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Helping the Helpers 2014.  There is mounting evidence that the stresses of the Public Safety Professional life have a strong impact on the use and.

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Presentation on theme: "Helping the Helpers 2014.  There is mounting evidence that the stresses of the Public Safety Professional life have a strong impact on the use and."— Presentation transcript:

1 Helping the Helpers 2014

2

3  There is mounting evidence that the stresses of the Public Safety Professional life have a strong impact on the use and abuse of alcohol and other drugs by those public servants.

4  “Emergency Responders In Need” (ERIN), a Southwestern Ohio public safety-based group now offers….

5  …an effective and confidential service to help firefighters, police officers, EMS professionals, dispatchers and others to find a pathway of recovery from the devastating effects of alcohol and drug misuse.

6  Public Safety:

7  Law Enforcement

8  Public Safety:  Law Enforcement  Fire

9  Public Safety:  Law Enforcement  Fire  EMS

10  Public Safety:  Law Enforcement  Fire  EMS  Dispatchers

11  Public Safety:  Law Enforcement  Fire  EMS  Dispatchers  Medical Staff

12  Public Safety:  Professional

13  Public Safety:  Professional  Mission: “Save Lives and Property”

14  Public Safety:  Professional  Mission: “Save Lives and Property”  “Protect and Serve”

15  Public Safety:  Professional  Mission: “Save Lives and Property”  Often work in a dangerous environment

16  Public Safety:  Prepared to sacrifice personal comfort and wellbeing. Detroit 1930

17  In spite of it all…

18  Must maintain a spotless professional bearing

19  In spite of it all…  Must maintain a spotless professional bearing  In the face of an often less-than-forgiving public

20  In spite of it all…  Must maintain a spotless professional bearing  Often, less-than-forgiving public  Public scrutiny holds us to a higher standard

21  In spite of it all…  Must maintain a spotless professional bearing  Often, less-than-professional public.  Public scrutiny holds us to a higher standard.  WE hold ourselves to a higher standard.

22  NEVERTHELESS!

23  We are, after all… Human

24  Public Safety is a profession

25  We are human beings who occupy that profession

26  Public Safety is a profession  We are human beings who occupy that profession  As humans, we are subject to human frailty

27

28  Unusual Schedule:

29  Interruptions:

30  Unusual Schedule:  Interruptions:  Disturbing Scenes

31  Unusual Schedule:  Interruptions:  Disturbing Scenes  Time off (BORING!!!!)

32 Anything else!

33  C RITICAL I NCIDENT S TRESS :

34 What is it???

35  C RITICAL I NCIDENT S TRESS :  …any event that has a stressful impact sufficient enough to overwhelm the usually effective coping skills of an individual.

36  C RITICAL I NCIDENT S TRESS :  Critical incidents are abrupt, powerful events that fall outside the range of ordinary human experience.

37  C RITICAL I NCIDENT S TRESS :  Examples of Critical Incidents – 1.Major disaster, e.g. airplane crash, major bombing, etc. 2.Mass casualty incident with serious or critical injuries 3.Serious injury, death or suicide of emergency response personnel 4.Death of a person known to responding personnel 5.Traumatic death of a child

38  C RITICAL I NCIDENT S TRESS :  Examples of Critical Incidents – 6.Prolonged incident with negative outcome 7.Incident that attracts unusually heavy or critical news media coverage 8.Any incident that requires unusually high personal risk for emergency workers. 9.Administrative betrayal 10.Any incident with a powerful impact on responding personnel

39  C RITICAL I NCIDENT S TRESS :  How Critical Incident Stress may manifest:  Physical Signs: 1.Fatigue 2.Nausea 3.Muscle tremors 4.Twitches 5.Chest pain 6.Difficulty breathing 7.Elevated BP 8.Rapid heart rate  More…

40  C RITICAL I NCIDENT S TRESS :  How Critical Incident Stress may manifest:  Cognitive Signs: 1. Blaming someone 2. Confusion 3. Poor attention 4. Poor decisions 5. Heightened or lowered alertness 6. Poor concentration 7. Memory problems 8. Hyper-vigilance  More…

