reluctant to talk with women about FASD as they are concerned about possible relapse How the information is presented and the support that is provided is essential In addressing FASD with women in treatment, we need to address issues of possible guilt and support the recognition that no one drinks during pregnancy to harm her child and that recognizing a possible FASD in oneself or one s child can improve outcomes as we can then focus on what the family needs for the best outcomes
24 How Do People Fail in Treatment? Don t follow through on treatment plans Don t take their medication as prescribed Don t follow-up on next steps Don t make required calls Don t set up appointments Don t get to their appointments Don t check in with their probation officer Don t go to meetings Don t stay sober Get in trouble with the law Their parents don t follow through on plans
25 Why Do People Fail in Treatment? Cannot keep track of 4 plans, each with 4 goals and 5 steps per goal Can t process more than one direction (or one step) at a time Cannot remember what they were supposed to do (whether it s a week, a day, or an hour after being told) Are not comfortable with making calls, etc.
26 Why Do People Fail in Treatment? Say that they know what they need to do and we take that at face value Go along with the crowd Take directions very literally Don t ask questions Don t want anyone to think there is anything wrong with them Feel overwhelmed with what they are expected to do Can t decide what the first step is
27 Why Do People Fail in Treatment? Do not follow the program Don t feel like it Feel others are trying to control them Don t have the support to do so Doesn t meet their needs Might have issues that interfere with their ability to follow through Might be misdiagnosed or have unrecognized co-occurring disorders
28 Issues That Might Interfere With the Ability to Succeed in Treatment Memory problems Language processing problems Especially verbal Problems with attention Self esteem issues
29 Issues That Might Interfere With the Ability to Succeed in Treatment Desire to belong Desire to fit in Inability to process multiple directions Literal thinking Doing exactly what they are told Difficulty with the sense of time
30 Learning Objectives: Examine the importance of effective residential treatment in the continuum of services for individuals with an FASD; Discuss why typical programming in residential treatment is not often effective for individuals with an FASD; Describe modifications to treatment approaches that can improve outcomes for individuals in treatment, their families, and the agencies that provide services for them.
31 Strategies for Modifying Residential Approaches Simplify rules and manuals for residents E.g., use photos and checklists Provide one direction or rule at a time Provide one to one support Connect the person with a positive mentor Model behaviors Model the range of affect Utilize a positive reinforcement system rather than a reward and consequence system
32 Strategies for Modifying Residential Approaches Do not use visits as a reward for good behavior Utilizing approaches that use more senses Role playing Use a lot of consistency and repetition Evaluate the use and effectiveness of medication Create chill out spaces Time ins rather than time outs Work with kin and significant others
33 Strategies for Modifying Residential Approaches Use supportive psychotherapy Develop adaptations that address: Fatigue Stress Slow processing Difficulty with verbal receptive language processing Difficulty with social communication
34 Why a Manual for Residential Treatment for Those with an FASD Manuals that have been developed for residential programs do not take into account the brain functioning in individuals with an FASD Residential programs often treat everyone the same How to earn points, stars, stickers, or levels What those points, stars, stickers, or levels mean
35 Why a Manual for Residential Treatment for Those with an FASD Approaches are based on the concept that people need to take responsibility for their actions and learn by experiencing the consequences of their actions This does not work for most people with an FASD Many manuals developed for residential programs are used as cookbooks to work with individuals
36 Why a Manual for Residential Treatment for Those with an FASD FASD is a spectrum of disorders with a variety of strengths and difficulties and how those are manifested A manual for individuals with an FASD has to be flexible in how interventions are provided and how behaviors are responded to
37 What a Manual for Residential Treatment for Those with an FASD Would Include Utilizing a true strengths based approach Strengths and abilities of individuals with an FASD Background information on FASD An understanding of the brain basis of FASD
