Product Detail

1. Assess your patient for mental illness and substance abuse in a healthcare setting.
2. Formulate an appropriate plan of treatment for patients with substance abuse/mental illness and co-occurring medical issues.
3. Select appropriate pharmacological interventions for the treatment of drug and alcohol treatment and withdrawal.
4. Distinguish between delirium and mental illness.
5. Recognize the medical complications of drug and alcohol abuse.
6. Explain the neurobiology of substance abuse, particularly the impact of the newer street drugs in use.
7. Choose appropriate therapeutic approaches when treating the dually diagnosed patient.
8. Manage your own identified frustrations when treating the patient with mental illness or substance abuse to be most effective.

Dual Diagnosis - Why Care?

• A significant problem
• Poor prognosis? Recidivism and non-adherence
• Achieving more positive outcomes

Street Drug Updates

• Heroin and oxycontin
• Bath salts and other stimulants
• Spice
• Marijuana
• Molly and other hallucinogens

Neurobiology of Substance Abuse and Mental Illness

• “Normal” neurobiology and anatomy
• Substance abuse effects on the brain
• Mental illness effects on the brain
• How medication assisted treatment helps
• Dopaminergic transmission
• Medications that impact dopamine receptor sites

Assessment and Interviewing Techniques

• Screening Brief Intervention and Referral for
• Treatment (SBIRT) - for drug and alcohol abuse
• CAGE questionnaire - To detect alcoholism
• Motivational techniques to promote open and honest communication from the patient
• What is YOUR bias? Avoiding the “Judging Trap”

Is it Delirium, Mental Illness or Substance Abuse?

• Assessment tools and screening interventions
• Causes of delirium seen in healthcare
• Current treatment options
• Your patient has all three - now what?

Interventions: Therapeutic and Pharmacological

• Motivational interviewing
• Levels of intervention
• Medications to treat alcohol abuse
• Medications to treat opioid dependence
• Medications to treat cocaine abuse
• Antipsychotics, mood stabilizers and antidepressants
• Medication side effects that impact the medical health of patients
• Planning for discharge: Outpatient treatment options

Drug and Alcohol Withdrawal in the Medical Setting

• Acute symptoms of withdrawal
• Withdrawal prevention
• Withdrawal protocols/medication strategies
• Safety for patients/family/staff
• Narcotic abuse
• Pain management
• Other challenges when caring for the substance abuser

Co-morbid Medical Illnesses

• Chronic medical illness and mental illness
  • Respiratory illnesses and depression and/or anxiety
  • Diabetes and depression
  • Cardiovascular disease and depression
  • Chronic medical illness and psychotic spectrum disorders
• Medical illness as a result of substance abuse
  • Cardiovascular
  • Hormonal
  • Respiratory
  • Neurological
• Emergency treatments for those with mental illness and substance abuse

Pamela J. Ridley most recently practiced as a nurse educator for a 42-bed acute psychiatric and substance abuse inpatient treatment facility. Previous work experience includes: working in state psychiatric facilities, county mental health departments, inpatient psychiatric nursing, nursing school instructor, private outpatient medication management and therapy, psychiatric-nurse liaison for a general community hospital, and director of psychiatric services. She is very much a hands-on leader who enjoys improving people's lives.

Pam graduated from Vanderbilt University in Nashville, Tennessee with her MSN. She is a Certified Clinical Nurse Specialist in Adult Psychiatric and Mental Health Nursing. Additionally, she has Prescriptive Authority in the state of South Carolina and is a Senior Level Certified instructor of Crisis Prevention Institute Non-violent Crisis Intervention and Applied Physical Training. Her expertise has been sought nationally through presentations for interdisciplinary healthcare audiences throughout the country.

Ms. Ridley is passionate about her work and knows that the way to improve the outcomes of those who suffer from anxiety and/or depression is to educate those who are positioned to make a difference. She has an interesting way to incorporate these challenging topics so that they are applied to everyday practice situations for learning to leave an impression. By disseminating the latest research findings, useful new strategies and applicable real-life case scenarios to learn from, she makes it easy to return to work ready to make an impact.

Speaker Disclosures:

Financial: Pamela Ridley has an employment relationship with Rebound Behavioral Health. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Pamela Ridley has no relevant non-financial relationship to disclose.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Addiction Counselors

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.

California Alcoholism & Drug Abuse Counselors (CCAPP): PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: 0S-03-036-1025. This self-study activity meets the qualifications for 6.0 CEH's (continuing education hours).

California Alcoholism & Drug Abuse Counselors (CADTP): PESI, Inc. is an approved provider by the CADTP, Provider #: 201. This Category H activity meets the qualifications for 6.0 CEU's (continuing education hours).

Connecticut Addiction Counselors: Provider #120924. This course has been approved as a CCB approved training and has been awarded 6.0 hours by the Connecticut Certification Board.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 12/11/2017
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.1 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Pharmacology Nurse Practitioners
This self-study program offers 120 instructional minutes of pharmacology content which is designed to qualify for 2.0 contact hours toward your pharmacology requirement.

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Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2020 - January 27, 2023. Social Workers completing this course receive 6.0 Clinical continuing education credits.

Course Level: Intermediate. Format: Asynchronous distance learning. Full attendance is required; no partial credits will be offered for partial attendance.

Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.

California Social Workers: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This Intermediate level self-study activity consists of 6.0 clock hours of continuing education instruction.

Colorado Social Workers: PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 6.1 continuing education hours.

Florida Social Workers: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.

Kansas Social Workers: PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 6.0 continuing education hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 6.0 continuing education hours. A certificate will be issued upon successful completion of a post-test.

Montana Social Workers: The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 6.0 clock hours of instruction.

New York Social Workers: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.25 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

Pennsylvania Social Workers: The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This intermediate self-study activity consists of 6.0 clock hours of continuing education instruction.

Ohio Social Workers: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 6.0 clock hours of continuing education credit. TBD

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Addiction Counselors, Case Managers, Nurses, Physician Assistants, Social Workers, and other Healthcare Professionals