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School District #22: Event for Concerned Community Members: Substance Use Disorders, Prevention and Treatment
Three lectures by Dr. Ray Baker
On Friday May 14, 2010 Dr. Baker led an all-day seminar at the Prestige Inn and Conference Centre in Vernon, on the prevention and treatment of substance use disorders in adolescents and adults. Materials presented included an update on trends of substance use by British Columbia adolescents, outcome studies on effectiveness of prevention techniques and recent information of neurobiology of addiction. Finally, Dr. Baker reviewed the treatment options and some of the evidence supporting various modalities of treatment.
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Doctor Burnout
Slides to accompany Dr. Paul Farnan's presentation at the CME Conference for Primary Physicians, held November 2008 at St. Paul’s Hospital.
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Pathological Gambling
Slides to accompany Dr. Paul Farnan's presentation at the CME Conference for Primary Physicians, held November 2008 at St. Paul’s Hospital.
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Pain Addiction Codependence: Navigating the Maze
On October 20, 2007 Dr. Baker presented this lecture at the Annual Scientific Conference of the Occupational and Environmental Medical Association of Canada in Banff. In it Dr. Baker provides information on the diagnosis and treatment of patients with complex chronic pain syndromes and addictive disorders and he explains how emotional and behavioural traits sometimes called codependence in both the patient and the physician can serve as a barrier to recovery in these complex cases.
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Best Practices for Organizations Managing
Employees with Possible Substance Abuse Disorders
This article is the result of consultation with a variety of experts who have experience in establishing and administering effective techniques to manage workers whose substances has begun to interfere with their health and performance of their jobs. Special attention has been directed towards safety-sensitive workers with addictions.
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Adolescents and Drugs
On January 26, 2005 Dr. Baker addressed parents and educators in separate sessions discussing the unique problems that drugs, especially marijuana, can cause for adolescents. These slides were used in both talks.
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Physicians and Addictions: The Disease
Hawaii Medical Association 148th Annual Meeing: Multitasking in Medical Professions Update in Physician Health: The Disease of Addiction and its Relevance to Primary Care Physicians.
During this one hour session Dr. Baker provided an overview on the role of physicians in office based screening, intervention and treatment planning for their patients with addictive disorders. He also discussed some aspects of the lives of physicians making them vulnerable to addictive disorders. Finally he briefly reviewed some of the neurobiology and recent outcome research guiding treatment decisions in Addiction Medicine.
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Overview of Substance Use Disorders for Peer Support Workers
This two-hour session was presented by Dr. Baker January 24, 2004 at the 3rd annual National Peer Support Workshop at UBC. Topics covered include risk factors, diagnostic criteria, assessment and treatment planning for clients with substance use disorders. A key component of this presentation was the concept of the addicted family system and the dynamics resulting in offspring with problems with recognizing and expressing emotions, establishing healthy boundaries and maintaining relationships.
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Addictions in Corrections
Dr. Baker presented this talk at the 29th Canadian Conference on Criminal Justice, November 6, 2003 as part of a plenary debate on approaches to treatment of substance dependent individuals in corrections settings. In it he explores the nature of addictions, some of the evidence on effectiveness of treatment and some of the special challenges and opportunities offered in corrections settings.
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Addictions and the Lab
Health professionals have several key roles to play in the detection and treatment of substance use disorders. Often health professionals themselves have been affected by a family member's addictive disorder. In this session we will explore the etiology and course of substance dependence, effective methods of diagnosis and treatment and we will briefly cover the role of the lab in diagnosis, treatment and relapse prevention.
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Addiction Medicine a Toolkit for Rural Docs
This presentation was the Saturday morning plenary at The Canadian Society of Rural Physicians’ 2003 conference April 26, 2003, in Kelowna, BC. It provides a brief review of neurobiology, screening, diagnosis, assessment and treatment planning for patients with addictive disorders.
Smoking Cessation
On April 26, 2003 at the Canadian Society of Rural Physicians conference in Kelowna this presentation served as the basis for an interactive review of effective techniques for helping our patients quit smoking and stay quit.
Pain and Addiction
This was a breakout session at the Canadian Society of Rural Physicians’ 2003 conference in Kelowna. It covers diagnosis, the role of codependence and the addicted family system in predisposing one for somatic complaints, how codependent health professionals can unwittingly enable their patients with pain and addictions, and effective therapeutic techniques for both chronic disorders
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Marijuana at Work
There are many causes of impairment that increase risk of accidents in safety sensitive workers. Fatigue, stress, depression, anger, medical illness and drug use (alcohol, illicit drugs, over the counter, and prescription) are only a few. Employers are expected to ensure safety at work, but they are also expected to mind their own business: attendance, performance, behaviour and safety. Although there is a very limited place for it, drug testing is a blunt instrument: it strains the relationship of trust between employer and employee and it cannot detect impairment. There are better ways to detect and intervene on employees who might have impairment due to any number of causes including substance use problems.