38 What a Manual for Residential Treatment for Those with an FASD Would Include Information on how the brain damage in FASD impacts behaviors typically seen e.g., Working memory Stress and anxiety response Literal thinking Verbal receptive language processing difficulties Difficulty reading social cues Risk of abuse and trauma
39 What a Manual for Residential Treatment for Those with an FASD Would Include Discussion of misdiagnosis and cooccurrence in FASD Why an FASD as a co-occurring issue needs to be different than other co-occurring issues The notion that a manual cannot be used like a cookbook How to approach rules and regulations for a person with a possible FASD
40 What a Manual for Residential Treatment for Those with an FASD Would Include A process for developing an appropriate approach for an individual with an FASD Viewing each person as a true individual Asking what is causing this behavior as an essential initial step Asking what age behavior does this feel like? Developing a process for prioritizing interventions
41 What a Manual for Residential Treatment for Those with an FASD Would Include The recognition that improving outcomes for a person with an FASD improves outcomes for families, agencies, and systems How to identify a person with a possible FASD Modifying approaches can occur prior to diagnosis The need for a paradigm shift
42 Paradigm Shift We must move from viewing the individual as failing if s/he does not do well in a program to viewing the program as not providing what the individual needs in order to succeed. Dubovsky, 2000
How to Recognize Depression and Its Related Mood and Emotional Disorders
How to Recognize Depression and Its Related Mood and Emotional Disorders Dr. David H. Brendel Depression s Devastating Toll on the Individual Reduces or eliminates pleasure and jo Compromises and destroys
More informationBipolar Disorder. When people with bipolar disorder feel very happy and "up," they are also much more active than usual. This is called mania.
Bipolar Disorder Introduction Bipolar disorder is a serious mental disorder. People who have bipolar disorder feel very happy and energized some days, and very sad and depressed on other days. Abnormal
More informationTraumatic Stress. and Substance Use Problems
Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people
More informationCo-Occurring Disorders: A Basic Overview
Co-Occurring Disorders: A Basic Overview What is meant by Co-Occurring Disorders (COD)? Co-Occurring Disorders (COD) refers to two diagnosable problems that are inter-related and occur simultaneously in
More informationIdentifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC
Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders Presented by: Carrie Terrill, LCDC Overview What is Dual Diagnosis? How Common is Dual Diagnosis? What are Substance Use
More informationDepression Assessment & Treatment
Depressive Symptoms? Administer depression screening tool: PSC Depression Assessment & Treatment Yes Positive screen Safety Screen (see Appendix): Administer every visit Neglect/Abuse? Thoughts of hurting
More informationWelcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders
Welcome New Employees Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders After this presentation, you will be able to: Understand the term Serious
More informationSchizoaffective Disorder
FACT SHEET 10 What Is? Schizoaffective disorder is a psychiatric disorder that affects about 0.5 percent of the population (one person in every two hundred). Similar to schizophrenia, this disorder is
More informationConduct Disorder: Treatment Recommendations. For Vermont Youth. From the. State Interagency Team
Conduct Disorder: Treatment Recommendations For Vermont Youth From the State Interagency Team By Bill McMains, Medical Director, Vermont DDMHS Alice Maynard, Mental Health Quality Management Chief, Vermont
More informationBipolar Disorder. in Children and Teens. Does your child go through intense mood changes? Does your child have
Bipolar Disorder in Children and Teens Does your child go through intense mood changes? Does your child have extreme behavior changes too? Does your child get too excited or silly sometimes? Do you notice
More informationConceptual Models of Substance Use
Conceptual Models of Substance Use Different causal factors emphasized Different interventions based on conceptual models 1 Developing a Conceptual Model What is the nature of the disorder? Why causes
More informationFACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder?
FACT SHEET 4 What Is? Bipolar disorder, also known as manic depression, affects about 1 percent of the general population. Bipolar disorder is a psychiatric disorder that causes extreme mood swings that
More informationopiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380
opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100
More informationBipolar Disorder. Some people with these symptoms have bipolar disorder, a serious mental illness. Read this brochure to find out more.
