Foundations of Addictions Counseling 3e Capuzzi amp Stauffer Copyright 2016 2012 2008 by Pearson Education Inc All Rights Reserved Estimated 58 million people Largest and most diverse minority group ID: 659611
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The Disability Community
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.All Rights Reserved
Estimated 58 million people
Largest and most diverse minority group
Substance abuse & addiction problems
Prevalence twice as high as that of the general population
Often seen as secondary to other disability or not recognized
Less likely to enter or complete treatment
Other addictions
Eating disorders, gambling, sexual addictionsSlide3
Persons with Disabilities and Addictions
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Disabilities categorized by type, need for assistance, and severity
Reasons for abuse may include
Coping with adjustment to disability
More prescriptions may increase opportunity
Isolation, depression, and financial issuesSlide4
Societal Barriers to Treatment
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Societal beliefs about PWDs
Don’t abuse substances
Should receive identical treatment
Should be allowed to engage in substances
Require extreme efforts to serve
Those with cognitive disabilities are not capable of learning to stay sober
Counselor perception as fragile, helpless, sick, or abnormal
Labels of social devianceSlide5
Risks of Addiction for PWDs
Foundations
of Addictions Counseling, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Health and medical
Medication can interact with substance
Decreased tolerance
Chronic pain medication
Psychological
Enabling as family’s response to guilt, etc.
Stresses in family
Denial, anger, depression, embarrassment, etc.Slide6
Risks of Addiction for PWDs,
(continued)
Foundations
of Addictions Counseling, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Social
Social isolation
Excess free time
More likely victim of crime
Economic and employment
Higher bills for treatment, etc.
Greater unemployment
Access to treatment
Physically inaccessible
Accommodation often necessarySlide7
Risks of Addiction for PWDs,
(continued)
Foundations
of Addictions Counseling, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Four cultural perspectives on risk factors
Sociocultural
Physiological
Psychological
Developmental Slide8
Types of Treatment
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Stages of care
Detoxification, rehabilitation, and aftercare
Medical intervention may be required
Number of venues
Inpatient, outpatient, or partial hospitalization
Array of techniques
Integrated and inclusiveSlide9
Levels of Care
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
American Society of Addiction Medicine
(ASAM)
Patient placement criteria in six categories
Five levels of client care
Assessment for PWDs must be
Culturally-specific
Flexible
Holistic manner Slide10
Rehabilitations Settings
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Halfway or Transition Houses
VA Hospitals
General Hospitals
Clinical Settings
Programs for the Homeless
Prisons and Jails
Substance Abuse Programs Slide11
Considerations for Treatment
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
PWD’s life problems raise likelihood of relapse
May need to include opportunities to:
Learn activities of daily living
Develop prevocational skills
Learn social skills, healthy recreation
Obtain financial benefits
Develop parenting and childcare skills
Build new peer networks
Have information and services presented in simple language or in sign languageSlide12
Questions to Aid Assessment
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Do you feel you have a disability, or has anyone ever told you that you have one?
Have you ever seen a doctor for a long period of time, more frequently than just one visit or for routine check-ups?
Do you take any kind of medication (prescription and over-the-counter)?
Have you ever incurred any type of injury? If so, what type? What were the outcomes?
Also ask about employment, hobbies, family and social life
Consider cultural needs, cross addictions, genderSlide13
Treatment for PWDs
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Strengthen resiliency skills – psychosocial, emotional, mental, physical
Promote healthy lifestyle changes and skills training
Provide psychoeducation – decision-making, assertiveness, stress management, etc.
Organize 12-step programs in accessible spaces already used by PWDs
Locate or establish peer-support programs
hidden disabilities and ethnic minoritiesSlide14
Location of Treatment
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Clients often treated for disabilities in one facility, addiction in another
Sequential or parallel treatment
Parallel, unified, and comprehensive treatment best for PWDs
Collaborative efforts across agencies needed
Independent Living CentersSlide15
Useful Web Sites
Foundations
of Addictions Counseling
, 3eCapuzzi & Stauffer
Copyright © 2016, 2012, 2008 by Pearson Education, Inc.
All Rights Reserved
Academy of Addiction Psychiatry (AAAP)
http://www.aaap.org
National Institute on Alcohol Abuse and Alcoholism
http://www.niaaa.nih.gov/