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CALMHSA Peer Support Certification Exam
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**- CALMHSA Peer Support Certification PT
- CALMHSA Peer Support Certification PT
- CALMHSA Peer Support Certification PT
- CALMHSA Peer Support Certification PT
- CALMHSA Peer Support Specialist Cert PT CALMHSA Peer Support Certification PT** Stigma against people who use drugs remains socially acceptable and a common place. Explain an example. Stigma toward people who use drugs is written into our laws, child protective service and social service systems. This is despite wide-spread agreement that substance use is a health condition and not a character flaw. There are many forms of stigma including:
- Stigma from a person: Someone using the word "junkie"
- Institutional stigma: Discharging individuals based on a positive drug screen
- Stigma by association: When pharmacists or medical providers say "That's not the population I want in my office"
- Internalized stigma: Feeling you deserve pain or suffering because you use drugs
- Drug user stigma is encoded into our laws, child protective service, and social service systems. Amid unprecedented acceptance that substance use is a health condition and not some kind of personal character flaw,
- Drug user stigma has remained socially acceptable and pervasive.
- Widespread stigma creates huge barriers to accessing what people need to survive
and thrive, such as care, housing, income, and social services.
- Internalized stigma is when people believe the negative messages from the outside world. Internalized stigma means at times you may feel ashamed of yourself based on your substance use. Safer Injection Tips Prepare, solve, hit vein, count shot, test shot, inject and clean up. SSTIs Bacterial infection due to skin that wasn't properly cleaned, a missed shot in the skin/muscle, non-sterile injection equipment or contaminated drug. Signs of SSTI Foul smell, increasing size, redness, swelling, tenderness, heavy pus, general fever/chills, general pain/loss of sensation. What is the suggested course of action if presented with a wound? See a doctor for diagnosis and treatment. SSTI Management Apply ice or frozen things, elevate, avoid injecting at or below site of infection, do not squeeze or poke abscess, go to the doctor if it does not get any better after 3 days. SSTI Prevention Clean the skin before injecting, use sterile equipment, use safe injection techniques, band aid over injection site. What is Harm Reduction? Incorporating a continuum of strategies including safer practices, harm reduction, and abstinence to uphold the dignity and well-being of drug users
- trouble maker
- dangerous
- useless/worthless Institutional stigma Termination of people based on a positive drug screen. Denying School or opportunities based off a mental health or substance use disorder Example of Stigma through association When pharmacists or medical providers say "That's not the population I want in my office" Internalized stigma: Example Believe you deserve pain or suffering because you use drugs Internalized stigma is when people believe the negative messages from the outside world. Internalized stigma means that sometimes you might feel ashamed of yourself based on your substance use. What is Internalized Stigma? Internalized stigma is when people believe the negative messages from the outside world. Internalized stigma means that sometimes you might feel ashamed of yourself based on your substance use. What are the effects of Widespread Stigma? Pervasive stigma removes many barriers to obtaining what is needed to survive and thrive: care, housing, income, and social services. Explain 8 Examples of Stigma's related to Substance Use Disorder
- Individual-level stigma: Someone using the term "junkie"
- Institutional stigma: Firing people based on a positive drug screen.
- Associative stigma: When pharmacists or medical providers say "That's not the population I want in my office"
- Internalized stigma: the feeling one deserves pain or suffering for using drugs
- Stigma against people who use drugs is codified into our laws, child protective service and social service systems. Despite broad-based acceptance that substance use is a health condition rather than a personal character flaw,
- Stigma against people who use drugs remains socially acceptable and rampant.
- Widespread stigma creates huge barriers to accessing what people need to survive and thrive - things like care, housing, income, social services.
- Internalized stigma is when people believe the negative messages from the outside world. Internalized stigma means that sometimes you might feel ashamed of yourself based on your substance use. What should service providers recognize about themselves? Their own story, family experiences, race, religion, beliefs about substance use and pregnancy, and triggers. What do service providers learn to do in the therapeutic conversations? Engage, open conversations, de-escalate and support client to engage with health care providers. What does a service provider do to empower the client? Offering choice to set boundaries and to set the pace of physical assessments. What practical needs do service providers support clients to access prenatally? Safe housing, food, clothing, medical concerns, leaving violent relationships, and transportation. What do service providers need to develop approaches to providing prenatal services that are integrated and coordinated with? Health and social systems, including child welfare.
benefits. What is the relationship between trauma and breast/chestfeeding? Physical contact may be uncomfortable for some trauma survivors and trans people. Interventions for postpartum clients with a history of abuse or trauma should include what? A focus on parent-child relationships. For individuals who are women and childbearing with a history of trauma, what are they more likely to develop? Postpartum depression and other mood disorders. Should being on medication for opioid use disorder or using drugs be a reason to have an abortion? No. Of all pregnancies, what percentage of them end in miscarriage? 10 - 20%.
What is All Options? A free resource to help talk through pregnancy decisions non-judgmentally. Should a healthcare provider pressure someone to continue or end a pregnancy? No. What is a decision to carry a pregnancy to term and deliver a baby? Personal. What may people experience upon learning they are pregnant? A wide range of emotions. What is it when someone finds out about their pregnancy and feels conflicting emotions? Normal What may be helpful when making a personal decision? Talking to partners, friends, and family. What is the likely outcome for parents who have been abused or victimized in attaching to their own child? Smaller, yet they can grow attachment over time. And finally, what's important to keep in mind with pregnancy loss? It should never be blamed as a result of substance use. What is a reason for postpartum depression and other mood disorders assessment? To identify them and take actions.
