Doctors On Call - Substance Use Disorder Treatment (Ep1916)

welcome to doctors on call I'm Jenna Miller nearly one in three adults and 46% of young adults had either a substance use disorder or a mental illness in the past year the median age of onset for substance use disorders is 15 years old meaning half of individuals with substance use disorder will experience symptoms by the age of 15 how can you help a loved one who may be in crisis we'll find out more tonight as we speak with Carrie Schwarz Amy bird Cindy Piper and terara Rollins from High Plains Mental Health [Music] Center presentation of doctors on call on Smoky Hills PBS is made possible in part by an underwriting Grant fromal HTS [Music] neighbors our team at Smith County Memorial Hospital is always striving to exceed expectations of our patients and guests your family is our family welcome back to doctors's on call tonight we are discussing substance use disorders Carrie Schwarz is a senior outpatient clinical supervisor who provides Outpatient Therapy Services in Hayes and planville she has been the lead clinician of High Plains Mental Health Center substance use treatment program since 2016 Amy bird is an outpatient therapist in the Hayes main office Amy has many years of experience providing clinical therapy for adult clients with special focus on trauma and substance use challenges Amy is a member of the Ellis County Recovery Court cdy Piper is the assistant director of medical services at high plain's Mental Health Center and helps oversee Psychiatric Services cdy has many years of experience in the healthc care industry CD helps manage High Plains Mental Health Center's medication assisted treatment program for opioid and alcohol use disorders and finally terara Rollins is a certified peer mentor for substance use disorder Services working to help clients achieve recovery and maintain sobriety she is also a member of the Ellis County Recovery Court and an active volunteer with Oxford House facilities in Western Kansas give us a call toll-free 800 33747 A8 if you have any questions regarding substance use disorders on doctors on call our show brings you information which may be useful to you when you see your own physici or therapist thank you all so much for joining us we appreciate you coming out and we're going to get started with some questions before we wait for those calls to come in first of all can you explain what a substance use disorder is sure so what we really try to get people to understand is it's a mental health condition that tends to lead toward brain and behavior problems and also not being able to control the amount of substance that is used and really struggle with fulfilling major life obligations sure and we were talking in the open that the onset median onset is 15 years old let's talk about that what's going on yeah it's it kind of makes us a little bit nervous when we see those kind of stats too um so we know that there are a lot of pre- risk factors and Trauma would be one of those and I know all of us at High Plains try to do trauma informed trainings so that we can recognize those kind of things and catch these you know when they're early and hopefully more treatable sure absolutely and how common are these disorders um substance use disorders are very common um as you said in the beginning um you know one in three adults um has either a substance use disorder or a mental health challenge um about um 13.5% of young adults 18 to 25 have a substance use challenge um it's also very common for people to have co-occurring disorders where they have a substance use disorder and a mental health challenge sure and what do excuse me what do you do for those patients that come in needing needing help ideally the um we try to integrate treatment and um treat both conditions at the same time rather than separating the treatment because they impact each other so much sure absolutely and sometimes they're uh unfortunately tends to be a stigma attached to mental health illness um is substance addiction really an El illness it is um it's classified in the um diag notic and statistical manual as a as a mental health challenge um the American Medical Association classifies it is a a mental health challenge um and so it it is a treatable um disorder and something that we we focus on helping people with sure and what are what are we doing what are we doing wrong maybe to that we're not getting past that stigma well I I think it's just just you know before and I can't remember what year we were talking as we were you know thinking about what we would like to give to the people out here um there was a time in recent history where addiction wasn't even considered a mental health condition so I think we have come a long way and trying to classify it where it needs to be classified so that it can be treated you know and that's what's nice about hopefully what we're going to get to you know the programs that we offer at High Plains to try to get it from as many sides as we can as early as we can absolutely and can you tell us a little bit about the connection between mental health and substance use challenges I think a lot of the time what we see is you know can't really say that one necessarily causes the other um but um what I think what we see quite a bit of is somebody who's struggling with a mental health problem or challenge will often times use substance to feel better um you know when we don't feel well we want something to help us to feel better and we want to feel better right away and so substances are readily available um and it's something that people often turn to I think part of that may have to do with the stigma of even you know getting mental health treatment um it's getting better but it's still not you know where we want it to be that people feel free and open to come in and let people know hey I'm getting help for this sure and speak speaking on that do