welcome
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Module 4 - Treatment Planning: Integrating Tobacco Use Interventions into Chemical Dependence Services. Welcome. Add Trainer’s Names. This training was developed by the Professional Development Program, under a contract with the NYS Department of Health, Tobacco Control Program. - PowerPoint PPT PresentationTRANSCRIPT
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Module 4 - Treatment Planning:
Integrating Tobacco Use Interventions into Chemical Dependence Services
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Welcome
Add Trainer’s Names
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This training was developed by the Professional Development Program, under a contract with the NYS Department of Health, Tobacco Control Program.
PDP developed five classroom-based curricula and seven online modules, which are available at www.tobaccorecovery.org
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Housekeeping
Hours of Training Breaks Restrooms Tobacco Use Policy Cell Phones Active Participation Complete Training Evaluation
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Introductions
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6 PM 8
Training Modules
Module 1 - Foundations
Module 2 - Assessment, Diagnosis, Pharmacotherapy
Module 3 - Behavioral Interventions
Module 4 - Treatment Planning
Module 5 - Co-occurring Disorders
E-Learning - All Modules
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7 PM 9
Module 4 Agenda
Knowledge and Skills Review
Treatment Planning
Treatment Plan Case Study
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Module 4 Objectives
Please refer to your manual for a list of module objectives
PM 9
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Unit 1Review of Skills and Knowledge
PM 119
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Activity 1
Jeopardy Style Review Exercise
PM 12
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Discussion
What other specific knowledge and skills do you already possess that can be applied to treating tobacco use and dependence?
PM 13
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Self-Assessment and Debrief
Assess your current knowledge and skill, plus your current level of confidence with writing treatment plans.
Scaling questions in your participant manual.
PM 13
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Unit 2Treatment Planning Basics
PM 1513
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Discussion
Elements for Writing
Treatment Plans
• Biopsychosocial Approach
• Comprehensive Assessment
• Integrated Program of
Therapies and Activities
PM 16
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15 PM 17 - 18
Biopsychosocial Approach to Chemical Dependence
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Discussion
• Questions to Consider about Tobacco Use and Treatment of Chemical Dependence
• Key Reminders
PM 19 - 20
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Discussion
Assessment
Biopsychosocial approach Treatment Plan
Program Structure(Integrated Program of Therapies and Activities)
PM 21
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Discussion
• Assessment Domains
• Tobacco Use Assessment Areas
• Strengths, Barriers, Successes, and Stage of Change
PM 22 - 24
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Activity 2
Modality, Assessment, and Treatment (MAT)
PM 25 - 28
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Discussion
Treatment Plan Principles:• Addresses biopsychosocial concerns
• Individualized and “patient-driven”
• “Living document”
• Collaborative
PM 29 - 30
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Review
Common Treatment Plan Components • Diagnoses
• Problem Statements
• Goals
• Objectives
• Integrated Program of Therapies/Activities
• Stage of Change for each Problem
PM 31 -32
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Unit 3 Treatment Plan Case Studies
PM 33
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Activity 3
Treatment Plan Case Study for MaryAnn
PM 34 and Appendix
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Activity 4
Developing the specific components of a treatment plan: • Step 1 - Assessing Change Readiness• Step 2 - Diagnoses • Step 3 - Writing Problem Statements• Step 4 - Writing Goals• Step 5 - Writing Objectives • Step 6 - Integrated Program of Therapies
and Activities (IPTA)
PM 35
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25 PM 18 - 19 and Appendix
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Step 1 - Stages of Change
PM 36
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Review, Practice, and Discuss
Step 1 - Assessing Change Readiness
PM 37 and Appendix
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Step 2 - Diagnosing Tobacco Use Disorders
• Nicotine Withdrawal Criteria
• Nicotine Dependence Criteria
(a.k.a. Tobacco Dependence)
PM 38 – 41 and Appendix
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Step 3 – Writing Problem Statements
• Specific
• Observable
• Measureable
• Non-judgmental
• Avoids the use of jargon
PM 42 – 44 and Appendix
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Step 4 – Writing Goal Statements
• Clear, easy to understand• Free of clinical jargon• Attainable while in the
treatment program• Reflects stage of
change readiness• Clinician and patient understand and agree
PM 45 - 48 and Appendix
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Step 5 – Writing Objectives
SMART• Specific • Measureable• Attainable• Realistic• Time-limited
PM 49 – 50 and Appendix
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Step 6 - Integrated Program of Therapies and Activities (IPTA)
Examples:
• TAG, 90 minutes, once per week for 5 weeks• Individual counseling, 30 minutes once per week
for 5 weeks• Nicotine patch: 21 mg/24 hours for 4 weeks; then 14
mg/24 hours for 2 weeks; then 7 mg/24 hours for 2 weeks
• Nicotine gum or lozenge, 2mg, as needed
PM 51 – 53 and Appendix
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Summary and Review Treatment Plan Development Process
Problem Statements
Goal Statements
Objectives
IPTA
PM 54 - 56
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Summary and Review
Refer to the questions in your participant manuals:
On a ten-point scale, how knowledgeable are you about writing treatment plans?
On a ten-point scale what is your level of confidence for writing treatment plans, which integrates tobacco interventions?
PM 55 - 56
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35 PM
Resources
The Tobacco Recovery Resource Exchange http://www.tobaccorecovery.org
E-Learning and Online Resources
OASAS http://www.oasas.state.ny.us/tobacco/index.cfm
Email: [email protected]
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Workshop Evaluation
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