lifeservices eap: "first tuesdays @ 12 noon june 2016 heroin"
TRANSCRIPT
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“HEROIN, METH & RX DRUGS: THE NEW FACE
OF ADDICTION”!“FIRST TUESDAYS @ 12 NOON” JUNE, 2016 WEBCAST
MARGIE ROOP, LPCC-S; CEAP; SAP LIFESERVICES EAP
1-800-822-4847
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YOUR PRESENTER: MARGIE ROOP, LPCC-S; CEAP; SAP
LifeServices’ Regional Director, Ohio regionSupervisory Clinical Counselor, Certified EAP; Substance Abuse Professional under U.S. Department of Transportation rules.21 Years in EAP field; 37 years in the mental health/substance abuse fields.Live in Barberton, OH, near Akron. Married 30 years, one son, age 25, two dogs. I love to swim, travel, sing, read, & go to thrift shops!“I know what I know from the over 1,000 persons I’ve met within the EAP counseling setting & the hundreds of workplace settings I’ve visited.”
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REMINDER OF YOUR EAP BENEFIT!
1-800-822-4847 accessible 24/7; phones ALWAYS answered LIVE!
Call for counseling appointments M-F 7:30am-6:30pm EST
All dependents covered; who you claim on taxes.
Unlimited Legal & Financial ConsultationsEmployee Support Website:
www.lifeserviceseap.comCall us or your HR for User Name & Password.
Check out the Savings Center!Do you have our Full Telephonic Employee
Support benefit?“Instant Connect” on website & Telephonic
Resource Consultations!
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TO ASK QUESTIONS…..
Click on the “hand” icon to the right of your screen.I will field questions as I see them.You will receive a follow-up email with the link to the webcast recording within 24 hours.If you need a Certificate of Attendance, please email me after the webcast.My contact information is listed for any follow-up questions or for further resources on this topic!Host a group of employees? Please inform me via chat or email how many are/were in attendance.
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TODAY’S TOPIC
• HAS CHANGED & SHAKEN THE FACE OF OUR SOCIETY
• OUR SENSE OF SAFETY & SECURITY
• OUR SENSE OF VULNERABILITY
• OUR CONFIDENCE IN THE
MEDICAL, MENTAL HEALTH &
LAW ENFORCEMENT COMMUNITY
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HEROIN, METH & RX DRUGS: THE NEW FACES OF ADDICTION
• UNFORTUNATELY, THIS IS AMERICA'S “NEW NORMAL”• FEW HAVE BEEN UNTOUCHED BY SOMEONE’S DESCENT INTO
ADDICTION• ALL SOCIOECONOMIC STRATA HAVE BEEN AFFECTED
PERMEATING ALL WORKPLACES; WHITE & BLUE COLLAR SETTINGS; ALL AGE GROUPS; ALL ETHNIC GROUPS; ALL RACES; ALL NATIONALITIES; RELIGIOUS GROUPS.• SO, WHAT’S NEXT?
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ACCORDING TO NATIONAL INSTITUTE ON DRUG ABUSE* (NIDA) WWW.DRUGABUSE.GOV, NORA VOLKOW, M.D., DIRECTOR
•2.1 MILLION PEOPLE IN THE U.S. ARE ADDICTED TO RX & OPIOID PAIN MEDICATIONS (2012).•467,000 ADDICTED TO HEROIN.•THE # OF “UNINTENTIONAL” OVERDOSE DEATHS
FOR RX PAIN RELIEVERS HAS SOARED IN THE U.S.; MORE THAN QUADRUPLING SINCE 1999.• “AMERICA’S ADDICTION TO OPIOIDS: HEROIN & RX DRUGS”, JANUARY
27, 2016, DR. VOLKOW’S ADDRESS TO THE U.S. CONGRESS.
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CONTRIBUTING FACTORS TO THE PROBLEM
• 1. DRASTIC INCREASES IN THE # OF
OPIOID RXS WRITTEN & DISPENSED.
• 2. GREATER SOCIAL ACCEPTABILITY FOR USING MEDICATIONS FOR
DIFFERENT PURPOSES.
• 3. AGGRESSIVE MARKETING BY PHARMACEUTICAL COMPANIES.
• ALL TOGETHER, THESE HAVE HELPED TO CREATE THE BROAD
“ENVIRONMENTAL AVAILABILITY” OF RX MEDICATIONS, IN GENERAL, &
OPIOID ANALGESICS, IN PARTICULAR.
