1 Cultural Identities and Inpatient and Outpatient Rehabilitation in Recovery Prepared for the Public Sector Conference, June 6, 2008 Rosalie A. Torres Stone Assistant Professor Center for Mental Health Services Research Department of Psychiatry/UMass Medical School Contact information:
2 Disclosures I have no actual or potential conflict of interest in relation to this program/presentation.
3 Cultural Identities and Inpatient and Outpatient Rehabilitation in Recovery The goals of this presentation are to: 1) understand the importance of cultural competency and recovery in mental health services; 2) understand the elements involved in developing cultural competent recoveryoriented mental health services; 3) understand the challenges posed in implementing culturallycompetent recovery-oriented mental health services; 4) learn how you and/or your workplace organization can model cultural competency and recovery
4 Background: Cultural Identities and Mental Health The importance of understanding cultural identities for mental health recovery is in part attributable to reports such as the Mental Health: Culture, Race, and Ethnicity: Supplement to Mental Health: A Report of the Surgeon General and The President s New Freedom Commission on Mental Health. In general, the reports identified disparities in access and quality of care experienced by minorities including poor access, early drop out, high rates of patient absenteeism, systematic misdiagnosis, adherence problems, lower satisfaction with the level of care received, and a shortfall of minorities in federally sponsored clinical interventions.
5 Recovery The President s New Freedom Commission Report (Interim Report) concluded that the system is not oriented to the single most important goal of the people it serves the hope of recovery. State-of-the-art treatments, based on decades of research, are not being transferred from research to community settings. In many communities, access to quality care is poor, resulting in wasted resources and lost opportunities for recovery. More individuals could recover from even the most serious mental illnesses if they had access in their communities to treatment and supports that are tailored to their needs.
6 Recovery One recommendation for transforming care was to improve access to high-quality care that is culturally competent. Not only improving access but also improving clinical quality and ensuring cultural competence the ability of treatment and support programs to meet people on their own terms and in ways that are culturally familiar.
7 Mental Health: Culture, Race, and Ethnicity: Supplement to Mental Health: A Report of the Surgeon General SAMHSA and CMHS envision a Nation where all persons, regardless of their culture, race, or ethnicity, enjoy the benefits of effective mental health preventive and treatment services. To achieve this goal, cultural and historical context must be accounted for in designing, adapting, and implementing services and service delivery systems. Communities must ensure that prevention and treatment services are relevant, attractive, and effective for minority populations. As the field learns more about the meaning and effect of cultural competence, we will enrich our commitment to the delivery of evidence-based treatment, tailored to the cultural needs of consumers and families.
8 The President s New Freedom Commission on Recovery We envision a future when everyone with a mental illness will recover, a future when mental illnesses can be prevented or cured, a future when mental illnesses are detected early, and a future when everyone with a mental illness at any stage of life has access to effective treatment and supports essentials for living, working, learning, and participating fully in the community.
9 Recovery (see quote) The recovery model emphasizes the fact that individuals diagnosed with a psychiatric disorder are capable of being productive members of society and restoring self-esteem is an essential part of recovery (Fisher & Ahern, 1999; Provencher, Gregg, Mead & Mueser, 2002; Deegan, 2003). The focus on restoring self-esteem and attaining a meaningful role in society is of particular importance in working with diverse populations. Many people are isolated and disenfranchised due to cultural and linguistic barriers, biases and prejudices that bar them from participating fully in society. In this case, fully refers to being able to participate as one is, not as society prescribes.
10 Cultural Identities and Recovery Recovery for diverse populations with mental health problems includes communities of color, those with limited English proficiency and individuals who are lesbian, gay, bisexual or transgender (LGBT) Recovery must involve the whole person and includes emotional, physical, mental and spiritual needs of the person while simultaneously helping an individual reclaim one s culture and community as part of feeling whole again. Recovery may involve traditional healers. Must heal the wounds brought on by discrimination Localized cultural politics Cultural politics of engagement
11 Cultural Identities and Recovery The process of healing and recovery must take into consideration the critical role of culture, language and look at the individual within the context of an environment influenced by racism, sexism, colonization, homophobia, and poverty as well as stigma and shame associated with the mental illness. For people of color and those in the gay, lesbian, bisexual or transgender communities, recovery must also include the notion of healing and address the issue of trauma. Trauma can occur for any number of reasons (e.g., stigma of mental illness, war, illness, natural disaster, or being physically or psychologically abused). Individuals from diverse populations may also experience the added trauma of discrimination brought on because of their ethnicity, sexual orientation or foreign born status.
