Behavioral Health Psychosis Substance Use Disorder Serving Durham,

Behavioral Health Psychosis Substance Use Disorder Serving Durham,

Behavioral Health Psychosis Substance Use Disorder Serving Durham, Wake, Cumberland and Johnston Counties Common Symptoms When Psychosis is Developing Changes in emotion and

motivation Depression Anxiety Irritability Suspiciousness Blunted, flat, or inappropriate emotion Change in appetite

PSYCHOSIS Common Symptoms When Psychosis is Developing Changes in thinking and perception Difficulties with concentration or attention

Sense of alteration of self, others, or the outside world (e.g., feeling that self or others have changed or are acting different in some way) Odd ideas Unusual perceptual experiences (e.g., a reduction in or greater intensity of smell, sound, or color)

PSYCHOSIS Common Symptoms When Psychosis is Developing Changes in behavior Sleep and appetite

disturbances Social isolation or withdrawal Reduced ability to carry out work and social roles Types of Disorders in Which Psychosis May Occur

Schizophrenia Bipolar disorder Psychotic depression Schizoaffective disorder Drug-induced psychosis Symptoms of Schizophrenia

Delusions Hallucinations Disorganized speech Disorganized behavior Loss of drive Blunted emotions Social withdrawal

EARLY INTERVENTION Without Early Intervention Poorer long-term functioning Increased risk of depression and suicide Increased use of alcohol and drugs Slower psychological maturation and delay in assuming adult responsibilities

Strain on relationships and subsequent loss of social supports Disruption of education and employment Loss of self-esteem and confidence Greater chance of problems with the law THE ACTION PLAN

The Action Plan - ALGEE Assess for risk of suicide or harm Listen nonjudgmentally Give reassurance and information Encourage appropriate

professional help Encourage self-help and other SUBTANCE USE DISORDERS What are Substance Use Disorders?

Dependence Abuse that leads to problems at home or work Abuse that causes damage to health SUBSTANCE USE DISORDERS

Understanding Substance Use Disorders 8.1% of the population over 12 have a substance use disorder in any given year The use of alcohol or drugs does not mean a person has a substance use

disorder 75% of people who develop substance use disorders do so by age 27 Alcohol use disorders are almost three times as common as drug use disorders SUBSTANCE USE DISORDERS

https://www.centerforebp.case.edu/client-files/pdf/miremindercard.pdf SUBSTANCE USE DISORDERS Motivational Interviewing - Am I Doing this Right? 1. Do I listen more than I talk?

Or am I talking more than I listen? 2. Do I keep myself sensitive and open to this persons issues, whatever they may be? Or am I talking about what I think the problem is? 3. Do I invite this person to talk about and explore his/her own ideas for change? Or am I jumping to conclusions and

possible solutions? SUBSTANCE USE DISORDERS Motivational Interviewing - Am I Doing this Right? 4. Do I encourage this person to talk about

his/her reasons for not changing? Or am I forcing him/her to talk only about change? 5. Do I ask permission to give my feedback? Or am I presuming that my ideas are what he/she really needs to hear? 6. Do I reassure this person that ambivalence to change is normal?

Or am I telling him/her to take action and push ahead for a solution? SUBSTANCE USE DISORDERS Motivational Interviewing - Am I Doing this Right?

7. Do I help this person identify successes and challenges from his/her past and relate them to present change efforts? Or am I encouraging him/her to ignore or get stuck on old stories? 8. Do I seek to understand this person? Or am I spending a lot of time trying to convince him/her to understand me and my ideas? 9. Do I summarize for this person what I am

hearing? Or am I just summarizing what I think? SUBSTANCE USE DISORDERS Motivational Interviewing - Am I Doing this Right?

10. Do I value this persons opinion more than my own? Or am I giving more value to my viewpoint? 11. Do I remind myself that this person is capable of making his/her own choices? Or am I assuming that he/she is not capable of making good choices?

SUBSTANCE USE DISORDERS Substance Use Disorders in the US - 2014 Risk Factors for Substance Use Disorders

Availability and tolerance of the substance in society Social factors Genetic predisposition Sensitivity to the substance Learning/Exposure Other mental health problems

The Stages of Change Stages of Change Model (Prochaska and DiClemente) Encourage Self-Help and Other Support Strategies

Support groups Family, friends, and faith networks

Avoidance of friends and social settings involving alcohol and other drugs Self-help groups As of 2015, Alcoholics Anonymous (AA) had more than 115,000 groups worldwide and

60,000 groups and 1.2 million members in the United States. As of 2015, Narcotics Anonymous (NA) had more than 63,000 meetings weekly in 132 countries. WHY MENTAL HEALTH FIRST

For more information, please contact: James Osborn, LPA, LCAS Director of Community Education and Outreach (919) 651-8440 [email protected]

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