Giving the Gift of Health Interventions -Clinical & Reverse

Louise Stanger Ed.D, LCSW, CIP

Director All About Interventions

MINT Trainer of Trainer

Faculty SDSU Interwork Institute

President, Sydney D. Holland Foundation

The Changing Tides Of Treatment

Newer Drugs emerging

Clinical Practices shifting to recovery management models

DSM V -Basic assumptions being questions

Triple Threat

Evidenced based principles in practice

Technology as a healing helper

ASAM 2011

Addiction is a primary,chronic disease of the brain, reward , motivation and related circuitry

Dysfunction in these circuits leads to characteristic biological, social, psychological and spiritual manifestations

Reflected in individual pathologically pursing reward or relief by substance use or other behaviors

What’s Relapse

Lapse Single-short lived where someone deviates from goal of abstaining

Prolapse-Person learns what triggered relapse and how to prevent again

Relapse-series of lapses which ended with renewed symptoms of Substance Abuse, Mental health or Process Disorders

What’s Recovery

Recovery is defined as a voluntarily maintained lifestyle characterized by sobriety, personal health and citizenship

Includes medication if Needed

BFC-Consenus Panel

Family Strengths

Communication

Caring

Health

Commitment

Resilience

Spirituality

!0 Keys to Healthy Families

Adapting to Change

Seeing the Positive

Who’s in charge

Closeness & Difference

Talking & Loving

Language

Accepting Difference

Time Together

Effective Problem Solving

Parenting Together

Mc.Macnais & Macmanis

Before Interventions Families Are

Fearful & Confused

Attached to the Problem

Emotionally and Cognitively Dis-regulated

Accountability Teams Are

Angry-Resentful

Sad- Disgusted

Depressed-Mad

Loving-Worried

Frustrated -Shocked

Embarrassed- Shame

Terrified-Controlling

At Wits End- Want Pain to go away

Immunity to Change

Interventions Include Everyone

Participants are experts

Psycho-educational

Value Driven

Homework

Evidenced Based

Solution Focused

Be sure and identify MH , SA and other issues

Traditional Surprise Model

Vern Johnson-I’ll Quit Tomorrow

Frank Picard-Family Intervention

Seeley-Intervention 911

Southworth and Associates

Traditional Styles Made Modern

Love First-Jeff and Debra Jay

Authentic Model-Ed Storti

Combine Elements of MI into Traditional approaches

Action Intervention Model

Jim Tracey DDS, Jean Campbell LCSW, Bill Maher

Action Institute

Uses Intervention ModalitiesPsychodrama, Sociometry

Invitational Models

Systemic - Speare & Raitner

Arise - Judith Landau & Garret

Break Free - Brad Lamm

Stanger - Stanger Process

Stanger’s 11 Step Process

Phase One;Intervention Agreement and Initiative

Step 1: Engagement

Step 2: Determine Key Stakeholders

Step 3 Define Client Guidelines,Confidentiality

Phase2: Information Gathering ,Objectives &Action Plan

Step 4:Identify Background Information (Family Mapping)

Step 5 :Assess ILO and Key Stakeholders (Portraiture-Retrospective Analysis

Step 6: Teach and Survey Accountability Teams Involvement

Step 7: Develop Measurable Action Plan

Phase 3: Implementation, Review , Follow Up

Step 8: Coaching, Delivering the Invitation

Step 9: Intervention Progress Review and Feedback

Step 10: Progress Review

Step 11: Follow Up-Case Management

Counseling Skills UsedListening

Echoing Key words

Body Language

Open Ended Questions

Paraphrasing

Summarizing

Self Disclosure-To Do No Harm

Evidenced Based Strategies

SFT

CBT

MI

12 Step Facilitation

DBT

Values Clarification

Negotiation

Boundary Setting

Counseling Skills Used

Listening

Echoing key words

Body Language

Open Ended Questions

Paraphrasing

Summarizing

Self-Discluse-Do Not Harm

Clinical Interventions

What is your definition of a Clinical Intervention?

What have you done?

Definition Of

Lets Role Play

Reverse Interventions

Whats is a reverse Intervention

Some Examples

Lets Role Play

Other Considerations

Time available for this work

Working with an Outside Provider

Multicultural Considerations

Ethical Consideration

Resources

Stanger www.allaboutinterventions.com

Systemic Model www.systemicintervention.com

Arise www.linkingsystems.com

Jays www.lovefirst.net

Lamm www.bradlamm.com

Seeley www.intervention911.com

Resources

Storti www.stortimodel.com

Mintz www.realifeis.com

I’ll Quit Tomorrow-Vern Johnson

Family Intervention-Frank Picard

TAP 35

Motivational Interviewing www.motivational interviewing.org

Reach out!!

■ Dr Louise A. Stanger Ed.D , LCSW, BRI II, CIP

■ MINT Trainer of Trainers

■ Director All About Interventions

■ http://www.allaboutinterventions.com ■ 1-619-507-1699 ■ drstanger@allaboutinterventions.com