PPT - University of North Dakota

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PARENTAL ISSUESPower and control held by parents• Permission to go to AA/NA meetings• Ride to self-help or aftercare groups• If adolescent changes and parents do not, creates stress• True with adult alcoholics also• Power/control issues with adolescent• Sending the adolescent back into a dysfunctional home• Treating adolescents and not the system, likely toincrease stress and possibly the rate of adolescentsuicide.• Requiring parental involvement in treatment• What if parents won't agree to admission?• What if parents won't agree to cooperate?• Threats on part of parents who are alcoholic• Early discharge• Sabotage of treatment
MULTIPLE ISSUES OF ADOLESCENTS• While attempting to deal with CD, adolescentalso trying to resolve normal developmentaladolescent tasks:• Dependence/Independence (individuation)• Personal relationships• Developing an identity (pimples as a crisis)• Sexuality• Normal difficult adolescent issues• Now complicated by a chemical dependence
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University of North DakotaKids At R
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Aikens a laugh a day *Election 2004
Page 8 and 9:
THE SCOPE OF THE PROBLEMHow inciden
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PSYCHOSOCIAL RISK FACTORS• male g
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GENETICS• child of alcoholic (dis
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FAMILY RISK FACTORS• parental dri
Page 16 and 17:
PSYCHIATRIC DISORDERSOF CHILDHOOD A
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SOCIETAL/CULTURALRISK FACTORS (cont
Page 20 and 21:
RISK FACTORS FORSUBSTANCE USE PROBL
Page 22 and 23: Victimization HistoryPhysical Abuse
Page 25 and 26: CONTINUUM OFADOLESCENT SUBSTANCE US
Page 27 and 28: THE THREE BEST INDICATORS OFALCOHOL
Page 29 and 30: CRAFFTBrief Screening Test for Adol
Page 32 and 33: A diagnostic assessment isperformed
Page 34 and 35: DSM-IV CRITERIA FOR SUBSTANCE DEPEN
Page 36 and 37: Consider theDescription of Dependen
Page 38 and 39: DSM IV Criteria for Substance Abuse
Page 40 and 41: Diagnoses IndicatedPercent of Cases
Page 42 and 43: Some Thoughts About ADHD andPsychia
Page 45: How Have We Historically ViewedCo-O
Page 49 and 50: Link Between Psychiatric and Alcoho
Page 51 and 52: AssessCo-occurring occurring Disord
Page 53 and 54: PADDI• Covers addictions• Cover
Page 55 and 56: PERSONALITY CHANGES• Emotional La
Page 57 and 58: ANTISOCIAL BEHAVIOR• As typical f
Page 59 and 60: AVAILABILITY TO OTHERS IN LIFE• S
Page 61 and 62: PHYSICAL HEALTH• Major change in
Page 63 and 64: COMPULSIVENESS/TOLERANCE• Unsucce
Page 65 and 66: Need to Distinguish Above from:•
Page 67 and 68: • By Adolescents• Too young•
Page 69 and 70: ADOLESCENT'S BAR• Refer an adult
Page 71: CHILDREN OF ALCOHOLICSIf COA:• No
Page 75 and 76: DIFFERENCES FROM ADULTS HAVE DIRECT
Page 77 and 78: GOALS OF TREATMENT• For all: REDU
Page 79 and 80: To assess progress/outcomefor MH an
Page 81 and 82: ISSUES OF CHEMICAL DEPENDENCYTREATM
Page 83 and 84: ISSUES OF CHEMICAL DEPENDENCYTREATM
Page 85 and 86: ISSUES OF CHEMICALDEPENDENCY TREATM
Page 91 and 92: STRATEGIES FOR WORKINGEFFECTIVELY W
Page 93 and 94: LEARNING ABOUT ADOLESCENTSFROM THE
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PPT - University of North Dakota

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