Success @ Outside In
Drug Education
Mental Health
Family
Stages of Change
100

What are 3 ways to ensure success at Outside In?

Ask for help

Participate/get things out of groups

Respect/follow staff directives

Push yourself out of "comfort zone"

Successful therapeutic leaves/home passes

Family sessions/involving family in treatment

Being honest with yourself 

100

What law is intended to encourage people to call for medical assistance for people that are suffering from drug overdoses without a fear of the caller being prosecuted or the person needing medical assistance being prosecuted?

"Good Samaritan"

The criteria for such immunity includes the following:

  • Individual must report incident to 9-1-1, law enforcement or an emergency official
  • Individual must give authorities identifying information
  • Individual must stay with the overdose patient until emergency assistance arrives
  • The law does NOT grant immunity to those involved in the delivery or distribution of drugs
100

Most common mental disorder

Anxiety

100

What are examples of issues that a family may experience with drug use/addiction? (Give 2)

Communication issues

Trust

Lack of knowledge/awareness

History of addiction within the family

Enabling

Codependency


100

What are the 5 stages of change?

  1. Precontemplation
  2. Contemplation
  3. Preparation
  4. Action
  5. Maintenance
200

Why are you at Outside In?

To get support/help with things going on in my life, including awareness on substances, family support, and direction in my life.

200

Name 3 signs of an overdose:

  • Face is extremely pale/clammy to the touch
  • Body is limp
  • Fingernails or lips have a blue/purple color
  • The patient is vomiting or making gurgling noises
  • He or she cannot be awakened from sleep or is unable to speak
  • Breathing is very slow or stopped
  • Heartbeat is very slow or stopped
200

Reasons why adolescent males don't therapy help for mental health issues (name 3):

Self-stigma

Masculinity (suck it up, be a man)

Shame

Awareness

200

Name 2 reasons why communicating with family is difficult.

Unavailable

Trust

Fear of judgement

Assume they wouldn't understand/listen

Shame/letting the family down

200

People in the _______________ stage typically do not consider their behavior to be a problem.

Precontemplation

300

What is therapy?

A safe, nonjudgmental space for you to talk about problems & anything that's overwhelming you. Your therapist listens to what you have to say & then works with you to develop a plan to confront challenges & improve life.

300

__________ use directly affects the brain — specifically the parts of the brain responsible for memory, learning, attention, decision making, coordination, emotions, & reaction time. Developing brains, like those in babies, children, and teens, are especially susceptible to the adverse effects of marijuana.

Marijuana 

300

Anxiety disorders develop from a complex set of risk factors, including (name 2 risk factors): 

Genetics 

Brain chemistry

Personality

Life Events

300

Name 3 ways to communicate with parent/family member about issues.

Phone (call/text)

Writing a letter/poem/song

Sitting down without distractions

Getting someone else to join in conversation

Draw a picture and describe it

300

The _____________ is sometimes included in the stages of change model, in recognition that a person might have some, or even many, small lapses, or even relapses—periods when the addictive behavior is taken up again—before maintenance is achieved.

Relapse Stage

400

What are "coping skills?" (Name 5)

Diversions

  • Write, draw, paint, photography
  • Play an instrument, sing, dance, act
  • Take a shower or a bath
  • Garden
  • Take a walk, or go for a drive
  • Watch television or a movie
  • Play a game
  • Clean or organize your environment
  • Read

Social/Interpersonal Coping

  • Talk to someone you trust
  • Set boundaries and say “no”
  • Write a note to someone you care about
  • Spend time with friends and/or family
  • Care for or play with a pet

Cognitive Coping

  • Make a gratitude list
  • Brainstorm solutions
  • Lower your expectations of the situation
  • Keep an inspirational quote with you
  • Act opposite of negative feelings
  • Write a list of pros and cons for decisions
  • Reward or pamper yourself when successful
  • Write a list of strengths
  • Accept a challenge with a positive attitude

Tension Releasers

  • Exercise or play sports
  • Engage in catharsis (yelling in the bathroom, punching a punching bag)
  • Cry
  • Laugh

Physical

  • Get enough sleep
  • Eat healthy foods
  • Get into a good routine
  • Eat a little chocolate
  • Limit caffeine
  • Practice deep/slow breathing

Spiritual

  • Pray or meditate
  • Enjoy nature
  • Get involved in a worthy cause
400

There are withdrawals from certain substances that can be extremely dangerous and fatal. What are the drugs that can cause fatal withdrawal symptoms (name all 3):

Alcohol

Severe alcohol withdrawal can cause hallucinations, seizures, or Delirium Tremens (DTs.) All three of these can cause medical complications that lead to death, but the most severe are the DTs that can directly lead to a fatal withdrawal, & often occur 2-to-3 days after an individual’s last drink. 

Benzodiazepines

Xanax, Valium, Klonopin, & Ativan, are depressants that can cause fatal withdrawal symptoms. The withdrawal symptoms from benzodiazepines can cause medical & psychological issues, and can include sensory distortions, seizures, paranoia, & delirium. Benzodiazepine withdrawal seizures can be fatal.

Opioids

Most people do not think that opioid withdrawal symptoms can be fatal, & often, they are not. While many individuals report that withdrawals from opioids make them feel like they have the “flu times 100”, in severe cases, certain withdrawal symptoms from opioids can be fatal. This includes vomiting and diarrhea, which can cause dehydration & lead to a fatal overdose. Opioid withdrawal can also be fatal if an individual chokes on their own vomit, which can cause death by asphyxiation.

400

__________ is the second leading cause of death in young people aged 15–24 years.

Suicide

400

What are 3 root causes of addiction?

Trauma

Mental Health

Genetics- About 50% of your risk for drug and alcohol addiction comes from your genetic makeup.

400

Identify 2 things that a person might do during the "preparation" stage.

  • Plan the kind of change to be made
  • Determine how to make the change
  • Obtain necessary resources
  • Get rid of triggers
  • Put support in place
500

What are Outside In's expectations of a "home pass?" (Name 4)

No peer contact

Drug/alcohol free

3 goals to complete while at home/complete paperwork

Check in @ night

Arrive back to campus by 6pm

500

The long-term effects of Percocet on the brain include: (List 3)

  • Addiction
  • Decreased testosterone in men
  • Decreased volume of gray matter in the brain
  • Hyperalgesia (An increased sensitivity to feeling pain & an extreme response to pain. It may also become a new or different type of pain than the original pain)
  • Insomnia
  • Depression
  • Overdose
500

Name 3 examples of self-harm.

  • Cutting or burning 
  • Punching or hitting self
  • Poisoning self with chemicals
  • Misusing alcohol or drugs
  • Deliberately starving themselves (anorexia nervosa) or binge eating (bulimia nervosa)
  • Excessively exercising
500

Name 1 way that you can prepare to have a difficult conversation with a parent.

Step 1: Know What You Want From the Conversation

Step 2: Identify Your Feelings

Step 3: Pick a Good Time to Talk

500

The maintenance stage is most challenging after a period of time has elapsed & the focus on reaching the goal has lost its intensity. People can become __________ at this point, & they may begin to think that a small lapse will make no real difference.

Complacent, lack of motivation, "lazy"

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