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| 1. Raise the issue
2. Assessment
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| Their story: "can you tell me
about your drug use?"
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| Relationship to presenting issue
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| Using drug use models & frameworks, ask about drug issues relating
to:
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| Liver, Lover, Livelihood & Law
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| Intoxication, Regular Use & Dependence
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| Stage of change
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| Drug history including consumption levels and periods
of controlled use, abstinence
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| Typical day-to-day impact & management of drug
use (eg functional analysis)
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| Children, Partner, Parent/Carer require intervention
such as protection and/or support?
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| Risk assessment required? (eg child protection,
family violence)
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| Referral required?
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3. Motivational
Interviewing
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| Identify issue for change
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| Assess importance & confidence
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| Ask about positives
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| Ask about less positives
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| Compare with life goals
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| Ask for a decision
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| Set a short-term goal
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4. Negotiate treatment goals
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| Abstinence or controlled use
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| Reduction of drug-related problems
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| Other associated goals (ie improved family
functioning/child safety, manage anxiety, depression, anger, accommodation, relationship,
life skills, etc)
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| Referral/shared case
management and/or brief intervention
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| Detoxification required?
(residential or non-residential)
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| Specific, Meaningful, Assessable, Realistic, Timed
(SMART) Goal-Setting
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5. Relapse
prevention & relapse management
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| Manage high risk situations
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| Manage cravings & impulse control
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| Refusal skills
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| Develop competing behaviours
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| Maintain vigilance
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| Deal with resolution breakdown and 'slips'
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| Plan for and Manage safety issues (child protection,
family violence, overdose, unsafe injecting, etc)
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6. Harm reduction
Can and should be considered whether or not reduced drug use is a goal.
Identify key areas of harm and safety
Negotiate Problem Solving Steps to identify, manage and review drug-related harm
Some major areas of drug-related harm include:
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| Overdose
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| Suicide
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| Violence (Family - spouse abuse, child to
parent, child to child)
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| Child neglect & abuse
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| Blood borne viruses (needle sharing, immunisation,
testing, safer sex)
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| Motor vehicle accidents
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7. Maximise
supports
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| Family, friends & 'buddy' supports
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| Child care supports & safe care
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| Professional Supports (including telephone supports -
ie ADIS)
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| Self-help booklets &
written material
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| Ongoing referral to
specalists within your agency, or to other agencies where indicated
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8. Follow-up and review
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| Ongoing re-assessment
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| Telephone or face-to-face follow-up
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| Supervision
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| Review overall outcome & closure
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9. Community action?
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| Inter-agency links & shared case management
requirements
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| Lobby/advocacy functions
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| Resource development (eg programs, services,
facilities)
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| Some examples:
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| Click here
for the Community Partnerships Kit & examples of
projects funded by the Community Partnerships
Initiative.
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| Contact Local Drug Action Group (WA only)
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| Policy changes required? (within & between
agencies)
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| Anything else?
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