Social And Family Intervention Technician

The social and family intervention technician (TISF) works with families and people who need help in particular circumstances: death, hospitalization, pathological pregnancy, birth, prolonged illness, disability, social difficulties, etc.

Support In Activities Of Daily Living

The Professional Has A Preventive, Educational, Accompaniment, And Support Role. A FAMILY-ORIENTED PROFESSION

The TISF helps the members of the household in the activities of daily life (cleaning, meals, help with homework). He can advise on the management of the daily budget and transmits know-how.

Accompany And Help In The Exercise Of The Parental Function

The TISF contributes to the development of family life and particularly supports parenting. 

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It can accompany the exercise of the parental function, for example, by helping to welcome and take care of the infant if the parents are temporarily unable to cope with daily life (hospitalization of a single mother, disability, etc.).

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In educational prevention, he intervenes in the context of child protection at the request of a social worker or justice services when there is abuse, violence, or a difficult divorce.

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When custody of the child is withdrawn from the parents, he can be mandated to oversee visitation rights. 

Accompany People To Integrate Into The Social Environment

The TISF contributes to the social integration of marginalized people. It creates or restores social ties and promotes the development and autonomy of the people helped.

  • Theessentialqualities have an excellent capacity for adaptation and anticipation to deal with various situations.
  • Like human contact and have a strong interest in the helping relationship.
  • Have a sense of listening.
  • Patience, tact, and discretion are essential assets.
  • Good management of one’s sensitivity to the problems of others is also necessary to preserve oneself on an emotional level. The TISF must be able to extract themselves from situations and keep their distance.
  • Have a good psychological balance.

Family Intervention And Psychosocial Intervention In Networks

Deepen the concepts and perfect the skills specific to psychosocial intervention in networks and apply them to the challenges, difficulties, and problems related to family life. Identify the links between the issues and the living conditions of the families. Identify the parameters favoring the contribution of the networks to the resolution of family problems and the competence of the various family members.

Family Intervention Technician (TISF)

The accompaniment by a technician in social and family intervention (TISF), under the social aid for children, falls within the context of a social or medico-social identification by one or more services of the Department or by an external service or in addition to a home or reception measure ordered for prevention or child protection.

The Missions Of The TISF Consist Of:

  • Support parents in activities of daily living. It is a question of giving back essential reference points vis-à-vis the child in areas as diverse as health, hygiene, food, safety, education, schooling, leisure, etc., by valuing the role of parents and respecting their choices.
  • Promote the social integration or integration of families into their environment. TISF can encourage families to go to places outside their homes to participate in collective actions in their neighborhoods. The TISFs also promote the link between parents and the school by encouraging them to approach the teachers. They can accompany them, if necessary, in the early stages.
  • Contribute to the identification of risks for the child. The TISF can identify and alert on situations of trouble for the child, particularly in the deterioration of material living conditions, conflict situations, or the decline of parent-child links.
  • Accompany, at the request of the Child Welfare Unit (Ase) and in conjunction with the Child Project Coordinator (PPE), the visit or return home of a child placed on a short period.

Safe Care Program

Safecare is an evidence-based program of an educational nature based at home, intended for families in which one or more of the possible child protection situations have been observed.

It is developed through teaching-modeling sessions by a family educator at the family’s home, where she works with parents and sons and daughters on specific parenting skills. For this, the family educator uses a structured manual divided into three modules that are taught in their entirety during the duration of the program: health care module, home safety module, and parent/child interaction module.

The families targeted by the program are those that meet the following inclusion criteria:

  • Age of the boy or girl 0-5 years
  • Current presence or risk of physical and emotional neglect toward the child
  • The boy or girl lives in the family home, and the objective of the intervention is family preservation
  • The family voluntarily accepts the intervention

The program is being implemented within the framework of a collaboration agreement with the University of the Basque Country and the Donostia City Council.

