Michelle Lipinski

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Youth and Elderly Addiction Issues April 10-12, 2012 Walt Disney World Swan Resort

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Youth and Elderly Addiction IssuesNational Rx Drug Abuse Summit 4-11-12

Transcript of Michelle Lipinski

  • 1. Youth and ElderlyAddiction Issues April 10-12, 2012Walt Disney World Swan Resort
  • 2. Learning Objectives:1. Describe the successful icanhelpsm programs three-pronged approach for early engagement ofadolescents most at-risk of addiction.2. Explain the importance of educating the caregiversand others of the elderly (over 50) population on thepotential for prescription drug misuse, abuse, addictionand becoming victims of pill-seekers.3. Describe the essential services needed to provideboth the youth and the elderly an opportunity to liveproductive, healthy lives, and identify common barriersto accessing treatment.
  • 3. Disclosure Statement All presenters for this session, Deborah Beck and Michelle Muffett-Lipiniski, have disclosed no relevant, real or apparent personal or professional financial relationships.
  • 4. icanhelpSM a program for early engagement by establishing safe places for adolescents to develop a trusting rapport with adults in the community http:// icanhelp.me Michelle Mue*-Lipinski, M Ed Barbara Bruhns Frey, PhD icanhelp Director Phone: 801-512-3239 Phone: 603-842-0029 Email: [email protected] Email: [email protected] 2012 Potential Connections LLCThis presentation and training is the property of Potential Connections LLC. Do not duplicated,reproduce or distribute without permission (email: [email protected]).
  • 5. Alyssa.http://www.youtube.com/watch?v=q6JqSOcfmn0&feature=share
  • 6. Drug Use Across the Ages Nonmedical use of Rx pain relievers Starts young & w/ age Although drug use generally by middle age, the baby-boom generation* has higher rates than previous generations Aging of baby boomers will lead to in illicit drug use & nonmedical Rx drug use among persons aged 50 Possibly doubling by 2020 *Born 1946-1964 SAMHSA. (2011). Results from the 2010 National Survey on Drug Use and Health: Detailed Tables. Office of Applied Studies, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Rockville, MD.SAMHSA. (2011).The NSDUH Report: Illicit Drug Use among Older Adults. Rockville, MD. Duncan DF, et al. J Aging Soc Policy. 2010;22:237-48. Kalapatapu RK, et al. Am J Addict. 2010;19:515-22.
  • 7. Nonmedical Use National studies National Survey on Drug Use & Health (NSDUH) Monitoring the Future (MTF) National Survey of American Attitudes on Substance Abuse XVI Partnership Attitude Tracking Survey (PATS) Treatment Episode Data Set (TEDS)Each define nonmedical use differently
  • 8. Past-Yr Initiates of Specific Drugs Among Persons Age 12-Yr The total initiates of nonmedical Rx drug use (red bars) taken together greatly exceeds initiates of marijuana in 2010 SAMHSA. (2011). Results from the 2010 National Survey on Drug Use and Health: Detailed Tables. Office of Applied Studies, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Rockville, MD.
  • 9. Monitoring the Future (MTF) 2011 Survey 46,700 grade 8, 10, & 12 students in 400 secondary schools nationwide Misuse of Rx drugs (amphetamines, sedatives, tranquilizers, & opioids other than heroin) Respondents instructed to include only use . . . on your ownthat is, without a doctor telling you to take themJohnston LD, et al. (2012). Monitoring the FutureNational Results on Adolescent Drug Use: Overview of Key Findings, 2011. Ann Arbor: Institute for Social Research, University of Michigan.
  • 10. MTF: Rx Drug Abuse in Grade 12 Percentage of grade 12 students reportingnonmedical Rx drug use: rates for opioids highest Johnston LD, et al. (2012). Monitoring the FutureNational Results on Adolescent Drug Use: Overview of Key Findings, 2011. Ann Arbor: Institute for Social Research, University of Michigan.
  • 11. Source of Most Recent Rx Opioids: Among 12-17-Yr-Olds Source where friend/ relative obtained: 58.8% from 1 MD 10.5% took: friend/relative 9.6% free: friend/relative 6.1% bought: friend/relative 5.8% from >1 MD 3.5% bought: drug dealerSAMHSA. (2011). Results from the 2010 National Survey on Drug Use and Health: Detailed Tables.Office of Applied Studies, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Rockville, MD.
