the loss model · the loss model mental illness and substance use disorders amy l. griffith, lpc...
TRANSCRIPT
![Page 1: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/1.jpg)
The LOSS Model Mental Illness and Substance Use Disorders
Amy L. Griffith, LPC
Director of Forensic Services
RHA Health Services, Inc
*LOSS models were develop by Paul Lilley, CIT Coordinator and consultant with the Criminal Justice
Coordinating Center of Excellence. For more info contact [email protected].
![Page 2: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/2.jpg)
The LOSS Model
1. Loss of Reality
2. Loss of Hope
3. Loss Of Control
4. Loss of Perspective
![Page 3: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/3.jpg)
1. Loss Of Reality
• Delusions
• Hallucinations
• Command Hallucinations
![Page 4: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/4.jpg)
1. Diagnoses
• Schizophrenia
• Bipolar Disorder
• Schizoaffective Disorder
• Depression
![Page 5: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/5.jpg)
1. Typical Medications
Antipsychotics
Abilify,
Risperdal,
Zyprexa,
Cogentin,
Ativan
Mood Stabilizers
Depakote,
Lithium,
Lamictal,
Tegretol
![Page 6: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/6.jpg)
2. Loss Of Hope
• Depression
• Feelings of sadness,
helplessness, hopelessness
• Grief and loss
![Page 7: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/7.jpg)
2. Diagnoses
• Depression
• Bipolar Disorder
• Bereavement
• Age-Related Cognitive
Decline
![Page 8: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/8.jpg)
2. Typical Medications
•Antidepressants
Seroquel
Prozac
Celexa
Zoloft
![Page 9: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/9.jpg)
3. Loss Of Control
• Anger
• Hostility
• Frustration
• Powerlessness
![Page 10: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/10.jpg)
3. Diagnoses
• Bipolar Disorder
• Personality Disorders
• Intermittent Explosive
Disorder
![Page 11: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/11.jpg)
3. Typical Medications
• Antipsychotics
• Mood Stabilizers
![Page 12: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/12.jpg)
4. Loss Of Perspective
• Anxiety
• Excessive worry
• Nervousness
• Panic
![Page 13: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/13.jpg)
4. Diagnoses
• Generalized Anxiety Disorder
• Panic Disorder
• PTSD
• Dementia
![Page 14: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/14.jpg)
4. Typical Medications
• Anti-anxiolytics
Klonopin
Xanax
Ativan
Valium
Mood Stabilizers
Paxil
Zoloft
Prozac
Seroquel
Aricept
Xelon
![Page 15: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/15.jpg)
Substance Use Disorders
Abuse: Failure to fulfill major roles
Use despite risk of
hazardous situations
Use despite legal
consequences
Use despite interpersonal
consequences
No history of Dependence
Dependence: Tolerance*
Withdrawal*
More use than intended
Failed attempts to stop
Excessive time spent
getting, using, recovering
Loss of functioning at
home, work, etc.
Use despite negative
consequences
![Page 16: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/16.jpg)
DSM-V Mild 2-3 symptoms
Moderate 4-5 symptoms
Severe 6 + symptoms
More use than intended
Failed attempts to stop
Excessive time obtaining, using, recovering
Cravings
Failure to fulfill major roles
Use despite interpersonal consequences
Social, occupational, recreational activities are given up due to use
Use despite risk of physically hazardous situations
Use despite knowledge of secondary physical/psychological problems
Tolerance*
Withdrawal*
Loss of functioning at home, work, etc.
![Page 17: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/17.jpg)
Substance Use & the LOSS Model LOSS of Reality
◦ Bath salts, hallucinogens, amphetamines, opiates,
benzos, withdrawal from alcohol…
LOSS of Hope
◦ Alcohol, opiates, withdrawal from amphetamines,
meth, cocaine…
LOSS of Control
◦ Methamphetamine, cocaine, alcohol, bath salts,
hallucinogens, benzos…
LOSS of Perspective
◦ K-2, marijuana, bath salts, alcohol, amphetamines,
meth, benzos, opiates, cocaine…
![Page 18: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/18.jpg)
Intellectual & Developmental
Disorders (IDD)
• Autism spectrum disorders • LOSS of Control, LOSS of Reality
• Traumatic brain injuries • LOSS of Control, LOSS of Hope, LOSS of
Perspective, LOSS of Reality
• “Mental retardation” • LOSS of Control, LOSS of Perspective
![Page 19: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/19.jpg)
Homelessness
39 % report mental health problems
20-25 % meet criteria for serious mental illness
66 % report either substance use &/or mental
health problems
46 % report chronic health conditions 1996 data from SAMHSA's National Mental Health Information Center.
On any given night, 200,000 veterans are
homeless. 2009 data from NOW on PBS.
![Page 20: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/20.jpg)
Trauma
Typical Events:
Serious accidents
Assaults
Witnessing violence
Threats of violence
Natural disasters
Combat
Typical Reactions:
Sleeplessness
Reliving the experience
Startles easily
Irritability
Drug and alcohol use
Anxiousness
Sadness
![Page 21: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/21.jpg)
Post Traumatic Stress Disorder
The person experienced the event.
The event involved actual or threat of
serious injury/death.
The person’s response involved fear,
helplessness, horror.
![Page 22: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/22.jpg)
PTSD
Re-experiencing
Recollections
Dreams
Flashbacks
Triggers
Physical reactions
Avoiding & Numbing
Thoughts, feelings, conversations
Activities, places, people
Loss of recall
Loss of interest
Detachment
Decreased affect
Decreased sense of the future
![Page 23: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/23.jpg)
PTSD
Increased Arousal
Sleeplessness
Irritability
Poor concentration
Hypervigilance
Startle response
Symptoms last for
more than 1 month
Significant
impairment in
functioning
Acute vs. Chronic
Delayed onset
![Page 24: The LOSS Model · The LOSS Model Mental Illness and Substance Use Disorders Amy L. Griffith, LPC Director of Forensic Services RHA Health Services, Inc *LOSS models were develop by](https://reader036.vdocuments.mx/reader036/viewer/2022062506/5f46f22c8c98510d5c7c492b/html5/thumbnails/24.jpg)
Suicide
• LOSS of Reality
• Delusions and Hallucinations
• LOSS of Hope
• Hopelessness and Helplessness
• LOSS of Control
• Anger and Frustration
• LOSS of Perspective
• Anxiety and Worry
*addition of drugs and alcohol