12 My own research of rural Latinos: Homogenous Focus Groups Two rural Nebraska Towns 6 interviews Two in English Four in Spanish or Spanglish Several themes emerged in our focus groups; 1) acculturative stress which includes, 1a.) perceived parental stress, 1b.) language barriers and 1c.) perceived prejudices and discrimination; and 2) cultural values and beliefs which includes, 2a.) cultural identity, 2b.) gender norms and 2c. substance use).
13 My parents, when they got here, they also had to start from zero, from zero. My father came like ten years ago...and my mother was a teacher in Mexico, and it has been three years since she came here And when they got here, at the beginning, my father did suffer a lot And here, [my mother] has to work a lot, because she works many hours at Meatpacking Industry Xland; and sometimes, she is, her back hurts, and sometimes it hurts her a lot. And the same thing with my father, the shoulders, they hurt him a lot (14-16 year old female).
14 Perceived Prejudices and Discrimination. When asked about the most difficult part of being Latino in the United States, a group of 14 to 16 year old males identified racial slurs as painful. Stereotypes based on misinformation and perpetuated by peers may place youth at risk for substance use. If somebody is racist, things like that, like nobody likes being called bad names (14-16 aged male).
15 In addition to difficult work with physical repercussions, this youth s parents were separated for seven years. She does not discuss where and with whom she lived, but she was separated from at least one of her parents for an extended period. As literature above noted, many immigrants past and present have endured long spans without a parent/spouse and the process can cause stress for families. Non-metropolitan Latino youth in our study told many stories of hardship that stemmed from the immigration experience. Acculturation stress can materialize from many sources during and after immigration. The work and stress of parents and other family members can impact the stress levels of children.
16 Which type of names? (facilitator). Like Specker or Spic. I haven t been called that way, but I have heard that they give these names to other Hispanics. So like Wet Back and things like that Beaner, things like that I have heard. I also think that when Americans see somebody, I don t know, they think that we already have that thing that Like if you are from Guatemala and call you like Mexican? Things like that. If you are from Puerto Rico, they tell you that you are Mexican. No way this is going to [be] like you, because you are not Mexican (14-16 year old male).
17 Assumptions about intelligence and ability from peers contribute to stress levels, especially when linked to accent or language use. Language differences some times caused tension at school among friends. How do we change these environments?
18 Culturally-Competent Recovery-Oriented Services Must occur at all levels: individual service provider to the systems level that includes policies and legislation that may negatively impact diverse populations Demographics of the diverse population Recognize diversity within group Respect and understanding of the histories, traditions, beliefs, languages and value systems of culturally diverse groups Recovery must assess the impact of isolation brought about cultural and language barriers and work towards reducing negative influence it has on the emotional and physical well-being of the person Workforce development and training must also look beyond the traditional service providers, social workers, counselors, and recognize the training of peer specialists, paraprofessionals, consumers, and interpreters to work specifically in the mental health arena
19 Challenges to Providing Culturally-Competent Recovery-Oriented Services Limited studies that rigorously evaluate cultural competence implementation efforts ranging in scope from training programs for clinical and non-clinical staff to full scale organization change models In a systematic review that included evaluated models of professional education or service delivery to improve cultural competency, Bhui et. al. (2007) found no studies that investigated service user s experiences and outcomes. One of the studies showed evidence of satisfaction by clinicians using the service and none used randomized control trials. Time lag in transferring research findings to clinicians
20 Challenges to Providing Culturally-Competent Recovery-Oriented Services Does cultural competency improve patient satisfaction, retention, noncompliance with medical treatment and treatment outcomes that are compatible with organizational goals? If mental health professionals are asked to identify the clinical skills acquired through cultural competency training what would it be? Is cultural competence part of clinical competence? How does culture modify illness perceptions, illness behaviors and acceptability of specific interventions?
21 Culture Matters What we do know is that misunderstanding and misinterpreting behaviors has led to tragic consequences such inappropriately placing individuals in the criminal and juvenile justice systems and inappropriate access and quality of care.