you find that sometimes clients come in or don't come in because they are trying to self-medicate themselves without getting the the help that they need sure and I think again a lot of that has to do with stigma um also just being able to be ready to say admit to themselves that I have a problem and you know I need some help with that sure sure okay I'd like to speak a little bit more in depth about The Individual Services that you were talking about that you'll offer for your clients let's start with Cindy can you tell us a little bit about the medication assisted treatment yeah it is an evidence-based treatment for uh clients that uh focuses on certain opioid use disorders and so what it does is it has a combination of medication along with the counseling and behavioral therapy and those medications can help reduce the um early symptoms of withdrawal that the patients experience when they're trying to come off of the opioids and it increases their survival rate and it's a form of Maintenance treatment and it um helps prevent um substance use you know the opioid overdose sure and how much time are we talking to to get them off one or on one to get off another so they would come into treatment and we would um get them an assessment done and then we would start right away with um we have two medications that High Plains M Health Center's um psychiatrist prescribes and it's called Suboxone which is bpan norrine and mexone and then the other one is just borren alone and what it does is help kind of calms the brain chemistry it helps with h reducing those cravings and it kind of calms things down so patients can then um handle the withdrawal symptoms as they've withdrawn from their opioid use and so it's it's just a safer way to withdraw from those medications absolutely absolutely we mentioned a little bit about an evaluation I might talk about that in a minute but right now we've got a caller waiting to ask a question so we're going to go to the phone lines right now this is malie on the line from Pratt hi mie go ahead with your question for therapist tonight some's wondering if High Plains offers any faith-based psychiatric counseling from a Christian therapist so yeah great question mie we we do is we we hire really good therapists and we kind of give them the ability to do trainings to become kind of an expert in some of the areas that are of interest to them so we don't hire somebody and say you have to be either faith-based or not faith-based but we offer the opportunity for therapists to go that direction and we do have some that enjoy that sure now speaking on that do you ever have a client that comes in that specifically says I would like this kind of therapist absolutely and we love it when people say you know I feel like I'm going to get the best treatment if I get you know somebody who understands this so we we enjoy being able to give them some of their preferences yeah absolutely okay very interesting hopefully that answers mie's question so we were talking you had mentioned cdy about the evaluation so explain what a a client can expect when they come into the office for help right when they come into the office for help we are getting getting them set up with the therapist with the psychiatrist that treats the opioid addiction if that's what they're coming in for and then we're doing um an assessment substance use assessment so um that is kind of the process and we're getting them um set up with the psychiatrist right away so we can start talking about a plan for them sure and how effective is this type of treatment you were talking about and can how can clients access or access these services so it it's very um effective what we've found is patients are staying in treatment longer so they're U maintaining and gaining employment and being able to function out in the communities um engage with their families engage with um their communities more getting back in their churches um they're reducing that risk of having an opioid overdose and they're um actually um just just maintaining that support you know they're um also sometimes we're seeing their level of um criminal justice interactions have lessened so um it they're just maintaining um we've got some now right now that's been in treatment for two years and they're doing very well that's wonderful to hear now Amy and Tera can you tell us we had talked in the open about the Ellis County Recovery Corp can you explain a little bit what that is yes so the Ellis County Recovery Court program is a um the goal of that program is to combat substance use addiction as an alternative to jail or prison okay sure so it's a fairly new program from what I understand how are things going and what's your goal right now for this program our our program started in 2018 um here in Ellis County um I joined in 2020 and I believe Tera joined in 2020 three 2022 yes I'm sorry um so we prior to us being on the team they didn't have the mental health component um the team consists of um our judge Who currently is Judge Brown um we have law enforcement um we have Community Corrections Officers um County attorney and then there's a defense attorney um and so we work with the participants in the program um anytime we have 20 to 25 people in the program it's about average um and so oh I forgot to mention also we have um substance use providers from Smoky Hill Foundation who also provide services um and so we're trying to address all of the the needs of that person to help them through recovery um and like Tara said to be able to stay out of jails and prisons and to get back into living healthy satisfying lives sure absolutely sounds wonderful now Cindy you had mentioned that you know you have have some that have been in a couple of years and they're doing fantastic what happens or at what point if somebody is not making progress what do you do we just meet them where they're at so um if they're just needing a break we