General Characteristics
Why do many teens think prescription drugs and over the counter medications are safe to use?
Because they have legitimate uses.
Name a minimum of three skills that must be learned by an adolescent during this stage of development.
Adequate self concept
Social and interpersonal relationships
Communication/Connection
Negotiations and conflict resolution
The ability to develop and use meaningful support systems
The achievement of non-chemical highs
Effective management of stress
How to strive for future goals
Positive frame of reference
How many cells in the human brain?
The brain has approximately 100 billion neurons and 1 trillion supporting cells.
What does CCISC stand for?
COMPREHENSIVE, CONTINUOUS, INTEGRATED SYSTEM OF CARE
What are the most valuable tools in your work with people?
Empathy and hope
How many teens report abusing prescription stimulants or tranquilizers?
1 in 10
What are the most common gateway drugs?
Marijuana, alcohol and nicotine
How much does the human brain weigh?
Approximately 3 pounds
Name 3 of the standards of care in this model.
WELCOMING
ACCESSIBLE
INTEGRATED
CONTINUOUS
COMPREHENSIVE
Name two sources you should routinely contact (with consent) when assessing an adolescent?
Teachers, schools, physicians, probation,parents
What percentage of adolescents have experimented with illegal drugs by the time they complete 8th grade?
29%
Name at least three changes we should be looking for that might indicate an adolescent is using substances:
Sleep Patterns
Appetite
Physical Health
Personal Hygiene
Appearance
Friends
Behavior
Mood
School or Work
What part of the brain do adolescents use to read emotion?
Amygdala
Name a minimum of 3 components in truly integrated treatment.
Shared Decision making
Integration of Services
Comprehensiveness
Assertiveness
The reduction of negative consequences
A long-term perspective (time-unlimited services)
Motivation based treatment
Availability of multiple modalities
What can be the most useful vehicle for moving the recovery process forward?
Storytelling
What co-occurring mental health conditions are most commonly associated with adolescents who use substances?
conduct disorder, ADHD, depression, generalized anxiety, PTSD
Why is it difficult to make a diagnosis of addictive disease in an adolescent?
It is difficult to meet the diagnostic criteria because of their age
What does someone need to be able to do to appreciate consequences of risky behavior?
think through potential outcomes and understand the permanence of consequences.
Name, using your own language, at least two of the basic principles in the CCISC Integrated Model of Treatment.
Co-morbidity is an expectation, not an exception, and should be included in a welcoming manner in every clinical contact
2. The core of treatment success in any setting is the availability of empathic, hopeful, INTEGRATED, relationships over multiple treatment episodes.
3. Utilization of the four quadrant consensus model based on high and low severity of each disorder
All relationships and programs have the right balance of support and expectation to promote integrated learning.
5. When both illnesses are present, each must be considered primary.
6. Treatment for each primary problem must be matched to phase of recovery and stage of change.
There is no SINGLE correct intervention or program; each intervention must be matched according to the principles.
8. Similarly, successful outcomes for each problem are individualized according to the principles.
What factor must we take into account before placing an adolescent into a treatment program?
Stage of development
When adolescents enter into treatment, where do the largest number of referrals come from?
Criminal Justice System
Name the 6 stages in the substance use continuum when working with adolescents.
Abstinence
Experimental use
Early Abuse/Problem Use
Abuse
Dependence
Recovery
At what age does the brain fully develop?
Approximately age 25
What is the name of the doctor(s) responsible for developing this evidence-based practice for integrated treatment?
Drs. Kenneth Minkoff and Chris Cline
Heavy youth smokers 15x greater risk of developing what as adults?
Panic attacks