Things I wish I knew back then or if only they had told me A look at my beliefs and view’s in 1998 Compared to now.

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Presentation transcript:

Things I wish I knew back then or if only they had told me A look at my beliefs and view’s in 1998 Compared to now.

INTRODUCTION My Experience and Qualifications Clients and Resources Drugs and Alcohol What I have learned Conclusion

QUALIFICATIONS B.A HONOURS DEGREE IN SOCIAL POLICY POST GRAD IN DRUG AND ALCOHOL STUDIES.

RELEVANT SUBJECTS Intervention Methods, Behavioural change Drug and Alcohol use and consequences Policy and prevention Alcohol Drug research methods Comprehensive study of underage drinking.

Subjects continued. Health and Community care. Economics individuals in society Economics social market failure Basic Psychology

Work experience Senior Addiction worker Grt Pollok C.A.T Team Leader/Project worker at G.D.C.C Volunteer/project worker at Gorbals Addiction Service.

Myself as drugs worker 98 Skills and Theory Motivation Knowledge Challenging

Theory and Skills Motivational Interviewing Prochaskas and Di Clementes

Motivational Interviewing Individual Responsibility No Labelling of client Internal attribution Cognitive Dissonance

Skills Reflective listening Clients should present arguments for change Avoid Arguments, role with resistance. Client as resource Keep discussion focused Illicit motivational statements

Cycle of change Precontemplation Contemplation Action Maintenance Relapse

Clients 98 Pressure from family and friends to be seen to be doing something Get access to prescribed Medication Stop going to prison Sort out other problem Want to come off Drugs or Alcohol

Resources 98 Counselling Methadone? Residential Rehab

Clients 2005 Clients have an agenda Pressure from family friends Get access to prescribed medication Stop going to prison Sort out multitude of problems Want to come off Drugs or Alcohol or Both

Resources 2005 Substitute prescribing Community rehabs Residential rehabs Counselling Home detox Universal addiction teams Needle exchange harm reduction Progress to work

Drugs 98 Heroin Cannabis Temazepam Benzodiazipines Sulphates Cocaine

Drugs 2005 Heroin Cannabis Benzodiazipines Methadone and Alcohol Cocaine Crack Cocaine

What have I learned “A good answer right now is much more preferable to the perfect answer next week” Gen George Paton

Clients have an agenda Economics of addiction Bureaucratisation of Misery

Needle exchange and Methadone clinics

Economics of Addiction

Economics part 2

Bureaucratisation of Misery More and more forms Measuring Misery Compartmentalization of problems.

Conclusion How do I see the future Counselling Motivational interviewing Client choice