  • 12. Effect of Rx Opioids Kept in Home Percentage of teens reporting: Time to get Rx drugs: Other substance use:The National Center on Addiction & Substance Abuse at Columbia University. National Survey of American Attitudes on Substance Abuse XVI: Teens & Parents. Aug 2011.
  • 13. Drug Overdose Death Rates Drugs are 2nd leading cause of injury death 36.4K vs 39.9K for MVA in 2008 Overdose rate in 2008 nearly 4x 1999 rate Paulozzi LJ, et al. MMWR. 2011;60:1-6. CDC. Vital Signs. Prescription painkiller overdoses in the US. 2011. www.cdc.gov/VitalSigns/PainkillerOverdoses/index.html
  • 14. The problemWe are not reaching our youth who need helpThe youth do not know they have a problem They dont realized that we can help them
  • 15. How is This Program Different Than Other Early Identification Programs? No wrong door approach Identify safe & trained people who can engage with youth Help youth initiate the conversation The icanhelp program is designed to improve outcomes related to: Accessibility of resources and services Academic performance Mental and physical health Quality of life Gaps in service New links for individuals and the community
  • 16. icanhelp Program OverviewThe programhas community oversight and planning through anicanhelp team/advisory boardbuilds a network of trained individuals who aretrained and designated icanhelp Representativesincreases early identification and engagement ofyoung people who need a safe, educatedperson to help them access the appropriateservice essential to their well-beingprovides online access to listings of communityresources and services
  • 17. icanhelp Representative Follow-up
  • 18. Who and Where Do Young People Go for Help? Identify trainees to become icanhelp Representatives Community members who work directly with youth: Trainees School personnel Health personnel Law enforcement (SRO) Prevention specialist (Drug Free Communities) Coaches and other youth mentors After school/Out of school activity coordinators/workers Parents, families and young adults Clergy and other nonprofit employees Government personnel Others
  • 19. Increasing Our Presence Develop strategies and plans for building student and family awareness and engagement Communicate icanhelp core concepts with young people & othersEngagement in the community Make presentations Possible locations: youth groups/ centers, school announcements, newspapers & websites, parent groups, substance abuse coalitions, etc.
  • 20. Increasing Your Presence Youth awareness and facilitating a conversationDisplay icanhelp postersExamples of posters related to addictive behavior and issues If youre thinking these thoughts... If youre thinking these thoughts... you may need help. you may need help. Look for the I CAN HELP sticker Look for the I CAN HELP sticker to find a safe person to talk to. to find a safe person to talk to. www.icanhelp.me www.icanhelp.me
  • 21. Increasing Your Presence Identify icanhelp Representatives using icanhelp LogosEngagement The presence of the icanhelp logo signals this is a safe person to speak with Logos are reserved for people who have been trained and are members of the icanhelp team
  • 22. Who Do Young People Go To For Help? Communication style Building an alliance with youth so they feel safe and welcome Strength-based vs. punitive, be supportive and non-punitive Frame questions in a non-judgemental way Start where the student is at Youth need encouragement, validation and support for expressing their opinions Including the student in decisions, encourage open and honest bidirectional discussions Empower the student to take responsibility for seeking solutions, and build incrementally on small successes
  • 23. Where Do Youth Go for Help? Creating a safe space School & Institutional Policies Cultural competency, biases Working within the parameters of our licensure & the law; mandated reporting Stigma and label free Risk/Protective factors
  • 24. Why Target Adolescents? About one in every five youth meets the criteria for a mental health disorder in the US. The prevalence is even higher that other major health conditions including asthma and diabetes (Merikangas et al., 2010) Only a third of youth in need of treatment for mental health disorders receives treatment and frequently the treatment is incomplete or inadequate for their level of need (Merikangas et al., 2011) Dennis et al. (2005) found that the sooner an individual receives treatment the shorter the lifetime struggle related to managing their disease
  • 25. Prevalence of Mental Health Disorders Common reasons for receiving mental health treatment among adolescents (age 12-17) who received treatment (NSDUH, 2008) Problems with friends 14 Trouble controlling anger 16.3 Problems at school 18.9 Contemplates/attempted 19.6 suicide Felt very afraid or tense 20.4 Breaking rules/acting out 25.7 Problems at home/family 28.9 Felt Depressed 48.6 0 10 20 30 40 50 60 Percent of children receiving treatmentDoes not include treatment for problems caused by drug or alcohol use. Respondents could list more than one reason for treatment.
