BEHAVIORAL HEALTH APOCALYPSE 2020

For the record, during this behavioral health apocalypse, there is nothing pleasant about being the person who brings up the controversial stuff.

There are “Recovery Advocates” who wish I would shut up. They don’t want me to “rock the boat” …

Well, sad fact is, the boat is sinking.

And of course. I’m sure many people in the treatment system wish I would get hit by a bus. Really!

I don’t enjoy this. It is not comfortable being disliked.

I get it. I’m a pain in the ass. I don’t enjoy this. Not at all.

But I believe with everything in me that we will need RADICAL change if we are to find a way out of this horrible behavioral health apocalypse.

The only chance is reinvention. Things are not good. It’s broken.

CRITICAL TO UNDERSTAND

1. WHEN THE OVERDOSE DEATHS ARE FINALLY REPORTED.
   
2. WE CAN EXPECT ANOTHER RECORD YEAR OF SENSELESS DEATH.
   
3. MORE DEAD PEOPLE THAN EVER BEFORE.
   
4. THOUSANDS UPON THOUSANDS MORE!

MANY PEOPLE AGREE

And there are people who work in the system who agree 100% with these statements.

And leaders in the system are entertaining new ideas. Shit can change.

It can happen. Lots of people, from the top down, are getting tired of these outcomes.

So many cemeteries are filling up.

But I get real freaking tired of bringing it up. It’s not fun.

CHURN & BURN

Many days I’m like … screw it. I feel like just going away and let the status quo reign.

I start thinking … if that’s the way they want it. Perhaps it’s best to let them have it.

Let them continue the churn and burn acute care model and get out of the way.

If everything is fine … well then. Let it be fine.

Have at it …

I really should just stand aside and watch it burn. Just keep my mouth shut and attend the next ROSC meeting like a good little recovering addict.

Stay in my place. Keep quiet. Don’t start trouble.

SORRY THAT AIN’T GONNA HAPPEN

There is a new recovery coalition forming in South Carolina. And we will not be part of it unless radical change is the goal.

FAVOR Greenville is one of the premier recovery organizations in the nation. Maybe the world.

National awards from SAMHSA.GOV and the United States Department of Justice.

Our model is part of a clinical trial with National Institute on Drug Abuse.

We are about to open our fourth location.

We serve 8,000 to 10,000 people per year face to face —at least.

All of them for free …. no collection agencies or co-pays.

THE ATTACK PLAN OF ACTION

We will bring our influence to bear and bond with like minded groups in SC.

If we are part of any new recovery coalition we will be focused on forcing the hard conversations.

Recovery advocacy requires making people uncomfortable.

If no one ever gets mad at you. You probably aren’t really doing advocacy, as you might think you are!

How can you change the system without upsetting the system?

The post Welcome to the Behavioral Health Apocalypse appeared first on The Recovery Cartel.

Consequential Times They Are A Changing

✌️We are living through very Consequential Times !

The following is Inspired by the futurist Lawrence Douglas.

I think I want to be a “Professional Futurist”. How does one become a futurist?

FUTURIST. AKA a scenario planner, AKA foresight thinker…OR DOOMSAYER. Not the Utopian fantastical futurist.

What academic degree do I need to do that job?

Our World Your World

We “do the world” via our “World View” and solve problems via Heuristics.

MEANING; “Worldview is how you look at the world, how you think it operates, why things happen the way they do, what your purpose is. …

For example: A worldview of atheism, which is a belief that God does not exist, explains the creation of the universe and of life as randomness acting over a very long time.

Good-Enough Solutions ???

Heuristics are a problem-solving method that uses shortcuts to produce good-enough solutions given a limited time frame or deadline.

Heuristics are a flexibility technique for quick decisions, particularly when working with complex data.

Decisions made using an heuristic approach may not necessarily be optimal”.

However, in today’s world heuristics “get us through”.

Systems & Sub-Systems

We have agreed upon heuristics at the community, societal level AND at the level of subsystems.

Subsystems such as healthcare; education and BEHAVIORAL HEALTH .

We have institutions that exist within these systems and sub-systems.

They operate via mutually agreed upon heuristics as well. Within the same domain; “they all do the same thing”. Use the same model.

Modus Operandi For These Consequential Times

Our systems operate with an underlying unspoken agreement that; “This is the best way to do things”.

Most people are not even aware what the heuristics are and they just “do life day to day”.

BUT THEN… BOOM….BOOM and then more boom….

A global pandemic, and the co-occurring mental health / SUD crisis, comes along and the system is laid bare.

The severe limitations are revealed and the fragile nature of things is obvious.

The system and our institutions are brittle. And everything falls apart. 🙏🙏

CARTEL BONUS: CHECK OUT BOB’S SONG FROM LONG AGO

The post Consequential Times When Everything falls Apart appeared first on The Recovery Cartel.

