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HEALING AND HOPE: A CALL FOR SOLUTIONS FOR THE RESERVATIONS OF NORTHERN ARIZONA

HEALING AND HOPE: A CALL FOR SOLUTIONS FOR THE RESERVATIONS OF NORTHERN ARIZONA. Hon. Charles R. Pyle NADA Annual Meeting March 23, 2019. THE FLAGSTAFF EXPERIENCE. Supplement alcohol use disorder treatment with: Medically-Assisted Treatment Acudetox (auricular acupuncture)

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HEALING AND HOPE: A CALL FOR SOLUTIONS FOR THE RESERVATIONS OF NORTHERN ARIZONA

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  1. HEALING AND HOPE: A CALL FOR SOLUTIONS FOR THE RESERVATIONS OF NORTHERN ARIZONA • Hon. Charles R. Pyle • NADA Annual Meeting • March 23, 2019

  2. THE FLAGSTAFF EXPERIENCE Supplement alcohol use disorder treatment with: Medically-Assisted Treatment Acudetox (auricular acupuncture) Traditional Native American Therapies

  3. CRIMINAL JUSTICE PROBLEM AND PUBLIC HEALTH CRISIS • EXTREME POVERTY • POOR EDUCATION/EMPLOYMENT • EXTREME REMOTENESS • HISTORICAL TRAUMA • INTERGENERATIONAL TRAUMA

  4. CRIMES • PHYSICAL AND SEXUAL ASSAULT • DUI • HOMICIDE • DOMESTIC VIOLENCE • VEHICULAR MANSLAUGHTER • PUBLIC INTOXICATION

  5. CONSEQUENCES • INCARCERATION • SEPARATION FROM FAMILY/COMMUNITY • SUPERVISION • REMOTE TREATMENT • REPEAT

  6. HEALTH CONSEQUENCES • DIABETES • LIVER DISEASE • ALCOHOL POISONING • HEART DISEASE • FETAL ALCOHOL SYNDROME • REDUCED LIFE EXPECTANCY

  7. BEHAVIORAL HEALTH CONSEQUENCES • SEVERE DEPRESSION • POST TRAUMATIC STRESS • SUICIDE • SUBSTANCE USE DISORDER

  8. HAVASUPAI NATION • EXTRAORDINARILY REMOTE. • LESS THAN 700 RESIDENTS • MORE THAN 70 ON FEDERAL SUPERVISION • MALE LIFE EXPECTANCY LESS THAN 50 YEARS

  9. BAD ACTS OR BAD PEOPLE? HORRIFIC PRISON CONDITIONS AND RESTRICTIVE SUPERVISION CONDITIONS MEANS SOCIETY PRESUMES BAD PEOPLE

  10. IS IT A DISEASE OR A MORAL FAILING? CJ RESPONSE IS PUNISHMENT AND IMPRISONMENT NOT TREATMENT

  11. ORGANIC IMPACT ON BRAIN FROM SUBSTANCE USE AND TRAUMA (with overlay of poverty)

  12. CRIMINAL JUSTICE AND BEHAVIORAL HEALTH • UNTREATED BEHAVIORAL HEALTH CONDITIONS FEEDS CRIMINAL JUSTICE SYSTEM • UNTREATED DEFENDANTS REPEATEDLY RECYCLE WITHIN CJ SYSTEM

  13. THE THREE-LEGGED STOOL SUBSTANCE USE DISORDERS MENTAL HEALTH CONDITIONS TRAUMA - experiential and historical

  14. 65% of US inmates meet the criteria for substance use addiction National Center on Addiction and Subtance Abuse, Columbia University, 2010

  15. Mental Health Conditions in Incarcerated People 55% of men 75% of women 15-20% SMI

  16. “Research has found that nearly all prisoners have experienced a traumatic event in their life and a high proportion suffer from PTSD” Illinois Criminal Justice Information Authority, 2017

  17. 1. DIRECTIVE/COERCIVE 2. JUDGMENTAL/SHAMING 3. MORALISTIC NOT THERAPEUTIC • CRIMINAL JUSTICE APPROACHES TO BEHAVIORAL HEALTH

  18. CARL THE FLOORWALKER

  19. BRENE BROWN - THE POWER OF SHAME • GUILT – I DID BAD • SHAME – I AM BAD • “THE ANTIDOTE FOR SHAME IS EMPATHY.”

  20. MAT, ACUDETOX AND INDIGENOUS HEALING • VOLUNTARY • NOT JUDGMENTAL • NOT MORALISTIC • THERAPEUTIC • DISEASE TREATMENT FIRST • THEN CHANGE THINKING

  21. THE “AHA MOMENT” NOT LIKELY TO COME FROM JUDGE OR PROBATION OFFICER

  22. EVIDENCE BASED PRACTICES • CHANGES FOCUS TO DATA COLLECTION INSTEAD OF UNDERSTANDING CURRENT EVIDENCE • DEMANDS NO EVIDENCE FOR THE STATUS QUO • TENDS TO JUSTIFY THE STATUS QUO • ”…efforts of federal probation are a baseline upon which it is difficult to improve.”

  23. NOTHING WORKS! Robert Martinson’s famous conclusion from his 1974 survey of 234 studies of prison rehabilitation programs, which led to four decades of dismantling prison rehabilitation programs

  24. INDIFFERENCE AND INERTIAdo we know about: TRAUMA AWARENESS MEDICALLY ASSISTED TREATMENT ACUDETOX INDIGENOUS TRADITIONAL HEALING CONTINGENCY MANAGEMENT OPTIONS FOR GRADUATED SANCTIONS FLASH INCARCERATION

  25. OUR CRITICAL MISSION INCREASE ACUDETOX: • AWARENESS • ASSOCIATIONS • ACCESS

  26. INCREASE AWARENESS OF ACUDETOX • BEHAVIORAL HEALTH COMMUNITY • COURTS • CORRECTIONS • POLITICAL LEADERSHIP • FAITH-BASED COMMUNITY

  27. INCREASE ASSOCIATIONS WITH ACUDETOX • ACUPUNCTURE BOARD • INTER TRIBAL COUNCIL OF AZ • INDIAN HEALTH SERVICES • ASU BEHAVIORAL HEALTH CENTER • NAVAJO NATION

  28. INCREASE ACCESS TO ACUDETOX • TRAINING ADS’s • REGULATORY REFORM • COLLABORATION NOT COMPETITION

  29. NADA STYLE PRE-CONFERENCE • TRAIN AND CERTIFY ADS’s • TRAIN AND CERTIFY MAT PROVIDERS • TRAIN AND EDUCATE ON TRADITIONAL HEALING

  30. NADA STYLE CONFERENCE • SERVICE PROVIDERS • CRIMINAL JUSTICE LEADERS • POLITICAL LEADERS • People from on and off the reservation

  31. NOW is time to PUSH for CHANGE • PEOPLE NEED IT • LEADERS ARE BECOMING MORE AWARE • AGENCIES AND INSTITUTIONS ARE READY TO GROW • STATUS QUO IS UNACCEPTABLE

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