Bipolar Disorder Do you go through intense moods? Do you feel very happy and energized some days, and very sad and depressed on other days? Do these moods last for a week or more? Do your mood changes
More informationFASD in Context: Substance Abuse Treatment. Minnesota Organization on Fetal Alcohol Syndrome (MOFAS) Fetal Alcohol Spectrum Disorders (FASD)
Minnesota Organization on Fetal Alcohol (MOFAS) Our mission is to eliminate disability caused by alcohol consumption during pregnancy and to improve the quality of life for those living with Fetal Alcohol
More informationADHD. & Coexisting Disorders in Children
ADHD & Coexisting Disorders in Children ADHD AND CHILDREN Attention-deficit/hyperactivity disorder (ADHD) is a recognized medical condition that often requires medical intervention. Establishing a diagnosis
More informationAntisocial personality disorder
Page 1 of 7 Diseases and Conditions Antisocial personality disorder By Mayo Clinic Staff Antisocial personality disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving
More informationPresently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1
What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated
More informationFeeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999
Feeling Moody? Is it just a bad mood or is it a disorder? Major Depressive Disorder Prevalence: 7%; 18-29 years old; Female>Male DDx: Manic episodes with irritable mood or mixed episodes, mood disorder
More informationCo-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 informationTable of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression
Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 16,000 topics and the volumes in which they are covered. Preface...xv
More informationAnti-Social Personality Disorder
Anti-Social Personality Disorder Definition Anti-Social Personality Disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving situations and relating to others are
More informationTaking Care of Yourself and Your Family After Self-Harm or Suicidal Thoughts A Family Guide
It is devastating to have a suicidal family member and to live with the feelings that go with this kind of traumatic anxiety. That is why this guide is developed for you. It will give you some important
More informationDepression and Mental Health:
Depression and Mental Health: A Psychiatrist s Perspective Peter M. Lake, MD Medical Director Rogers Memorial Hospital Oconomowoc Depression The Intersection of Hope, Medicine and Research Marquette University
More informationMental Health 101 for Criminal Justice Professionals David A. D Amora, M.S.
Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S. Director, National Initiatives, Council of State Governments Justice Center Today s Presentation The Behavioral Health System
More informationUNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015
UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING
More informationIntensive Residential Treatment Services -IRTS. Program Description
Intensive Residential Treatment Services -IRTS Program Description A highly structured non-hospital based treatment setting that brings comprehensive and specialized diagnostic and treatment services to
More informationMinnesota Organization on Fetal Alcohol Syndrome
Minnesota Organization on Fetal Alcohol Understanding Fetal Alcohol Spectrum Disorders in the Treatment Setting Sierra Asamoa-Tutu Program Coordinator and Trainer sierra@mofas.org MINNESOTA ORGANIZATION
More informationDepression is a medical illness that causes a persistent feeling of sadness and loss of interest. Depression can cause physical symptoms, too.
The Family Library DEPRESSION What is depression? Depression is a medical illness that causes a persistent feeling of sadness and loss of interest. Depression can cause physical symptoms, too. Also called
More informationADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015
The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least
More informationMCPS Special Education Parent Summit
MCPS Special Education Parent Summit May 17, 2014 Rockville High School 2100 Baltimore Road Rockville, MD 20851 When ADHD Is Not ADHD: ADHD Look-Alikes and Co-occurring Disorders David W. Holdefer MCPS
More informationAddiction takes a toll not only on the
FAMILY PROGRAM Addiction takes a toll not only on the individual, but on the family, as well. When using, addicts are selfish and selfcentered; their wants and needs are placed ahead of the ones they love.
More information2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member
Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance
More informationTHERASCRIBE INFORMATION
THERASCRIBE INFORMATION TheraScribe is a professional counseling software program, designed by therapists to assist in the dayto-day recordkeeping and paperwork necessary to operate a private practice,
More informationPennsylvania Dual Diagnosis Direct Support Curriculum Training Summaries
Pennsylvania Dual Diagnosis Direct Support Curriculum Training Summaries The PA Dual Diagnosis Direct Support Curriculum Initiative The commonwealth of Pennsylvania, Office of Mental Health and Substance
More informationSOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working
More informationAddiction: Disease or Choice?
