Back to the Basics
Curriculum for this Co-occurring Group was created by Telecare to address substance use from a holistic and stigma reducing perspective.
Whole Person Care
The number to call with members when you need to link them to substance abuse services.
211 (988 can also give referrals)
What does MAT stand for?
Medication assisted treatment
Bonus: Name a medication used with Alcohol Use Disorder that helps with cravings
This is the most common reason for a missed alcohol abuse diagnosis in Older Adults.
The Process of Aging: memory impairment, fatigue, increased falls, neglecting personal hygiene.
This intervention is all about ambivalence and rolling with resistance.
Motivational Interviewing
Bonus: Name 2 MI techniques and when you would use them
These are 3 (of many) reasons that people with substance use disorders are dishonest about their use.
Shame, fear (of change and consequences), Denial, STIGMA!!!
Bonus: Can lying be a learned behavior?
Name 4 residential treatment programs in San Diego that accept Medi-Cal
Stepping Stone, McAlister, Turning Point, CRASH, Interfaith, Freedom Ranch, Pathfinders, MAAC, House of Metamorphosis...
This is the most common mix of substances in Older Adults to cause a fatal overdose.
Alcohol and Opiates/benzodiazepines
What might someone be under the influence of if they are presenting with the following behaviors: rapid speech, loss of sleep, blurred vision, excessive energy, risky behaviors, weight loss, sweating, twitching, rapid heart rate, decreased appetite, high blood pressure.
Stimulants: Cocaine/Crack Cocaine, Methamphetamines (crystal meth/ice/speed), synthetic stimulants (bath salts).
This Recovery program is similar to Alcoholics Anonymous...minus the religious aspect and is available in person and on line.
SMART Recovery
Which substances are the most dangerous to withdraw from medically?
Alcohol, benzodiazepines, opiates
Bonus: Why?
Needle/Syringe programs and Fentanyl testing strips are both examples of ____ _______.
Harm Reduction
Bonus: Name 2 harm reduction techniques for reducing alcohol use
What might someone be under the influence of when exhibiting the following behaviors: decreased breathing, small pupils, problems with attention, drowsy or sleepiness, low energy, slurred speech, confusion.
Opiates: Prescription (Vicodin, OxyContin, Percocet, morphine, codeine, fentanyl), heroin
Bonus: What presents similar to opiate intoxication? Why?
Identifying triggers, developing coping skills and building a support system are three common parts to this written intervention.
Relapse Prevention Plan
In recovery, people move back and forth through these. It is the clinicians job to identify where the member is at in that moment, and respond with appropriate interventions.
Stages of Change:
Bonus: Name the 5 stages
Name a few of the common drugs used for Opiate Use Disorder.
methadone, suboxone, buprenorphine, naloxone
Bonus: What is the most common name for naloxone?
An increase in this intervention has shown to reduce both substance use and overall quality of life in Older Adults
Socialization
Bonus: What are a few causes for substance use specifically with Older Adults?