addiction jean sassatelli rn, ms senior director behavioral health services catholic charities of...
TRANSCRIPT
![Page 1: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/1.jpg)
ADDICTION
Jean Sassatelli RN, MSSenior Director Behavioral Health Services
Catholic Charities of Omaha
![Page 2: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/2.jpg)
WHAT IS ADDICTION
When the use of alcohol and/or mood altering drugs causes problems in the individual’s family, social, work, school, legal, physical and/or emotional aspects of their life.
![Page 3: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/3.jpg)
WHAT IS ADDICTION
Addiction is a pathological love relationship with a mood altering chemical, (or activity – i.e. gambling, sex, food).
(McAuliffes’ Essentials of Chemical Dependency)
![Page 4: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/4.jpg)
BEHAVIORAL SIGNS ADDICTION
Change in attitude/personality for no identifiable reason.
Change in friends, new hangouts Decreased performance at school,
work and/or home. Change in activities or hobbies Change in habits at home Loss of interest in family and family
activities
![Page 5: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/5.jpg)
BEHAVIORAL SIGNSADDICTION
Forgetfulness and difficulty paying attention
Lack of motivation, energy, self-esteem… ‘I don’t care’ attitude
Sudden over sensitivity, temper tantrums
Moodiness, irritability, or nervousness Silliness or giddiness Paranoia
![Page 6: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/6.jpg)
BEHAVIORAL SIGNSADDICTION
Excessive need for privacy Secretive or suspicious behavior Chronic dishonesty Unexplained need for money Change in personal grooming Sudden change in wardrobe,
hairstyle, or jewelry
![Page 7: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/7.jpg)
ADOLESCENT ADDICTIONUsage by Youth in Grades 9 -12
Alcohol: 82% Marijuana: 31% Inhalants: 13% Meth.: 8% Cocaine: 7%
1999 Youth Risk Behavior Survey of Nebraska
![Page 8: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/8.jpg)
CURRENT TRENDS ADOLESCENT ADDICTION
26% of youth have their first drink of alcohol before the age of 13.
28% of all fatal alcohol related motor vehicle accidents involve youth between 15 –20.
Alcohol is a major factor in 50% of all motor vehicle accidents, homicides, and suicides among youth.
![Page 9: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/9.jpg)
ADOLESCENT ADDICTIONJuvenile Justice Link
83 % of youth involved with the Juvenile Justice System have alcohol and drug use problems.
Inhalant Use is more common in this group…
![Page 10: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/10.jpg)
Substance Abuse Prevalence Data Based on Nebraska 1999 Census
NEED Likely to Demand Services
Likely to Demand Specialty Services
ADULT: Mental Health
(Unduplicated) % Number % Number
Diagnosed Mental Disorders
83,394 20% 16,679 37% 6,171
Serious Mental Illness 12,041 40% 4,816 50% 2,408
Diagnosed SPMI 9,009 70% 6,306 76% 4,793
Disabled by SPMI 3,032 90% 2,729 93% 2,538
TOTAL ADULTS - MH
107,476 28% 30,093 53.9% 15,910
ADULT Substance Abuse
32,555 20% 6,511 20% 1,302
TOTAL Behavioral Health – Adults
140,030 26.1% 36,604 47.7% 17,212
![Page 11: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/11.jpg)
Substance Abuse Prevalence Data Based on Nebraska 1999 Census
ADULTS Co-Occurring MH & SA
Estimated Need
Co-Occurrence by Level of Mental
Disorder
% Likely to Demand Specialty Services
Diagnosable Mental Disorder 83,394 11.6% 9,674 37% 3,579
Serious Mental Illness 12,041 19.3% 2,324 50% 1,162
SPMI 9,009 25.9% 2,333 76% 1,773
Disable by SPMI 3,032 33.3% 1,010 93% 939
Total Co-Occurring MH/SA 107,476 14.3% 15,341 52.9% 7,455
Estimated Region VI – Adults with Co-Occurring Disorders (38.8%)
41,701 5,952 2,893
![Page 12: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/12.jpg)
ADDICTIONCo-Occurring Disorders
Substance Abuse combined with Mental Illness, occurs in 70% of those addicted.
The presence of co-occurring disorders reduces the responsiveness to treatment.
There is serious risk of missing a co-occurring disorder because the symptoms are ‘masked’ by the substance use.
![Page 13: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/13.jpg)
HomelessHomeless
National: 2,000,000
Nebraska: 9,280
![Page 14: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/14.jpg)
Nebraska HomelessNebraska Homeless
1.0%
10.2% 6.1%
24.7% 7.5%
22.7%
8.3%
SPMI
AOD
Dual Diagnosis
Domestic Violence
AIDS/Related
Youth
Migrant Workers
![Page 15: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/15.jpg)
FAMILY MATTERSThe Effects of Addiction on the Family
U.S. Dept. of Health & Human Services: 10 million untreated persons in 2000 3 million received treatment in 2000
![Page 16: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/16.jpg)
Addiction is one of the families most guarded secrets.
Co-Dependency: Condition characterized by preoccupation and extreme dependency (emotional, social & physical) on a person or object. This becomes pathological.
FAMILY MATTERSThe Effects of Addiction on the Family
![Page 17: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/17.jpg)
FAMILY ROLES: Dependent Enabler Hero Scapegoat Lost Child Mascot
FAMILY MATTERSThe Effects of Addiction on the Family
![Page 18: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/18.jpg)
FAMILY MATTERSThe Effects of Addiction on the Family
FAMILY SYSTEMS: All members assume specific roles & relate to each
other in characteristic ways. The roles that family members adopt & how they
relate to each other operate according to “rules”. Roles and patterns constitute equilibrium.
Any shifts in family equilibrium will cause resistance & system will seek a return to equilibrium.
No matter how sick/abnormal it may appear, the established equilibrium represents the family’s attempt to minimize threat of pain & disruption
![Page 19: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/19.jpg)
FAMILY MATTERSThe Effects of Addiction on the Family
THE FAMILY SECRET ?
Family requires intervention… all have affected, all need treatment!
![Page 20: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/20.jpg)
ADDICTIONGRIEF REACTION
Grief is at the core of the recovery process. Much like the death or ending of a long-term relationship, the addicted individual has a committed, love relationship with their chemical, person, thing, and the discontinuation of this relationship causes a significant and very real experience of loss.
![Page 21: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/21.jpg)
ADDICTION5 STAGES OF GRIEF
Denial & IsolationAngerBargainingDepressionAcceptance
![Page 22: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/22.jpg)
ADDICTIONTREATMENT
Philosophical Approach:HolisticFamily Systems OrientedDevelopmentally Based
Treatment Components:Comprehensive AssessmentPlan of treatment based on the development
strengths and needs of the adolescent, as well as the family strengths and needs.
![Page 23: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/23.jpg)
![Page 24: ADDICTION Jean Sassatelli RN, MS Senior Director Behavioral Health Services Catholic Charities of Omaha](https://reader035.vdocuments.us/reader035/viewer/2022062221/56649e205503460f94b0c0be/html5/thumbnails/24.jpg)
Crisis Services:
• Medically Monitored Detoxification
• Civil /Emergency Protective Custody
Treatment Services:
• Outpatient Treatment
• Intensive Outpatient
• Short Term Residential
Transitional Services:
• Intermediate Residential
• Halfway House
Prevention & Education Services:
• Community Support
• Post Primary Group
• Correctional Services
• Alumni Association