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NEGATIVE CONSEQUENCES•GREATER AVAILABILITY OF OPIOIDS & OTHER RX DRUGS HAS BEEN ACCOMPANIED BY AN ALARMING INCREASE IN THE # OF NEGATIVE CONSEQUENCES RE: THEIR ABUSE:• THE ESTIMATED # OF ER
VISITS INVOLVING NON-MEDICAL USE OF OPIOID ANALGESICS INCREASED FROM 144,000 IN 2004 TO 305,900 IN 2008.
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IT’S START &
PROGRESSION
• 1990’S-MANAGED CARE ATTACKED FOR CAUSING DOCTORS TO UNDER-PRESCRIBE
MEDICATION FOR THE MANAGEMENT OF PAIN.• TOGETHER, THE MEDICAL, PHARMACEUTICAL
& INSURANCE COMMUNITIES COORDINATED TO PROVIDE WHAT THEY FELT WERE MORE EFFECTIVE MEDICATION/TREATMENT FOR
PAIN.
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THE OPIOID OXYCONTIN (HYDROCODONE)WAS INTRODUCED• AS WERE OTHER RX OPIOIDS: PERCOCETTES, VICODIN, DARVOCET, CODEINE
• EFFECTIVE IN RELIEVING PAIN, HOWEVER, DUE TO THEIR CHEMISTRY/POTENCY, WERE QUICK TO CAUSE ADDICTION WITH PATIENTS.
• PAIN CLINICS BEGAN TO OPEN & FLOURISH AS PATIENTS BECAME DEPENDENT ON THESE DRUGS: A MEDICAL “SPECIALTY” WAS BORN!
• SOON, PATIENTS WERE NEEDING MORE OF THE DRUGS; THE PAIN SPECIALISTS WERE REFUSING TO PRESCRIBE, THEREFORE, PATIENTS STARTED “DOCTOR SHOPPING.”
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IF THEIR DOCTORS
REALIZED…• THEY WERE BEING SOUGHT
OUT JUST FOR THE RXS, THEY’D STOP TREATING THE PATIENT.• PATIENTS THEN WENT TO EITHER STEALING RX DRUGS
FROM LOVED ONES OR HITTING THE STREETS TO PURCHASE
OTHERS’ RX OPIOID DRUGS OR HEROIN.
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PAIN MANAGEMENT CLINICS• PAIN CLINICS TODAY ARE MUCH MORE AWARE OF
THE POTENTIAL FOR ADDICTION & ARE ACTUALLY BEING CRITICIZED FOR UNDER-PRESCRIBING PAIN MEDICATION.• THE U.S. D.E.A. HAS FOCUSED MUCH ATTENTION ON
SUSPECTED “PILL MILLS” CAUSING MANY LEGITIMATE PAIN SPECIALISTS TO MORE CLOSELY SCRUTINIZING WHO THEY TREAT (SMART).
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TYPICAL PROGRESSION TO
HEROIN…IS QUICK, AS OXYCONTIN IS, FROM A CHEMICAL STANDPOINT, HEROIN!!PERSONS MAY SMOKE, SNORT, OR
INJECT HEROIN.MAY WILLINGLY OR UNWILLINGLY
USE HEROIN LACED WITH FENTANYL=40X MORE POTENT
OPIOID THAN HEROIN.
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HELPFUL RESOURCE• GO TO “YOU TUBE” & LOOK
UP: “PRESCRIPTION FOR ABUSE KCTS 9 DOCUMENTARY” VIDEO.
• A PHYSICIAN LOSES HER SON TO HEROIN OVERDOSE; EXPLORES HOW HIS ADDICTION STARTED WITH A LEGITIMATE OPIOID PRESCRIPTION FOR PAIN.
• THIS MOTHER GIVES A CONCISE HISTORY OF HOW MOST ADDICTED TO THE OPIOIDS GOT STARTED, HOW THEIR DISEASE PROGRESSED, & OTHER STORIES FROM AFFECTED PARENTS.
• HELPFUL RESOURCES ARE ALSO OFFERED.
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HEROIN• WHITE OR BROWNISH POWDER• BLACK OR STICKY SUBSTANCE KNOWN AS “BLACK TAR HEROIN”• SHORT-TERM EFFECTS: IN 3-5 SECONDS EXPERIENCE A ”RUSH”;
EUPHORIA, WARM FLUSHING OF SKIN, DRY MOUTH, HEAVY FEELING IN
HANDS & FEET, CLOUDED THINKING, ALTERNATE WAKEFUL & DROWSY
STATES, ITCHING, NAUSEA, VOMITING, SLOWED BREATHING & HEART RATE.
