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S
ARC Under 18’s
Substance Misuse Programme
160A Sunshine Industrial EstateCrumlin Road
CrumlinDublin 12
Presented by: Jimmy Norman
Gender:
Male 53
Female 23
Age:
Range: 13 – 19
Average 16.6
Young Person Profiles(ARC Under 18’s - 2015)
66% Cannabis (Weed)
12% Alcohol
10% Benzodiazepines
6% Ecstasy
4% Cocaine
2% Headshop powder (Mephedrone)
Reason for Referral(Primary Drug)
42% Family
22% Social Work Depts (incl Care Homes)
12% Self
8% Community Services
6% Justice/ Probation
4% A&E
4% GP
2% Schools
Referral Pathway
Full Needs Assessment using Teen – Addiction Severity Index (T-ASI)
Care Planning (individual needs, Inter Agency, Social Work)
Treatment
Family Support - Family Therapy
Complimentary Therapies (Acupuncture, Massage, Mindfullness)
Consultation with DR Bobby Smyth MRCPsych – YoDA
Aftercare
Onward referral to other relevant services
Activities
Full Needs Assessment
Life Areas covered in assessment:
General Information
Substance Use
Education
Employment /Training
Family (Genealogy, Relationships)
Peer/ Social Relationships
Legal Status
Psychiatric
Bio, Psycho, Social Model (Philosophy)
Referral
Assessment (Young Person, Parent/Guardian)
Adolescent Community Reinforcement Approach (ACRA)
Motivational Interviewing, Cognitive Behavioural Therapy
Targeted drug prevention/education
Family Support (5 Step Method) – Referral > Family Therapy
Aftercare – Lapse Management, Life Coaching
Complimentary Therapies (Acupuncture, Massage, Mindfullness)
Treatment
Adolescent Community Reinforcement
Approach (ACRA)
The Adolescent Community Reinforcement Approach (ACRA) acknowledges the powerful role of environmental contingencies in encouraging or discouraging drug use, and thus attempts to rearrange these contingencies.
ACRAThe goals of working with the individual are:
Promote Abstinence/ Reduce Use from drugs (using a harm reduction approach)
Promote positive Social Activities
Promote positive Peer Relationships
Promote improved Relationships with Family
ACRAThe goals of working with the Parents/
Caregivers are:
Motivate their participation in the ACRA process
Promote the adolescents Life Choices
Provide information about effective Parenting Practices
Offer Family Support
ACRATreatment Modules
Functional Analysis of Substance Use
Functional Analysis of Pro-Social Activities
Happiness Scales > Goal Setting
Communication Skills Training
Problem Solving Skills Training
Caregivers Sessions (Information, Communication, Parenting)
Adolescent/ Caregiver Relationship Skills
Relapse Prevention
Life Skills Coaching
Thank You
16 Year Old Male
Referred by father
Daily Cannabis User (on referral), Started age 13
Alcohol, Cocaine, Ecstasy, Benzodiazepine use past 30 days (during assessment) Started age 15
Drug debts to local dealers (intimidation - self and family)
Unstable accommodation (Living with mother + younger brother) Mother has mental health issues and problematic alcohol user - Father has access
Recent new peer group – Older (introduction to party drugs)
Final Year in school (place at risk due to non attendance)
Legal (recent caution for possession)
Psychiatric (suffers from session depression)
Case Study 1(Presenting problems)
ACRA (26 weeks)
Complimentary Therapies (acupuncture, massage, relaxation, and mindfulness)
Body and Mind group
Aftercare (Lapse management)
Support for leaving cert exams (Life Coach + Local College)
Job Seeking Skills
Case Study 1(Treatment)
5 Step Method (Coping Strategies)
ACRA (Caregivers sessions, - father)
Family Support
Consultation with Social Services
Case Study 1(Treatment – Family)
Cessation of party drugs
Cessation of weed use – occasional hashish user
Change of peer group
Moved into Father’s home (Full Time)
Completion of leaving cert exams (Pass)
Increase in pro social activities
Started employment as airplane cabin crew
Case Study 1(Outcomes)