1 / 36

Louisiana Association of Drug Court Professionals 8 th Annual Louisiana Drug Court Conference

Louisiana Association of Drug Court Professionals 8 th Annual Louisiana Drug Court Conference New Orleans Marriott New Orleans, Louisiana February 22, 2006. Treatment: Doing The Right Thing …In The Right Way Terrence D Walton, MSW, ICADC. What is Addiction?. Treatment Is ….

Anita
Download Presentation

Louisiana Association of Drug Court Professionals 8 th Annual Louisiana Drug Court Conference

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Louisiana Association of Drug Court Professionals 8th Annual Louisiana Drug Court Conference New Orleans Marriott New Orleans, LouisianaFebruary 22, 2006 Terrence D. Walton Terrencewalton@aol.com

  2. Treatment: Doing The Right Thing …In The Right Way Terrence D Walton, MSW, ICADC Terrence D. Walton Terrencewalton@aol.com

  3. What is Addiction? Terrence D. Walton Terrencewalton@aol.com

  4. Treatment Is… • Organized, professional helping • A professional relationship • Based on theory and protocol • Governed by legal, professional and ethical standards Terrence D. Walton Terrencewalton@aol.com

  5. Treatment Must Enhance • Motivation – Why change? • Insight – What to change? • Skills – How to change? Terrence D. Walton Terrencewalton@aol.com

  6. What Works? Treatment outcome research reveals a number of effective treatment approaches or types to consider Family Group Individual Terrence D. Walton Terrencewalton@aol.com

  7. Cognitive Behavioral Pharmacological Interventions For the BEST OUTCOMES Provide a Puzzle of Evidence Based Approaches Motivational Approaches Community Reinforcement Continuing Care Case Management Terrence D. Walton Terrencewalton@aol.com

  8. Gender and Cultural Competence Terrence D. Walton Terrencewalton@aol.com

  9. Family/Community Interventions • Structural-Strategic Family Therapy • Multi-Systemic Therapy (MST) • Systematic Training for Effective Parenting (STEP) • Community Reinforcement Approach (CRA) Terrence D. Walton Terrencewalton@aol.com

  10. Group Interventions • Multi-Family Therapy Groups • Psychoeducational Groups • Self Help Groups Terrence D. Walton Terrencewalton@aol.com

  11. Individual Interventions • Pharmacotherapy/Acunpuncture • Cognitive Behavioral • Motivational Enhancement Approaches Terrence D. Walton Terrencewalton@aol.com

  12. Pharmacological Interventions Goals – Provide: • relief from withdrawal symptoms * • prevent drugs from working • reduce craving* • aversive reactions *Acupuncture found effective Terrence D. Walton Terrencewalton@aol.com

  13. Pharmacological Interventions Methadone – Opiate addiction – reduces craving, mediates withdrawal symptoms, Buprenorphine – similar to methadone, may be prescribed by an MD with special training Antabuse – produces adverse reaction with alcohol use Naltrexone – stops opiates from working, changes alcohol action for some – reduction in relapse Baclofen – possible reduction in cocaine cravings Terrence D. Walton Terrencewalton@aol.com

  14. Understanding C-B Approaches • Cognitions affect: other cognitions, emotions, and behavior. • Cognitions lead to behavioral changes. • Cognitions play a major role in the development and maintenance of addiction and criminality. Terrence D. Walton Terrencewalton@aol.com

  15. Understanding C-B Approaches • Behavior is developed and maintained by external events (cues or reinforcement) and by internal processes (cognitions) • De-emphasizes early child hood experiences and emphasizes the here and now • Social learning (How a person came to think as he or she does) Terrence D. Walton Terrencewalton@aol.com

  16. Three C-B Approaches • Cognitive Restructuring Models (e.g. criminal thinking models) • Coping Skills Models (e.g. stress management models) • Problem Solving Models Terrence D. Walton Terrencewalton@aol.com

  17. Reality Therapy: WDEP System • W________________ • D________________ • E________________ • P________________ Terrence D. Walton Terrencewalton@aol.com

  18. Direction/Doing W________________ A________________ Y________________ D________________ Terrence D. Walton Terrencewalton@aol.com

  19. Motivational Approaches How People Change Terrence D. Walton Terrencewalton@aol.com

  20. Why people change • W_______ • A_______ • R________ Terrence D. Walton Terrencewalton@aol.com

  21. How People Change • Pre-contemplation • Contemplation • Preparation • Action • Maintenance Terrence D. Walton Terrencewalton@aol.com

  22. The “Readiness Ruler" Not at all ready to change Thinking about change Preparing to change Actively working on or maintaining a change PreContem- plation Contem- plation Prepar- ation Maintenance Action Terrence D. Walton Terrencewalton@aol.com

  23. PRE-CONTEMPLATION Terrence D. Walton Terrencewalton@aol.com

  24. Why people don’t change • Reveling • Reluctance • Rebellion • Rationalizing • Resignation Terrence D. Walton Terrencewalton@aol.com

  25. CONTEMPLATION Terrence D. Walton Terrencewalton@aol.com

  26. The Decisional Balance • What do you want that you… • What do you want that you… • What are you getting that you… Terrence D. Walton Terrencewalton@aol.com

  27. PREPARATION Terrence D. Walton Terrencewalton@aol.com

  28. ACTION Terrence D. Walton Terrencewalton@aol.com

  29. MAINTENANCE Terrence D. Walton Terrencewalton@aol.com

  30. Traps to Avoid • Question – Answer • (“the interrogation”) • Taking Sides (arguing for change) • Expert Trap • Labeling Trap • Premature Focus • Blaming Trap Terrence D. Walton Terrencewalton@aol.com

  31. GENERAL PRINCIPLES • Express Empathy • Develop Discrepancy • Roll with Resistance • Support Self-Efficacy Terrence D. Walton Terrencewalton@aol.com

  32. Express Empathy • Acceptance facilitates change • Skillful reflective listening is fundamental • Ambivalence is normal Terrence D. Walton Terrencewalton@aol.com

  33. Develop Discrepancy • The client, rather than the officer should present the arguments for change. • Change is motivated by a perceived discrepancy between present behavior and important personal goals or values. Terrence D. Walton Terrencewalton@aol.com

  34. Roll with Resistance • Avoid arguing for change. • Resistance is not directly opposed. • New perspectives are invited, but not imposed. • The client is the primary resource in finding answers and solutions. • Resistance is a signal to respond differently. Terrence D. Walton Terrencewalton@aol.com

  35. Support Self-Efficacy • A person’s belief in the possibility of change is an important motivator. • The client, not the officer, is responsible for choosing and carrying out change. • The officer’s own belief in the person’s ability to change becomes a self-fulfilling prophecy. Terrence D. Walton Terrencewalton@aol.com

  36. Louisiana Association of Drug Court Professionals 8th Annual Louisiana Drug Court Conference Terrencewalton@aol.comFebruary 22, 2006 Terrence D. Walton Terrencewalton@aol.com

More Related