Incredible Years Program

Incredible Years is an evidence-based, early intervention program for preventing behavior problems and promoting social and emotional competence.

The group intervention program isogram is aimed at families with children with behavioral problems and parents with difficulties managing such issues.

It simultaneously focuses on teaching parenting skills and group therapeutic care for boys and girls. The central objectives of the program are:

  • Strengthen the parent-child relationship
  • Strengthen interpersonal skills and the support network of parents
  • Establish routines, limits, and norms in a non-punitive way and learn to solve problems

It has modules for different ages. The duration of the program is about 22-24 sessions. These are weekly.

Treatment for substance use disorders

It is difficult to receive treatment for substance use disorder. It isn’t easy regardless of whether it is a personal decision or whether it is recommended or required by the court system, family, or an employer. The first step to receiving the whole treatment is a thorough evaluation. This includes the following:

  • A complete assessment of the person’s recent use.
  • An evaluation of the person’s social situation.
  • Identification of treatment goals.

After this evaluation, you will receive a treatment recommendation. Recommended treatment will be provided on an inpatient or outpatient basis. This is known as the level of care (LOC).

ambulatory care

Outpatient care may include 12-step programs, therapy, support groups, and partial hospitalization.

  • Usually, these programs are community-based and accessible.
  • They include programs like Alcoholics Anonymous, Narcotics Anonymous, Al-Anon, and Ala-Teen.
  • They can be accommodating for patients trying to recover. They can also help family members affected by substance use.
  • The programs allow you to connect with other people who are in recovery.
  • They offer support and strategies for you to achieve a successful recovery.

Routine Outpatient Care (Roc):

  • The ROC includes individual counseling with trained therapists.
  • It may also include visits to a psychiatrist or an addictologist. These professionals can help decide if medicines would help.
  • The ROC does not include medical treatments for complicated withdrawal symptoms.

Intensive Outpatient Care Program (IOP) For Substance Use Disorders:

  • The IOP is a structured treatment that teaches about addiction and recovery.
  • In general, it encourages participation in 12-step programs.
  • The program connects frequent visits (usually three to five days per week) and requires three to four hours of treatment daily.
  • It is structured so patients can continue working and maintain their usual routine.

Partial Hospitalization For Substance Use Disorders:

  • It is a structured treatment.
  • Partial hospitalization can help patients who continue to have difficulties after completing lower levels of care.
  • It connects treatment five to seven days weekly for six to eight hours daily.
  • You can offer a drug and alcohol-free housing solution while attending the program.

Outpatient Detox

  • They are offered on an outpatient basis. It is intended for people who are highly motivated to recover but need medical treatment due to withdrawal symptoms.
  • It can work when medical professionals can supervise the patient.

Inpatient care

Inpatient Detox

  • It is suitable for people who necessary 24-hour intensive medical care.
  • It may be crucial for people dependent on certain drugs. This includes alcohol, sedatives, and some opioids, such as pain relievers or heroin.
  • It is intended for people whose medical situation is complicated.

Acute Inpatient Care

  • They may be needed after inpatient detoxification once withdrawal symptoms have subsided. If the patient has medical or psychiatric symptoms, they may need 24-hour care and daily visits to the doctor.
  • In general, they are short-term treatments.

Inpatient Residential Facilities:

  • This method is tried after having failed several times at other levels of care.
  • They are intended for people who do not need medical supervision.
  • They can last 28 days or more.
  • They are unsuitable for people who are not motivated to change or recover.
  • They are only as effective as other types of care in achieving long-term sobriety.
  • They should include weekly family therapy.

Why Is Adolescence A Critical Stage For Preventing Drug Addiction?

As we mentioned, early drug use increases a person’s likelihood of becoming addicted. Remember that drugs change the brain, which can cause addiction and serious problems. Therefore, proscriptive early drug or alcohol use can go a long way in reducing these risks.

