T RENDS IN C HEMICAL D EPENDENCY T REATMENT Coralee Goni, MS, MBA, MAC Rimrock Foundation.
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Transcript of T RENDS IN C HEMICAL D EPENDENCY T REATMENT Coralee Goni, MS, MBA, MAC Rimrock Foundation.
TRENDS IN CHEMICAL DEPENDENCY TREATMENTCoralee Goni, MS, MBA, MAC
Rimrock Foundation
RIMROCK FOUNDATION
Montana’s oldest and largest Addiction Treatment Facility- 1968 – Billings, MT.
Care is delivered through multiple levelsof Service:Medical DetoxificationMedically Monitored InpatientPartial HospitalizationResidential Intensive Outpatient TreatmentCommunity-based Sober Housing
ADVANCED INTEGRATED MODEL OF ADDICTION TREATMENT
Psychological dependency — an irrational belief in and reliance on mood-altering chemicals or experiences for the purpose of achieving welcomed changes in moods and feeling states.
Mental obsession — an intense, uncontrollable preoccupation with the anticipated changes in moods and feeling states that will occur with the drug or activity.
Emotional compulsion — an intense, emotional impulsiveness to obtain the immediate gratification produced by a chemical or activity.
Length of treatment is directly correlated to lasting reductions in criminal activity
Greatest reductions are seen in those who complete a full continuum of care
90+ Days
LENGTH OF TREATMENT
4
Purpose of treatment Break old patterns of thinking and behaving Learn new skills for avoiding drug use and
criminal behavior Replacing drug use and criminal activities with
constructive activities Understanding consequences“Hey, you can’t pin my problems on drugs. I wasn’t
high when I was caught stealing a case of beer. I wasn’t fiending for alcohol. I just liked the thrill of stealing and getting away with something…Now
I’m locked up for 30 days.” --Jordan, 17
TREATMENT
5
Effective treatment will take into accountDifferences in age, gender, ethnicity,
and cultureDifferences in problem severity and
recovery stageDifferent treatment approaches
should be utilizedFacilitate healthy relationships
Family, peers, and others in the community
INDIVIDUALIZED TREATMENT
6
High rates of mental health problems are found in both Offender Populations and Substance Abuse Populations
Treatment should address Depression Anxiety Other identified mental health concerns
Medications Typically need longer treatment (minimum of
3 months)
INTEGRATED TREATMENT
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Triggers for relapseStressAssociations with using peersSocial situations linked to drug use
Collaboration between probation officers and treatment providers is essential to effective monitoring of recovery
“Sometimes I have failed. But I am not a failure; I have made mistakes, but I am
not a mistake.” –AA Booklet
DRUG USE DURING TREATMENT
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Depends… On the individual On the treatment provider
Treatment must address: Attitudes, Behaviors and Beliefs
Outcome studies show that those who participate in drug abuse treatment programs commit
fewer crimes than those who do not participate.
HOW EFFECTIVE IS TREATMENT FOR CRIMINAL JUSTICE-INVOLVED INDIVIDUALS?
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Determining appropriate level of care is essential to meeting the needs of the client
Low motivation for treatment should not deter access to treatment.
Legal pressure for treatment encourages participation, abstinence and improves retention.
ARE ALL DRUG ABUSERS IN THE CRIMINAL JUSTICE SYSTEM GOOD CANDIDATES FOR TREATMENT?
10
YES!!
IS LEGALLY MANDATED TREATMENT EFFECTIVE?
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Problems contributing to relapse Family difficulties Limited social skills (Involvement with peers) Educational and employment problems Mental heath disorders Stress
WHAT ARE THE RELAPSE AND RISK FACTORS FOR CRIMINAL OFFENDERS
WHO COMPLETE TREATMENT?
12
Source: S
ubstance Abuse M
ental Health A
ssociation, ww
w.S
AM
HS
A.gov
TREATMENT AND TREATMENT NEED
Qualify for tx, but felt they did not
need tx95%
Felt they needed treatment and did not make an effort
3%
Felt they needed treatment and Did
make an Effort1%
Source: S
ubstance Abuse M
ental Health A
ssociation, ww
w.S
AM
HS
A.gov
REASONS FOR NOT SEEKING TREATMENT
NATIONAL TRENDS
Source: S
ubstance Abuse M
ental Health A
ssociation, ww
w.S
AM
HS
A.gov
2011 DRUG USE
Mari-juana58%
Co-caine8%
Opiates21%
Meth2%
In-halants
3%
Hallucinogen8%
Source: S
ubstance Abuse M
ental Health A
ssociation, ww
w.S
AM
HS
A.gov
NATIONALLY…
In 2011, marijuana was the most commonly used illicit drug, with 18.1 million current users. (14.5 million in 2007)
Used by 80.5 percent of current drug users. (64% of all drug users ONLY use marijuana.)
Source: S
ubstance Abuse M
ental Health A
ssociation, ww
w.S
AM
HS
A.gov
8.0 million people aged 12 or older were current users of drugs other than marijuana in 2011.
6.1 million of those persons were nonmedical users of psychotherapeutic drugs, including: 4.5 million users of pain relievers 1.8 million users of tranquilizers 970,000 users of stimulants 231,000 users of sedatives.
Source: S
ubstance Abuse M
ental Health A
ssociation, ww
w.S
AM
HS
A.gov
ILLICIT DRUG DEPENDENCE OR ABUSE IN THE PAST YEAR AMONG PERSONS AGED 12
OR OLDER
Source: S
ubstance Abuse M
ental Health A
ssociation, ww
w.S
AM
HS
A.gov
SPECIFIC ILLICIT DRUG DEPENDENCE OR ABUSE IN THE PAST YEAR AMONG PERSONS
AGED 12 OR OLDER: 2011
CONCLUSION Watching trends
Marijuana Pain Relievers Process addictions
Synthetic Drugs Spice Bathsalts