annette escalante, msw, mladc vice president
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Annette Escalante, MSW, MLADC Vice President. Keystone Hall is a non-profit organization that provides comprehensive residential and outpatient substance use disorder treatment, prevention, and recovery supports to New Hampshire community members, including men, women, adolescents and families. . - PowerPoint PPT PresentationTRANSCRIPT
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Annette Escalante, MSW, MLADC Vice President
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Keystone Hall is a non-profit organization that provides comprehensive residential and outpatient substance use disorder treatment, prevention, and recovery supports to New Hampshire community members, including men, women, adolescents and families.
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Keystone Hall is a member of the Partnership for Successful Living. A collaboration of six affiliated not-for-profit organizations providing southern New Hampshire’s most vulnerable community members with access to housing, health care, employment and supportive services.
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Southern NH HIV/AIDS Task Force
Milford Regional Counseling Services
Welcoming LightHarbor Homes Healthy at HomeKeystone Hall
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All programs at Keystone Hall are evidence-based, gender-specific, culturally competent and follow a recovery oriented systems of care model.
Programs
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Substance use disorder/dual diagnosis assessments & evaluations
Adolescent Outpatient Program Gender specific intensive outpatient
program Individual and group counseling Impaired driver intervention and aftercare Prevention services Recovery maintenance and aftercare All services available in Spanish No appointments needed
Outpatient Services
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Detoxification Transitional Housing Cynthia Day Family Center 90 Treatment for Co-Occurring 28 Day Treatment Program for Co-
Occurring
All clients in the residential communities receive mental health counseling as part of their treatment.
Programs Offered in Residential
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Clients stay between 3-5 days Clients come in detoxing from all
substances to include alcohol, opiates, cocaine, marijuana, prescription medication, etc.
Awaiting license for medical detox unit.
Detoxification
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Residential Services
Client
28 day TLC
Detox
CDFC90 day
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Psychiatry Primary and preventive health care to
anyone over 15 years old Low Income No Income No Insurance With private insurance – Harvard and
Anthem Blue Cross Insured by Medicaid/Medicare Homeless or at Risk of Homelessness
Harbor Care Wellness Center
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Why are we here?
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Substance Abuse Costs Our Nation More than $484 Billion per Year
The Costs of Drug Abuse are as Substantial as that of other Chronic Conditions:
Diabetes costs society $131.7 billion annually
Cancer costs society $171.6 billion annually
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Assessment/evaluation for both substance abuse and mental health
Severity of detoxification Severity of mental health disorder Medication compliance Medication assisted treatment On going psychiatric care Criminal record Family system
Appropriate treatment?
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Ov
The Cynthia Day Family Center is funded by the NH DHHS/Division of Community Based Care Services, Bureau of Drug and Alcohol Services.
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Pregnant Post Partum Woman & Infants and Parenting Women with Children
The Center is designed to provide a holistic, family centered approach to the treatment of women while allowing them to care for their young children.
Cynthia Day Family Center
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For the past 25 years, Cynthia Locke Day has been known as
the lady who wears sparkles in her hair.” Once the Vice
President of IDAK Corp, and a supervisor of 27 medical
facilities, Cynthia’s life became consumed by alcoholism and
her marriage ended in divorce. Within two years, Cynthia was
unemployable. Down to her last $10, she happened to glance
down at the sidewalk and there, in the hardened cement, was
scrawled the message: “Expect a miracle!”
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Our dual program offers a unique and comprehensive approach in the treatment of chemical dependency and psychiatric disorders.
recognizes that many of our patients suffer from a variety of psychiatric and psychological problems
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Must be over 18 years old. Primary diagnosis must be substance
abuse. Family reunification. NH resident. Pregnant woman get priority.
Overview of CDFC
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Substance Abuse Psychiatry Parenting Medical Trauma Domestic violence Life skills Housing Educational/Vocational Financial Legal
Services provided at CDFC
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Mental health issues surface after client has been abstinent.
Mental health diagnosis is inaccurate. (Bath slats, meth).
Medical issues during pregnancy. Primary caregiver of children. Children’s issues.
Challenges
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Adverse Outcomes
• Numerous health and social problemsrequiring costly care
• Risk for homelessness and incarceration
• Women are at risk of being victims ofsexual abuse and domestic violence
• Parents with co-occurring problems risk
encounters with child welfare
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Studies in substance abuse settings have found that from 50% to 75% of consumers had some type of mental disorder
Studies in mental health settings have found that between 20% 50% of their consumers had a co-
occurring substance use disorder
Experts in this field assert that co-occurring disorders should be the expectation, not the exception in any behavioral health care setting
Prevalence of CODs in treatmentSettings
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Integrated Treatment
Essential for consumers who are significantly impaired by both kinds of disorder
Essential for consumers whose mental disorder interferes with treatment of their
substance use disorder
Essential for consumers whose substance use disorder
interferes with treatment of their mental disorder
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Brain disorders Lack of insight Chronic Impacts family Shame and guilt Require treatment
Common Factors of MentalIllness and Substance Abuse
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Why focus on dual disorders?
• Substance use disorders are common in
people with severe mental illness
• Mental illness is common in people with
substance use disorders
• Dual disorders lead to worse outcomes and
higher costs than single disorders
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Jaime Gormley LICSW, MLADC
Lindsay Herdman, MSW
Integrated Dual Diagnosis Treatment (IDDT)
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Assist persons with both a severe mental illness and a serious substance abuse problem.
Integrated Dual Diagnosis Treatment (IDDT)
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Integrated Dual Diagnosis Treatment (IDDT)
Multidisciplinary Team
Integrated Substance Abuse Specialist
Stage-Wise Interventions
Access for IDDT Clients to Comprehensive DD Services
Time-Unlimited Services
Outreach Motivational
Interventions Substance Abuse
Counseling
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Integrated Dual Diagnosis Treatment (IDDT)
Group DD Treatment
Family Education and Support on DD
Participation in Alcohol & Drug Self-Help Groups
Pharmacological Treatment
Interventions to Promote Health
Secondary Interventions for Substance Abuse Treatment Non-Responders
High intensity services
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Client stories
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Questions
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PRIZES
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