1 / 17

Approaches for working with adolescents and youth who use alcohol and drugs

This article discusses different approaches for working with adolescents and youth who are using alcohol and drugs, including the harms of substance use, motivational interviewing techniques, addressing parental concerns, treatment options for opioid, marijuana, and alcohol use disorders, and providing support and care.

wbroadway
Download Presentation

Approaches for working with adolescents and youth who use alcohol and drugs

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Approaches for working with adolescents and youth who use alcohol and drugs META Phi September 21, 2018

  2. Alcohol, marijuana, opioids and everything else……

  3. Keeping up….. www.erowid.com www.camh.net www.drugabuse.gov www.ccendu.ca

  4. Prescription Opioids • Codeine, immodium, kratom, & all the other usual options • One of use, binge use, intermittent patterns of use, problematic use versus dependence • Fentanyl deaths • Among students who reported using opioid analgesics nonmedically, 72% reported obtaining them from home

  5. How can RAAM Clinic and Primary Care Providers Help? • Support a youth friendly environment • Develop a youth specific approach

  6. Teenage Brain Development and Vulnerability to Drug Use  

  7. The Adolescent Brain

  8. Harms of youth alcohol and substance use Impact on: • Academic achievement • Family • Friends • Decision making • Neurodevelopmental tasks of adolescence • Sexuality • Mental health Concurrent Disorders • alcohol/substance use disorders = mental health disorders • cause and effect

  9. The harm of youth cannabis use • Youth believe many myths about cannabis • Missed neurodevelopmental tasks • Exploring the link between psychosis and cannabis use • Increased access with new legislation? • www.ccsa.ca

  10. Motivational Interviewing with young patients You tube videos

  11. Decisional Balance Tool

  12. Addressing Parental Concern • Confidentiality • Parent Resources • Parent Support • Family involvement in treatment • Collaborative plans and consequences • ccsa.ca • camh.net • ementalhealth.ca • drugabuse.gov • adolescenthealth.org • drugfreekidscanada.org

  13. Referral: Community Resources qq

  14. Treatment for Opioid Use Disorder Pharmacotherapy options: • Structured opioid therapy, taper to abstinence • Abstinence and treatment of withdrawal symptoms • Opioid substitution therapy: buprenrophine Non pharmacotherapy options: • Addictions counseling • Further assessment and diagnostic work up of pain • Mental health assessment • School or community based activities • Family involvement

  15. Treatment for Marijuana Use or Use Disorder Pharmacotherapy options: • Nabilone • NAC Non pharmacotherapy options: • Addictions counseling • Mental health assessment • School or community based activities • Family involvement

  16. Treatment for Alcohol Use Disorders Pharmacotherapy options: • Abstinence and treatment of withdrawal symptoms: valium • Craving suppression: naltrexone (once daily) accomprosate (tid) Non pharmacotherapy options: • Addictions counseling • On-line supports • Mental health assessment • School or community based activities • Family involvement

  17. When All Else Fails… I care about you I am concerned about you I will be here for you John Knight, M.D.

More Related