22 Culture Matters An effective tool to evaluate the role of culture in a person's functioning is the Diagnostic and Statistical Manual IV Outline for a Cultural Formulation (American Psychiatric Association, 2000). It asks how an individual self identifies and examines to what degree culture impacts their lives. While culture may be a critical factor, the experience of each individual is unique and needs to be respected. The Massachusetts Department of Mental Health, along with a team of researchers, are educating primary care doctors around the state about what physical symptoms might be signs of mental disorders. Primary care clinics in Somerville and Cambridge, run by the Cambridge Health Alliance, are going a step further, installing computerized educational programs in Portuguese, Spanish, and Creole, aimed at teaching immigrants how fatigue, intestinal complaints, and other physical ailments, as well as intense homesickness or loneliness, can be signs of depression
23 An example of the Cultural Gap In other countries, symptoms of mental illness vary, with treatments that American doctors are just beginning to appreciate: LOWELL - Heap You's doctors thought she was crazy. The Cambodian immigrant kept saying her neck was going to explode, though an examination showed nothing physically wrong. One hospital put her on antipsychotic medication. But eventually, the mother of five was referred to Dr. Devon Hinton, a psychiatrist with a clinic in this city's struggling downtown. She arrived in his office one spring day 10 years ago with her neck upright and rigid, even as she sobbed about her troubled family life. She told Hinton that she didn't want to move her neck because excessive "wind," bottled up in her body, might surge through her neck, break blood vessels, and kill her. Hinton realized the patient was not out of her mind. The Harvard assistant professor, who specializes in treating Southeast Asian patients, knew that some Cambodians believe that the circulation of wind throughout their bodies maintains their health, and poor circulation from an ill body can cause a dangerous strokelike explosion of wind. Hinton, speaking in You's native Khmer language, told her to taper off her antipsychotic medications, according to his records, and handed her prescriptions for two other drugs - one to help her sleep, another to control her anxiety attacks. He urged her to continue her traditional Cambodian practices to help "wind" flow.
24 These clinicians are part cultural anthropologists, part psychiatric professionals, part medical detectives. A key part of their work is properly diagnosing mental illness that patients often first articulate as body pain, headaches, or stomach ailments. For Somalian refugees, e.g., You often see emotions expressed as a bodily symptom; however as stated by Hinton, who practices at Arbour Counseling Services, not every Cambodian focuses on neck pains need to be careful not to overgeneralize. After working with Cambodians for over two decades, Hinton identified more than 400 Cambodian patients who complained about neck ailments while being diagnosed with panic and anxiety disorders (i.e., the soreneck syndrome) English and German culture often raise heart-focused complaints to convey anxiety. Latin Americans cultures refer to attacks of nerves.
25 Cambodians believe in the importance of wind, and that this wind must exit regularly through the neck. Hinton diagnosed Heap with depression and a panic disorder common among Cambodian refugees, particularly those who lived through the brutal Khmer Rough regime, responsible for killing more than 1 million Cambodians in the late 1970 s.
26 Conclusion Recovery recognizes the fact that an individual cannot fully heal in an environment that supports racism, homophobia, sexism, and colonization. Developing a healthy society can be seen as recovery on a collective scale (e.g., increase the number of service providers representing these different target populations, training around recovery, workforce development and training peer specialists, paraprofessionals, consumers and interpreters to work specifically in the mental health arena) Recovery for diverse populations must respect the importance of culture (e.g., incorporating traditional healers and spirituality) Must provide the skills to make a person feel whole, competent and worthwhile (e.g., overcoming stigma, reclaiming cultural identity) And recovery means making the environment safe...to just be.
27 What can we do in Massachusetts? Make a commitment to cultural competent care (are we talking about a human rights issue?) Assess the level of cultural competency in your organization Make cultural competency an integral part of clinical competency Develop clinical training in cultural competency Identify the dilemmas faced in clinical psychiatric care Involve consumers in the process Document changes in quality of care indicators resulting from cultural competence innovations (e.g., patient satisfaction, retention, noncompliance with medical treatment outcomes) that are compatible with your organizations goals. Develop community/academic partnerships to study the impact of cultural competence interventions on mental health outcomes (e.g., evaluate cultural competence implementation efforts ranging in scope from training programs to organizational change) Conduct cost-benefit analysis.