  • 26. Identifying Youth in Need of support Services Connection to their world There are many routes to identification of a youth in need of support services. Who are the members of your community who work closely with youth? Schools Families Friends Online & technology communities Volunteer activities Faith-base, religious activities Employment Extracurricular activities Sports After school out of school time (ASOST)
  • 27. Identifying Youth Issues Specific to Your Community Life events Separation or loss of family/friends/ home Trauma & victimization, Bullying/ cyber bullying Child abuse Life challenges Disabilities, developmental disorders Physical health injuries, illnessMental health, addictive and co-occurring disorders Depression Tobacco Suicide Performance enhancing Anxiety disorders drugs ADHD Marijuana Eating disorders Alcohol Prescription drug abuse Gambling addiction
  • 28. Link to Community Resources & Services icanhelp Resource Guide Importance of establishing personal relationships with people listed on your resource guide Link to In a crisis or urgent situation, thisCommunity relationship will be importantResources Make the guide as comprehensive as possible divide and conquer complete it as a team The contact information on the resource guides can be loaded into the online icanhelp resource database
  • 29. Developing an icanhelp Resource Guide for Your Community
  • 30. Link to Community Resources & Services icanhelp Program: Building Linkages to Community Resources Online Services Resource database http://icanhelp.me Link to CommunityCommunity http://icanhelp.me/community/Resources Wiki Blog and more Facebook http://www.facebook.com/icanhelp.me Future services icanhelp newsletter & mailing list Training Portal: Re-launch soon Expanded search options for resource database
  • 31. icanhelp Website: http:// icanhelp.me
  • 32. icanhelp Follow-up Preventing youth from falling through the cracks Why linking with services doesnt always work Youth or family not always ready to receive services,Follow-up personal factors related to mental and cognitive functioning of individual or family No service available within a reasonable distance, dropped services Practical factors such as insurance, cost, transport, child care, eligibility rules or program scheduling Cultural factors such as language, citizenship and status Negative experience/bad rapport with provider Stigma and labeling Lack of cultural competency
  • 33. icanhelp Follow-upPreventing youth from falling through the cracks Some solutions Follow-up Use MI and other approaches to build readiness Increased training in community Assist adolescents and their caregivers to develop alternative plans Expand community resources and services
  • 34. Continua of School Services Dependence/ Abuse (10%) AODA Tx and Continuing Care Brief Intervention Primary PreventionEducation ModelOSEP-PBIS AODA ModelWinters, Caldwell SOURCE: Finch, 2010; Moberg, 2010
  • 35. icanhelp Outcomes 6-week implementation and evaluation of the icanhelpSM program in seven northeastern Massachusetts schools Twenty high school personnel participated Personnel roles were grouped into three categories: Administrators (n=3), Teachers (n=9) and Health Professions (n=8) Most youth directed their questions about the program to teachers Youth tended to discuss their specific questions regarding the posters with health professionals
  • 36. icanhelp OutcomesTeachers indicated the largestincrease in linkages due toicanhelp
  • 37. Next stepsicanhelp team/advisory boardDevelop and communicate community crisis planDevelop icanhelp deployment/implementation plan What are the targets/goals for the first yearAssist icanhelp Representatives in compiling a community resourcedatabaseDevelop a sustainability planicanhelp RepresentativesJoin icanhelp communityWork with team to compiling a community resource databaseDisplay icanhelp posters and logosGive brief presentations about the program to youth and othercommunity membersicanhelp Resource DatabaseMake connections to key community linkages/resources/servicesSubmit or upload resources from your community (can send file to Barbara)
  • 38. Thank You!In todays society with undeniableamounts of access to technology, ouryoung people need a village of supportsto help them navigate safely intoadulthood. Help us expand this village.Icanhelp.meMichelle