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PARAPHERNALIA & OTHER SIGNS OF
HEROIN USE
• HEROIN IS SMOKED BY USING A METHOD CALLED “CHASING THE DRAGON”: HEATING UP SOME POWDER ON FOIL & INHALING THE FUMES THROUGH A SMALL TUBE.• NEEDLES TO INJECT• BURNED & MISSING SILVER SPOONS:
COOKING THE HEROIN OVER A FLAME. THE BURNING CAUSE A BLACK SPOT ON BOTTOM OF SPOON.• BOWLS & PIPES
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SIGNS OF HEROIN USE
• SMALL COLORED BALLOONS USED TO PACKAGE & TRANSPORT HEROIN.
• COTTON BALLS AS FILTERS FOR INJECTING
• CIGARETTE PIECES ABOUT ¼” LONG USED FOR FILTER FOR INJECTING
• BOTTLE TOPS
• SODA CANS WITH BOTTOMS CUT OUT• SHOES LACES; CUT LONG RUBBER
BANDS FOR INJECTING
• CLEAR SHELL CAPSULES
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HEROIN • COVERING ARMS ALL
THE TIME; WEARING LONG SLEEVES• OWNING LOTS OF
LIGHTERS• EXPENSIVE PERSONAL
& HOUSEHOLD ITEMS ARE MISSING; TRADING WITH PAWN SHOPS INCREASINGLY COMMON.• OWNING A NEW LOCK
BOX THAT THEY WON’T ALLOW OTHERS TO ACCESS.
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METHAMPHETAMINE• CALLED: METH, CRYSTAL, CHALK, ICE.• EXTREMELY ADDICTIVE STIMULANT
DRUG• CHEMICALLY SIMILAR TO AMPHETAMINE• TAKES FORM OF WHITE, ODORLESS,
BITTER-TASTING CRYSTALLINE POWDER.• TAKEN ORALLY, SMOKED, SNORTED, OR
DISSOLVED IN WATER & INJECTED.
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METH• PRODUCES AN IMMEDIATE, INTENSE EUPHORIA DIRECTLY TO THE BRAIN.
• PLEASURE FADES QUICKLY SO USERS OFTEN TAKE REPEATED DOES IN A “BINGE & CRASH”
PATTERN.• CAUSES THE PRODUCTION OF HIGH LEVELS
OF THE NEUROTRANSMITTER DOPAMINE IN THE BRAIN (INVOLVED WITH REWARD,
MOTIVATION, MOTOR FUNCTION & PLEASURE).
• REPEATED USE OF METH WILL CAUSE DEPLETION OF THE BRAIN’S NATURAL
MANUFACTURE OF DOPAMINE, CAUSING RELIANCE ON THE DRUG FOR THE REWARD,
MOTIVATION, PLEASURE & MOTOR FUNCTION).
• NOW DEPEND ON THE DRUG TO FUNCTION!
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METH….EVEN SMALL AMOUNTS WILL CAUSE: INCREASED WAKEFULNESS, PHYSICAL ACTIVITY, DECREASED APPETITE, INCREASED RESPIRATION, RAPID HEART RATE, IRREGULAR HEART BEAT, INCREASED BLOOD PRESSURE, INCREASED BODY TEMPERATURE.
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METH USE…LONG-TERM
•WILL CAUSE INCREASED WEIGHT LOSS, SEVERE DENTAL PROBLEMS “METH MOUTH” & SKIN SORES DUE TO SCRATCHING (DUE TO SENSATION HALLUCINATION OF BUGS CRAWLING BENEATH THEIR SKIN).
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PRESCRIPTION OPIOID DRUGS• CODEINE-TABLETS OR LIQUID: INJECTED; SWALLOWED: MIXED WITH SODA OR FLAVORINGS.• FENTANYL-LOZENGE,
SUBLINGUAL TABLET, FILM, BUCCAL TABLET: INJECTED, SMOKED, SNORTED.• HYDROCODONE
(VICODIN, LORTAB, LORCET & OTHERS): CAPSULE, LIQUID, TABLET: SWALLOWED, SNORTED, INJECTED.• HYDROMORPHONE
(DILAUDID): LIQUID, SUPPOSITORY: INJECTED, RECTAL.