28 Thank you Rosalie A. Torres Stone, Ph.D. Assistant Professor of Psychiatry Center for Mental Health Services Research University of Massachusetts Medical School Department of Psychiatry WSH 8C 55 Lake Avenue North Worcester, MA phone: fax:
Mental Health: Culture, Race and Ethnicity 1) The largest disability study conducted in the US found that of disabled adults living in the community reported having a mental disorder contributing to their
PRINCIPLES OF MULTICULTURAL PSYCHIATRIC REHABILITATION SERVICES Executive Summary PRA recognizes the striking disparities in mental health care found for cultural, racial and ethnic minorities in the USA,
What Is Culture? Cultural Competence in Mental Health Culture may be defined as the behaviors, values and beliefs shared by a group of people, such as an ethnic, racial, geographical, religious, gender,
I. Policy and Governance Advocacy Description These efforts include advocating for legislative or policy changes in government and institutions, with a goal of convincing as many systems as possible that
Workforce Development Online Workshop Descriptions Behavioral Health Service Delivery Workshops: The Effects of Violence Exposure on Children (1.5 hours) Regretfully, violence against children and youth
Trauma and the Family: Listening and learning from families impacted by psychological trauma Focus Group Report A summary of reflections and remarks made by Baltimore City families impacted by trauma and
UWM Counseling and Consultation Services Intake Form Dear Student, Date Affix Label Here (Office Use Only) Thank you for giving us the opportunity to better serve you. Please help us by taking a few minutes
PHILADELPHIA DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL disability SERVICES Program Description Guidelines I. Introduction A. Name of the Program Please give the name of the program you plan to operate.
May 2008 COUNTY OF SAN DIEGO HEALTH AND HUMAN SERVICES AGENCY Recovery Self-Assessment of the County Mental Health System Table of Contents Table of Contents Introduction... 3 Key Findings for Preliminary
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
Substance Abuse and Mental Health Services Administration Reauthorization 111 th Congress Introduction The American Psychological Association (APA) is the largest scientific and professional organization
Las Encinas Behavioral Healthcare - Treatment - Rehabilitation - Recovery Behavioral Healthcare Over 100 Years of Care The Joint Commission Top Performer on Key Quality Measures 2012 and 2013 Compassion
1 Military and Substance Abuse Dr. Amy Menna & Gift From Within This article is meant to assist soldiers and those who support them to identify the differences between substance abuse and addiction. In
1 Winter 2013, SW 713-001, Thursdays 2:00 5:00 p.m., Room B684 SSWB DIALECTICAL BEHAVIOR THERAPY SOCIAL WORK PRACTICE IN MENTAL HEALTH EMPERICALLY SUPPORTED TREATMENT FOR INDIVIDUALS WITH SEVERE EMOTION
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.
Standardized Model for Delivery of Substance Use Services Attachment 5: Nebraska Registered Service Provider s Program Plan for the Delivery of Treatment Services Nebraska Registered Service Provider s
PARENT SUPPORT PROVIDER SELF- ASSESSMENT TRAINING CHECKLIST For use in calendar year 2013 National Federation of Families for Children s Mental Health 9605 Medical Center Drive Rockville Maryland 20850
- UNDERSTANDING - Dual Diagnosis TABLE OF CONTENTS Introduction 3 The Link Between Mental Illness and Substance Abuse 4 Characteristics of an Effective Dual Diagnosis Treatment Plan 6 Dual Diagnosis Treatment
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.
2015 University of Rhode Island Department of Psychology Multicultural Psychology Definition The following document represents an effort by the Department of Psychology at the University of Rhode Island
CBT for Youth with Co-Occurring Post Traumatic Stress Disorder and Substance Disorders Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis,
VENTURA COUNTY ALCOHOL & DRUG PROGRAMS women s services Helping women recover (805) 981-9200 1911 Williams Drive, Oxnard, CA 93036 www.venturacountylimits.org recovery VCBH ALCOHOL & DRUG PROGRAMS WOMEN
Syracuse University School of Social Work Office of Field Instruction Program Competencies, Resulting Practice Behaviors & Examples of Field Tasks Program Competency Resulting Practice Behavior Example
Depression in Adults A chapter of Croydon s mental health Joint Strategic Needs Assessment 2012/13 Health and Wellbeing Board 5 December 2012 Bernadette Alves, Locum Consultant in Public Health Croydon
Addiction and the LGBTQ Population Speakers Buster Ross, MA, CADCII, CPC Director of Hazelden Betty Ford Foundation LGBTQ Integrative Programming James Barry, MS, LAADC, CADC II Betty Ford Center Outpatient
MSW Core Curriculum for Generalist Practice St. Catherine University/University of St. Thomas Core and Advanced Competencies of the MSW Program The SCU/UST MSW curriculum prepares its graduates for advanced