The risk of using drugs increases substantially during the transition stages. A divorce or job loss can increase the risk of drug use for adults. For a teenager, risky times include moving, parental divorce, or changing schools.

When children move from elementary school to middle school, they must deal with new social, family, and academic situations that are difficult for them. Often during this period, they are first exposed to substances such as cigarettes or alcohol. Upon entering high school, there may be greater availability of drugs, older adolescents already given to use, and social activities in which drugs are used. When they leave high school and begin a more independent adult life at university or in a workplace, they may also be exposed to drug use, already removed from the protective structure provided by family and school.

Drugs Intervention Programs

These Drugs Intervention programs increase careful factors to reduce risk factors for drug use. They are designed for different ages and can be used individually or in a group setting, such as school or home. There are three types of programs:

  • Universal Programs:  Focus on risk and careful factors common to all children in a given setting, such as school or the community.
  • Selective programs:  for groups of children and adolescents exposed to certain factors that increase the risk of drug use.
  • Programs indicated:  they are designed for young people who have already started using drugs.

Pharmaceutical Intervention

Pharmaceutical interventions (PI) are an integral part of the clinical pharmacy approach and are derived from the pharmaceutical analysis of the prescription. Structuring IPs produced in the pharmacy is essential to ensure their traceability. Furthermore, the documentation and analysis of PIs is a significant issue for the recognition of the work of the community pharmacist, both by patients and other health professionals and the community.

Why Document Pharmaceutical Interventions?

Valuing The Pharmaceutical Activity

Pharmaceutical interventions are a reflection of the prescription analysis activity during the dispensation. By counting them, pharmacies demonstrate that they carry out PIs daily. The collection of IPs also makes it possible to quantify and qualify the provider’s intellectual work. The data documented in Act-IP Officine constitutes a public health observatory supported by the SFPC, which will allow the realization of banalyseslyzes and studies on pharmaceutical practices in the pharmacy to promote the recognition of these activities with decision-mainly as paying agencies. And supervision (ministries, health agencies, mutuals, etc.).

Improving Professional Practices

  • Documenting and analyzing the PIs carried out by the pharmacy team improves the service provided to the patient. It is thus possible to identify the therapeutic classes that generate the most PI and to set up specific training actions.
  • These actions also contribute to the quality approach. They improve by examining the problems encountered and the measures implemented to resolve them.
  • This analysis also makes it possible to identify risky situations: is a patient more frequently associated with specific problems related to his therapy? Does a prescriber encounter difficulties with certain therapeutic classes? Identifying these situations makes it possible to implement more systemic actions, such as information for prescribers.

Support Inter Professionalism

The analysis of the PIs already carried out and accepted by the prescribers makes it possible to work with them on a local and concerted therapeutic booklet or a cooperation protocol to more effectively propose solutions in the face of a recurring situation. For example, with an increase in supply disruptions currently to be feared, the analysis of PIs linked to unavailability is an opportunity to prevent disruptions in the continuity of care.

Gait Brakes

Some obstacles to the massive deployment of IPs in pharmacies have been identified. However, most disappear with practice or will be lifted by future improvements.

Complexity

The information on IPs is based on a coding grid validated by the SFPC ( see page 5 ). Suppose it is necessary to use it to inform these IPs effectively. In that case, regular coding practice makes it possible to memorize it quickly without referring to the documentation systematically. The many training courses provided to pharmacists and pharmacy students show that confronting the codification of around twenty standard PIs makes it possible to appropriate the tool successfully. Furthermore, there is no actual coding error. The same problem may be coded differently. The grid has been validated so that more than 90% of users register an issue similarly.

Time-Consuming

If entering IPs may seem a bit long, with experience, this activity only takes a few minutes. The Act-IP pharmacy online collection platform facilitates this task since it is possible, in particular, to enter the drugs from the database and to recover the data already entered for a patient when several IPs are to be identified in the same order. The time spent at this stage saves time when contacting the prescriber.

Socio-Educational And Psychosocial Intervention Services

TREBATU Program.

