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