can let them have a break and then we'll reg restart back up again um it's it's really based on uh that conversation between the therapist the um psychiatrist and the patient so um we just meet you where you're at okay all right okay Tara can you help us understand a little bit more about what a peer support Mentor does yes so as a peer mentor I am a person in long-term recovery who is trained to help support other individuals who are seeking to achieve recovery themselves uh what that kind of looks like for me is community based so instead of them coming to the office to me I meet them where they're at physically um and emotionally um and I help them get connected with community resources I introduce them to recovery meetings in the area sometimes I attend them with them that way uh they can feel supported and making U or networking with other individuals who are also in recovery um even little things like creating a calendar for the months so their life is a little bit more organized or setting a financial budget sure now how are your services different from let's say clinical therapy my services are different uh because well I'm not clinical per se so I'm not licensed I'm not a licensed therapist I'm not a licensed counselor and I'm definitely not a replacement for professional Mental Health Services or professional uh addiction treatment um I'm just one supplement component um that has proven to be beneficial uh to work in the whole network of treatment so okay now Carrie can you talk a little bit about the clinical Therapy Services that may be affected for substance use disorder uh challenges yes and and I like that Cindy kind of explained already you know the assessment to get into services and that's one of our first steps usually is you know we identify you know with the client so what all services are going to be good for you so therapy is one of the very first ones that is offered and it's individual based and we also have some group therapy for people who will benefit from being in with their peers you know in a group as well yeah so we focus on usually it's cognitive behavioral therapy dialectical behavior therapy those are some of the therapies that we use sure so how commonly we we talked about this a little bit but I'd like to dive a little deeper into uh substance use co-occurring with the mental health challenges uh or in clients with history of trauma how do you handle that or how common does it happen well I think for an example um if we look look at our recovery Court we currently have 20 participants in the recovery Court out of those 20 participants 18 of them are also in Mental Health Services with High Plains Mental Health Center um so I think that is a good demonstration of how common co-occurring disorders are sure absolutely okay well we want to remind our uh viewers out there that we are speaking with High Plains mental health tonight with regarding substance use disorders uh if you also have a question about mental health I'm sure they would be happy to answer that as well you can give us a call here at the station 800 337 4788 that number is toll-free we'd love to hear from you so let's talk about the types of services that hyp some of the other services that High Plains Mental Health Center offers for clients for both Youth and adults so certainly we've talked about the therapy um and the individual and we also have multiple groups not just regarding the substance use treatment we also have groups that are you know people of any kind of you know need for treatment can enjoy including things like boundaries and self-care uh self-compassion is is one that I think a lot of people have really enjoyed um yeah and then we also have our medication services not just the mat program that is specific for substance use so I will let Cindy take that away some more about the other yeah we provide um medication for uh depression anxiety um um ADHD children um we see um all ages two on up so we are um here to support and uh provide some guidance on what medication fits best for you sure earlier in the season we were speaking with a couple of doctors specifically about depression and some of the things that they help their patients with um let's just talk a little bit about they touched on how important it is to get someone if they're in a really really low point and you know considering taking their own lives how important it is to get them through that moment in time let's talk about more what you guys can do to help absolutely so you know that's one of the things that has been just long history with High Plains is being able to provide services 24 hours a day 7 days a week so we have of course our office hours if you will um that include late evening hours for people who are not going to be able to get off work or you know traveling is a little bit of an issue uh so we have daytime services and then we also have the after hours crisis Services you know that are pretty exciting because we are just building what's called a mobile crisis response team so it used to be you know that if you had a crisis you were probably going to talk to somebody just on the phone or just on a zoom say meeting and now we're we're expanding into trying to also sometimes be able to meet people out in the communities and prevent you know being sent to an impatient unit or something like that so sure that's very interesting and so the mobile crisis response team this is a new thing this is a new thing okay let's talk a little bit more about it then okay so uh this is part of a grant called the uh ccbhc that's something that we just started about 3 years ago almost we're almost there uh so it is just building anything that we can do to meet people in the communities where we serve so yeah the mobile crisis response team is like we said it's consists of some therapists and some peer workers like terara and then also some case managers that we haven't touched