PRESENTED BY SAC CONNECT HEARSUP HEALTH EDUCATION APPROACH TO REDUCE STIMULANT USE PROJECT 225 30TH STREET, SUITE 312 SACRAMENTO, CA 95816
TABLE O F CONTENTS 1 Program Overview 2 Wellness Fair Collaboration 3 Donors 4 HEARSUP Workshop Series 5 HEARSUP 3 - Part Seminar 6 Evaluation 7 Special Thanks/Sponsors
PROGRAM OVERVIEW MAT ACCESS POINT/ HEARSUP INCLUDES: SIERRA HEALTH FOUNDATION Media Campaign The MAT Access Points 2-part Workshop series Project is funding a network via youtube. of organizations throughout 3 part seminar California to address the document 2022 opioid crisis by supporting Wellness Fair prevention, education, 3 Outreach Specialist stigma reduction, treatment and recovery ser- vices for people with opioid use disorder and substance use disor- der, and by increasing access to Medication Assisted Treatment. HEARSUP is supported by the MAT Access Points Project, which is funded through the Department of Health Care Services California MAT Expansion Project and is ad- ministered by The Center at Sierra Health Foundation.
WELLNESS FAIR COLLABORATION 2
SPECIAL THANKS TO OUR DONORS 3
HEARSUP WORKSHOP SERIES SAC Connect HEARSUP Workshop (Part 1) SAC Connect HEARSUP Workshop (Part 2) 4
STIMILANT USE DISORDER 3-PART WORKSHOP SERIES- HEARSUP (Health and Education Approach to Reduce Stimulant Use Program) Understanding Stimulant Use Disorder, Treatment and Resources: A Guide for Behavioral Health Professionals Developed by SAC Connect Therapeutic and Wellness Services & affiliates (SAC Connect) and are maintained on its website: www.thesacconnect.org
Part-1 o What is HEARSUP? o HEARSUP stands for Health Education Approach to Reducing Stimulant Use Project o This is a 3-part workshop series to bring awareness, education, training, and resources to Stimulant Use Disorder and other substance use related barriers to functionality o More info & videos visit this Link o What is Stimulant Use Disorder and why is this important information? o Stimulants abused for their effects and people who frequently abuse are at risk of addiction o Includes a range of issues associated with amphetamines, cocaine, methamphetamines, and other stimulants o Becoming aware of signs and symptoms of stimulant use disorder can prevent and support those that may be at risk o Empowering Your Community Against Stimulant Use Disorder1 *Self-check guide o Impact on society o Societal effects: negative outcome for children whose parents use, heightened crime in communities, costs associated with enforcement and incarceration, environmental damage, and premature deaths2 Stimulant related OD/death 1 American Heart Association, 2022, Empowering your community against stimulant use disorders. https://www.youtube.com/watch?v=MApnHnqUw5E 2 SAMHSA Publications and Digital Products, 2020 https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-06-01-001_508.pdf
Racial breakdown o Impact on youth o Approximately 1 in 25 high school students has used cocaine, and 1 in 50 has used methamphetamine3 o CDC study: 89,536,857 emergency department (ED) visits for those between 0 and 24 years between April 2016 and September 2019 ▪ Stimulant overdose increase in each age group; age group 11-14 years is the largest increase in stimulant overdose ▪ Under age 10: 0.6 suspected stimulant overdoses per 10,000 ED visits ▪ Ages 11-14: 0.7 suspected stimulant overdose ▪ Ages 15-25: 2.65 suspected stimulant overdose4 5 3 NCBI, 2020, Rising stimulant overdoses among young people in the United States https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7893629/ 4 PSYCOM PRO, 2022, Stimulant misuse rising among children and adolescents https://pro.psycom.net/special_reports/rise-of-stimulant-use-disorder-in-youth 5 Next Generation Village Teen Drug and Alcohol Rehab, 2020, Stimulant abuse in teens | Next generation village in Sebring, FL https://www.nextgenerationvillage.com/drugs/prescription-drugs/stimulants/
o Risk factors/causes o Frequent abuse of stimulants, sustained drug use, getting used to substances, and not being able to stop o Attempt to acquire substance from prescriptions by multiple doctors o Increasingly unhappy o Relationship, work/school, legal, or financial issues associated with use o Physical health deteriorating6 o Accessibility o Pharmaceutical Amphetamines o Meth Labs o Bath Salts CHECK YOUR KNOWLEDGE with this Link Part-2 o Assessment tools A variety of assessment tools are utilized to screen for substance use disorders, and there are specific and generalized tools based on substance. In addition, there are screening tools specific to adolescents. Below is a link to the National Institute on Drug Abuse website where patients and clinicians can utilize screening questions to determine if intervention is necessary. NIH Screening and Assessment Tools Chart7 Types Assessments: o Urine Drug Screen: administered in medical setting (i.e., doctors office, emergency room etc.) by medical professionals. o Blood Test: administered in medical setting (i.e., doctors office, emergency room, etc.) by medical professionals. Drug levels can distinguish if drug use was recent by specific level ranges for each drug. o Diagnostic Tools: administered in professional settings (drug treatment programs, clinicians, medical providers). o Self-Assessment Tools: administered by self 6 American Addiction Centers DrugAbuse.com, 2022, How to treat stimulant addiction https://drugabuse.com/stimulants/how-to-treat-addiction/ 7 NIH National Institute on Drug Abuse, 2022, Screening and assessment tools chart. National Institutes of Health. https://nida.nih.gov/nidamed-medical-health-professionals/screening-tools-resources/chart-screening-tools
-DAST 10: Brief 10 question screening that can be self-administered or administered by a clinician. o Diagnostic Criteria/DSM o Individuals must meet at least 2 of the 11 DSM-5 criteria listed below to be considered addicted to stimulants DSM-5 Criteria for Substance Use Disorders: 1. Taking the substance in larger amounts or for longer than you're meant to. 2. Wanting to cut down or stop using the substance but not managing to. 3. Spending a lot of time getting, using, or recovering from use of the substance. 4. Cravings and urges to use the substance. 5. Not managing to do what you should at work, home, or school because of substance use. 6. Continuing to use, even when it causes problems in relationships. 7. Giving up important social, occupational, or recreational activities because of substance use. 8. Using substances again and again, even when it puts you in danger. 9. Continuing to use, even when you know you have a physical or psychological problem that could have been caused or made worse by the substance. 10. Needing more of the substance to get the effect you want (tolerance). 11. Development of withdrawal symptoms, which can be relieved by taking more of the substance. o Types of professionals that can diagnose o Medical treatment, Intervention, Therapeutic services are great steps to treating stimulant use disorders ▪ Medical professionals can diagnose: Doctors, addiction specialists, intervention specialists, psychologists/psychiatrists, licensed clinical social workers
o Warning Signs: SIGNS: Aggressive behavior or anger outbursts Mood-swings Dilated pupils Risky or impulsive behaviors Restlessness Jitteriness Hyperactivity Rapid heartbeat Loss of appetite Elevated blood pressure Weight loss Hyper-focus Sweating Deceptive behavior, such as lying or Flight of ideas stealing Doctor shopping, or meeting with Racing thoughts multiple doctors to get prescriptions Using prescriptions more than Anxiety or nervousness prescribed Using stimulant drugs without a Increased sense of well-being or prescription confidence Using illicit stimulant drugs Exhibiting excessive energy or motivation Part-3 o Types of Interventions o Treatment for stimulant addiction can take place in a few different settings based on the individual’s symptoms, risks, and support system.8 Treatment Settings Therapeutic Styles Inpatient—A highly structured Cognitive-behavioral therapy—Will environment that often provides full aid in identifying and avoiding access to medical services (inpatient problematic situations. treatment in a hospital setting, for example) Motivational interviewing—Works to increase the person’s desire to Residential—A long-term treatment commit to and engage in treatment. where the person lives for several months while working intensely on recovery from stimulants Outpatient—A less restrictive and Contingency management—Focuses often cheaper option that allows the on rewarding positive, adaptive 8 American Addiction Centers DrugAbuse.com, 2022, How to treat stimulant addiction. https://drugabuse.com/stimulants/how-to-treat-addiction/
person to remain in their home and behaviors to reduce the desire to use attend treatment during the week stimulants. Family therapy—Involves and helps to modify the reactions of loved ones to maintain recovery. o Additional Interventions/Support o Narcotics Anonymous/Stimulant Drug Specific Support Groups for individuals and families o National and local Drug Hotlines for individuals and families o National/local resources Local Resources: o Adult System of Care for Substance Use Treatment (916) 874-9754 for adults 18 years of age and older o Youth System of Care for Substance Use Treatment: (916) 875-2050 for youth under the age of 18 years o Sacramento County Department of Health Services9 National Resources o Resources for Families Coping with Mental and Substance Use Disorders | SAMHSA o SAMHSA’s National Helpline – 1-800-662-HELP (4357) o SAMHSA/National Center on Substance Abuse and Child Welfare, Research on Methamphetamine o What is Medicated Assisted Treatment (MAT) and