Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

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Bridging the Gap from Abstinence-Based Addiction Treatment to Harm Reduction Treatment: My Personal Journey. Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor. Porch to Portland. War on Drugs = War on People. War on people . Facing the Gap. - PowerPoint PPT Presentation

Transcript of Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Page 1: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor
Page 2: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Bridging the Gap from Abstinence-Based Addiction

Treatment to Harm Reduction Treatment:

My Personal Journey

Barry Lessin, M.Ed., CAADCLicensed Psychologist

Certified Advanced Alcohol and Drug Counselor

Page 3: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Porch to Portland

Page 4: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

War on Drugs =War on People

• War on people

Page 5: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Facing the Gap

Page 6: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Objectives IIlustrate what contributed to the

gap, for me, between Abstinence-Based (AB) and Harm Reduction (HR) treatment.

Offer a systems approach to facilitate the transition to HR.

Share a perspective to allow others to integrate HR into their work.

Page 7: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

My path to HR:Career Summary

• Training/Workplace dichotomy

• Career burnout

• Profound personal experience

• Public health advocacy

Page 8: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Client-Centered & Developmental:What I Learned

Carl Rogers Lifespan Development

Page 9: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Conflicting Views:What I Learned vs, What I Was

Doing

vs.

Page 10: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Conflicting Views:What I Learned vs. What I Was

Doing

vs

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Managed Care: A Two Headed Monster

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Training & Professional Experience

A Systems View

Family Therapy School Psychology

Page 13: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Training & Professional Experience:

Path to Independent Practice

Page 14: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Career Burnout

Page 15: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Personal Experience: My Nephew

Page 16: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Personal Experience: My Nephew

• Perfect storm of:

• treatment gap

• addiction stigma

• system-wide failure

Page 17: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Personal Experience: My Nephew

• Tough Love prevented crucial connection to loved ones

• My “expert” role was bogus

• Returned to my roots of addiction treatment

Page 18: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Transition Begins:Back to the Future

(2011)

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Learning About Public Health Policy

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Witnessing the Gap in the Professional Community

Drug Policy Alliance2011 Conference

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Engaging in Public Health Advocacy

Grief Recovery After a Substance

Passing

www.grasphelp.org

Broken No More

www.broken-no-more.org

Page 22: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

When Grief Support Vanishes

Page 23: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

My path to HR:Career Summary

• What I learned vs. What I did

• Career burnout

• Profound personal experience

• Public health advocacy

Page 24: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

A-HA Moment!

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From Transition...

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...To Transformation

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Moving forward...

Page 28: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Systems Interaction:Micro vs. Macro

Page 29: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Connecting the Dots

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My BurnoutMy Burnout

Blame Blame AddictAddict

How Systems Inform Us:Micro vs Macro

StigmatiziStigmatizing, ng,

criminalizicriminalizing system ng system

Micro View Macro View

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How Systems Inform Us: Micro vs. Macro

Micro Macro

More Effective More Effective ClinicianClinician

Empower to Empower to educate/changeeducate/change

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Integrating and Evolving...

Page 33: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Barry Lessin, M.Ed., CAADCLicensed Psychologist

Certified Advanced Alcohol and Drug Counselor1244 Ft. Washington

Ave.Suite E2Ft. Washington, PA 19034

[email protected]

Page 34: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Resources• “In the Realm of Hungry Ghosts”,

Gabor Mate’• Practicing Harm Reduction

Psychotherapy, Patt Denning & Jeannie Little

• Harm Reduction Psychotherapy, Andrew Tatarsky

Page 35: Barry Lessin, M.Ed., CAADC Licensed Psychologist Certified Advanced Alcohol and Drug Counselor

Resources• www.gradualismandaddiction.org ,

Scott Kellogg• Coming to Harm Reduction Kicking

and Screaming, Dee Dee Stout• How to Manage Your Drinking,

Kenneth Anderson