41  C RITICAL I NCIDENT S TRESS :  How Critical Incident Stress may manifest:  Behavioral Signs: 1. Change in activity 2. Change in speech patterns 3. Withdrawal 4. Emotional outbursts 5. Suspiciousness 6. Change in usual communications 7. Loss or increase of appetite 8. Alcohol consumption More…

42  C RITICAL I NCIDENT S TRESS :  How Critical Incident Stress may manifest:  Emotional Signs: 1. Anxiety 2. Guilt 3. Grief 4. Denial 5. Severe panic (rare) 6. Emotional shock 7. Fear  More…

43  C RITICAL I NCIDENT S TRESS :  How Critical Incident Stress may manifest:  Emotional Signs 1. Uncertainty 2. Loss of emotional control 3. Depression  More…

44  T HE C ONNECTION : Alcohol in particular is known for its ability to depress unpleasant emotions, and the high percentages of PTSD sufferers who have also been diagnosed with a drinking problem seems to lend credence to the idea that at least some are turning to intoxicants to help them forget their other woes. THE RANCH, online.

45  T HE C ONNECTION :  Post Traumatic Stress Disorder (PTSD) and Critical Incident Stress are similar; however:  …Post Traumatic Stress Disorder differs from critical incident stress by lasting longer than four weeks after the event triggering the emotional, mental or physical response. Most instances of critical incident stress last between two days and four weeks…United States Department of Labor.

46  T HE C ONNECTION : … Stress - and especially trauma - is considered a major contributor to substance abuse initiation, continuation, and relapse. Studies have consistently shown that there is a greater likelihood of alcohol and drug abuse when stress is high, and now research supports the theory that trauma is one of (my emphasis)the pathways into addiction… Council on Alcoholism and Addictions of the Finger Lakes

47  T HE C ONNECTION :  About 4% of the US population meets criteria for alcohol dependence.... In Canada, about 4% of men and 2% of women meet alcohol or drug dependence criteria (CCHS, 2003).

48  T HE C ONNECTION :  About 4% of the US population meets criteria for alcohol dependence...  It is estimated that about 17% of [U.S.] men and about 8% of [U.S.] women will meet criteria for alcohol dependence at some point in their lives. CDC, Atlanta, GA

49  T HE C ONNECTION :  About 4% of the US population meets criteria for alcohol dependence...  It is estimated that about 17% of [U.S.] men and about 8% of [U.S.] women will meet criteria for alcohol dependence at some point in their lives. CDC, Atlanta, GA  In Canada, about 4% of men and 2% of women meet alcohol or drug dependence criteria (CCHS, 2003).

50  T HE C ONNECTION : When we look specifically at alcohol use among firefighters, we see that: Studies of firefighters demonstrate that 29% of active duty fire fighters have possible or probable problems with alcohol use (Boxer and Wild, 1993).

51  T HE C ONNECTION : Studies of firefighters demonstrate that 29% of active duty fire fighters have possible or probable problems with alcohol use (Boxer and Wild, 1993). 50% of the firefighters surveyed in Oklahoma City had a prior history of alcohol problems (North, 2002).

52 52 Alcohol by the Numbers  It is accepted that 10% of the adult population drink excessively.

53 53 Alcohol by the Numbers  It is accepted that 10% of the adult population drink excessively.  One third of the adult population does not consume alcohol at all for cultural, religious, health or personal reasons.

54 54 Alcohol by the Numbers  It is accepted that 10% of the adult population drink excessively.  One third of the adult population does not consume alcohol at all for cultural, religious, health or personal reasons.  Of the remaining two thirds of the adult population who do consume alcohol, over one in seven drink excessively.

55 55 Alcohol by the Numbers  It is accepted that 10% of the adult population drink excessively.  One third of the adult population does not consume alcohol at all for cultural, religious, health or personal reasons.  Of the remaining two thirds of the adult population who do consume alcohol, over one in seven drink excessively.  Those who drink excessively, drink over half of all alcohol consumed.

