Transcript COMBATING STIGMA - Illinois Co-Occurring Center for Excellence

RECOVERY
EDUCATION
Trina M. Diedrich, MS, CADC, CRSS
Mental Illness Substance Abuse (MISA) Manager
Illinois Department of Human Services
Division of Alcoholism and Substance Abuse
WHY FOCUS ON
CO-OCCURRING DISORDERS?
 Substance use disorders are common in people
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with mental health disorders
Mental health disorders are common in people
with substance use disorders
Co-occurring disorders lead to worse outcomes
and higher costs than single disorders
Evidence-based models exist and can be
implemented
Providers and consumers want a better system
and services
Few (<10%) people get the treatments they
need.
Mark P. McGovern; THE DUAL DIAGNOSIS CAPABILITY IN ADDICTION TREATMENT (DDCAT) INDEX
June, 2007; http://dms.dartmouth.edu/prc/dual/atsr/
LIFETIME RISK OF ANY
MENTAL HEALTH DISORDER
BY SUBSTANCE USE DISORDER
Cocaine
76.1% (11.3)
Barbiturates
74.7% (10.8)
Hallucinogens
69.2% (8.0)
Opiates
65.2% (6.7)
Alcohol
36.6% (2.3)
Mark P. McGovern; THE DUAL DIAGNOSIS CAPABILITY IN ADDICTION TREATMENT (DDCAT)
INDEX June, 2007; http://dms.dartmouth.edu/prc/dual/atsr/
RECOVERY
REFERS TO THE PROCESS IN
WHICH PEOPLE ARE ABLE TO
LIVE, WORK, LEARN, AND
PARTICIPATE FULLY IN THEIR
COMMUNITIES.
Achieving The Promise:Transforming Mental Health Care in America;The Presidents New Freedom Commission on Mental Health Final Report 2003
For some individuals, recovery is the
ability to live a fulfilling and productive
life despite a disability.
For others, recovery implies the
reduction or complete remission of
symptoms.
Science has shown that hope plays an
integral role in an individual’s recovery.
Achieving The Promise:Transforming Mental Health Care in America;The Presidents New Freedom Commission on Mental Health Final Report 2003; P 5
HOPE HOPE HOPE HOPE
TO WISH FOR SOMETHING WITH THE
EXPECTATION OF ITS FULFILLMENT
TO HAVE CONFIDENCE; TRUST
TO LOOK FORWARD TO WITH
CONFIDENCE OR EXPECTATION
TO EXPECT AND DESIRE
A WISH OR DESIRE ACCOMPANIED BY
CONFIDENT EXPECTATION OF ITS
FULFILLMENT
The American Heritage Dictionary Second College Edition Houghton Mifflin Company; 1985; Boston, MA, PP622.
HOPE IS DASHED BY STIGMA
STIGMA
 A MARK BURNED INTO THE SKIN OF A CRIMINAL OR
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SLAVE; BRAND
A MARK OR TOKEN OF INFAMY, DISGRACE, OR
REPROACH
A SMALL MARK; SCAR OR BIRTHMARK
A MARK ON THE SKIN THAT BLEEDS AS A SYMPTOM
OF HYSTERIA
A MARK INDICATIVE OF A HISTORY OF DISEASE OR
ABNORMALITY
The American Heritage Dictionary Second College Edition Houghton Mifflin Company; 1985; Boston, MA, P 1197.
WORDS HURT
CRAZY
INSANE
PSYCHOTIC
HYPER
MANIC
MEDICATED
LUNATIC
MANIAC
NON COMPLIANT
PSYCHO
NUTS
MENTAL
DEMENTED
HIGH/LOW
FUNCTIONING
The Bathtub Test
During a visit to the mental asylum, a visitor asked the Director “how do
you determine whether or not a patient should be institutionalized?”
"Well," said the Director, "we fill up a bathtub, then we offer a teaspoon, a
teacup and a bucket to the patient and ask him or her to empty the
bathtub."
"Oh, I understand," said the visitor. "A normal person would use the
bucket because it's bigger than the spoon or the teacup."
"No." said the Director, "A normal person would pull the plug.
Do you want a bed near the window?"
ARE YOU GOING TO PASS THIS ON, OR DO YOU WANT THE
BED NEXT TO MINE?
AND NOW SOME HISTORY
It wasn’t always this
way. . . it was much,
much worse.
DARK DAYS
HAVE YOU EVER WANTED TO:
DISAPPEAR
RUN AWAY
HIDE
HURT YOURSELF
DIE
ACCEPTANCE
IS THE ANSWER
HOW TO ACCEPT MENTAL ILLNESS
AND ADDICTION WHEN IT’S YOU
HOW TO ACCEPT MENTAL ILLNESS
AND ADDICTION WHEN IT’S NOT YOU
ACHIEVING ACCEPTANCE DAILY
TREATMENT
IT WORKS
INPATIENT TO OUTPATIENT TO
CONTINUING CARE
MENTAL ILLNESS AND SUBSTANCE
ABUSE INTEGRATED TREATMENT
MEDICATIONS
THERAPY
COPING STRATEGIES
12 STEP PROGRAMS
SPIRITUALITY
LEISURE ACTIVITIES
REST
EXERCISE
NUTRITION
HEALTHY RELATIONSHIPS
COMMUNITY INVOLVEMENT
SUCCESS, HOPES AND
DREAMS
INTENTIONAL LIVING
DREAM IT INTO REALITY
HOPE FOR THE BEST OUTCOME
SUCCESS FOLLOWS YOUR DREAMS
RECOVERY ACCORDING TO
DR. SUESS
TAKE A BREAK AND RELAX
CLOSE YOUR EYES IF YOU WISH
REMEMBER TO BREATHE
MAKE YOURSELF COMFORTABLE
NOTHING MATTERS RIGHT NOW
EXCEPT BEING HERE
LISTEN
REMEMBER STIGMA HURTS
NEXT TIME YOU HEAR WORDS THAT HURT THINK:
RECOVERY
HOPE
DREAMS
SUCCESS
Trina M. Diedrich
MS, CADC,CRSS
MISA Manager
Contact Information
319 E. Madison St.
Suite 2-D
Springfield, IL 62701
217-557-6604
[email protected]