Protection of the Rights of Children and Women Suffering from Drug Addiction in the Family and Society - Shelter Don Bosco, Mumbai, India - Article 24 of the Convention on the Rights of the Child recognizes
People s views on priority areas for change Paul Farmer Chair, Mental Health Taskforce 20k respondents to Mind and Rethink Mental Illness online survey Five groups: People with lived experience Families
Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families June, 2008 This document is adapted from The Vermont Practice
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
Agency of Human Services Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families The Vermont Practice Guidelines
Discrimination against Australians: A snapshot of the views of non- people aged 25 44 www.beyondblue.org.au 1300 22 4636 Background From July 2014 beyondblue is rolling out a national campaign that highlights
Psychological Impact of Human Trafficking and Sex Slavery Worldwide: Empowerment and Intervention Leah Kaylor Intern from John Jay College of Criminal Justice New York, NY The United Nations (UN) broadly
Idaho Peer Support Specialist Training Readiness Guide Thank you for your interest in attending Idaho s Peer Support Specialist training. Working as a Peer Support Specialist can be an immensely rewarding
CURRICULUM VITAE Education October 2015 May 2011 December 2005 California School of Professional Psychology, Doctorate in Clinical Psychology California School of Professional Psychology, Master of Arts
Stigmatization of eating disorders Gina Dimitropoulos; M.S.W., Ph.D., R.S.W Anna is a twenty-one year old woman who has struggled with anorexia nervosa for several years. She blames herself for developing
Mental Health America of Franklin County 2323 W Fifth Ave Suite 160, Columbus, OH 43204 Telephone: (614) 221-1441 Fax: (614) 221-1491 info@mhafcorg wwwmhafcorg General Mental Health Issues: Mental Health
tips for dealing with a depression diagnosis 2011 www.heretohelp.bc.ca No one wants to feel unwell. Talking to your doctor or other health professional about problems with your mood is an important first
Young Men s Work Stopping Violence & Building Community A Multi-Session Curriculum for Young Men, Ages 14 19 From HAZELDEN What is Young Men s Work? Young Men s Work: Stopping Violence and Building Community
U.S. Bureau of Labor Statistics Psychologists Summary Psychologists diagnose and evaluate mental and emotional disorders. 2012 Median Pay Entry-Level Education Quick Facts: Psychologists Work Experience
Parent Questionnaire Child s Legal Name: Date of Birth: Age: First, Middle, and Last Name Nicknames: Social Security #: - - Current address: Apt #: City: State: Zip Code: Home Phone: Cell/Other #: Parent
Program of Study: Bachelor of Science in with an Emphasis in Addiction, Dependency, and Substance Abuse Program Description The Bachelor of Science in with an Emphasis in Addiction, Dependency, and Substance
Knowledge of Multicultural School Counseling 2 At my school about half the population is ELL students. I feel inadequate when it comes to working with ELL students due to language barriers. My school is
Behavioral Health Barometer United States, 2014 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.
II. STANDARDS FOR THE SCHOOL SERVICE PERSONNEL CERTIFICATE Standards for the School Counselor [23.110] STANDARD 1 - Academic Development Domain The competent school counselor understands the learning process
Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best
Therapy and Professional Training Specialists www.mifamilytherapy.com Help When it s Needed Everyone at some point is faced with challenges that require extra thought and attention. Most of the time people
Racial and Ethnic Disparities: Keeping Current Seminar Series Mental Health, Acculturation and Cancer Screening among Hispanics Wednesday, June 2nd from 12:00 1:00 pm Trustees Conference Room (Bulfinch
CASE STUDY: SPECIAL HEALTH RESOURCES OF EAST TEXAS Longview, Texas This project was funded by a grant from the Health Resources and Services Administration, U.S. Department of Health and Human Services,
Psychological support for adults living with HIV Everyone living with HIV is entitled to specialist psychological support Although many people living with HIV do not have psychological problems, specialist
Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration
International Journal of Advancements in Research & Technology, Volume 1, Issue6, November-2012 1 Role of Self-help Group in Substance Addiction Recovery Dr. Prangya Paramita Priyadarshini Das -------------------------------------------------------------------------------------------------------------------
Opioid Treatment Program Participant Satisfaction Survey Please complete the following information prior to completing the survey. Gender: Male Female Transgender Race: African American Caucasian Hispanic
Behavioral Health Barometer United States, 2013 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.