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PRESCRIPTION OPIOID DRUGS
•MEPERIDINE (DEMERAL): TABLET, LIQUID: SWALLOWED, SNORTED, INJECTED.•MORPHINE: TABLET,
LIQUID: SWALLOWED, INJECTED
•OXYCODONE (OXYCONTIN, PERCODAN, PERCOCET & OTHERS): CAPSULE, LIQUID, TABLET: SWALLOWED, SNORTED, INJECTED.
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PRESCRIPTION OPIOID DRUGS
•OXYMORPHONE (OPANA): TABLET: SWALLOWED, SNORTED, INJECTED.
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DEATH FROM OPIOIDS
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POSSIBLE HEALTH EFFECTS OF OPIOID USE
SHORT-TERM • PAIN RELIEF,
DROWSINESS, NAUSEA, CONSTIPATION, EUPHORIA, CONFUSION, SUPPRESSED BREATHING (HYPOXIA)WHICH CAN LEAD TO DEATH!
LONG-TERM
•UNKNOWN…..
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OTHER HEALTH-RELATED ISSUES…
PREGNANCY: MISCARRIAGE, LOW BIRTH WEIGHT, NEONATAL ABSTINENCE SYNDROME.
OLDER ADULTS: HIGHER RISK OF ACCIDENTAL MISUSE OR
OVERDOSE DUE TO MULTIPLE RXS WHICH INCREASE RISK OF
DRUG INTERACTIONS; BREAKDOWN OF DRUGS SLOWS WITH AGE; MANY OLDER ADULTS
ARE TREATED WITH RX MEDICATIONS FOR PAIN.
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IN COMBINATION WITH ALCOHOL
•DANGEROUS SLOWING OF HEART RATE & BREATHING LEADING TO COMA OR DEATH.
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TREATMENT OPTIONS-MEDICATIONS
• METHADONE-(DOLOPHINE): AN OPIOID USED TO TREAT PAIN & A MAINTENANCE THERAPY OR TO HELP WITH DETOXIFICATION WITH OPIOID DEPENDENCE. DETOX CAN BE COMPLETED IN LESS THAN ONE MONTH, OR UP TO SIX MONTHS.• BUPRENORPHINE-(BUNAVAIL, SUBOXONE, ZUBSOLV,
BUPRENEPRINE)-SUBLINGUAL FILM OR TABLET TO TREAT OPIOID ADDICTION WITHIN THE PRIVACY OF A PHYSICIAN’S OFFICE OR WRITTEN FOR PRESCRIBED USE AT HOME.• NALTREXONE-(REVIA, DEPADI, VIVITROL)-REVERSES THE
EFFECTS OF OPIOIDS & IS USED PRIMARILY IN THE MANAGEMENT OF ALCOHOL/OPIOID DEPENDENCE. NOT TO BE CONFUSED WITH NALOXONE-USED IN EMERGENCY CASES OF OPIOID OVERDOSES.
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“ADDICTIONOLOGIST”
• A MEDICAL DOCTOR WHO HAS THE KNOWLEDGE & SKILLS TO PREVENT, RECOGNIZE & TREAT ADDICTION.
• AMERICAN BOARD OF ADDICTION MEDICINE (ABAM) IS THE CERTIFYING BODY & OUR NATION’S FIRST MEDICAL SPECIALTY BOARD THAT CERTIFIES ADDICTION MEDICINE PHYSICIANS ACROSS A RANGE OF MEDICAL SPECIALTIES.
• THEIR DESIGNATION: A DIPLOMAT OF THE AMERICAN BOARD OF ADDICTION MEDICINE OR “DABAM”.
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BEHAVIORAL THERAPIES
•IN-PATIENT TREATMENT-UP TO 30 DAYS•RESIDENTIAL TREATMENT-30 DAYS UP TO
ONE-TWO YEARS.•INTENSIVE OUT-PATIENT PROGRAMS
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SUPPORT GROUPS
•ALCOHOLICS ANONYMOUS (AA)
OR NARCOTICS ANONYMOUS
(NA)
•12-STEP FELLOWSHIP PROGRAMS
FOR PERSONS WHO DESIRE TO
NOT DRINK OR USE DRUGS
•BASED ON ANONYMITY
•SPIRITUALITY & FOCUS ON A
HIGHER POWER.
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THIS. IS. A. DISEASE.