Addiction: Disease or Choice? Presented by Michael Coughlin RN October 18, 2012 Introduced by Melanie Willows B.Sc. M.D. C.C.F.P. C.A.S.A.M. C.C.S.A.M. Assistant Professor University Of Ottawa Clinical
More informationUnderstanding. Depression. The Road to Feeling Better Helping Yourself. Your Treatment Options A Note for Family Members
TM Understanding Depression The Road to Feeling Better Helping Yourself Your Treatment Options A Note for Family Members Understanding Depression Depression is a biological illness. It affects more than
More informationUCLA-NPI/VA PG-2 Child & Adolescent Psychiatry Course 2004-5. Week 3:Attention Deficit Hyperactivity Disorder
UCLA-NPI/VA PG-2 Child & Adolescent Psychiatry Course 2004-5 Week 3:Attention Deficit Hyperactivity Disorder ADHD:Epidemiology Point Prevalence 2-18% M:F>= 2:1 ADHD Symptoms Cognitive (attention) Impulsivity
More informationMartha Brewer, MS, LPC,LADC. Substance Abuse and Treatment
Martha Brewer, MS, LPC,LADC Substance Abuse and Treatment What is a substance use disorder? Long-term and chronic illness Can affect anyone: rich or poor, male or female, employed or unemployed, young
More informationDepression Signs & Symptoms
Depression Signs & Symptoms Contents What Is Depression? What Are The Signs And Symptoms Of Depression? How Do The Signs And Symptoms Of Depression Differ In Different Groups? What Are The Different Types
More informationADULT CASE MANAGEMENT EXAM
UTAH DEPARTMENT OF HUMAN SERVICES DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH ADULT CASE MANAGEMENT EXAM Name Examiner s Name Examiner s Signature Date Score This exam is designed to test your knowledge
More informationUnit 4: Personality, Psychological Disorders, and Treatment
Unit 4: Personality, Psychological Disorders, and Treatment Learning Objective 1 (pp. 131-132): Personality, The Trait Approach 1. How do psychologists generally view personality? 2. What is the focus
More informationA Review of the Beacon Health Options Clinical Case Management
Clinical 3.50 CASE MANAGEMENT 3.504 Intensive Case Management (Child/Adolescent) Description of Services: Intensive Case Management provides for a single point of coordination/accountability in managing
More informationCo-Occurring Disorders
Presented by Pamela Messore LICSW, LCDP Co-Occurring Disorder - formerly Dual Diagnosis - was once a challenge to providers. Historically, clients were treated in separate modalities - even separate agencies.
More informationIf you re with child, be without alcohol. No amount of alcohol is safe to drink during pregnancy.
Alcohol & Pregnancy If you re with child, be without alcohol. No amount of alcohol is safe to drink during pregnancy. www.withchildwithoutalcohol.com 3 Introduction Many things we hear about pregnancy
More informationAmicus Trust have been providing support to vulnerable people for over 40 years
Training Brochure Introduction Amicus Trust have been providing support to vulnerable people for over 40 years We are now sharing our knowledge and skills to others by offering training The training is
More informationBIPOLAR DISORDER IN PRIMARY CARE
E-Resource January, 2014 BIPOLAR DISORDER IN PRIMARY CARE Mood Disorder Questionnaire Common Comorbidities Evaluation of Patients with BPD Management of BPD in Primary Care Patient resource Patients with
More informationCo-Occurring Disorders
Co-Occurring Disorders PACCT 2011 CAROLYN FRANZEN Learning Objectives List common examples of mental health problems associated with substance abuse disorders Describe risk factors that contribute to the
More informationKeynote Session 1 Navigating Teenage Depression Prof. Gordon Parker
Keynote Session 1 Navigating Teenage Depression Prof. Gordon Parker Professor Gordon Parker is a leading international expert on depression and mood disorders. He is Scientia Professor of Psychiatry at
More informationBipolar Disorder UHN. Information for patients and families. Read this booklet to learn:
Bipolar Disorder UHN Information for patients and families Read this booklet to learn: what bipolar disorder is what causes it the signs or symptoms of bipolar disorder what treatments can help Please
More informationFrequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations
Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations From The National Institute on Drug Abuse (NIDA) 2. Why should drug abuse treatment be provided to offenders?
