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
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
Which substances are the most dangerous to withdraw from medically?
Alcohol and benzodiazepines
Bonus: Why?
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!!!
Curriculum for this Co-occurring Group was created by Telecare to address substance use from a holistic and stigma reducing perspective.
Whole Person Care

What do you want to know more about with regards to working with Co-Occurring members?
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).
Identifying triggers, developing coping skills and building a support system are three common parts to this written intervention.
Relapse Prevention Plan
This is the pleasure chemical in our brains that plays a major role in substance abuse and addiction
Dopamine

What do you want to know more about with regards to working with Co-Occurring members?
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
In this stage, individuals are aware of the problem and are considering making a change, but haven't made a commitment yet.
Contemplation
Bonus: What are some stage appropriate interventions?
This Recovery program is similar to Alcoholics Anonymous...minus the religious aspect and is available in person and on line.
SMART Recovery
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...
Name a few of the common drugs used for Opiate Use Disorder.
methadone, suboxone, naloxone
Bonus: What is the most common name for naloxone?

What do you want to know more about with regards to working with Co-Occurring members?
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?