Reduces stigma and shame. What are some next steps if you decide to continue your pregnancy? Identify support system and find prenatal care provider. Can a baby be harmed if substances were used before or during pregnancy? No, it does not necessarily mean that. What is medication abortion? Medications to prevent pregnancy and empty the uterus. What is Plan C? A safe abortion with pills. What is procedural abortion? A healthcare provider removes pregnancy from uterus. Where can you get an abortion? Contact a trusted health professional or find online resources. What if you cannot afford an abortion? There are places clinics refer to which will help to cover the cost.
What is the National Network of Abortion Funds? A non-profit that can help you find resources in your area. What if a provider mistreats you? This is not ok, and you deserve to be treated with dignity and respect. What is pain management during abortions? Options include local anesthesia, minimal/moderate sedation, and deep sedation. What is local anesthesia? Numbing of the area with lidocaine. What is minimal/moderate sedation? An opioid and benzodiazepine given via IV. What is deep sedation? IV medications that put you to sleep. Can you take ibuprofen during a medication abortion? Yes, for pain control. Can you take ibuprofen with other substances or medications? Yes, generally it is safe to do so. Can you take the second medication for a medication abortion at home? Some clinics allow this.
Ask them to contact your buprenorphine provider. What are some words you can use to be vague about the type of procedure you will be having? Minor procedure for which we'd like to offer minimal sedation. If you are concerned about urine drug screens you can ask your abortion provider to request the following: A note regarding the medications you were administered or prescribed. Will an abortion provider be vague about what type of procedure I had? Yes. What is the meaning of Participant Centered Services? Calls for nonjudgmental, non-coercive provision of services and resources to people who use drugs and the communities in which they live in order to assist them to reduce attendant harm What is Participant Involvement? Ensures participants and communities impacted have a real voice in the creation of programs and policies designed to serve them What is Participant Autonomy? Asserts participants as the primary agents of change, and seeks to empower participants to share information and support each other in strategies which meet their actual conditions of harm Sociocultural Factors What is important about Sociocultural Factors? Recognizes that the realities of various social inequalities affect both people's vulnerability to and capacity for effectively dealing with potential harm Harm Reduction Approach
What is Harm Reduction's approach? Pragmatism & Realism Harm Reduction Interventions Harm Reduction: Tools and services to reduce potential harm What does harm reduction mean? The philosophy and principles behind harm reduction practice What is harm reduction? A movement that empowers the vulnerable people, shifting power and resources their way. What is risk? The issue that presents, along with other sources of potential harm. What is set? What mindset someone brings with them into a situation. What is setting? The physical and social space the potential harm occurs within. What is Getting Off Right? A safety manual for injection drug users. When was Getting Off Right originally published? Around 2012.
What is meant by 'set'? Mindset a person brings to the situation, including thoughts, mood and expectations. What is meant by 'setting'? The physical and social environment where the potential harm is occurring. What is an example of a question one might ask about risk? What drug is being used? What is the risk of overdose? What is an example of a question one might ask about set? How are they feeling? Confident? Angry? Anxious? What is an example of a question one might ask about setting? Where specifically is this use and potential harm occurring within the physical environment? What is the purpose of Understanding Risk, Set and Setting? To enable the participants to reduce risk and harm. The United States drug policy has been described as one of 'zero tolerance'. What has been the outcome of this approach?
Poor information about drugs and drug use. Why is the message 'just say no' an inadequate drug message? It is perilous for the current drug users, and people need to be in a position where they can acquire unbiased, non-judgmental, dependable information. Some negative consequences of using drugs Harms to the body and mind, and also social, economic, legal, cultural, and political factors. Some social inequalities that influence the vulnerability of a person to the harm associated with drugs Poverty, racism, social isolation, past traumas, and gender-based discriminations. Some factors increasing dangers associated with the use of illicit drugs Punitive laws, social policies and social stigmatization and discrimination of persons who use drugs. What is the aim of this manual? To enable you to reduce some of the risks associated with injecting drugs.
What is the purpose of Getting Off Right? To provide critical information to support harm reduction. Is Getting Off Right a living document? Yes. What should be done if the resource needs to be updated? Send an email to the provided address. What caution should be taken when using medical advice from Getting Off Right? Use caution and consult with a medical professional. What is the intended audience for Understanding Risk, Set and Setting? Clinicians, harm reductionists, outreach workers and other service providers. What might one gain from understanding risk, set, and setting? More means to support risk and harm reduction.
What is meant by 'set'? A mindset someone brings to the situation such as thoughts, mood, and expectations. What is meant by 'setting'? Physical and social environment in which the potential harm is occurring. What is an example of a question one might ask about risk? What drug is being used? What is the risk of overdose? What might be an example of a question to explore set? What are they feeling? Confident? Angry? Anxious? What might be an example of a question to explore setting? What is the physical environment in which the potential harm is occurring? What is the purpose of Understanding Risk, Set and Setting? To support risk and harm reduction for participants. What has been the consequence of the United States 'zero tolerance' approach to drug policy? Lack of factual information about drugs and drug use. Why isn't 'just say no' an effective message about drugs? It's dangerous for current users and people need factual, non-judgmental, accessible information.