More informationThe Maryland Public Behavioral Health System
The Maryland Public Behavioral Health System Arleen Rogan, Ph.D. Division Director, Integrated Health Services Family Services, Inc. Arleen.rogan@fs-inc.org Behavioral Health includes: Mental health conditions
More informationOVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy
OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY 1 Overview of Cognitive Behavioral Therapy TABLE OF CONTENTS Introduction 3 What is Cognitive-Behavioral Therapy? 4 CBT is an Effective Therapy 7 Addictions Treated
More informationWhat You Need to Know About Behavioral Health Care Services
Member Messenger 2016 This Issue: Page 1-2 Annual Behavior Health Quality Management Guide Page 3 Member Satisfaction Survey Page 4 Achieve Solutions Self Help Screening Tools Available Page 5-6 Behavioral
More informationPlanning Services for Persons with Developmental Disabilities and Mental Health Diagnoses
Planning Services for Persons with Developmental Disabilities and Mental Health Diagnoses Persons with Intellectual Disabilities (ID) have mental disorders three to four times more frequently than do persons
More informationPostpartum Depression and Post-Traumatic Stress Disorder
Postpartum Depression and Post-Traumatic Stress Disorder Emotional Recovery: Postpartum Depression and Post-Traumatic Stress Disorder By: Lisa Houchins Published: July 23, 2013 Emotions vary widely after
More informationCures for Everything. a discovery to cure borderline personality disorder. As the years have progressed scientists have
Student 4M 1 Student 4M ENGL 1007.001 Mr. McCarty February 12, 2014 Cures for Everything With all the new technology that we have come across in these past years has there been a discovery to cure borderline
More informationA Depression Education Toolkit
A Depression Education Toolkit Facts about Depression in Older Adults What is Depression? Depression is a medical illness. When sadness persists or interferes with everyday life, it may be depression.
More informationSymptoms of mania can include: 3
Bipolar Disorder This factsheet gives information on bipolar disorder. It explains the symptoms of bipolar disorder, treatments and ways to manage symptoms. It also covers what treatment the National Institute
More informationClinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder
Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder AACAP Official Action: OUTLINE OF PRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN, ADOLESCENTS, AND ADULTS WITH ADHD
More informationPARTNERS IN PEDIATRIC CARE. Intake and History for Mental Health Referral
PARTNERS IN PEDIATRIC CARE Intake and History for Mental Health Referral This form is designed to give you an opportunity to provide us with background information that will help us help you. Please read
More informationLink Between ADHD and Addiction
Link Between ADHD and Addiction People with ADHD commonly attempt to soothe their restless brains and bodies with addictive substances such as alcohol, marijuana, heroin, prescription tranquilizers and
More informationSeniors and. Depression. What You Need to Know. Behavioral Healthcare Options, Inc.
Seniors and Depression What You Need to Know Behavioral Healthcare Options, Inc. Depression More Than Just The Blues ou may not know exactly what is wrong with you, but you do know that you just don t
More informationFlorida Medicaid: Mental Health and Substance Abuse Services
Florida Medicaid: Mental Health and Substance Abuse Services Beth Kidder Assistant Deputy Secretary for Medicaid Operations Agency for Health Care Administration House Children, Families, and Seniors Subcommittee
More informationWashington State Regional Support Network (RSN)
Access to Care Standards 11/25/03 Eligibility Requirements for Authorization of Services for Medicaid Adults & Medicaid Older Adults Please note: The following standards reflect the most restrictive authorization
More informationinformation for service providers Schizophrenia & Substance Use
information for service providers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 2 3 5 6 7 8 9 How prevalent are substance use disorders among people with schizophrenia? How prevalent
More informationFetal Alcohol Spectrum Disorders 5-Minute Presentation for Classroom or Public Meeting or Committee Presentation
The following notes can be printed and cut out to be used to guide your 5-minute speech. Fetal Alcohol Spectrum Disorders 5-Minute Presentation for Classroom or Public Meeting or Committee Presentation
More informationTopics In Addictions and Mental Health: Concurrent disorders and Community resources. Laurence Bosley, MD, FRCPC
Topics In Addictions and Mental Health: Concurrent disorders and Community resources Laurence Bosley, MD, FRCPC Overview Understanding concurrent disorders. Developing approaches to treatment Definitions
More informationYour Mental Health. Getting the Help You Need. Behavioral Healthcare Options, Inc.