56 56 Funny Alcohol

57 57 Funny Alcohol WC Fields

58 58 Funny Alcohol ◦ WC Fields had two bars in his home; one on either end.

59 59 Funny Alcohol ◦ His rationale was:

60 60 Funny Alcohol ◦ “You never know when half of your house will burn down.”

61 61  We laugh about it! ◦ “A woman drove me to drink and I didn't even have the decency to thank her.” W.C. Fields W.C. Fields Why Alcohol? Source: John Phillips, Esq. presentation to Northeast Lawyers Club (2011)

62 62  We laugh about it! ◦ Always carry a flagon of whiskey in case of snakebite and furthermore always carry a small snake. ◦ W.C. Fields W.C. Fields Why Alcohol? Source: John Phillips, Esq. presentation to Northeast Lawyers Club (2011) Southeast Asian Southeast Asian Snake Wine

63 63 W.C. Fields  “Now don't say you can't swear off drinking; it's easy. I've done it a thousand times.” Source: John Phillips, Esq. presentation to Northeast Lawyers Club (2011)

64 64 W.C. Fields’ Death Certificate  Cirrhosis of the Liver  Chronic Alcoholism Source: John Phillips, Esq. presentation to Northeast Lawyers Club (2011)

65 65 Alcoholism in the Legal Profession  Approximately 60% of discipline prosecutions involve alcoholism. John Phillips, Esq. cont. ed. presentation to Northeast Cincinnati Lawyers Club.

66 66 Alcoholism in the Legal Profession  Approximately 60% of discipline prosecutions involve alcoholism.  Over 60% of all malpractice claims involve alcohol abuse.

67 67 Alcoholism in the Legal Profession  Approximately 60% of discipline prosecutions involve alcoholism.  Over 60% of all malpractice claims involve alcohol abuse.  More significantly, a recent study has suggested that 90% of serious disciplinary matters involve alcohol abuse.

68 68 Progression of the Alcoholic  Alcoholism is a progressive disease and a lawyer (for example) may practice law as a social drinker without difficulty or repercussions for many, many years.

69 69 Progression of the Alcoholic  Alcoholism is a progressive disease and a lawyer (for example) may practice law as a social drinker without difficulty or repercussions for many, many years.  Perhaps after 20 years or more, that same lawyer may cross the line from being a social drinker to a problem drinker.

70 70 Progression of the Alcoholic  Alcoholism is a progressive disease and a lawyer (for example) may practice law as a social drinker without difficulty or repercussions for many, many years.  Perhaps after 20 years or more, that same lawyer may cross the line from being a social drinker to a problem drinker.  It may be 5 or 10 years beyond that before he or she progresses to alcoholism.

71 71 Progression of the Alcoholic It is patently easy to spot alcoholism in its later stages.

72 72 A model of Alcoholic progression involving four phases:  Phase 3, the crucial phase, consists of frank addiction. Physiological dependence is clearly evident, loss of control, job loss, marital conflict, separation and divorce, general interpersonal difficulties and increased aggressive behavior. The individual is willing to risk everything to continue drinking. Dr. E.M. Jellinek, a pioneer in the scientific analysis of alcoholic use and abuse.

73 73 A model of Alcoholic progression involving four phases:  Phase 3, the crucial phase, consists of frank addiction. Physiological dependence is clearly evident, loss of control, job loss, marital conflict, separation and divorce, general interpersonal difficulties and increased aggressive behavior. The individual is willing to risk everything to continue drinking.  Phase 4 alcoholism in the chronic phase; advanced physiological diseases, withdrawal, severe depressions, manic behavior, hopelessness, suicidal thoughts, panic and self- loathing. Dr. E.M. Jellinek, a pioneer in the scientific analysis of alcoholic use and abuse.

74 74 The Typical Alcoholic  Most Alcoholics have families and homes, jobs and careers.

