6/3/15 - Naadac

6/3/15Counseling African Americans With SubstanceUse DisordersMisti Storie, MS, NCCPresented by Mark Sanders, LCSW, CADCDirector of Training & Professional DevelopmentNAADAC, the Association for Addiction Professionalswww.naadac.orgmisti@naadac.orgJune 4, 2015www.naadac.org/webinarsProduced ByNAADAC, the Association for Addiction Professionalswww.naadac.org/webinarsCE nsCost to Watch:FreeCE HoursAvailable:1.5 CEsCE Certificate forNAADACMembers:FreeCE Certificate forNon-members: 20To obtain a CE Certificate for the time you spentwatching this webinar:1.2.Watch this entire webinar.Pass the online CE quiz, which is posted atwww.naadac.org/counselingafricanamericans3.If applicable, submit payment for CE certificateor join NAADAC.4.A CE certificate will be emailed to you within 21days of submitting the quiz.1

6/3/15Webinar Learning ObjectivesUsing GoToWebinar – (Live Participants Only)§ Control Panel§ Asking Questions§ Audio (phone preferred)§ Polling QuestionsWebinar Presenter123Be aware of 7strategies for engagingAfrican Americans inaddictions treatmentwithin the first 5minutes of contactBe aware of 3strategies forovercomingbarriers tomistrustBe aware of how tohave a sensitivediscussion of differencesin the cross-culturalcounseling relationship4Be aware of 5culturally-specificapproaches to workingwith African Americanmen and women inaddictions treatmentPremisesMark Sanders, LCSW, CADCOnthemark25@aol.com§ Across cultures addiction is characterized byincreased tolerance, loss of control and continueduse of the drug (s) in spite of adverseconsequences.§ Addiction is best treated when the context in whichit develops is taken into consideration.Premises ContinuedThe context for African American includes:§ Historical trauma§ Loss of culture§ Unresolved grief§ Discrimination§ Poorly performing schools1986§ High unemployment - STEMM§ Community trauma§ High arrest and imprisonment rates2

6/3/15Richard PryorPremises ContinuedPrison Increase1985–400,000 inmates1995–1 million2005–2 millionToday–2.4 million Cross cultural tensions that exists outside of the counselingoffice can also exist within the office Intercultural tensions that exists outside of the counselingoffice can also exist within the office Age Gender Complexion Social economics etc.Premises Continued There are many protective factors that reducesrates of substance use disorders among AfricanAmericansSurvey Question #1Do African Americans have the highestrate of substance use in the UnitedStates?3

6/3/15Question to Ponder Year after year SAMSHA’s annual drug use reportby race and gender reveals that African Americansrank third or fourth in terms of the amounts of drugsused.Protective Factors for African Americansand Treatment Implications1.Kinship like bonds – extended family orientationand taking in non-relatives2.Spirituality What are substance use protective factors forAfrican Americans? How can treatment utilize theseprotective factors as a part of the recovery process?3.“A praying grandmother”4.A sense of humor – the shortest distancebetween two people is a good laughDick GregoryRichard PryorEddie MurphyDave Chappelle4

6/3/15Steve HarveyCedric the EntertainerResilience Factors for African AmericansContinuedFrederick Douglass“We can’t stagger to freedom.”5.Collectivism – concern with survival of the group6.Music7.A sense of we’ness8.Resilience produced by survival of oppression9.Empathy as a result of oppression10.Individuals who can instill hope and prove success is possibleJohn LucasNatalie Cole5

6/3/15Dr. Mae JamisonLieutenant UhuraMichael JordanDr. Ben CarsonColin PowellOprah Winfrey6

6/3/15Condoleeza RiceMichelle ObamaPresident Obama and Jacob PhiladelphiaSurvey Question #2When doing cross-cultural counseling withAfrican Americans, should you routinely talkabout racial differences in the first session?Counseling African Americans With SubstanceUse DisordersEngaging African American Clients WithSubstance Use Disorders Within the First FiveMinutes of Contact The greeting matters What do the pictures on the wall say? What do the magazines say? The length of the wait matters Provide positive service energySurvey Question #3When counseling African Americans withSubstance Use Disorders who are in denial,should the first goal be to break the denial?7

6/3/15The price that African Americans payfor speaking their truth.Rapport Building:Overcoming MistrustDr. Martin Luther KingMalcolm X IRS investigation CIA shadowing FBI wire tap FBI wire tap Assassinated AssassinatedAngela DavisW. E. B. DuBois Labeled “unAmerican” Labeled a communist Un-American Fired for speakingher truth Exiled to Africa8

6/3/15Paul Robeson Exiled to RussiaMuhammad AliStripped of his titleChuck D and Flavor FlavJack JohnsonIndicted for “White Slavery”Ice T Investigated by theFBI Given a job as a tvcopLoss of EndorsementsLudacrisNas9