• NOT A MORAL FAILING!• IT IS A BRAIN DISEASE: “IT IS THEREFORE, PHYSIOLOGY &
BIOCHEMISTRY-NOT A MORAL FAILING-THAT CAUSES PEOPLE TO TAKE RX MEDICATIONS TO THE POINT THE OPIOIDS CAUSE TERRIBLE WITHDRAWAL SYMPTOMS IF NOT TAKEN”, LEE TANNENBAUM, M.D., FOUNDER OF BEL AIR CENTER FOR ADDICTIONS, BEL AIR, MD. AUTHOR OF THE ADDICTION CONSPIRACY. WWW.BELAIRCENTERFOR ADDICTIONS.COM• LOOK UP: WWW.OHIO.COM, ARTICLE “TREAT ADDICTION AS A
DISEASE”, WRITTEN FOR THE BALTIMORE SUN & APPEARED IN THE AKRON BEACON JOURNAL, 6-2-16.
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THE BRAIN• ONE OF THE BRAIN’S CONSTANT GOALS IS TO MAINTAIN A CHEMICAL BALANCE.• WHEN A HIGH
TOLERANCE OCCURS BECAUSE OF FREQUENT USE, & WHEN USE DRUG USE STOPS, THE SUDDEN, SHARP DROP IN NEUROTRANSMITTERS UPSETS THE CHEMICAL BALANCE.• BRAIN ACTIVATES A
DEEP, INSTINCTIVE DRIVE TO GET MORE DRUGS & RESTORE THE HIGHER NEUROTRANSMITTER LEVELS THE BRAIN IS NOW USED TO HAVING!
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CRAVINGS• PRODUCED BY IMPULSES
IN THE BRAIN AS NEUROTRANSMITTERS COMMUNICATE.
• BRAIN WORKS AGAINST THE WILL OF THE PERSON (TO NOT USE THE OPIOID) AS THE BRAIN IS DEPRIVED OF SOMETHING IT THINKS IT NEEDS TO SURVIVE.
• BRAIN’S ONLY GOAL IS TO OBTAIN THAT SUBSTANCE AGAIN.
• OUR SENSE OF WELL-BEING & OUR CAPACITY TO ORGANIZE OUR LIVES & TO RELATE TO OTHERS DEPEND PROFOUNDLY ON THE FUNCTIONAL INTEGRITY OF THE SEROTONERGIC SYSTEM!
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HOW THE ISSUE GETS MORALIZED• BECAUSE THIS DISEASE….HURTS!!• LOVED ONES, CO-
WORKERS, COMMUNITIES, SOCIETIES, LARGELY BECAUSE OF THE BEHAVIORS ASSOCIATED WITH THE DISEASE: LYING, STEALING, IRRESPONSIBILITY, FINANCES, ABERRANT BEHAVIORS, ACCIDENTS, PSYCHOLOGICAL DISTRESS, HEALTH PROBLEMS, CRIME.
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SOCIETY & HOW THEY TREAT OPIOID USERS• THAT THEY FAILED AT A
PERSONAL LEVEL.• EVEN OUR LANGUAGE SHOWS
HOW WE VIEW THEM, I.E., THOSE WHO TEST DRUG-FREE ARE “CLEAN”; THOSE DRUGS IN THEIR SYSTEM ARE “DIRTY.”•WE DO NOT VIEW OTHER
DISEASES SUCH AS HEART DISEASE OR CANCER IN SUCH A WAY…!
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HELPFUL RESOURCE RE: THE BRAIN•DANIEL G. AMEN, M.D., PSYCHIATRIST. FOUNDER OF
THE AMEN CLINICS. WWW.AMENCLINICS.COM•UTILIZES “SPECT” IMAGING IN ADDICTION
TREATMENT.• IDENTIFIED SIX TYPES OF ADDICTION-PRONE BRAIN
PATTERNS.• TRUE PARADIGM SHIFT IN ADDICTION TREATMENT
THROUGH OPTIMIZING & HEALING THE BRAIN.
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RESPONDING• “QUESTIONABLE” ITEMS IN YOUR HOUSE OR WORKPLACE? LEARN MORE ABOUT PARAPHERNALIA.
• ITEMS MISSING IN YOUR HOME OR WORKPLACE? INVESTIGATE!
• FIRM BOUNDARIES/RULES ABOUT NO DRUG USE WHILE THE PERSON LIVES UNDER YOUR ROOF! FOLLOW-
THROUGH WITH CONSEQUENCES (THEY MUST LEAVE OR SEEK TREATMENT).
