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RECOVERY EDUCATION Trina M. Diedrich, MS, CADC, CRSS Mental Illness Substance Abuse (MISA) Manager Illinois Department of Human Services Division of Alcoholism and Substance Abuse WHY FOCUS ON CO-OCCURRING DISORDERS? Substance use disorders are common in people with mental health disorders Mental health disorders are common in people with substance use disorders Co-occurring disorders lead to worse outcomes and higher costs than single disorders Evidence-based models exist and can be implemented Providers and consumers want a better system and services Few (<10%) people get the treatments they need. Mark P. McGovern; THE DUAL DIAGNOSIS CAPABILITY IN ADDICTION TREATMENT (DDCAT) INDEX June, 2007; http://dms.dartmouth.edu/prc/dual/atsr/ LIFETIME RISK OF ANY MENTAL HEALTH DISORDER BY SUBSTANCE USE DISORDER Cocaine 76.1% (11.3) Barbiturates 74.7% (10.8) Hallucinogens 69.2% (8.0) Opiates 65.2% (6.7) Alcohol 36.6% (2.3) Mark P. McGovern; THE DUAL DIAGNOSIS CAPABILITY IN ADDICTION TREATMENT (DDCAT) INDEX June, 2007; http://dms.dartmouth.edu/prc/dual/atsr/ RECOVERY REFERS TO THE PROCESS IN WHICH PEOPLE ARE ABLE TO LIVE, WORK, LEARN, AND PARTICIPATE FULLY IN THEIR COMMUNITIES. Achieving The Promise:Transforming Mental Health Care in America;The Presidents New Freedom Commission on Mental Health Final Report 2003 For some individuals, recovery is the ability to live a fulfilling and productive life despite a disability. For others, recovery implies the reduction or complete remission of symptoms. Science has shown that hope plays an integral role in an individual’s recovery. Achieving The Promise:Transforming Mental Health Care in America;The Presidents New Freedom Commission on Mental Health Final Report 2003; P 5 HOPE HOPE HOPE HOPE TO WISH FOR SOMETHING WITH THE EXPECTATION OF ITS FULFILLMENT TO HAVE CONFIDENCE; TRUST TO LOOK FORWARD TO WITH CONFIDENCE OR EXPECTATION TO EXPECT AND DESIRE A WISH OR DESIRE ACCOMPANIED BY CONFIDENT EXPECTATION OF ITS FULFILLMENT The American Heritage Dictionary Second College Edition Houghton Mifflin Company; 1985; Boston, MA, PP622. HOPE IS DASHED BY STIGMA STIGMA A MARK BURNED INTO THE SKIN OF A CRIMINAL OR SLAVE; BRAND A MARK OR TOKEN OF INFAMY, DISGRACE, OR REPROACH A SMALL MARK; SCAR OR BIRTHMARK A MARK ON THE SKIN THAT BLEEDS AS A SYMPTOM OF HYSTERIA A MARK INDICATIVE OF A HISTORY OF DISEASE OR ABNORMALITY The American Heritage Dictionary Second College Edition Houghton Mifflin Company; 1985; Boston, MA, P 1197. WORDS HURT CRAZY INSANE PSYCHOTIC HYPER MANIC MEDICATED LUNATIC MANIAC NON COMPLIANT PSYCHO NUTS MENTAL DEMENTED HIGH/LOW FUNCTIONING The Bathtub Test During a visit to the mental asylum, a visitor asked the Director “how do you determine whether or not a patient should be institutionalized?” "Well," said the Director, "we fill up a bathtub, then we offer a teaspoon, a teacup and a bucket to the patient and ask him or her to empty the bathtub." "Oh, I understand," said the visitor. "A normal person would use the bucket because it's bigger than the spoon or the teacup." "No." said the Director, "A normal person would pull the plug. Do you want a bed near the window?" ARE YOU GOING TO PASS THIS ON, OR DO YOU WANT THE BED NEXT TO MINE? AND NOW SOME HISTORY It wasn’t always this way. . . it was much, much worse. DARK DAYS HAVE YOU EVER WANTED TO: DISAPPEAR RUN AWAY HIDE HURT YOURSELF DIE ACCEPTANCE IS THE ANSWER HOW TO ACCEPT MENTAL ILLNESS AND ADDICTION WHEN IT’S YOU HOW TO ACCEPT MENTAL ILLNESS AND ADDICTION WHEN IT’S NOT YOU ACHIEVING ACCEPTANCE DAILY TREATMENT IT WORKS INPATIENT TO OUTPATIENT TO CONTINUING CARE MENTAL ILLNESS AND SUBSTANCE ABUSE INTEGRATED TREATMENT MEDICATIONS THERAPY COPING STRATEGIES 12 STEP PROGRAMS SPIRITUALITY LEISURE ACTIVITIES REST EXERCISE NUTRITION HEALTHY RELATIONSHIPS COMMUNITY INVOLVEMENT SUCCESS, HOPES AND DREAMS INTENTIONAL LIVING DREAM IT INTO REALITY HOPE FOR THE BEST OUTCOME SUCCESS FOLLOWS YOUR DREAMS RECOVERY ACCORDING TO DR. SUESS TAKE A BREAK AND RELAX CLOSE YOUR EYES IF YOU WISH REMEMBER TO BREATHE MAKE YOURSELF COMFORTABLE NOTHING MATTERS RIGHT NOW EXCEPT BEING HERE LISTEN REMEMBER STIGMA HURTS NEXT TIME YOU HEAR WORDS THAT HURT THINK: RECOVERY HOPE DREAMS SUCCESS Trina M. Diedrich MS, CADC,CRSS MISA Manager Contact Information 319 E. Madison St. Suite 2-D Springfield, IL 62701 217-557-6604 [email protected]