Things I wish I knew back then or if only they had

told me• A look at my beliefs and view’s in

1998• Compared to now.

INTRODUCTION

• My Experience and Qualifications• Clients and Resources• Drugs and Alcohol• What I have learned• Conclusion

QUALIFICATIONS

• B.A HONOURS DEGREE IN SOCIAL POLICY

• POST GRAD IN DRUG AND ALCOHOL STUDIES.

RELEVANT SUBJECTS

• Intervention Methods, Behavioural change

• Drug and Alcohol use and consequences• Policy and prevention• Alcohol Drug research methods• Comprehensive study of underage

drinking.

• Subjects continued.• Health and Community care.• Economics individuals in society• Economics social market failure• Basic Psychology

Work experience

• Senior Addiction worker Grt Pollok C.A.T

• Team Leader/Project worker at G.D.C.C

• Volunteer/project worker at Gorbals Addiction Service.

Myself as drugs worker 98

• Skills and Theory• Motivation• Knowledge• Challenging

Theory and Skills

Motivational Interviewing

Prochaskas and Di Clementes

Motivational Interviewing

• Individual Responsibility• No Labelling of client• Internal attribution• Cognitive Dissonance

Skills

• Reflective listening• Clients should present arguments for

change• Avoid Arguments, role with

resistance.• Client as resource• Keep discussion focused• Illicit motivational statements

Cycle of change

• Precontemplation• Contemplation• Action• Maintenance• Relapse

Clients 98

• Pressure from family and friends to be seen to be doing something

• Get access to prescribed Medication

• Stop going to prison• Sort out other problem• Want to come off Drugs or Alcohol

Resources 98

• Counselling• Methadone?• Residential Rehab

Clients 2005

• Clients have an agenda• Pressure from family friends• Get access to prescribed medication• Stop going to prison• Sort out multitude of problems• Want to come off Drugs or Alcohol or

Both

Resources 2005

• Substitute prescribing• Community rehabs• Residential rehabs• Counselling• Home detox• Universal addiction teams• Needle exchange harm reduction• Progress to work

Drugs 98

• Heroin• Cannabis• Temazepam• Benzodiazipines• Sulphates• Cocaine

Drugs 2005

• Heroin• Cannabis• Benzodiazipines• Methadone and Alcohol• Cocaine• Crack Cocaine

What have I learned

• “A good answer right now is much more preferable to the perfect answer next week”

• Gen George Paton

• Clients have an agenda• Economics of addiction• Bureaucratisation of Misery

Needle exchange and

Methadone clinics

Economics of Addiction

Economics part 2

Bureaucratisation of Misery

• More and more forms• Measuring Misery• Compartmentalization of problems.

Conclusion

• How do I see the future• Counselling• Motivational interviewing • Client choice