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ON THE MOVE Department of Corrections GEORGIA Presented by: Rachael G. Hopkins, LPC, CPCS, CCAADC,...
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Transcript of ON THE MOVE Department of Corrections GEORGIA Presented by: Rachael G. Hopkins, LPC, CPCS, CCAADC,...
ON THE MOVEON THE MOVEON THE MOVEON THE MOVE
Department of Corrections
GEORGIA
GEORGIA
GEORGIA
GEORGIA
GEORGIA
Presented by:
Rachael G. Hopkins, LPC, CPCS, CCAADC, CCDP-D, CCS
Substance Abuse Unit Risk Reduction Services
CMPAC – Substance Abuse Overview
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What does the research say?
• 68% of jail inmates reported symptoms in the year before their admission to jail that met substance dependence or abuse criteria
• Half of all convicted jail inmates were under the influence of drugs or alcohol at the time of offense.
• 16% of convicted jail inmates said they committed their offense to get money for drugs
(Karberg & James, 2005)
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What are the common myths of substance abuse?
• Drug abuse is the same as addiction
• Alcohol is not a drug
• Addiction is a moral weakness
• Abuser/addict must want treatment for it to be successful
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Symptoms of Substance Abuse
Any of the following within 12 months:
1. Unfulfilled obligations at work, school or home.
2. Use occurs in hazardous situations.
3. Substance-related legal problems.
4. Continue use despite social or interpersonal problems.
(DSM IV-TR, 2000)
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Symptoms of Addiction
At least three within 12 months:
1. Tolerance
2. Withdrawal
3. Using more over longer period of time than intended
4. Spending significant time obtaining, using or recovering from use
(DSM IV-TR, 2000)
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Symptoms of Addiction cont.
At least three within 12 months:
5. Unsuccessful attempts to reduce or control use
6. Reducing or eliminating important social, occupational or recreational activities
7. Continuing use despite physical or psychological problems due to use
(DSM IV-TR, 2000)
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Principles of Drug Abuse Treatment For Criminal Justice Populations
Drug addiction is a brain disease that affects behavior
Recovery from drug addiction requires effective treatment, followed by management of the problem over time
Treatment must last long enough to produce stable behavioral changes
Assessment is the first step in treatment
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Principles of Drug Abuse Treatment For Criminal Justice Populations
Tailoring services to fit the needs is important
Drug use during treatment should be carefully monitored
Treatment should target factors associated with criminal behavior
Criminal justice supervision should incorporate treatment planning for drug abusing offenders, and treatment providers should be aware of correctional supervision requirements
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Principles of Drug Abuse Treatment For Criminal Justice Populations
A balance of rewards and sanctions encourages pro-social behavior and treatment participation
Dually-diagnosed offenders often require an integrated treatment approach
Medications are an important part of treatment
Treatment planning should include strategies to prevent and treat chronicmedical conditions
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Addiction and Recovery
Progressive o The symptoms worsen over time.
Chronic o Addiction is a life-long experience.
Incurableo Unable to return to “normal” life.
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Addiction and Recovery
Toleranceo Using more to get same effect
Withdrawalo Physical response to the absence of a drug
Loss of control o Unable to stop or control addictive behavior
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Physical Compulsion
“One is too many, a thousand is never enough!”
Loss of Control
Every substance has its compulsion!o Patterns may look different
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What is Denial?
Denial is not a river in Egypt
Denial is a given
Deceptive thinking about “control” of drug use should be expected from our offender population
Don’t Even kNow I Am Lying!
15
Road Trip to Recovery
Meet them where they are
Understand their denial
Give directions to where they need to go
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Treatment for Offenders
Various types of programs offer help in drug rehabilitation, including: residential treatment (in-patient), out-patient, local support groups, extended care centers, recovery or sober houses, addiction counseling, mental health, and medical care. Some programs offer age- and gender-specific programs.
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American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
Karberg, J. C. & James, D. J., (2005). Substance dependence, abuse, and treatment of jail inmates, 2002. (NCJ 209588). Washington, DC: Government Printing Office.
National Institute on Drug Abuse. Principles of Drug Abuse Treatment for Criminal Justice Populations - A Research-Based Guide. (NIH Publication No. 11-5316). Washington, DC: Government Printing Office.
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References
Questions???
Chandra Fussell, Manager, Risk Reduction Services, SA [email protected]
Rachael G. Hopkins, SSPC, Risk Reduction Services, SA [email protected]
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