Substance Abuse

 

90. Member will be able to describe or demonstrate 3 techniques for managing her anxiety that do not involve the use of cannabis, as measured by member report to CM.  Baseline:  Unable to describe alternative ways of managing anxiety.

Rehab: CM will teach member coping skills such as deep breathing, progressive relaxation, positive mental imagery, physical exercise, venting to a trusted friend, and journaling to manage feelings of anxiety.

Group: Group facilitator will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between substance use and recovery from mental illness.

Group: Group facilitator will conduct RCCS group to help participants improve their ability to manage strong emotions such as anxiety.

Member will attend COEG and RCCS groups and practice using the anxiety-reduction techniques she learns.

91. Member will be able to describe or demonstrate 3 techniques for managing his anxiety that do not involve the use of alcohol or other illicit substances, as measured by member report to CM.  Baseline:  Unable to describe alternative ways of managing anxiety.

Rehab: CM will teach member coping skills such as deep breathing, progressive relaxation, positive mental imagery, physical exercise, venting to a trusted friend, and journaling to manage feelings of anxiety and irritability.

CMS: CM will facilitate linkage to 12-Step groups within walking distance of member’s home.

Group: Group facilitator will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between alcohol and drug abuse and recovery from mental illness.

Group: Group facilitator will conduct RCCS group to help participants improve their ability to manage strong emotions such as anxiety without the use of substances.

Member will attend COEG and RCCS group and practice using the anxiety-reduction techniques he learns.

92. Member will identify at least 5 coping skills he can use to improve his mood that do not involve the use of stimulants or other illicit substances, as measured by member report to CM.  Baseline:  Unable to describe alternative ways of improving mood.

Rehab: CM will help member explore activities that have helped him in the past, such as working; staying busy; pursuing a hobby or area of interest; creating a schedule of daily/weekly activities and sticking to it; getting out of the house every day; spending time with family and friends; attending groups; sharing his feelings with others; and exercising.

CMS: CM will facilitate linkage to social activities and support groups such as AA.

Medication: MD/NP will provide psychoeducation and prescribe and monitor psychiatric medications to reduce symptoms of depression. Nurse will assist with medication management to help member overcome impairments related to lack of med adherence.

Therapy: Clinician will provide therapeutic interventions such as CBT to help member identify and correct self-defeating thoughts that may be contributing to his feelings of depression.

Group: Group facilitator will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between alcohol and drug abuse and recovery from mental illness.

Member will attend COEG group and use the Common Ground library to learn more about people who have successfully recovered from depression and substance abuse.

93. Member will advance to the Contemplation stage of change as evidenced by his openness to new information, his ability to verbalize the pros and cons of drug use, and his admission that he might have a problem.  Baseline:  Member denies having a problem.

Rehab: CM will work to establish trust, use non-judgmental language, express empathy, and use various types of reflection to help member move from denial towards ambivalence (i.e., from the pre-contemplation to the contemplation stage of change).

Group: Group facilitator will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between alcohol and drug abuse and recovery from mental illness.

Member will attend COEG group and use the Common Ground library to find stories about dually-diagnosed people who have made full and successful recoveries.

94. Member will advance to the Preparation stage of change as evidenced by admitting he has a serious problem, using commitment language, and taking small steps towards changing his behavior (e.g., gathering information, asking his CM for help, etc.).  Baseline:  Admits he might have a problem but has no plans for changing his behavior.

Rehab: CM will use motivational interviewing to help member resolve ambivalence, elicit change talk, and establish commitment language; will use RCCS skill-building exercises "My Identity" and "My Values" to create cognitive dissonance as an impetus towards change, and "My Spirituality" to help member maintain a sense of meaning in his life.

Group: Group facilitator will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between alcohol and drug abuse and recovery from mental illness.

Medication: Nurse will conduct annual nursing assessments to assist physician with ruling-out organic causes of mental health symptoms and to identify physical conditions neglected as a result of mental illness that may warrant referral.

Member will attend COEG group and use the Common Ground library to learn more about people like himself who have made full and successful recoveries.

95. Member will advance to the Action stage of change as evidenced by implementing a plan, ceasing alcohol use, attending AA meetings regularly, and recruiting others to help him stay sober.  Baseline:  Admits he has a problem and has been talking about ways of quitting, but hasn't taken action yet.

Rehab: CM will work to strengthen intrinsic motivation (by raising member’s awareness of costs, potential benefits, alignment with stated values, etc.) and help member identify and overcome potential obstacles to change. 

CMS: CM will facilitate linkage to 12-Step groups in member’s community.

Group: Group facilitator will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between alcohol and drug abuse and recovery from mental illness.

Member will attend COEG group and use the Common Ground library to learn more about people like himself who have overcome their addictions.

96. Member will save $500 towards the purchase of a car by reducing the number of cigarettes he smokes, as measured by member self-report and account statement from business office or bank.

Rehab: CM will work to strengthen member’s intrinsic motivation by raising his awareness of the costs of smoking and the benefits of cutting back or quitting altogether. Will teach member skills such as deep breathing, progressive relaxation, and physical exercise to manage feelings of anxiety and restlessness he may experience.

Group: Group facilitator will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between substance dependence and recovery from mental illness.

Member will attend COEG group and use the Common Ground library to learn more about people like himself who have overcome their dependence on substances. 

 

All PHI has been de-identified per HIPAA Privacy Rule