75 75 The Typical Alcoholic  Most Alcoholics have families and homes, jobs and careers.  Most Alcoholics are in denial and feel that they cannot be addicts since they still have these homes, families, and offices, together with their law practice.

76 76 The Typical Alcoholic  Since the Alcoholic is not on “skid row,” the Alcoholic remains in denial.

77 77 The Typical Alcoholic  Since the Alcoholic is not on “skid row,” the Alcoholic remains in denial. ◦ FACT: Less than 5% of alcoholics and drug addicts live on “skid row.”

78 78 The Progression of Alcoholism  The progression towards Alcoholism can be very, very gradual.

79 79 The Progression of Alcoholism  The progression towards Alcoholism can be very, very gradual.  Usually, colleagues, employees and family members do not notice the gradual change over many years.

80 80 The Progression of Alcoholism  The progression towards Alcoholism can be very, very gradual.  Usually, colleagues, employees and family members do not notice the gradual change over many years.  The onset of the disease may be evidenced by increased consumption on a daily basis or by binge drinking on weekends or long weekend benders every few months.

81 81 The Progression of Alcoholism  The progression towards Alcoholism can be very, very gradual.  Usually, colleagues, employees and family members do not notice the gradual change over many years.  The onset of the disease may be evidenced by increased consumption on a daily basis or by binge drinking on weekends or long weekend benders every few months.  Finally, Alcoholism may be evidenced by constant drinking including blackouts.

82 82 Why is it difficult to spot the Alcoholic?  The pressures and difficulties of a professional provide ready excuses for outbursts of temper, confusion or delay, exhaustion, inattention, or anxiety.

83 83 Why is it difficult to spot the Alcoholic?  The pressures and difficulties of a professional provide ready excuses for outbursts of temper, confusion or delay, exhaustion, inattention, or anxiety.  Further, others may be reluctant to discuss symptoms of addiction with anyone.

84 84 Three things you should know about Alcoholism 1. Alcoholism is a progressive disease. It gets worse, but never better.

85 85 Three things you should know about Alcoholism 1. Alcoholism is a progressive disease. It gets worse, but never better. 2. Usually the addict seeks relief from anxiety and inner tension primarily by using alcohol.

86 86 Three things you should know about Alcoholism 1. Alcoholism is a progressive disease. It gets worse, but never better. 2. Usually the addict seeks relief from anxiety and inner tension primarily by using alcohol. 3. Repetitive use of alcohol for relief firmly establishes this progressive addiction. When the alcoholic starts using again - even after a long period of "being on the wagon", his condition rapidly becomes as bad or worse as it was when he quit.

87 87 Emergency Responders In Need (ERIN) The ERIN Program is a voluntary alcohol and other drug recovery program designed for emergency responders, including, fire, EMS, police, dispatchers, and their families.

88 88 Emergency Responders In Need (ERIN) The Program also provides Community Resource Support to the affected workers and families.

89 89 Current Agencies Represented in the ERIN Program Development  Southwest Ohio CISM Team  The Alcoholism Council  Cincinnati Fire Department  CCAT – Center for Chemical Addictions Treatment Center  Ohio Pharmacist’s Rehabilitation Program  Ohio Lawyer’s Assistance Program  Firefighters Union Local #48  Deerfield Township FD  Forest Park FD  City of Montgomery PD  Ohio Department of Public Safety – Education

90 90 The Program’s Long-Term Goals Are: 1.Establish a confidential program for emergency responders throughout Ohio

91 91 The Program’s Long-Term Goals Are: 1.Establish a confidential program for emergency responders throughout Ohio 2.Encourage Ohio EMS Board to require one hour of continuing education requirement for EMS, and Fire.

92 92 The Program’s Long-Term Goals Are: 1.Establish a confidential program for emergency responders throughout Ohio 2.Encourage Ohio EMS Board to require one hour of continuing education requirement for EMS, and Fire. 3.Get other CISM teams nationwide to start similar programs.

