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Dave Moran LCSW, CAADC ~ Allyson Sproul, LCSW, CAADC
Advocating for a new approach to domestic violence.
The role-plays included consideration to non-verbal behavior and adhered to a five-phase intervention model—
Saftey
Most successful: Family Crisis Intervention Program, between psychodramatists at St. Elizabeth's Hospital & Metropolitan Police Department of Washington DC.
Also the most extensive training program in the United States at that time
(Hankins & Buchanan, 1987).
Afterward, participants engaged in a discussion about which interventions seemed most effective and their own action insights during the process.
Research on a similar police training program demonstrated a significant increase in recognition of:
•Recovery Model of Integrated Treatment
•Collaboration between Criminal Justice, MH, Crisis and D&A systems
•SAMHSA, DOH, OMHSA are integrating systems under the COD Initiative
•Behavioral Health Criminal Justice Regional Forensic Service Coordination
What is Mental Health?
Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur when we are young.
ACEs and the associated toxic stress they create are the root causes of some of the most common, serious, and costly health and social challenges facing our state.
ACEs are strongly linked to 9 of the 10 leading causes of death in the United States
-www.acesaware.org
ABUSE
Physical, emotional or sexual
NEGLECT
https://www.acesaware.org/wp-content/uploads/2022/07/ACE-Questionnaire-for-Adults-Identified-English-rev.7.26.22.pdf
Physical or Emotional
HOUSEHOLD CHALLENGES
Chronic interpersonal conflict due to MH/DA, Incarceration, separation and/or intimate partner violence
https://www.cdc.gov/violenceprevention/aces/riskprotectivefactors.html
Mood
Thought
When the body needs “something” to function at a baseline or state of “wellness”
Necessary for survival
“Physical dependence in and of itself does not constitute addiction, but it often accompanies addiction”.
–drugabuse.gov
Nutrients
Nutrients
Neurotransmitters
Hormones
Body + Brain
If people abruptly stop taking medications on which they’ve become physically dependent, they can experience withdrawal symptoms. This can be serious, even fatal.
Physical dependence on a prescribed, properly taken opioid medication is distinct from OUD and opioid addiction.
OUD is abehavioral disorderassociated with loss of control of opioid use, use despite adverse consequences, reduction in functioning, and compulsion to use.
If the "thing" is missing, the body lets us know by exhibiting symptoms
-SAMHSA TIP 63
Necessity for function + reward in brain + loss of control= Addiction
"I love ______, I'm a ______ junkie. When I start ______ I can't stop. I love the way it makes me feel, it's my comfort, but the ______ is killing me. It's keeping me from being a part of my kids lives. My kids are gonna come in and find me dead. I have to change or I'm gonna die"
Precontemplation
Contemplation
Preparation
Action
Maintenance
**Relapse
Unhealthy Living
Goals, Hopes and Dreams