Learn about signs and symptoms, effective policies, assessment, treatment and return to work using contingency contracts. This is an area that labour and management can work together to improve worker safety and health.
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Effective Management of Invisible Disabilities
On February 5 2003 Dr. Baker presented this talk to the Human Rights and Labour Law sections of the Canadian Bar Association, at a luncheon meeting at Borden, Ladner Gervais in Vancouver. In this presentation we explore similarities between addictions, stress, chronic pain syndromes and depression. The workplace may play an important role in early identification, referral for assessment and contingency management to ensure effective return to work with ongoing relapse prevention.
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Motivating Patients to Improve Compliance
This presentation outlines effective techniques, using Stages of Change model and motivational interviewing to assist our patients in changing their health behaviours
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Screening, Assessment, Treatment
Case finding and thorough evaluation are necessary before effective treatment planning may occur. This presentation walks through the steps from first presentation to treatment plan.
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Stage 2 Recovery
Often recovering clients become stuck somewhere after abstinence with its early pink cloud, but before stable, emotional comfort and effective social functioning is achieved. This presentation reviews the common pitfalls during the first few years of recovery from addictive disorders.
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Codependence in Care Givers
Our clients come from alcoholic or dysfunctional homes and often those of us who are attracted to the helping professions have similar backgrounds. Learn the dynamics of codependence, somatization, emotional numbness, as well as the psychosocial symptoms they produce. Finally review effective techniques for overcoming these common problems.
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Substance Use and Work: Developing Effective Policies for Health, Safety and Reduced Liability
In the aging workforce there are more causes of worker impairment at a time employers are being asked to take a more active role in identification and intervention on employees whose substance use or other causes of impairment cause increased risk. This session walks the learner through common signs and symptoms of substance use disorders and provides a menu of solutions from which to begin the process of developing effective policies to create a safer, healthier workplace.
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Nicotine and Other Addictions
Nicotine addiction is very similar to the other drug addictions. This presentation, given April 15 in Sydney, Nova Scotia, examines some of the evidence of the health effects of smoking, treatment options available and offers tips for integrating treatment for nicotine addiction with treatment for other addictive disorders.
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Addictions as invisible disabilities
Addictions, both hidden and obvious, contribute significantly to costs and suffering of employees on disability claims. There are early warning flags that the astute clinician, workplace supervisor or claims case manager may detect to get early identification and intervention on these potentially tragic cases. Good methods exist for assessment, treatment planning and return to work. In safety-sensitive occupations monitoring is an important component of return to work planning. Learn the potential role of health insurers in getting early resolution and recovery in these challenging cases.
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Lawyer stress and work addiction
The legal world has its high-energy moments when the stress of work can be mood-elevating. But in longer doses this stress becomes chronic and very destructive. The addiction to work stress, like any other addiction, is a pathological relationship with a mood-altering activity with life-damaging consequences. [October/02]
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MMT Traps and Tips CPSO
Dr. Baker presented the keynote address using these slides, at the Ontario College of Physicians and Surgeons annual educational day, October 7, 2002. In it Dr. Baker reviewed some evidence on treatment of substance use disorders and offered suggestions based upon many audits of methadone prescriber practices in British Columbia. [Oct 7/02]
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Invisible Disabilities – IWA Safety Committee Training
Some disabilities are more obvious than others. Disorders such as depression, chronic stress-related conditions, chronic pain syndromes and addictions can appear very similar in the worker. They all affect safety. They are all treatable. Often the sufferer with one of these conditions needs help seeing they have a problem and getting help. The earlier the intervention, the better the outcome for everyone. As a safety committee member, you can play a vital role in improving workplace safety for getting help for your fellow worker suffering from an invisible disability. [Nov 2/02
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RADAT Addictions Workshop
This presentation was designed for community mental health and addictions counsellors, educators and therapists. It covers diagnostic criteria, epidemiology and neurobiology of addictive disorders. We also review some of the evidence on treatment choices for addictive disorders. It was meant to fit in to a series of educational presentations offered by the Richmond Alcohol and Drug Action Teams annual 2 day addiction training seminars. [Nov 19/02]
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