 |
| 1. Raise the issue
2. Assessment
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| Their story: "can you tell me
about your drug use?"
|
|
| Relationship to presenting issue
|
|
| Using drug use models & frameworks, ask about drug issues relating
to:
 |
| Liver, Lover, Livelihood & Law
|
|
| Intoxication, Regular Use & Dependence
|
|
| Stage of change
|
|
|
| Drug history including consumption levels and periods
of controlled use, abstinence
|
|
| Typical day-to-day impact & management of drug
use (eg functional analysis)
|
|
| Children, Partner, Parent/Carer require intervention
such as protection and/or support?
|
|
| Risk assessment required? (eg child protection,
family violence)
|
|
| Referral required?
|
3. Motivational
Interviewing
|
| Identify issue for change
|
|
| Assess importance & confidence
|
|
| Ask about positives
|
|
| Ask about less positives
|
|
| Compare with life goals
|
|
| Ask for a decision
|
|
| Set a short-term goal
|
4. Negotiate treatment goals
|
| Abstinence or controlled use
|
|
| Reduction of drug-related problems
|
|
| Other associated goals (ie improved family
functioning/child safety, manage anxiety, depression, anger, accommodation, relationship,
life skills, etc)
|
|
| Referral/shared case
management and/or brief intervention
|
|
| Detoxification required?
(residential or non-residential)
|
|
| Specific, Meaningful, Assessable, Realistic, Timed
(SMART) Goal-Setting
|
5. Relapse
prevention & relapse management
|
| Manage high risk situations
|
|
| Manage cravings & impulse control
|
|
| Refusal skills
|
|
| Develop competing behaviours
|
|
| Maintain vigilance
|
|
| Deal with resolution breakdown and 'slips'
|
|
| Plan for and Manage safety issues (child protection,
family violence, overdose, unsafe injecting, etc)
|
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:
|
| Overdose
|
|
| Suicide
|
|
| Violence (Family - spouse abuse, child to
parent, child to child)
|
|
| Child neglect & abuse
|
|
| Blood borne viruses (needle sharing, immunisation,
testing, safer sex)
|
|
| Motor vehicle accidents
|
7. Maximise
supports
|
| Family, friends & 'buddy' supports
|
|
| Child care supports & safe care
|
|
| Professional Supports (including telephone supports -
ie ADIS)
|
|
| Self-help booklets &
written material
|
|
| Ongoing referral to
specalists within your agency, or to other agencies where indicated
|
8. Follow-up and review
|
| Ongoing re-assessment
|
|
| Telephone or face-to-face follow-up
|
|
| Supervision
|
|
| Review overall outcome & closure
|
9. Community action?
|
| Inter-agency links & shared case management
requirements
|
|
| Lobby/advocacy functions
|
|
| Resource development (eg programs, services,
facilities)
|
|
| Some examples:
|
| Click here
for the Community Partnerships Kit & examples of
projects funded by the Community Partnerships
Initiative.
|
|
|
| Contact Local Drug Action Group (WA only)
|
|
| Policy changes required? (within & between
agencies)
|
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| Anything else?
|
|
|
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