6/3/15President Barack Obama He’s “un-American” “He’s not one of us.” Gun sales increasedDemoted or FiredAfeni ShakurSummary Followed by the F.B.I.If you speak your truth you can: Imprisoned Get assassinated Exiled Fired Labeled communist or un-AmericanCounseling African Americans With SubstanceUse Disorders ContinuedFocus on StrengthWhat are the keys to building rapport andovercoming barriers to mistrust whencounseling African Americans withSubstance Use Disorders? What do you do well? How have you been able to endure so much? What do you like to do in your leisure time? What is the best thing you ever made happen? What are the best 3 moments you can recall in your life? What have you learned from what you’ve gone through?10

6/3/15Counseling African Americans With SubstanceUse Disorders Continued Establish an egalitarian relationship Make sure the client has a voice in the treatmentplan Be willing to have a sensitive discussion of raceand other differences Be transparent and authentic Be open to multiple pathways of recoverySurvey Question #4Is Alcoholics Anonymous effective for AfricanAmericans?Multiple Pathways of Recovery for AfricanAmerican Clients ContinuedPathways of Recovery:Recovery for African Americans Religious styles Pastor Hilliard Salem Baptist Church One Church One Addict – Fr. George Clements Glide ChurchMultiple Pathways of Recovery for AfricanAmerican Clients ContinuedCecil Williams 12 Step Shifting allegiance Mature out Medication assisted Use of recovery coachesGlide ChurchMinimize anonymity, 16 generations, special programming for women11

6/3/15Multiple Pathways of Recovery for AfricanAmerican Clients Continued4 Spiritual DimensionsRites of Passages Group name, Logo, mission statement History of your own name Family tree Secure library card, Social Security card, State ID Community project Personal growth workPathways ContinuedGodFatherMotherAncestorsPathways ContinuedMalcolm XLove of self (reading, what you wear, what you eat), love of cultureSamuel L. Jackson and Spike LeeQuantum ChangePathways ContinuedRecovery BasketballPathways Continued Combined pathways – treatment, 12 step,education, cultural exploration, nutrition, culturalrevitalization Stage 2 Recovery – developing wholeness12

6/3/15King Blesses others They sacrifice their needs for the benefit of thegroup as a wholeKing, Warrior, Lover, MagicianNelson MandelaDr. Martin Luther KingWarriorMuhammad Ali Brings home the bacon Protector Courage13

6/3/15LoverMagician Sensitive-can cry Able to pull a rabbit out of a hat Vulnerable Great negotiator Kind Emotional Relationship builderShadow King Corrupt minister Corrupt executiveEach Archetype has a shadow. A lessmature version of the real thing.Shadow WarriorShadow Lover Thug Pimp Rage-a-holic Player Wife beater Womanizer14

6/3/15Shadow Magician Slickster Con artistDon KingThank You!www.naadac.org/counselingafricanamericansMark Sanders, LCSW, CADCOnthemark25@aol.comUpcoming WebinarsCE CertificateCost to Watch:FreeCE HoursAvailable:1.5 CEsCE Certificate forNAADACMembers:FreeCE Certificate forNon-members: 20To obtain a CE Certificate for the time you spentwatching this webinar:1.2.June 18, 2015August 26, 2015Watch this entire webinar.3-4:30pm ET (2 CT/1 MT/12 PT)3-4pm ET (2 CT/1 MT/12 PT)Pass the online CE quiz, which is posted atImproving Retention and Outcomes: ThePartners for Change OutcomeManagement SystemDeveloping Cultural Humility: SeeingOurselves in f applicable, submit payment for CE certificateor join NAADAC.4.A CE certificate will be emailed to you within 21days of submitting the quiz.July 30, 20153-4:30pm ET (2 CT/1 MT/12 PT)Counseling Adolescent and MinorityClients with Substance Use Disorderswww.naadac.org/webinars15

6/3/15www.naadac.org/webinarsWEBINAR SERIESOver 75 CEs of free educationalwebinars are available. Educationcredits are FREE for NAADACmembers.Free CEs INE ARTICLESIn each issue of Advances inAddiction & Recovery, NAADAC'smagazine, one article is eligible forCEs.FACE-TO-FACE SEMINARSNAADAC offers face-to-faceseminars of varying lengths in theU.S. and abroad.INDEPENDENT STUDYCOURSESEarn CEs at home and at your ownpace (includes study guide andonline examination).CONFERENCESNAADAC Annual Conference andAdvocacy in Action Conference inWashington, DC in October 9-13,2015.CERTIFICATE PROGRAMSDemonstrate advanced educationin diverse topics with the NAADACCertificate Programs.www.naadac.org/joinContact Us!NAADAC1001 N. Fairfax Street, Suite 201Alexandria, VA 22314phone: 703.741.7686 / 800.548.0497fax: 703.741.7698 / rgNaadacNAADAC16

Jun 04, 2015 · King, Warrior, Lover, Magician Blesses others They sacrifice their needs for the benefit of the group as a whole King Nelson Mandela Dr. Martin Luther King Brings home the bacon Protector Courage Warrior Muhammad