effective treatment of substance use disorders and … · 2017-01-19 · effective treatment of...
TRANSCRIPT
Effective Treatment of
Substance Use Disorders and Trauma in Older Adults:
Clinical and Spiritual Perspectives
Dr. Kenneth Chance, D. Div.
Mr. Robert Potter, M.A., LISAC, CSAT
October 19, 2016
Thomas Durham, PhD
Director of Training
NAADAC, the Association for
Addiction Professionals
www.naadac.org
Cost to Watch:
Free
CE Hours
Available:
1 CEH
CE Certificate
for NAADAC
Members:
Free
CE Certificate
for Non-
members:
$15
To obtain a CE Certificate for the time you spent
watching this webinar:
1. Watch and listen to this entire webinar.
2. Pass the online CE quiz, which is posted at
www.naadac.org/SUDandtraumaforolderadults
3. If applicable, submit payment for CE certificate
or join NAADAC.
4. A CE certificate will be emailed to you within 21
days of submitting the quiz.
CE Certificate
Using GoToWebinar – (Live Participants Only)
Control Panel
Asking Questions
Audio (phone
preferred)
Polling Questions
Webinar Learning Objectives
1 321. Consider a hypothesis about why many older adults relapse after
multiple attempts at treatment.
2. Gain greater awareness of the challenges of treating older
adults diagnosed with SUD’s and trauma co-morbidities.
3. Identify typical symptoms and chief complaints reported by older
adults who suffer from SUD and trauma.
1 324. See the similarities in the neuroscience of addiction and trauma.
• What occurs in the brain during trauma.
• What occurs in the brain in active addiction.
5. Understand the clinical and spiritual benefits of mindfulness
and meditation.
6. Learn why a spiritual awareness of one’s Authentic Self is vital
for long-term recovery.
Webinar Learning Objectives
Some Stats
U.S. population 65+
2014 - 14.5%
2040 - 22%
2060 - 30%
U.S. Department of Health and Human Services - Administration on Aging (AoA)
Some Stats
• 6-11% of all elderly patients admitted to hospitals
exhibit symptoms of alcoholism
• 14% of all elderly patients in ER exhibit symptoms of
alcoholism
• Problem drinking in nursing homes is as high as 49% in
some studies
NCADD: An Invisible Epidemic: Alcoholism and Drug Dependence Among Older Adults
Some Stats
• 17% (8 million) older adults abuse alcohol and
drugs - SAMHSA
• Less than 2% of all admissions for alcohol and drug
treatment are people over age 55
• Illicit drug use among seniors is projected to double
by 2020 to 3.5 million
NCADD: An Invisible Epidemic: Alcoholism and Drug Dependence Among Older Adults
Co-morbid PTSD and SUD Clients
• Greater difficulty maintaining sobriety
• Increased difficulty in healing traumatic memories.
(Ford, Hawke, Alessi, Ledgerwood & Petry, 2007; Peirce, Kindbom, Waesche, Yuscavage, & Brooner,
2008; Schumacher, Coffey& Stasiewicz, 2006)
Clients with PTSD
Men Women
#1
Alcohol abuse/dependence
#1
Depressive Disorders
#2
Depressive Disorders
#2
Anxiety Disorders
#3
Anxiety Disorders
#3
Alcohol abuse/dependence
(American Journal of Psychiatry: “Substance use disorders in patients with PTSD:
a review of the literature” (Jacobsen, Southwick and Kosten)
Clients with PTSD
Men Women
#1
Alcohol abuse/dependence
#1
Depressive Disorders
#2
Depressive Disorders
#2
Anxiety Disorders
#3
Anxiety Disorders
#3
Alcohol abuse/dependence
(American Journal of Psychiatry: “Substance use disorders in patients with PTSD:
a review of the literature” (Jacobsen, Southwick and Kosten)
Clients with PTSD
Men Women
#1
Alcohol abuse/dependence
#1
Depressive Disorders
#2
Depressive Disorders
#2
Anxiety Disorders
#3
Anxiety Disorders
#3
Alcohol abuse/dependence
(American Journal of Psychiatry: “Substance use disorders in patients with PTSD:
a review of the literature” (Jacobsen, Southwick and Kosten)
Suicide Among Adults Aged 50–59
Years
US, 1999–2010
0
5
10
15
20
25
30
35
Men 50 - 54 Women 50 - 54 Men 55 - 59 Women 55 - 59
1999 2010
CDC Morbidity and Mortality Weekly Report, May 3, 2013 / 62(17); 321-325
Challenges with Older Adults
Old ideas and
stereotypes…
Emotionally disconnected…
Communication…
Therapeutic alliance…
The difficulty lies not so
much in developing new
ideas as in escaping from
old ones.
John Maynard Keynes
What Happens in Early Childhood Trauma
Why one reacts with emotion such as angry outbursts rage
terror fear and the like.
Lights up during
a traumatic
experience as
well as during
recall or
flashback.
Does not
process/sequenc
e the traumatic
experience.
Bessel Van Der Kolk, M.D.
What Happens in Early Childhood Trauma
Bessel Van Der Kolk, M.D.
Why talk therapy is so often ineffective in resolving
trauma.
The emotional
and somatic
experience is
stored in the
right hemisphere
Talk therapy uses
left hemisphere
Brain Attempts at Resolution
The brain constantly
attempts to organize the
chaotic mess of trauma
and presents either in
autoimmune syndromes
accidents and
attachments.
Bessel Van Der Kolk, M.D.
Mindfulness
Awareness of thoughts, emotions and behavior:
• To consider how what I think, feel and act might impact,
positively or negatively, others.
• To develop compassion and empathy for others.
• To practice humility through gratefulness.
• To consciously establish one’s intent before initiating action.
• To become more compassionate in my relationships.
• To observe chaos rather than create it.
• To respond rather than react.
• To allow space before one chooses.
Ultimately spiritual awareness unfolds
when you’re flexible,
when you’re spontaneous, when you’re
detached,
when you’re easy on yourself
and easy on others.
Deepak Chopra
Thank You!
Your
Ken Chance, D. Div.
928-227-2448, ext. [email protected]
Bob Potter, M.A., LASAC, CSAT
928-227-2448, ext. [email protected]
arrowheadlodgerecovery.com
Cost to Watch:
Free
CE Hours
Available:
1 CEH
CE Certificate
for NAADAC
Members:
Free
CE Certificate
for Non-
members:
$15
To obtain a CE Certificate for the time you spent
watching this webinar:
1. Watch and listen to this entire webinar.
2. Pass the online CE quiz, which is posted at
www.naadac.org/SUDandtraumaforolderadults
3. If applicable, submit payment for CE certificate
or join NAADAC.
4. A CE certificate will be emailed to you within 21
days of submitting the quiz.
CE Certificate
Adolescent Development and Susceptibility
of Teens Toward Addiction
By Beth Donnellan
December 7, 2016
November 16, 2016 December 21, 2016
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