THE TRIFECTA: BRAIN INJURY, MENTAL ILLNESS AND SUBSTANCE ABUSE

Practical Approaches and Supports for Community Residential Providers

JUS T PEO PLE DO ING THE BEST THAT THEY CAN

CASE STUDY: Thomas

THE TRIFECTA

Substance Abuse

Mental Illness

Brain Injury

THE YING AND THE YANG OF SA AND BI/MI INCIDENCE

SA Conditions

Pre-Morbid/Occurring Dysfunction: Familial,

Behavioral, Environmental

Reactionary Self-Medicating

Social Tool Socializing, “normal”

SERVING PEOPLE WITH CO -OCCURRING BI/MI/SA

Common Issues that arise:

vulnerability of other residents,

neighbor relationships,

health and safety,

programming…..

OPERATIONS AND PROGRAMMING

1. Policy and Procedures

2. Environment

3. Staff hiring and training

4. Working with the person

5. Community Resources

POLICY AND PROCEDURE

Referral/Intake

Plans

Communication

Suspected Use

Disruption of Placement

Discharge Planning

ENVIRONMENT

Therapeutic

Hiding Places

Safety

Accessibility

STAFF

Hiring the “right” staff

Training

Supervision

PHILOSOPHY: WELLNESS

3 R’s

3 P’s

Active Engagement

Medications

WORKING WITH THE PERSON

Disability Knowledge

Stages of Change

Strategies supporting skill development

Relapse Planning

Responding to Crises

Discharge Planning

COMMUNITY RESOURCES

Traditional and creative

Individualized

Disability Knowledge

Plan for success

OTHER RESOURCES

Ohio Valley Center, www.ohiovalley.org, 614-293-3802

Brain Injury Australia: www.braininjuryaustralia.org

CPI; Restraints booklet, info@crisisprevention.com, 800-758-6048

Brainline, www.brainline.org

NAMI, www.namihelps.org, 651-645-2948

National Suicide Hotline: 1-800-273-8255

Making Cognitive Connections, @ID 4 the Web

CASE STUDY: THOMAS

A Person Evolving

CONCLUSION

. BI

MI

SAOperations

Programmin

g

ACKNOWLEDGEMENTS

• Ohio Valley Center of the Ohio State University

• Annette Pearson, LADC, MS, Vinland Center

• Brain Injury Australia

• Laura Li, MD

• SAMHSA

• Marty McMorrow, Wayne Gordon, Dr Brent Masel

• J Prochaska and C DiClemente’ (Stages of Change theory)

• Erwin Concepcion, PhD MN SOS

• Marsha Linehan, PhD (DBT)