Your Mental Health Getting the Help You Need Behavioral Healthcare Options, Inc. Need someone to talk to? Not sure where to find support? We can help! D id you know most mental health conditions today
More informationElectroconvulsive Therapy - ECT
Electroconvulsive Therapy - ECT Introduction Electroconvulsive therapy, or ECT, is a safe and effective treatment that may reduce symptoms related to depression or mental illness. During ECT, certain parts
More informationDSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D.
DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D. GOALS Learn DSM 5 criteria for DMDD Understand the theoretical background of DMDD Discuss background, pathophysiology and treatment
More informationdiscussing Alcohol Use in Pregnancy
Sensitivity, Screening, and Support: To make the most of this audiocast: o o o Review pages 1-4 before the conference begins. These handouts are designed to help you prepare to participate. Schedule some
More informationDual Diagnosis Treatment Team (DDT T)
Dual Diagnosis Treatment Team (DDT T) Objectives To gain an overall understanding of the structure of the DDTT To understand the dynamics of this team s approach To understand the effectiveness of this
More informationCommunity, Schools, Cyberspace and Peers. Community Mental Health Centers (Managing Risks and Challenges) (Initial Identification)
Community Mental Health Centers (Managing Risks and Challenges) Inpatient Hospitalization (New Hampshire Hospital) (Assessment, Treatment Planning/Discharge) Community, Schools, Cyberspace and Peers (Initial
More informationPutting the smiles back. When Something s Wr ng o. Ideas for Families
Putting the smiles back When Something s Wr ng o Ideas for Families Borderline Personality Disorder (BPD) Disorder is characterized by an overall pattern of instability in interpersonal relationships and
More informationFamily Violence. Understanding the Issue. Equay-wuk (Women s Group) 16 Fourth Avenue P.O. Box 1781 Sioux Lookout ON P8T 1C4
Equay-wuk (Women s Group) Family Violence Understanding the Issue 16 Fourth Avenue P.O. Box 1781 Sioux Lookout ON P8T 1C4 Phone: (807) 737-2214 Toll Free: 1-800-261-8294 Fax: (807) 737-2699 E-Mail: equaywuk@bellnet.ca
More informationMember Messenger NORTH CAROLINA SERVICE CENTER COMMERCIAL DIVISION ANNUAL BEHAVIORAL HEALTH QUALITY MANAGEMENT GUIDE
Member Messenger NORTH CAROLINA SERVICE CENTER COMMERCIAL DIVISION ANNUAL BEHAVIORAL HEALTH QUALITY MANAGEMENT GUIDE Quality Program Structure, Operations and Initiatives ValueOptions is always working
More informationIrritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children
Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children Ellen Leibenluft, M.D. Chief, Section on Bipolar Spectrum Disorders National Institute
More informationBilly. Austin 8/27/2013. ADHD & Bipolar Disorder: Differentiating the Behavioral Presentation in Children
ADHD & Bipolar Disorder: Differentiating the Behavioral Presentation in Children Judy Goodwin, MSN, CNS Meadows Psychiatric Associates Billy Austin 1 Introduction Distinguishing between ADHD and Bipolar
More informationWORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL
WORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL General Guidelines for Treatment of Compensable Injuries Patient must have a diagnosed mental illness as defined by DSM-5
More informationMinnesota 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 informationCaring for depression
Caring for depression Aetna Health Connections SM Disease Management Program Get information. Get help. Get better. 21.05.300.1 B (6/08) Get back to being you How this guide can help you Having an ongoing
More informationBorderline personality disorder
Understanding NICE guidance Information for people who use NHS services Borderline personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases
More informationPOST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm
E-Resource March, 2014 POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm Post-traumatic Stress Disorder
More informationDr. Varunee Mekareeya, M.D., FRCPsychT. Attention deficit hyperactivity disorder
