Transcript Things I wish I knew back then or if only they had told me

Things I wish I knew back
then or if only they had told
me
• A look at my beliefs and view’s in 1998
• Compared to now.
INTRODUCTION
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My Experience and Qualifications
Clients and Resources
Drugs and Alcohol
What I have learned
Conclusion
QUALIFICATIONS
• B.A HONOURS DEGREE IN SOCIAL
POLICY
• POST GRAD IN DRUG AND ALCOHOL
STUDIES.
RELEVANT SUBJECTS
• Intervention Methods, Behavioural
change
• Drug and Alcohol use and
consequences
• Policy and prevention
• Alcohol Drug research methods
• Comprehensive study of underage
drinking.
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Subjects continued.
Health and Community care.
Economics individuals in society
Economics social market failure
Basic Psychology
Work experience
• Senior Addiction worker Grt Pollok
C.A.T
• Team Leader/Project worker at G.D.C.C
• Volunteer/project worker at Gorbals
Addiction Service.
Myself as drugs worker 98
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Skills and Theory
Motivation
Knowledge
Challenging
Theory and Skills
Motivational Interviewing
Prochaskas and Di Clementes
Motivational Interviewing
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Individual Responsibility
No Labelling of client
Internal attribution
Cognitive Dissonance
Skills
• Reflective listening
• Clients should present arguments for
change
• Avoid Arguments, role with resistance.
• Client as resource
• Keep discussion focused
• Illicit motivational statements
Cycle of change
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Precontemplation
Contemplation
Action
Maintenance
Relapse
Clients 98
• Pressure from family and friends to be
seen to be doing something
• Get access to prescribed Medication
• Stop going to prison
• Sort out other problem
• Want to come off Drugs or Alcohol
Resources 98
• Counselling
• Methadone?
• Residential Rehab
Clients 2005
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Clients have an agenda
Pressure from family friends
Get access to prescribed medication
Stop going to prison
Sort out multitude of problems
Want to come off Drugs or Alcohol or
Both
Resources 2005
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Substitute prescribing
Community rehabs
Residential rehabs
Counselling
Home detox
Universal addiction teams
Needle exchange harm reduction
Progress to work
Drugs 98
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Heroin
Cannabis
Temazepam
Benzodiazipines
Sulphates
Cocaine
Drugs 2005
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Heroin
Cannabis
Benzodiazipines
Methadone and Alcohol
Cocaine
Crack Cocaine
What have I learned
• “A good answer right now is much more
preferable to the perfect answer next
week”
• Gen George Paton
• Clients have an agenda
• Economics of addiction
• Bureaucratisation of Misery
Needle exchange
and
Methadone clinics
Economics of Addiction
Economics part 2
Bureaucratisation of Misery
• More and more forms
• Measuring Misery
• Compartmentalization of problems.
Conclusion
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How do I see the future
Counselling
Motivational interviewing
Client choice