the trifecta: brain injury, mental illness and substance abuse
DESCRIPTION
The Trifecta: Brain Injury, Mental Illness and Substance Abuse. Practical Approaches and Supports for Community Residential Providers. Just People Doing the best that they can. CASE STUDY: Thomas. The Trifecta. The Ying and the Yang of SA and BI/MI incidence. SA Conditions - PowerPoint PPT PresentationTRANSCRIPT
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THE TRIFECTA: BRAIN INJURY, MENTAL ILLNESS AND SUBSTANCE ABUSE
Practical Approaches and Supports for Community Residential Providers
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JUS T PEO PLE DO ING THE BEST THAT THEY CAN
CASE STUDY: Thomas
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THE TRIFECTA
Substance Abuse
Mental Illness
Brain Injury
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THE YING AND THE YANG OF SA AND BI/MI INCIDENCE
SA Conditions
Pre-Morbid/Occurring Dysfunction: Familial,
Behavioral, Environmental
Reactionary Self-Medicating
Social Tool Socializing, “normal”
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SERVING PEOPLE WITH CO -OCCURRING BI/MI/SA
Common Issues that arise:
vulnerability of other residents,
neighbor relationships,
health and safety,
programming…..
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OPERATIONS AND PROGRAMMING
1. Policy and Procedures
2. Environment
3. Staff hiring and training
4. Working with the person
5. Community Resources
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POLICY AND PROCEDURE
Referral/Intake
Plans
Communication
Suspected Use
Disruption of Placement
Discharge Planning
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ENVIRONMENT
Therapeutic
Hiding Places
Safety
Accessibility
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STAFF
Hiring the “right” staff
Training
Supervision
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PHILOSOPHY: WELLNESS
3 R’s
3 P’s
Active Engagement
Medications
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WORKING WITH THE PERSON
Disability Knowledge
Stages of Change
Strategies supporting skill development
Relapse Planning
Responding to Crises
Discharge Planning
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COMMUNITY RESOURCES
Traditional and creative
Individualized
Disability Knowledge
Plan for success
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OTHER RESOURCES
Ohio Valley Center, www.ohiovalley.org, 614-293-3802
Brain Injury Australia: www.braininjuryaustralia.org
CPI; Restraints booklet, [email protected], 800-758-6048
Brainline, www.brainline.org
NAMI, www.namihelps.org, 651-645-2948
National Suicide Hotline: 1-800-273-8255
Making Cognitive Connections, @ID 4 the Web
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CASE STUDY: THOMAS
A Person Evolving
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CONCLUSION
. BI
MI
SAOperations
Programmin
g
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ACKNOWLEDGEMENTS
• Ohio Valley Center of the Ohio State University
• Annette Pearson, LADC, MS, Vinland Center
• Brain Injury Australia
• Laura Li, MD
• SAMHSA
• Marty McMorrow, Wayne Gordon, Dr Brent Masel
• J Prochaska and C DiClemente’ (Stages of Change theory)
• Erwin Concepcion, PhD MN SOS
• Marsha Linehan, PhD (DBT)