Standards
What does BSAS Stand for?
Bureau of Substance Abuse Services
What is PICS
Post Incarceration Syndrome is characterized by a range of psychological, emotional, and social difficulties that can arise as a result of being imprisoned. These difficulties can include depression, anxiety, post-traumatic stress disorder (PTSD), difficulty adjusting to life outside of prison, and difficulty forming and maintaining relationships.
What is trauma-informed care?
Operating under the assumption that all living beings have experience some for of trauma in their lives
Define transference and countertransference
Transference is the redirection to a substitute (usually a therapist) of emotions that were originally felt in childhood
Countertransference is the reactions and feelings of a therapist towards their client
Angela is a 32 yo single female who is in her third trimester of pregnancy with a SUD for opiates. What options does she have to decrease risk in her pregnancy
MAT
Harm reduction
MI/Self-Help
Peer Mentor
12 step programs
What is BSAS responsible for?
Oversees prevention, screening, intervention, treatment and recovery support services in Massachusetts
What are barriers to treatment for Veterans
MTF referral needed
Notes collected by direct supervisors
Exposure to trauma
Instability of living environment
Exclusionary diagnoses and medications
What is MI and what are the 5 principals
Motivational Interviewing
-Autonomy
-Acceptance
-Adaptation
-Empathy
-Evocation
What is a cochlear implant?
a small electronic device
that electrically stimulates the cochlear nerve
(nerve for hearing).
Who would you suggest attend a SMART recovery meeting v. AA or Al-Anon
SMART recovery is a CBT central program geared towards promoting sobriety and interconnectedness without religious undertones
What does CLAS stand for?
Culturally and Linguistically Appropriate Services
What do the letters in LGBTQIA+ stand for
Lesbian, Gay, Bisexual, Transgendered, Questioning, Intersex, Asexual and the + is because it in an evolving acronym
What is CBT?
Cognitive Behavioral Therapy solution-focused psychotherapy with the aim of using self-help techniques to rewire thinking
What percentage of people with a hearing impairment also has a SUD?
20%
John is a 52 yo homeless veteran with a SUD of Alcohol, he has no family and has presented to your first meeting with pervasive sadness and hopelessness that is concerning to you
Assess safety and ask if he is having suicidal thoughts, it will not increase the risk
Name the major 3 CLAS theme standards
Language Accessibility, Cultural Competence, Health Equity (workplace diversity)
What are co-occurring disorders?
Meaning a person has both a SUD and DSM V diagnosable mental health condition
What is MAT and what are the types?
Medically Assisted Treatment
methadone, buprenorphine and naltrexone
Traumatic Brain Injury
-Falls
-Vehicle related accidents
-Violence (gunshot wounds, DV etc)
-Sport Injuries
-Explosive Blasts/Combat Injuries
Pamela is a 19 yo female who is a recent college dropout who presents with a variety of issues: she is in the early stages of pregnancy, her family has kicked her out, she is only sober 30 days and does not have her own economic means. What techniques can you use to problem solve?
Motivational Interviewing, Active Listening, Chunking, Short-term solution focused
(recommend CBT, DBT, EMDR)
Conduct ongoing assessments of the organization’s CLAS-related activities and integrate CLAS-related measures into measurement and continuous quality improvement activities; Create conflict and grievance resolution processes that are culturally and linguistically appropriate to identify, prevent, and resolve conflicts or complaints; Collect and maintain accurate and reliable demographic data to monitor and evaluate the impact of CLAS on health equity and outcomes and to inform service delivery.
Physical, Sexual, Emotional, Economic, Technological, Psychological
What technique is used often with pregnant women with a SUD to reduce risk?
Harm reduction
What does it mean to be culturally competent?
You hold a deep respect for cultural differences and are eager to learn and willing to accept that there are many ways of viewing the world
Sandra is and ADSM who would like to receive therapeutic services for her SUD with ETOH. What does she need to do?
Speak with her command or PCP to obtain a MTF referral first
What two categories does BSAS work with its partners to develop prevention strategies for
Universal Protection, Selective Prevention
What are barriers to treatment for Incarcerated Persons with a SUD
-Access to services
-Recidivism rate
-Stigma
-Housing
-Employment (skills training)
Who can complete a Section 35?
A spouse, blood relative, police officer, physician, psychologist, nurse, guardian
What are the stages of change?
Precontemplation, Contemplation, Preparation, Action, Maintenance, (Relapse)
Rita is a 28 yo formerly incarcerated person with a SUD of cocaine. What supports can she be offered in MA?
12 step, psychotherapy, MAT, group therapy, re entry programs