Dissuasion Intervention Guidelines: A Health Approach by Lisbon Dissuasion Commission
Guidelines for
dissuasion
intervention: a
health and
preventive
approach
Lisbon Dissuasion Commission
Lisbon Dissuasion Commission
– Raquel Lopes
T
h
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D
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a
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M
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-
O
b
j
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c
t
i
v
e
s
To
dissuade
drug use and abuse
Early Intervention
Evaluation
Work the motivation of the users for a change of behaviour and seek specialized
support
Brief
and motivational based interventions
To ensure the sanitary protection of users and the community
Lisbon Dissuasion Commission
– Raquel Lopes
P
s
y
c
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/
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Used on the first contact with (our) health service to help recognise and clarify
the nature of the drug problem and commit to changing the behaviour
The Technical team is composed essentially by technicians from psychology and
social service areas of expertise, resulting on a Multidisciplinary intervention
Intervention used to address substance related problems
Help to maintain behavioural goals and support treatment retention
Lisbon
Dissuasion
Commission
– Raquel Lopes
M
o
t
i
v
a
t
i
o
n
Is the key to change
Is the probability that someone may feel involved and with the will to work on a change strategy
Is dynamic
Is influenced by external factors
Lisbon Dissuasion Commission
– Raquel Lopes
Strategies specially indicated to help sort out
ambivalence
, increase the
motivation and adherence to a treatment plan in a short period of time,
strengthening a person’s motivation and commitment to change
Evaluate the
Readiness
for change – based on the transtheoretical model of
change by Prochaska e DiClemente (dynamic)
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Lisbon Dissuasion Commission
– Raquel Lopes
Lisbon Dissuasion Commission
– Raquel Lopes
Lisbon Dissuasion Commission
– Raquel Lopes
Open questions
Open questions
Reflexive hearing
Reflexive hearing
Support
Support
Synthesize
Synthesize
Enhance a self motivational approach
Enhance a self motivational approach
Motivational and Brief Intervention – Promoting the
motivation for change by using 5 techniques:
Lisbon Dissuasion Commission
– Raquel Lopes
I
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?
Personal characteristics
Social, economical and professional/school
situation
Family situation and relationships
Life projects and expectations
Consumption history (beginning, substance, regularity, context of use, etc)
Drug addiction level
Insight about the consumption
Non verbal language
Lisbon
Dissuasion
Commission
– Raquel Lopes
I
n
t
e
r
v
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e
w
E
v
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Level of risk
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Motivation for change
Instruments can be used to help the diagnosis
•
Assist
•
Psychological Evaluation Instruments (Psychology Technicians)
Lisbon
Dissuasion
Commission
– Raquel Lopes
S
t
r
a
t
e
g
i
c
S
t
a
k
e
h
o
l
d
e
r
s
Lisbon Dissuasion Commission
– Raquel Lopes
W
e
a
i
m
t
o
w
o
r
k
The consequences of consuming substances at a personal, relational and
social level
Knowledge of the legal implications
Search for answers directed to each individual
Motivation
F
o
l
l
o
w
u
p
–
“
A
c
c
o
u
n
t
a
b
i
l
i
t
y
b
r
e
e
d
s
r
e
s
p
o
n
s
e
-
a
b
i
l
i
t
y
”
Lisbon
Dissuasion
Commission
– Raquel Lopes
“Change
will not come if we wait for other person or some other time.
We
are the ones we’ve been waiting for.
We are the
change that we seek”
Barack Obama
Thank you for your attention
SICAD
Portuguese Directorate for Intervention on
Addictive Behaviors and Dependencies
The Lisbon Dissuasion Commission emphasizes a health-centric approach in dissuading drug use, with objectives including early intervention, motivational interventions, and ensuring sanitary protection. Their model includes a focus on psycho-social interventions, motivation, and utilizing strategies from the Motivational Interview to enhance behavior change. The commission, led by Raquel Lopes, employs a multidisciplinary team to address substance-related issues and maintain behavioral goals in individuals seeking support.
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Presentation Transcript
Guidelines for dissuasion intervention: a health and preventive approach Lisbon Dissuasion Commission
The Dissuasion Model The Dissuasion Model - - Objectives Objectives To dissuade drug use and abuse Early Intervention Evaluation Work the motivation of the users for a change of behaviour and seek specialized support Brief and motivational based interventions To ensure the sanitary protection of users and the community Lisbon Dissuasion Commission Raquel Lopes
Psycho social Intervention/Interview Psycho social Intervention/Interview Used on the first contact with (our) health service to help recognise and clarify the nature of the drug problem and commit to changing the behaviour The Technical team is composed essentially by technicians from psychology and social service areas of expertise, resulting on a Multidisciplinary intervention Intervention used to address substance related problems Help to maintain behavioural goals and support treatment retention Lisbon Dissuasion Commission Raquel Lopes
Motivation Motivation Is the key to change Is the probability that someone may feel involved and with the will to work on a change strategy Is dynamic Is influenced by external factors Lisbon Dissuasion Commission Raquel Lopes
We base our intervention on the strategies of the Motivational We base our intervention on the strategies of the Motivational Interview (2 concepts) Interview (2 concepts) (Miller & (Miller & Rollnick Rollnick) ) Strategies specially indicated to help sort out ambivalence, increase the motivation and adherence to a treatment plan in a short period of time, strengthening a person s motivation and commitment to change Evaluate the Readiness for change based on the transtheoretical model of change by Prochaska e DiClemente (dynamic) Lisbon Dissuasion Commission Raquel Lopes
Motivational and Brief Intervention Promoting the motivation for change by using 5 techniques: Open questions Reflexive hearing Support Synthesize Enhance a self motivational approach Lisbon Dissuasion Commission Raquel Lopes
Interview Evaluation Interview Evaluation - - What What we need to we need to know know? ? Personal characteristics Social, economical and professional/school situation Family situation and relationships Life projects and expectations Consumption history (beginning, substance, regularity, context of use, etc) Drug addiction level Insight about the consumption Non verbal language Lisbon Dissuasion Commission Raquel Lopes
Interview Evaluation Interview Evaluation- - Results Results Level of risk Low Low Preventive and psycho educational intervention Moderate Moderate Adapted Intervention High High Intervention, referral and supervision Motivation for change Instruments can be used to help the diagnosis Assist Psychological Evaluation Instruments (Psychology Technicians) Lisbon Dissuasion Commission Raquel Lopes
Strategic Stakeholders Strategic Stakeholders POLICE POLICE SOCIAL SOCIAL SCHOOLS SCHOOLS NET NET PRISONS PRISONS COURTS COURTS LDC LDC Articulation with local answers HOSPITALS HOSPITALS MUNICIPALITIES MUNICIPALITIES WORK WORK CENTERS CENTERS CPCJR CPCJR CRI/ET CRI/ET PREVENTION PREVENTION CT/UD CT/UD PROJECTS PROJECTS UA/RRMD UA/RRMD Lisbon Dissuasion Commission Raquel Lopes
We aim to work We aim to work The consequences of consuming substances at a personal, relational and social level Knowledge of the legal implications Search for answers directed to each individual Motivation Follow up Follow up Accountability breeds response-ability Lisbon Dissuasion Commission Raquel Lopes
Change will not come if we wait for other person or some other time. We are the ones we ve been waiting for. We are the change that we seek Barack Obama Lisbon Dissuasion Commission Raquel Lopes
Thank you for your attention SICAD Portuguese Directorate for Intervention on Addictive Behaviors and Dependencies