Trauma FAQs Content 1. What is trauma? 2. What events are traumatic? 3. Who experiences trauma? 4. What are symptoms of trauma? 5. How can I help someone who may be experiencing trauma? 6. Where can people
Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration
Living with severe mental health and substance use problems Report from the Rethink Dual Diagnosis Research Group August 2004 Executive Summary Introduction Mental health problems co-existing with alcohol
IT TAKES A VILLAGE to meet the mental health needs of families in supportive housing Mary M. McKay, Ph.D. McSilver Professor of Poverty Studies New York University Silver School of Social Work New York,
Recovery and Dual Diagnosis Martha Levey, Ed.D. Affiliated Service Providers of Indiana, Inc. The mission of ASPIN is to provide innovative educational programs, resource management, program development,
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
4 4 5 5 6 7 8 10 11 12 3 DRUG REHAB FOR TEENAGERS Discovering that a teen is taking drugs or alcohol is worrisome. Parents not only worry about the impact on a child s health, but also the possible impact
A Study of Health Insurance Coverage and Quality of Life in the Sacramento Region The Institute for Social Research California State University, Sacramento College of Social Sciences and Interdisciplinary
Understanding Language and Culture Issues Between Patients and Providers Over the past four decades, the United States has attracted immigrants from all around the world, with the majority emigrating from
Common Drug Rehab Concerns Does drug rehab work? How do I find the right treatment program for my loved one s needs? Does my loved one need to detox prior to entering rehab? Can my loved one leave rehab
Master of Science in Psychology Master of Science in Psychology (MSPsy) Master of Science in Psychology (MSPsy) What makes us unique Designed by eminent American scientist-practitioners in adherence to
CLINICAL REHABILITATION COUNSELING Students who are preparing to work as rehabilitation counselors will demonstrate the professional knowledge, skills, and practices necessary to address a wide variety
Leading in Evidence-Based Co-Occurring Treatment A Comprehensive System of Care Meeting All SAMHSA Best Practice Measures DID YOU KNOW... The Substance Abuse and Mental Health Services Administration (SAMHSA)
1 PSYCHOLOGICAL CONTRIBUTIONS TO THE ERADICATION OF POVERTY The Psychology Coalition at the United Nations, New York Submitted on the occasion of the United Nations International Day for the Eradication
CENTERS FOR MEDICARE & MEDICAID SERVICES Medicare and Your Mental Health Benefits This is the official government booklet about Medicare mental health benefits for people in the Original Medicare Plan.
CROSS-CULTURAL EDUCATION PRIMER Goal of Primer Background Key Components of Cross-Cultural Care References Developed by the Culturally Competent Care Education Committee at HMS, the following is a brief
Drug Abuse and Addiction Introduction A drug is a chemical substance that can change how your body and mind work. People may abuse drugs to get high or change how they feel. Addiction is when a drug user
1 Is There a Substance Abuse Problem Among Deaf and Hard of Hearing Individuals? Debra S. Guthmann, M.A., Ed. D Introduction The issue of substance abuse continues to be a problem within the Deaf community.
CENTERS FOR MEDICARE & MEDICAID SERVICES Medicare & Your Mental Health Benefits This official government booklet has information about mental health benefits for people with Original Medicare, including:
Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral Health Provider Sunshine Community Health Center Why Integrate?
Family Guide: Children s Mental Health Services Texas Resilience and Recovery This Family Guide to Children s Mental Health Services was created to help you navigate the Children s Mental Health System
Track Director: Justin Enggasser, Ph.D. Psychology Service (116B) 940 Belmont Street Brockton, MA 02301 Telephone: (774) 826-1380 Email: firstname.lastname@example.org Dual Diagnosis Location: VA Boston Healthcare
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
PSYCHOSOCIAL REHABILITATION : ROAD TO RECOVERY Prof dr. sc. Slađana Štrkalj Ivezić Croatian Medical Association Section for Psychological treatment of psychoses Definition of mental disorder relevant to
How HOLiSTIC REHAB Benefits You Table of Content Holistic Rehab Centers are More Popular than Ever The Need for Drug & Alcohol Rehabilitation Programs Alcohol Abuse and Addiction These Issues Need Treatment
Early Intervention, Injury Resolution & Sustainable RTW Outcomes. Presented by: Mr. Fred Cicchini, Chief Operations Manager September 2013 Session Objectives Early Intervention in the RTW Context Injury