on yet you know that are also community- based workers and accustomed to helping people out where they're at so you know we are going to be trying to help those people who call in and say I just I need this help or somebody that loves them or you know somebody in the community like a law enforcement officer has been called on the scene and realizes this is important a doctor in an emergency room or a doctor's office you know are going to be able to access this and we're hoping to reduce the amount of people that end up having to go away from their homes to get treatment yeah okay excellent all right we're going to go back to the phone lines we've got a caller from Witchita waiting to ask a question uh go ahead uh with their question for our guest tonight I was wondering are you guys located in [Music] witto we are our main office is in Hayes Kansas I I kind of chuckle with people people and I say if you want to see where our catchment area is for High Plains Mental Health Center it's the address label of Kansas yeah so calm care would be one of the options that you would have in wiah that would be similar to what our services are okay all right and they can just I'm assuming Google that and find out the information wonderful that was a a great question all right so let's talk about Youth and how youth seek treatment for substance use disorders so this is kind of interesting um because typically you know you think somebody who is a legal adult at age 18 is going to be the one that says okay I'm ready to go to Services I'm going to sign my name and you know sign all the financial forms and everything to be able to access Services when it comes to the substance use Services it's historically been something that they wanted to open up to catch I think sooner so kids as young as 14 can actually go in and sign themselves in for treatment and you know they'll still have to maybe sign releases to be able to have their parents help out if there's an insurance plan or something like that that needs to be built but you know we welcome youths to come in with their families or if they want to on their own sure and you might talk a little bit more about the policy that policy for parent Guardian consent and involvement I don't know who wants to take that one do you know it very well so I mean if they call and the you know if a youth calls and says I really want to get into Services you know I I don't want to wait for my parents for instance we would prefer of course that there's family involvement but we understand sometimes that can be complicated so they would just call our Lo our regular number 785 628 2871 and say you know I'm ready to start services and we will have somebody kind of walk them through the paperwork and the documents and you know helping them kind of understand what their options are as far as giving consent you know even if it is limited consent just for the purpose of of the financial piece of it but we also have like sliding scale options for people who need to help affording Services okay we've got Sylvia back on the line from wi talk she must not have gotten the rest of her question in so go ahead Sylvia we are ready to take your question now yes I was just wondering my my son is uh in the hospital at St Joseph and he's having problem with bipolar anxiety griefing um a little thing of everything and I wanted to get care but we did call calm care and they did come out to the house to try to assess them but he wasn't Cooperative with them so they said there's nothing they can do toor anxiety really complicated um you know adults have you know the ability to um have to have the ability to consent for treatment um and that can be one of the most difficult and challenging parts for family members if they see somebody is struggling and want them to get help um but the individual maybe isn't ready or says they don't want Services um you know unless legally in Kansas unless a person is in imminent danger to themselves or somebody else we can't um Force somebody or court order somebody into treatment or Services um but that was that's a really good question and sounds like you know families really struggling and you know I I always encourage families to reach out you know for their own help and and support um either through a mental health center there's also in Kansas the National Alliance for mental illness Nami is a a really good um resource for families to get education um they have support groups and so I would encourage you to contact somebody from um there probably several Nami chapters in wiah and all throughout Kansas okay we're just going to ask because I'm sure they're focused on her son but Sylvia needs to take care of herself as well abely absolutely okay well we want to thank all of you for coming and being our guest tonight on Dr on call our Thanks goes out to Carrie Schwarz Amy bird Cindy ER and Tara Rollins from High Plains Mental Health Center for being our guest tonight on doctors on call thank you for joining us for doctors on call I'm Jenna [Music] [Music] Miller presentation of doctors on call on Smoky Hills PBS is made possible in part by an underwriting Grant from Regional Hospital experts neighbors friends our team at Smith County Memorial Hospital is always striving to exceed expectations of our patients and guests your family is our family for

Channel: SmokyHillsPBS

Views: 79

Keywords: Doctors On Call, DOC, Doctors, Doctor, SHPTV, SHPBS, KS, Kansas, Smoky Hills Public Television, Mental Health, High Plains Mental Health, Hays, Cary Schwartz, MS, LMLP, LCP, LCAC, Amy Bird, LSCSW, Cindy Pfeifer, BSN, RN, Tara Collins, Certified Peer Monitor, Doctors on Call, Smoky Hills PBS, Live Call in Show, Medical, mental health, substance abuse, addiction, opioids, narcotics, overdose, crisis center, clinical therapy, group therapy, bipolar, anxiety

Id: NJnfm8ZQcSg

Length: 27min 20sec (1640 seconds)

Published: Wed May 01 2024