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Adolescent Substance Abuse PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Adolescent Substance Abuse PowerPoint Presentation", by John Sargent, M.D., to learn about the features associated with substance abuse in adolescents and a clinical approach to treating substance abusing adolescents and their families.

Tags : Adolescent Substance Abuse, substance abuse

Published on : Mar 14, 2023 | Views : 1610 | Downloads : 0

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Slide 1-

Adolescent Substance Abuse John Sargent, M.D.
Slide 2-

Learning Objectives: 1)Learn features associated with substance abuse in adolescents. 2) Learn a clinical approach to treating substance abusing adolescents and their families
Slide 3-

Current Massachusetts Data (within last month) Alcohol use 40% Binge drinking 40% Marijuana use 16% Cigarette use 35%, regular use 20% (from Kids Count, Casey Foln)
Slide 4-

Adolescents because of immaturity of impulse control and judgment are especially prone to experimentation with drug & alcohol use
Slide 5-

Novelty seeking, poor parental supervision and peer involvement further reinforce use
Slide 6-

Adolescent autonomy and freedom offer opportunities for use
Slide 7-

Teens with ADHD, Conduct Disorder, Trauma history and school failure are especially at risk
Slide 8-

Situations with limited opportunity, easy access to drugs, routine family and community use amplify use
Slide 9-

Specific risks of drug use: Binge Drinking Inexperience coupled with impulsivity Secondary problem – unwanted sexual behavior, rape Disinhibition Driving while intoxicated
Slide 10-

Addiction with associated withdrawal is rare in adolescence, however other consequences are common – poor school performance, family conflict and legal difficulties
Slide 11-

Drug use is indicative of a health-compromising lifestyle Drug use is a choice, something that one willfully does for definable reasons Parents are important throughout adolescence When teens are using drugs a great deal, there are consequences that are upsetting to them Some drug use is normal
Slide 12-

Assessment Substance Use History Drugs used Frequency of use Places used
Slide 13-

Type of use: impulsive, planned, measured Goals of use of each drug Progression of use
Slide 14-

Consequences of Use Costs Drug influenced behaviors Arrests
Slide 15-

School failure Peer relations Pregnancy
Slide 16-

Erratic and unreliable behavior Lying Irritability, argumentativeness, relationship problems
Slide 17-

Mental Health Co morbidities Depression Anxiety Post trauma difficulties Sequellae of childhood maltreatment
Slide 18-

ADHD Bipolar Disorder Adolescent schizophrenia Eating disorders, especially bulimia
Slide 19-

Family Situation and Relationships Socioeconomic concerns Parental mental health concerns, especially mood disorders Parental substance use Parenting style especially supervision and monitoring
Slide 20-

Parental response to drug use Marital or post divorce conflict Parental preoccupation
Slide 21-

Be sure to assess strengths, capacities, interests and possibilities
Slide 22-

Approach to Treatment Motivation is malleable Relationships critical Treatment individualized Planning and flexibility operate together
Slide 23-

Domains of adolescent function Identify development/support autonomy linked with responsibility Peers Bonding to prosocial institutions
Slide 24-

Racial/cultural issues Health/sexuality Drug use
Slide 25-

Look for impairments in 2 or more domains Look for development detouring effects Multiple approaches Multiple targets Multiple interventions
Slide 26-

Treatment involves… Development Preventing problem behavior Therapy Individual Family Treatment parameters time, space, frequency, etc
Slide 27-

Motivational interviewing can be very useful in helping youth appreciate consequences of drug use and deciding if drug use furthers their personal goals
Slide 28-

Attend to Risk: Economic Deprivation Parental Difficulty Family Conflict
Slide 29-

Poor parental management Poor conflict resolution Frustration – relief through disconnect with child
Slide 30-

Family primary location for child treatment Buffers negative peer environment Goal interdependence
Slide 31-

Engagement of parents hopeful, enthusiastic and realistic question denial
Slide 32-

Offer respectful interest in teen especially attentive to strengths and interests quiet concern about problems that have been drug related offer opportunity to join treatment team
Slide 33-

Develop drug free expectation rules monitoring consequences reparations parental collaboration
Slide 34-

Decide how to deal with crises suicide intoxication arrest school responses peer difficulties
Slide 35-

Promoting positive family interaction conflict resolution supportive engagement hope for sober outcomes
Slide 36-

addressing family conflicts openly constructive not punitive reinforcing drug free activities enhancing communication
Slide 37-

Encouraging adolescent voice and goals – individual sessions
Slide 38-

Dealing with relapses harm reduction
Slide 39-

Encouraging engagement with mutual support organizations and drug treatment programs
Slide 40-

Engage family in treatment of co morbid problems in child Co morbid problems in parent
Slide 41-

Prevention efforts: Enhancement of academic opportunities Provide treatment for co morbid problems Engage families in shared activities Provide after school opportunities – activities, sports, jobs
Slide 42-

Target especially at risk teens Build drug-free recreation experiences
Slide 43-

Resources Schools Jobs Prosocial Support Activities Medical Other
Slide 44-

Goals Build a therapeutic alliance with the adolescent Create a collaborative agenda Establish a developmental – ecological framework of treatment
Slide 45-

Improve functioning in several developmental domains Transform a drug – using lifestyle into a developmentally normal lifestyle Facilitate developmentally adaptive competence in multiple settings
Slide 46-

Build a therapeutic alliance with a parent Create a collaborative agenda Establish a developmental – ecological framework Facilitate parental commitment
Slide 47-

Prevent parental abdication Facilitate an improved relationship or improved communication between the parent and adolescent Increase knowledge about and effectiveness of parenting practices (e.g. limit setting, monitoring, appropriate autonomy granting)