I. Section 1: Introduction A. Course Contributor B. About This Course C. Learning Objectives II. Section 2: Levels of Treatment A. Meet Nancy B. The Role of the Clinician C. Goals of Substance Use Treatment D. Additional Treatment Goals E. Relapse Prevention F. Treatment Effectiveness G. Treatment Effectiveness - continued H. Barriers to Treatment I. Common Defensive Patterns and How They May Be Used in Therapy J. Guidelines for Treating Older Adults K. Establish a Supportive Relationship L. Establish a Supportive Relationship - continued M. Recognize Values and Attitudes and Address Beliefs and Fears N. Treat Individuals with Dignity and Respect O. Education and Optimism P. Be Sensitive to Physical Limitations Q. Use an Age-Specific Treatment Approach R. Identify and Build a Support System S. Be Aware of Family Dynamics III. Section 3: Levels of Treatment Services A. Service Settings B. Outpatient Services C. Outpatient Case Management Services D. Specialized Outpatient Services E. Residential Rehabilitation F. Residential Rehabilitation - continued G. Inpatient Rehabilitation H. Inpatient/Outpatient Detoxification Treatment I. Indicators for Inpatient Detoxification J. Guidelines for Using Medications in Detoxification Treatment K. Using Benzodiazepines in Detoxification Treatment L. Meet Richard M. Section Summary IV. Section 4: Treatment Programs A. Program Philosophy and Basic Principles B. Treatment in Age-Specific Settings C. Barriers to Age-Specific Treatment D. Create a Culture of Respect for Older Adults in Treatment E. Increase Self-Efficacy of Older Consumers F. Honor the Spirituality and Culture of Older Adults G. Be Holistic in Treatment Approach H. Recognize Life Changes Associated with Late-Life Substance Use Disorders I. Provide Flexible Treatment J. Take Gender into Account K. Meet Susanne L. Section Summary V. Section 5: Types of Treatment A. Treatment Planning Information B. Overview of Treatment Types C. Formal Specialized Treatment D. Spiritual or Religious Approaches to Recovery E. Motivational Counseling F. Types of Cognitive-Behavioral Approaches G. The Drinking-Behavior Chain H. Behavioral Treatment in Group Settings I. Benefits of Group-Based Approaches J. Types of Groups K. Individual Counseling L. Medical and Psychiatric Approaches M. Treating Health Problems N. Treating Health Problems - continued O. Conducting Medical Evaluations P. Addressing Co-Morbid Mental Illnesses Q. Family Involvement and Therapy R. Dynamics of Family Involvement S. Family and Marital Therapy T. Case Management U. Settings Where Case Management Programs May Exist V. Encouraging Treatment through Outreach W. Perspectives on Terminating Treatment X. Aftercare, Recovery, and Post-Treatment Services Y. Meet Annabel Z. Section Summary VI. Section 6: Special Issues in Late-Life Alcohol and Substance Use Disorders A. Prescription Drug Misuse B. Addressing Prescription Drug Misuse C. Addressing Prescription Drug Misuse – continued D. Heavy Drinking E. Medical Issues Associated with Heavy Drinking F. Diagnosis of and Intervention for Heavy Drinking G. Medical Tests for Older Adults Who Are Heavy Drinkers H. Heavy Drinking and Vitamin Deficiency in Older Adults I. Alcohol Withdrawal J. Factors Affecting Withdrawal Symptoms K. More Serious Symptoms of Alcohol Withdrawal L. Neurological Complications of Alcohol Withdrawal M. Evaluation of Alcohol Withdrawal N. Treatment Approaches for Alcohol Withdrawal O. Alcohol Withdrawal Management P. Relationship between Alcohol Withdrawal and Relapse Q. Post-Treatment Concerns R. Meet Christopher S. Section Summary VII. Section 7: Conclusion A. Summary B. References
Lisa Furst, LMSW, MPH is Director of Public Education for the Mental Health Association of New York City (MHA-NYC). She develops and implements public education programming that provides information about mental illnesses and their treatment to professionals, paraprofessionals, and the general public. In her role as the Director of Education for the Geriatric Mental Health Alliance of New York, a project of MHA-NYC, Ms. Furst creates public education and training/technical assistance programs to educate professionals and the general public about the mental health needs of older adults. She is a co-author of “Depressed Older Adults, Education and Screening” (Springer Publishing Company), a guidebook to help aging and social service professionals establish a model of mental health education and depression screening in community-based aging service programs. She is a graduate of the Hunter College School of Social Work and is a licensed social worker in New York State. Disclosure: Lisa Furst, LMSW has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Instructor: Jeremy King, LCSW, CASAC
Jeremy King has over ten years of experience providing management and training to professionals in the field of behavioral health. Mr. King is a Licensed Clinical Social Worker and a Credentialed Alcohol and Substance Abuse Counselor in the state of New York. He also holds a BS in Economics from Fordham University and is a Certified Training Provider for the New York State Office of Alcoholism and Substance Abuse Services. For the past ten years, Mr. King has provided training and technical assistance to human service organizations in the following areas: Substance Use Disorders; Trauma Informed Services; Co-Occurring Substance Use and Mental Health Disorders; Cognitive Behavioral Therapy; Cultural Competence; Group Facilitation Skills; CCAR Recovery Coach Academy; Motivational Interviewing; Tobacco Dependence; Confidentiality; Working through Resistance; Screening and Assessment for Mental Health Disorders; Theories of Human Development; and The Client/Counselor Relationship. Disclosure: Jeremy King, LCSW, CASAC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.