Adolescent Behavioral Health

I have been a practicing clinician and clinical manager working in the substance use disorders and mental health treatment industries for over 20 years. 

For over 10 years, my work involved specialty practice with adolescents and young adults. 

I have always been drawn to helping younger people. Probably motivated by my own personal experience. 

I came through my dark days during the 1980’s when discussing adolescent mental health and addiction was off limits. Adolescent behavioral health issues simply did not exist. 

I’ve spent a bunch of therapy time with kids and their parents. Trying to help them figure out up from down.

We’ve always known there were many more young people in need; beyond those “showing up” for therapy. 

However, I never saw this coming. Record setting levels of anxiety, depression, overdose, and suicide.    

Overdoses are also climbing among this demographic.  

iGen 101

I got most my information on this topic from reading Jean M. Twenge, a professor of psychology at San Diego State University author of “Generation Me” and “iGen”. 

iGen represents the generation born between 1995 and 2012. Post millennials.

This generation represents an important transition in terms of human evolution.  

Erik Brynjolfsson and Andrew McAfee called the internet explosion the 2nd Machine Age.  And just like the first machine age (the industrial revolution) we will need some time to negotiate this new landscape. 

iGen marks the first generation with the no “pre-internet” exposure. Perhaps even more significantly, iGen represents the generation of fully integrated mobile connection.  

Consider the following:   

• The smart phone came of age in 2007. Nearly all the iGen kids grew up with smartphone (3 out of 4 reported owning an iPhone).

• iGen kids have Instagram accounts before they start high school.

• The internet was always present for iGen. They don’t recall pre-internet life.  

“Millennials grew up with the web as well, but it wasn’t ever-present in their lives, at hand at all times, day and night. AND most can remember a time when the web was not part of their life”. (Jean Twenge) 

Helicopter & Bubble Wrap

• Interesting when you study this generation you quickly see that traditional rites of passage are unimportant. For example, “leaving the home and seeing the world” is insignificant. I guess when you have connection and access to the entire world from your bedroom you are less interested in getting out to go see the world.

• In general, they are less likely to leave the house (for any reason) without their parents. (NOTE: this is not entirely due to the cyber culture. This is also the result of helicopter parenting; creating a bubble wrapped generation).

According to Twenge: “The shift is stunning: 12th-graders in 2015 were going out less often than eighth-graders did as recently as 2009”. They have less sex, use less drugs, take less risks.
More from Twenge: “They’re markedly less likely to get into a car accident and, having less of a taste for alcohol than their predecessors, are less susceptible to drinking’s attendant ills”

However, they report record levels of “psychological” problems. Anxiety, depression, and suicide rates are climbing at any alarming level.

As Twenge says: “It’s not an exaggeration to describe iGen as being on the brink of the worst mental-health crisis in decades.”

Twenge also says: “Much of this deterioration can be traced to their phones”.

The Impact Is Brutal

The impact of constant connection AND CONSTANT COMPARISON cannot be over-stated.

Middle school is brutal under the best of conditions.

Kids realize that there is a status system. Kids realize they are different. Kids realize they are or the aren’t cool

Fear of mission out. Fear of being left out.

Can you imaging being a teenager, constantly reminded how cool (or not cool) you are 24 hours a day 7 days a week.

As a mature, sane (most days), successful, accomplished adult I find myself susceptible to social media. In my life the impact is work related. However, the impact is there.

Social media must be psychological terrorism for the average teenager.

All Our Problem

We have a problem on our hands. The solution is not attacking technology. 

Technology never regresses. Rather we will see continuous innovation and powerful new platforms.

More social cyber connection not less. That’s how technology works. We don’t go backward.

None of us are going to ride our horse home from work tomorrow. 

You probably won’t need to use a pay phone or type your next memo on a typewriter.

WE WILL NEED TO DEVELOP INTERVENTIONS AND PROVIDE SUPPORT THAT MEETS PEOPLE WHERE THEY ARE….ON THEIR PHONES.

youturn.net

Check out www.youturn.net. We intend to do our part in solving this problem.  

Forget everything you’ve heard about traditional addiction and recovery. youturn is an innovative video platform for people who are being negatively affected by addiction.

We’re not A.A. We’re not rehab.

We’re just here to offer information. Provide perspective. And start the conversation. What you do from there is up to you.

youturn was created by people who overcame challenges related to substance use disorders.

People who found a way to make a comeback and lead a healthier, happier, more purposeful lifestyle.

We are living, breathing testimonies to the fact that hope and change are possible.

Watch Rich Jones on youturn.net

Click on the image too view! Rich shares with us the basics of Substance Use Disorder.

The post Constant Connection + Comparison = Constant Crisis appeared first on The Recovery Cartel.