how is it used for stimulants o Medicated Assisted Treatment = combination of medications with counseling and behavioral therapies o “Whole-patient approach” o Medication Food and Drug Administration (FDA) approved and clinically driven o The ultimate goal of MAT is full recovery, including the ability to live a self-directed life. This treatment approach has been shown to: ▪ Improve patient survival ▪ Increase retention in treatment ▪ Decrease illicit opiate use and other criminal activity among people with substance use disorders ▪ Increase patients’ ability to gain and maintain employment 9 Department of Health Services, Sacramento County. (n.d.). Substance Use Prevention and Treatment Services. https://dhs.saccounty.gov/BHS/Pages/SUPT/Substance-Use-Prevention-and-Treatment.aspx
▪ Improve birth outcomes among women who have substance use disorders and are pregnant10 o Signs and Symptoms of overdose/ awareness Common risks/side effects Long-term effects: (Immediate): Aggression Rapid heart rate Anxiety High blood pressure Psychotic Behavior Sweating Malnutrition Sleep difficulties Loss of appetite Damage to blood vessels Kidney damage Dizziness Lung damage Aggression Stroke Nervousness High blood pressure Paranoia Hallucinations Tremors See more STIMULANT OVERDOSE Information & Resources with this Link 10 SAMHSA, 2021, Medication-assisted treatment (MAT). https://www.samhsa.gov/medication-assisted-treatment
How to help friends and loved ones who may be addicted to stimulants 11 11 SAMHSA, 2020, HELPING A LOVED ONE DEALING WITH MENTAL AND/OR SUBSTANCE USE DISORDERS. https://www.samhsa.gov/sites/default/files/samhsa_families_family_support_guide_final508.pdf
12 Questions/Comments Link: Website - https://www.thesacconnect.org/ Email - [email protected] Phone - 916-400-0908 Include workshop evaluation link-create via Eventbrite: Resources/Assessments Links: o Resources for Families Coping with Mental and Substance Use Disorders | SAMHSA https://www.samhsa.gov/families o SAMHSA’s National Helpline – 1-800-662-HELP (4357) o SAMHSA/National Center on Substance Abuse and Child Welfare, Research on Methamphetamine https://ncsacw.acf.hhs.gov/resources/methamphetamine/literature-review.aspx o Sacramento County Department of Health Services https://dhs.saccounty.gov/BHS/Pages/SUPT/Substance-Use-Prevention-and-Treatment.aspx 12 SAMHSA, 2019, Think A Family Member Has A Substance Use Disorder? Talk to Them :30. https://www.youtube.com/watch?v=PrJn2wtPgLo
References Page References American Addiction Centers DrugAbuse.com. (2022). How to treat stimulant addiction. DrugAbuse.com. https://drugabuse.com/stimulants/how-to-treat-addiction/ Department of Health Services, Sacramento County. (n.d.). Substance Use Prevention and Treatment Services. Department of Health Services. Retrieved April 4, 2022, from https://dhs.saccounty.gov/BHS/Pages/SUPT/Substance-Use-Prevention-and-Treatment.aspx NIH National Institute on Drug Abuse. (2022, March 21). Screening and assessment tools chart. National Institutes of Health. Retrieved April 4, 2022, from https://nida.nih.gov/nidamed-medical-health-professionals/screening-tools-resources/chart-scree ning-tools NCBI. (2020). Rising stimulant overdoses among young people in the United States. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7893629/ NIH National Institute on Drug Abuse. (2022, March 21). Screening and assessment tools chart. National Institutes of Health. Retrieved April 4, 2022, from https://nida.nih.gov/nidamed-medical-health-professionals/screening-tools-resources/chart-scree ning-tools Next Generation Village Teen Drug and Alcohol Rehab. (2020). Stimulant abuse in teens | Next generation village in Sebring, FL. Next Generation Village. https://www.nextgenerationvillage.com/drugs/prescription-drugs/stimulants/ PSYCOM PRO. (2022). Stimulant misuse rising among children and adolescents. Psycom Pro. https://pro.psycom.net/special_reports/rise-of-stimulant-use-disorder-in-youth SAC Connect. (2020). YouTube. https://www.youtube.com/channel/UCOFKBKBl6Ai1dky7BY4MCCg SAMHSA. (2019). Think A Family Member Has A Substance Use Disorder? Talk to Them :30. YouTube. https://www.youtube.com/watch?v=PrJn2wtPgLo SAMHSA. (2020). Search SAMHSA Publications and Digital Products | SAMHSA Publications and Digital Products. https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-06-01-001_508. pdf SAMHSA. (2020). HELPING A LOVED ONE DEALING WITH MENTAL AND/OR SUBSTANCE USE DISORDERS. SAMHSA - Substance Abuse and Mental Health Services Administration. https://www.samhsa.gov/sites/default/files/samhsa_families_family_support_guide_final508.pd f SAMHSA. (2021, January 4). Medication-assisted treatment (MAT). SAMHSA - Substance Abuse and Mental Health Services Administration. https://www.samhsa.gov/medication-assisted-treatment
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