Dialogue eNewsletter, November 2016
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    In this issue... November 2016

Central East ATTC’s eNewsletter

Monthly Health Check

Upcoming Training Events

Nov 12  Morgan State University, School of Social Work, Integrating Behavioral Health Skill Sets, Baltimore
Nov 14-18 A Progressive Conference: 3 Weeks, Months, Foci - Trauma, Treatment, inTensives, Newark, DE
Nov 16
What's New Update Eastern Shore: STI, HIV, TB, Hepatitis, Family Planning, and Addictions, Wye Mills, MD
Dec 10
Morgan State University, School of Social Work, Motivational Interviewing: An Introduction, Baltimore

 
Please visit our complete training calendar.

Tobacco & Behavioral Health

Great American Smokeout - Nov 17

The third Thursday of November is one of several dates during the year that advocates encourage tobacco cessation - in all forms. Tobacco use is the leading cause of preventable death, yet addiction to it is one of the hardest to break.

For the behavioral health field, cessation is equally desirable and challenging. Smoking rates have declined for most populations, but not for people with mental illness and addiction disorders. Some studies have shown that tobacco use is 94 percent higher in this population compared with persons that who don't have those disorders.

Here are some resources to help professionals tackle this important issue.

SAMHSA Region III ATTC Webinar Series:

Opioid Overdose Response:
Reversal, Referral, Recovery

  • Nov 9: Health System-wide Sustainable Peer Program Best Practice
View details here.

What's New

Resources you can use

-- MATx Mobile App, SAMHSA

-- Growing Older: Providing Integrated Care for an Aging Population, SAMHSA

-- In Brief: Chronic Substance Use and Cognitive Effects on the Brain: An Introduction, SAMHSA

-- Consumer Guide to Disclosure Rights: Making the Most of Your Mental Health and Substance Use Disorder Benefits, SAMHSA

-- Guidance Document for Supporting Women in Co-ed Settings, SAMHSA

 
Connections Corner
A message from ...
            an expert in the field

 Dr. Carlo DiClemente is professor of psychology and director of The Habits Lab at the University of Maryland-Baltimore County (see sidebar). He has written and co-authored several books, as well as numerous articles and book chapters about the stages of change.

 
Stages and Tasks of Recovery
Many clinicians use the stages of change to make concrete motivational steps involved in cessation or modification of an addictive behavior. Sometimes they are used as ways to label people (Precontemplator, Contemplator). Although we have used these terms in some of our writings, I want to share my most recent thoughts about using the stages.
 
Stages are not boxes to put people into or labels that denote a trait of the individual. They are dynamic categories, and most importantly represent a series of tasks that one needs to accomplish to move forward through the process of change. As such, they represent states and not traits so we should use terms like an individual in Precontemplation or Contemplation rather than Precontemplator or Contemplator to reflect the transitory nature of the stage status. If you watch a skilled clinician use motivational approaches in a brief intervention, you can often see an individual move from precontemplation to contemplation in a 15 to 20-minute interview. So movement through the stages is variable.
Making The News in Region 3
Affirmations
Topics/Focus Areas
   
Addiction Medications
Cultural Competence
Opioid Epidemic
Peer Support
Tobacco Addiction
   
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