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Things I wish I knew back then or if only they had
told me• A look at my beliefs and view’s in
1998• Compared to now.
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INTRODUCTION
• My Experience and Qualifications• Clients and Resources• Drugs and Alcohol• What I have learned• Conclusion
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QUALIFICATIONS
• B.A HONOURS DEGREE IN SOCIAL POLICY
• POST GRAD IN DRUG AND ALCOHOL STUDIES.
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RELEVANT SUBJECTS
• Intervention Methods, Behavioural change
• Drug and Alcohol use and consequences• Policy and prevention• Alcohol Drug research methods• Comprehensive study of underage
drinking.
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• Subjects continued.• Health and Community care.• Economics individuals in society• Economics social market failure• Basic Psychology
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Work experience
• Senior Addiction worker Grt Pollok C.A.T
• Team Leader/Project worker at G.D.C.C
• Volunteer/project worker at Gorbals Addiction Service.
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Myself as drugs worker 98
• Skills and Theory• Motivation• Knowledge• Challenging
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Theory and Skills
Motivational Interviewing
Prochaskas and Di Clementes
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Motivational Interviewing
• Individual Responsibility• No Labelling of client• Internal attribution• Cognitive Dissonance
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Skills
• Reflective listening• Clients should present arguments for
change• Avoid Arguments, role with
resistance.• Client as resource• Keep discussion focused• Illicit motivational statements
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Cycle of change
• Precontemplation• Contemplation• Action• Maintenance• Relapse
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Clients 98
• Pressure from family and friends to be seen to be doing something
• Get access to prescribed Medication
• Stop going to prison• Sort out other problem• Want to come off Drugs or Alcohol
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Resources 98
• Counselling• Methadone?• Residential Rehab
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Clients 2005
• Clients have an agenda• Pressure from family friends• Get access to prescribed medication• Stop going to prison• Sort out multitude of problems• Want to come off Drugs or Alcohol or
Both
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Resources 2005
• Substitute prescribing• Community rehabs• Residential rehabs• Counselling• Home detox• Universal addiction teams• Needle exchange harm reduction• Progress to work
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Drugs 98
• Heroin• Cannabis• Temazepam• Benzodiazipines• Sulphates• Cocaine
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Drugs 2005
• Heroin• Cannabis• Benzodiazipines• Methadone and Alcohol• Cocaine• Crack Cocaine
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What have I learned
• “A good answer right now is much more preferable to the perfect answer next week”
• Gen George Paton
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• Clients have an agenda• Economics of addiction• Bureaucratisation of Misery
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Needle exchange and
Methadone clinics
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Economics of Addiction
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Economics part 2
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Bureaucratisation of Misery
• More and more forms• Measuring Misery• Compartmentalization of problems.
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Conclusion
• How do I see the future• Counselling• Motivational interviewing • Client choice
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