Post by Chris Fournier on Mar 26, 2020 11:44:06 GMT -8
A concern that I heard a team share about is how to manage client's experiencing possible life-threatening withdrawal symptoms. Specifically (and likely most common) is Alcohol.
As more and more regions are issuing shelter in place orders there is a possibility that Client's with Co-occuring struggles may lose access to alcohol (buses no longer operate, friends or family members don't assist them in grocery shopping...).
Here are some thoughts:
1) Do you have a list of client's that may be at risk of experiencing withdrawal (from any substance)?
2) Are you able to have some therapeutically candid conversations surrounding use during Covid-19? Are they able to access supply and or their dealer during this time? Is their dealer socially isolating. Will these factors impact their stage of change and thus the intervention?
3) What are some Interventions that align with Early, Middle, and Late stages?
-Early: If they are not going to moderate or stop using...how can they continue to use safely? Will you/should you brainstorm ways for them to access alcohol or another substance? How will the best practices of Harm Reduction inform your decision?
-Middle: Is there a safe way to cease using or taper use if they desire that?
-Late: Is the anxiety of the pandemic causing a breakdown of preciously used coping skills? Is there risk of relapse? Do Crisis Plans need to be revised?
Please comment and share any ideas or other thoughts you may have.