93 93 7/06 Ohio Legislature Establishes CISM Privilege Communication 1. Ohio Rev. Code Privileged communications - for critical incident stress management team member(s) or team member means an individual specially trained to provide crisis response services as a member of an organized community or local response team that holds membership in the Ohio critical incident stress management network.

94 94 7/06 Ohio Legislature Establishes CISM Privilege Communication 1. Ohio Rev. Code Privileged communications - for critical incident stress management team member(s) or team member means an individual specially trained to provide crisis response services as a member of an organized community or local response team that holds membership in the Ohio critical incident stress management network. 2. Ohio Rev. Code Immunity of Peer or professional standards committee or counseling and assistance committee of a professional organization. – just add to paragraph B “public safety service organizations” seeking sponsorship for bill July 17 th.

95 95 How can I be assured of confidentiality?  Confidentiality for those seeking help must be maintained throughout the recovery process and thereafter.

96 96 How can I be assured of confidentiality?  Confidentiality for those seeking help must be maintained throughout the recovery process and thereafter.  The recovering individual may reveal circumstances as he or she sees fit.

97 97 How can I be assured of confidentiality?  Confidentiality for those seeking help must be maintained throughout the recovery process and thereafter.  The recovering individual may reveal circumstances as he or she sees fit.  The recovering individual must be confident that his or her confidentiality will be respected at all times by others involved in the recovery process.

98 98 How can I be assured of confidentiality?  Confidentiality for those seeking help must be maintained throughout the recovery process and thereafter.  The recovering individual may reveal circumstances as he or she sees fit.  The recovering individual must be confident that his or her confidentiality will be respected at all times by others involved in the recovery process.  Ohio Revised Code Privileged Communications

99 99 The ERIN GROUP CURRENTLY MEETS THE 3 RD THURSDAY OF EVERY MONTH. Location: Cincinnati Alcoholism Council, located at 2828 Vernon Place, Cincinnati, Ohio :30 – 11:00 AM. More information contact at the Alcoholism Council (513)

100 100  Recovery programs also focus on the problems faced by those close to an Alcoholic / Drug Addict  The only person you can change is YOURSELF  hp hp

101 101 Lt. Suspended for Alcohol on His Breath…Univ. of Cincinnati

102 102  Each day, 4 Ohioans die because of drug overdose. Currently #1 cause of accidental death in Ohio

103 103  There were 327 fatal drug ODs in 1998 growing to 1,544 annual deaths in 2010

104 104  Each day, 4 Ohioans die because of drug overdose. Currently #1 cause of accidental death in Ohio  There were 327 fatal drug ODs in 1998 growing to 1,544 annual deaths in 2010  Nearly 2/3 (63%) ODs in 2010 involved opioids

105 105  Each day, 4 Ohioans die because of drug overdose. Currently #1 cause of accidental death in Ohio  There were 327 fatal drug ODs in 1998 growing to 1,544 annual deaths in 2010  Nearly 2/3 (63%) ODs in 2010 involved opioids  Drug ODs cost Ohioans $3.5 billion/year; non-fatal hospital admitted drug poisonings cost an additional $31.9 million/year

106 106  It is important to know: ◦ The Addiction Disease Process ◦ There are Solutions ◦ We are NOT Immune to this Disease  ERIN – We can help

107 107  It is important to know: ◦ The Addiction Disease Process

108 108  It is important to know: ◦ The Addiction Disease Process ◦ There are Solutions

109 109  It is important to know: ◦ The Addiction Disease Process ◦ There are Solutions ◦ We are NOT Immune to this Disease

110 110  It is important to know: ◦ The Addiction Disease Process ◦ There are Solutions ◦ We are NOT Immune to this Disease  ERIN – We can help

111 111 ERIN – (Emergency Responders in Need) Contact Numbers  Alcoholism Council:  AA Cincinnati: (513)  ERIN:  PEAP: your-employee-assistance-program/ your-employee-assistance-program/  Mike Kroeger (513)  Dave Jennings (513)


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