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ADOLESCENTS IN TREATMENT

ADOLESCENTS IN TREATMENT. ISSUES FOR ADOLESCENTS. PHYSICAL AND PSYCHOLOGICAL CHANGE PEER APPROVAL MOOD SWINGS INCONSISTENT BEHAVIOR SOCIAL DIFFICULTIES (DATING). ISSUES FOR ADOLESCENTS. IDENTITY ISSUES (SEXUAL, VOCATIONAL, ETC.) INDIVIDUATION AND REBELLION

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ADOLESCENTS IN TREATMENT

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  1. ADOLESCENTS IN TREATMENT

  2. ISSUES FOR ADOLESCENTS • PHYSICAL AND PSYCHOLOGICAL CHANGE • PEER APPROVAL • MOOD SWINGS • INCONSISTENT BEHAVIOR • SOCIAL DIFFICULTIES (DATING)

  3. ISSUES FOR ADOLESCENTS • IDENTITY ISSUES (SEXUAL, VOCATIONAL, ETC.) • INDIVIDUATION AND REBELLION • HOW DOES CHEMICAL ABUSE AFFECT EACH ONE OF THESE ISSUES?

  4. SUBSTANCE USE AMONG ADOLESCENTS • ALCOHOL USED MOST COMMONLY • BOYS TEND TO USE ILLEGAL DRUGS MORE THAN GIRLS • ILL INFORMED • MAGICAL THINKING • EXPERIMENTATION • RISK TAKING

  5. ALCOHOL ABUSE AMONG ADOLESCENTS • ABUSIVE DRINKING PATTERNS (BINGE) • 1/3 DRINK 5 OR MORE DRINKS A WEEK • DECREASE IN LIFE EXPECTANCY

  6. ALCOHOL ABUSE AMONG ADOLESCENTS • ALCOHOL RELATED TRAFFIC FATALITIES ARE THE LEADING CAUSE OF DEATH AMONG ADOLESCENTS.

  7. DIAGNOSING DEPENDENCE AND ABUSE • DSM-IV (PATHOLOGICAL USE, SOCIAL IMPAIRMENT, AND SCHOOL IMPAIRMENT) • CLASSROOM TEACHERS ARE OFTEN THE FIRST ADULTS TO RECOGNIZE A PROBLEM (SCHOOL ADJUSTMENT COUNSELORS/SPECIAL NEEDS TEACHERS; SCHOOL NURSES)

  8. WHAT TO LOOK FOR: • UNEXPLAINED DROP IN GRADES OR STUDENTS WHO HAVE NEVER DONE WELL IN SCHOOL • IRREGULAR SCHOOL ATTENDANCE • CHANGE IN CLOTHING • CHANGE IN GROOMING

  9. WHAT TO LOOK FOR: • CHANGE IN FRIENDS • CHANGE IN PRIORITIES • ISOLATION • DECREASED INTEREST IN SOCIAL ACTIVITIES • FREQUENT ILLNESS

  10. WHAT TO LOOK FOR: • INEXPLICABLE MOOD CHANGES • IMPAIRED SHORT TERM MEMORY • FREQUENT ACCIDENTS • CONDUCT PROBLEMS • MENTAL HEALTH ISSUES

  11. SEVERITY DEPENDENT UPON: • COVERING UP OR LYING ABOUT USE • LOSING TIME FROM SCHOOL • PREVIOUS HOSPITALIZATIONS • ARRESTS • STEALING FROM PARENTS

  12. SEVERITY DEPENDENT UPON: • ALCOHOL OR OTHER DRUG USE AT SCHOOL • BEING A CHILD OF AN ALCOHOLIC

  13. ASSESSMENT PROCESS • ALCOHOL/OTHER DRUG USE PATTERNS • STRUCTURE OF DAY • FRIENDS • PARENTAL RELATIONSHIPS

  14. ASSESSMENT PROCESS • PARENTAL SUBSTANCE ABUSE • DEPRESSION AND SUICIDE • APPETITE AND SLEEP • AWARENESS AND INVOLVEMENT OF PARENTS

  15. THERAPY MODALITIES • MANIPULATION OF THE ENVIRONMENT • INSIGHT THERAPY • RELATIONAL THERAPY • REALITY THERAPY • HARM REDUCTION

  16. TREATMENT PROCESS • AVOID AUTHORITY SYMBOLS • CASUAL MANNER AND DRESS • DON’T BE PHONY • HONEST AND OPENNESS

  17. TREATMENT PROCESS • EMPATHY • CREATE A SENSE OF TRUST • CONFIDENTIALITY A MUST • CLARIFY YOUR ROLE (THEY’RE THERE UNDER DURESS)

  18. TREATMENT PROCESS • INVOLVE WHOLE FAMILY • THOROUGH MEDICAL AND PSYCHOLOGICAL EXAM • RESIDENTIAL VS OUTPATIENT • PARTIAL CARE • PEER SUPPORT GROUPS

  19. TREATMENT PROCESS • FOLLOW-UP • PREVENTION (EDUCATION; PROVIDING ALTERNATIVES FOR RECREATION WITHIN THE COMMUNITY) • TREATMENT VS PUNISHMENT (SUSPENSION OR INCARCERATION)

  20. TREATMENT PROCESS • NO SINGLE TREATMENT IS APPROPRIATE FOR ALL TEENS. • EFFECTIVE TREATMENT MUST ATTEND TO THE MULTIPLE NEEDS OF THE INDIVIDUAL-NOT JUST THE DRUG USE. • TREATMENT APPROACH MUST TAKE INTO ACCOUNT DEVELOPMENTAL STAGES. • REMAINING IN TREATMENT FOR AN ADEQUATE PERIOD OF TIME IS CRITICAL FOR TREATMENT EFFECTIVENESS AND POSITIVE CHANGE.

  21. TREATMENT PROCESS • COUNSELING AND OTHER BEHAVIORAL THERAPIES ARE CRITICAL COMPONENTS OF EFFECTIVE TREATMENT. • ADDICTED OR DRUG-ABUSING TEENS WITH COEXISTING MENTAL DISORDERS SHOULD HAVE BOTH DISORDERS TREATED IN AN INTEGRATED WAY.

  22. TREATMENT PROCESS • MEDICAL DETOXIFICATION IS ONLY THE FIRST STAGE OF ADDICTION TREATMENT AND BY ITSELF DOES LITTLE TO CHANGE LONG-TERM DRUG USE. • TREATMENT DOES NOT NEED TO BE VOLUNTARY TO BE EFFECTIVE. • RECOVERY FROM ADDICTION CAN BE A LONG-TERM PROCESS AND FREQUENTLY REQUIRES MULTIPLE EPISODES OF TREATMENT.

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