Manage Activity Addiction Recovery: Collaborative Care Ensures Effective Outcomes

The prevailing opioid crisis in the United States has displayed time and again how ruthless addiction can become by putting massive strain on the society. An addiction, a complicated brain condition driven by substance-seeking behavior despite being aware of the harmful consequences, causes several psychological problems that remain unaddressed in primary care settings.At times, it is quite challenging to determine the best treatment approach for an individual with a mental disorder, to say the least. Such a perplexing problem oftentimes becomes the key reason behind the overstretched rehabilitation process. The inadequacy in tackling mental disorders witnessed alongside addiction in primary care settings may result in poor access to care, discontentment with quality, noncompliance with prescribed medications, etc.With a growing need to address not only mental disorders but also substance use disorders (SUDs), the interventions based on collaborative care in primary care settings can enhance the scope of holistic recovery from both the disorders. Being a patient-centered approach, the primary elements of collaborative care include population-based care, measurement-based care, evidence-based treatment and accountable care.

Considering the fact that patients with psychiatric disorders significantly benefit from collaborative care, the approach appears promising for the treatment of a co-occurring addiction.Strengths of collaborative care modelThe principal features of collaborative care include regular follow-up, medication-assisted treatment (MAT), psychosocial interventions, adherence to medicine regimen, case management, etc. Therefore, individuals with SUDs significantly benefit from systematic approach of the collaborative care model.For instance, when a mental health specialist works in conjunction with the primary care provider, it significantly increases the resources to treat the patient by providing adequate counseling and education. In addition, the frequent interaction between the patients’ case manager and the primary care provider keeps both parties updated on the patients’ progress in terms of treatment. This assists in alerting them about any kind of gaps, relapses, insignificant improvement in symptoms or if remission is yet to be achieved. As a result, the focus during the entire treatment remains on the patient.Despite being somewhat rudimentary compared to the sophisticated rehabilitation process, the tools of measurement-based care, such as urine drug screening tests, play a key role in increasing focus on each patient. Moreover, the measurement-based interventions are invaluable because:

They approach every case uniquely, focusing the treatment at an individual level.

They assist in identifying individuals at risk of developing a relapse.

They offer a way to measure treatment success across different clinical settings.

To boost the scope of recovery and strengthen adherence to treatment under the collaborative care model, every patient undergoes a biopsychosocial assessment that provides crucial insight into which relapse-prevention strategies are likely to prevail.Some of the other measures, such as setting up treatment dates, promoting participation in the 12-step groups and determining the symptoms of mental disorders, make it possible to provide the much-needed care that supports the primary care provider’s prescription and aims at preventing a relapse.

The collaborative care model has redefined treatment approaches to psychiatric disorders and substance abuse. It has also demonstrated success in overcoming the stigma and myths surrounding mental disorders and addiction that otherwise demotivate patients and result in poor adherence of treatment. In addition, the collaborative care model ensures the overall holistic rehabilitation of patients.Seek professional helpDespite numerous clinical trials and extensive research on the advantages of integrated care in primary settings, it has not been incorporated across the primary care settings. It has displayed significant success in treating both mental disorders and SUDs under one roof with the least cost burden on patients. To lead an addiction-free life, it is essential to undergo an effective treatment based on the collaborative care model. It assists in overcoming not just the problem of addiction but also co-occurring disorders and diminishes the scope of a relapse.

Bold Money Conversations That Can Change Your Life

I recently returned from Kendall SummerHawk’s Feminine Money Mastery event, where women from all around the globe (and a few cool guys as well) gathered to improve their relationship with money. One of the most interesting aspects of this conference for me was learning to identify where we need to have “courageous money conversations” in our lives. These conversations are the ones we often avoid, as they bring up all sorts of disempowering money beliefs. We discussed how to make these conversations a routine practice and give them a methodology so that they aren’t as daunting to embark upon.

Powerful conversations can follow a format that eases some of the tension. Follow these steps and engage in, rather than avoid, the money talks that change your life.

1. Take a moment before the conversation to breathe and set your intention for the way you want the discourse to go. Decide on the outcome you want ahead of time and be very clear in your own mind before the other person is present.

2. Be free from emotion and set the agenda with the other party. Inform them as to the reason for the discussion, the outcome you desire, and the discussion points you plan to cover.

3. Stop and listen. Make sure the other party has a chance to say their piece and that they know you hear them. Repeat back and summarize their ideas – whatever you can do to establish that you understand what they are saying.

4. Offer several options for resolving the situation in various ways, if at all possible.

Find agreement, even if it’s to go to another decision-maker, and detail the subsequent steps, including who will do what, by when. Be sure to close the conversation positively.

After returning home from the conference, I immediately put this methodology to use and had two such conversations. I have been breathing a sigh of relief ever since! While it is important to take on these conversations under any circumstances, if you are intent on making a career shift or growing your business, this is a skill that is especially helpful and will pull you forward dramatically.

When you avoid courageous money conversations, you can be inadvertently sabotaging your own success. For example, a mom was recently telling me about her daughter, who has a job she loves. She is appreciated by her employer, coworkers, and customers, and received a promotion four months ago. She has not, however, received a salary increase to go with the promotion. Instead of having the conversation that needs to be had about the salary increase, she decided to look for another job. Objectively, this seems ridiculous, but she is so averse to having the necessary salary conversation that she has created a story in her head about what this all means and is taking a somewhat misguided action in response. For her, she believes it may actually be easier to land a new position than to have a money conversation where she would be championing her value to the company.

Similar to this case, when I work with clients, I often see two primary challenges:

1. Putting a voice to owning their value, and believing it as well. Examples include stating their fees, saying no to a discounted fee, or negotiating their salary.

2. Speaking honestly about an issue that makes them feel vulnerable. For example, discussing business plans with a spouse or renegotiating a loan they are having trouble paying.

Of course, taking a stance for your money will feel awkward at first. However, once you get a few of these conversations under your belt, you will be looking ahead for the next one! It’s about building a muscle over time that will increase your power across the board. Don’t be afraid to jump in headfirst – I promise you will be glad you did.

Michelle is the CEO and founder of Limit Free Life®, a coaching and personal development company designed to help clients discover and transition into careers or business ventures that satisfy their souls. As a former CPA, business consultant and now a certified business coach,she combines a strong background in finance and transition management with an intuitive coaching style.