• FOLLOW YOUR DRUG-FREE SAFETY PROGRAMS P & PS!! DO REASONABLE SUSPICION TESTING!!
• PAY ATTENTION TO YOUR GUT; IT KNOWS!• DON’T ARGUE WITH THE PERSON, ESPECIALLY IF THIS IS BECOMING AN ONGOING BATTLE. FOLLOW-THROUGH WITH
CONSEQUENCES.
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LYING & STEALING.
•TYPICAL BEHAVIORS OF ADDICTION.
•WHY ARE THEY ALWAYS ASKING
FOR SMALL AMOUNTS OF MONEY?
DO YOU EVER GET PAID BACK?
•DO YOU USUALLY FEEL LIKE
YOU’RE NOT GETTING AN HONEST
ANSWER?
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TAKE CARE OF YOURSELF!
• ATTEND AN ALANON, OPEN AA, NARANON, OPEN NARCOTICS ANONYMOUS MEETING, CALL LOCAL COUNTY MENTAL HEALTH & SUBSTANCE ABUSE BOARDS; LOCAL TREATMENT CENTERS.• LEARN ABOUT ENABLING: DO NOT
DO FOR THE ADDICT WHAT THEY COULD BE DOING FOR THEMSELVES.• VISIT: SUBSTANCE ABUSE & MENTAL
HEALTH ADMINISTRATION: WWW.SAMHSA.ORG
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LIFESERVICES EAP
• CONTACT US AT 1-800-822-4847 24/7 TO TALK
• SET UP AN APPOINTMENT TO TALK IN PERSON WITH A
COUNSELOR.
• VISIT OUR WEBSITE FOR RESOURCES:
WWW.LIFESERVICESEAP.COM
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WWW.SLIDESHARE.NETLOOK UP MARGIE ROOPARTICLE: “BEHAVIORS TO NEVER IGNORE IN THE
WORKPLACE”POWERPOINTS: • “ANGER: WHO’S MOST AT RISK?”• “IDENTIFYING STRESSED-OUT EMPLOYEES & HOW TO
INTERVENE”• “BULLYING IN THE WORKPLACE”• “DEALING WITH DIFFICULT CUSTOMERS & WE’RE ALL THE
CUSTOMER”• “HOSTILE OR RESPECTFUL WORKPLACE?”• “COMMUNICATING WITH DIFFICULT PEOPLE”• “REASONABLE SUSPICION”• “IDENTIFYING & RESPONDING TO UNSAFE BEHAVIORS”• “STRESS & THE ECONOMY”
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WWW.LINKEDIN.COM/IN/LIFESERVICESEAP.COMLOOK UP MARGIE ROOP• “CREATING A CALM
ENVIRONMENT AT WORK”
• “RELAXATION TECHNIQUES”
• “HAVING FUN IN THE WORKPLACE”
• “TIPS FOR RELAXING”
• “DEALING WITH HOLIDAY STRESS”• “I’M NOT SANTA CLAUSE, I’M
JUST THE MANAGER: HELPING YOUR EMPLOYEES DURING THE HOLIDAYS”
• “HO-HO-HO, HELP ME, IT’S THE HOLIDAYS”
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CONTACT LIFESERVICES EAP: 1-800-822-4847
TODAY!
CONSULT WITH US 24/7.MAKE A COUNSELING
APPOINTMEN.TVISIT OUR WEBSITE:
WWW.LIFESERVICESEAP.COM
CHECK WITH OUR CALL CENTER OR WITH YOUR HR
DEPARTMENT FOR YOUR COMPANY PASSWORD.
RESOURCES
CONTACT MARGIE ROOP: [email protected]
: WITH QUESTIONS OR FOR MORE RESOURCES.LOOK ME UP ON:
WWW.SLIDESHARE.NET & ON WWW.LINKEDIN.COM.
I WILL EMAIL YOU THE LINK FOR TODAY’S RECORDING
TOMORROW!NEED A CERTIFICATE OF
ATTENDANCE? NO PROBLEM!
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QUESTIONS?CLICK ON THE HAND ICON TO THE RIGHT OF YOUR SCREEN TO ASK A QUESTION.THANK-YOU SO MUCH FOR ATTENDING THIS WEBCAST! GO OUT AND DO GREAT
THINGS!
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RELAX; YOUR LIFE DEPENDS ON IT!
THANK-YOU!LIFESERVICES EAP1-800-822-4847