Attention deficit hyperactivity disorder Dr. Varunee Mekareeya, M.D., FRCPsychT Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood. At least half
More informationNon-epileptic seizures
Non-epileptic seizures a short guide for patients and families Information for patients Department of Neurology Royal Hallamshire Hospital What are non-epileptic seizures? In a seizure people lose control
More informationA Guide for Enabling Scouts with Cognitive Impairments
A Guide for Enabling Scouts with Cognitive Impairments What cognitive impairments are discussed in this manual? Autism Spectrum Disorder Attention Deficit Hyper Activity Disorder Depression Down Syndrome
More informationSchool Refusal Behavior: Children Who Can't or Won't Go To School
Questions from chapter 1 School Refusal Behavior: Children Who Can't or Won't Go To School 1) A child-motivated absence is referred to by all the following EXCEPT a) Truancy b) School withdrawal c) School
More informationDefinition of Terms. nn Mental Illness Facts and Statistics
nn Mental Illness Facts and Statistics This section contains a brief overview of facts and statistics about mental illness in Australia as well as information that may be useful in countering common myths.
More informationInterview for Adult ADHD (Parent or Adult Questionnaire)
Interview for Adult ADHD (Parent or Adult Questionnaire) (client s name here) is undergoing evaluation for Attention Deficit Hyperactivity Disorder (ADHD). You have been identified as someone who could
More informationChapter 18 Behavioral Health Services
18 Behavioral Health Services INTRODUCTION The State of Arizona has contracted the administration of the AHCCCS mental health and substance abuse services program to the Arizona Department of Health Services
More informationCottonwood. Treatment Center. Changing lives one individual at a time. Cottonwood Treatment Center
Cottonwood Cottonwood Changing lives one individual at a time. abou ttonwood reatment Center t cottonwood treatment center Cottonwood (CTC) is a secure psychiatric residential treatment facility with 82
More informationSpecial Education Coding Criteria 2014/2015. ECS to Grade 12 Mild/Moderate Gifted and Talented Severe
Special Education Coding Criteria 2014/2015 Mild/Moderate Gifted and Talented Severe Special Education Coding Criteria 2014/2015 ISBN 978-1-4601-1902-0 (Print) ISBN 978-1-4601-1903-7 (PDF) ISSN 1911-4311
More informationBrief Review of Common Mental Illnesses and Treatment
Brief Review of Common Mental Illnesses and Treatment Presentations to the Joint Subcommittee to Study Mental Health Services in the 21st Century September 9, 2014 Jack Barber, M.D. Medical Director Virginia
More informationPreferred Practice Guidelines Bipolar Disorder in Children and Adolescents
These Guidelines are based in part on the following: American Academy of Child and Adolescent Psychiatry s Practice Parameter for the Assessment and Treatment of Children and Adolescents With Bipolar Disorder,
More informationThe Forgotten Worker: Veteran
The Forgotten Worker: Veteran Larry Ashley & Meghan Pierce University of Nevada, Las Vegas Veteran Workforce Statistics The unemployment rate of veterans from all eras is 8.7% (Bureau of Labor Statistics,
More informationButte County Behavioral Health. Anne Robin, MFT Director
Butte County Behavioral Health Anne Robin, MFT Director Behavioral Health 101 Provides and monitors services Countywide Mental health and substance abuse disorder prevention, treatment, and rehabilitation
More informationParent s Guide to Choosing a Teen Treatment Center. Questions parents should think about before selecting a teen rehab
Parent s Parent s Guide to Guide Choosing to Choosing a Teen a Teen Questions parents should think about before selecting a teen rehab Parent s Parent s Guide to Guide Choosing to Choosing a Teen a Teen
More informationCIGNA MEDICAL NECESSITY CRITERIA
CIGNA MEDICAL NECESSITY CRITERIA for Treatment of Behavioral Health and Substance Use Disorders 839233 a 11/12 Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance
More information