It is a socio-educational family intervention program for families with problems of intra-family child abuse and abandonment and children separated from them in a family or residential foster care. Its functions are to evaluate parental skills, establish a recoverability prognosis, carry out a socio-educational intervention plan, and implement the necessary resources to develop parental skills or complement them to promote adequate coverage of the needs of children.

They are managed by Agintzari by contract. The total number of simultaneous cases may rise to 300 families.

BIDERATU Program

Psychosocial intervention program. It has as functions:

  • Therapeutic intervention with families in which situations of child sexual abuse occur and with the children and adolescents of said families when the intervention so requires. This typology includes the previous Investigation and evaluation of situations in which a problem of child and adolescent sexual abuse has been reported. It also consists of evaluating and caring for conditions in which the concurrence of inappropriate sexual conduct among minors has been detected.
  • Therapeutic intervention with families and the children and adolescents of said families in which severe coexistence problems arise in adolescence or pre-adolescence, including cases of child-to-parent violence.
  • Therapeutic intervention with families and with the children and adolescents of said families in which dynamics of active physical or emotional abuse occur that seem to be associated with disorders in the parent-child bonding process and the application of inappropriate models of parent interaction. -children.

We have a total of 75 simultaneous places. The service is provided by Izan, family and community intervention, SL.

GARATU Program

This service is configured as a diagnostic and psychotherapeutic treatment resource aimed at minors in whom severe social and family vulnerability has been detected and who present relational problems and personal and social adaptation. You can also care for family members who need it to meet the objectives set out in the protective action. It aims to help the boy or girl and their family achieve positive personal adaptation and social integration by understanding their history and current situation and modifying dysfunctional individual and family patterns.

This service is offered to minors who participate in other family intervention programs, as well as to those who are in residential or family foster care. The service is provided through many different cabinets, coordinated by the Official College of Psychologists, with whom a collaboration agreement has been signed.…

Treatment Expectations

People often ask what the success rate is for each level of care. There is no simple answer to this question. Addiction is a chronic disease and a progressive disease.

People with substance use disorder are more likely to recover if they do the following:

  • They learn about their addiction.
  • They healthily handle conflict.
  • They follow the instructions of their healthcare providers.
  • They set up a support group to stay sober.
  • They make changes in their lives concerning what supports the consumption of alcohol or the use of drugs.

Recovery involves heroic effort daily. Most people who achieve it feel that the work has been worth it. Relapse is expected during the recovery process. A relapse does not mean that the person or the treatment has failed. It is usually a sign that treatment should be reviewed or changed.

Family Dynamics

Having a loved one with addiction problems is difficult for family members. They may need to take on the role of caretaker and advocate. They may not fully understand the situation of substance use. They may also try to handle their feelings in unhealthy ways.

A common myth is that specific treatments will “fix” a person. Loved ones usually hope that there is a “cause” that justifies the behavior. They assume that once what it is is detected, the addictive behavior will stop.

Loved ones may also suffer from the time and energy the patient must devote to recovery. They may pressure you to take your attention away from the recovery process. They may suffer from lifestyle changes essential for long-term change. All family members must work on their own “recovery.” It is vital to learn new ways of functioning within the Mint family.

Highest Level Of Care

A higher level of care should be examined when the patient:

  • You have been completing treatment but still use alcohol or drugs.
  • You are facing medical complications.
  • Shows a lower level of functioning.

How To Help

Your first step is to understand the situation clearly, and then you can discuss the available treatment options. It is important to remember that substance use disorder is a disease. She doesn’t go alone. Like any serious illness, it may require medical attention. And a support and care system to stay sober can make all the difference.

Every substance user is different and will have different needs and responses. He will also have various reasons for drinking or using substances. Knowing the unique qualities of each person is an advantage in being able to help them.

Be Active And Participate.

Don’t be afraid to talk about it honestly and openly. You may have to insist. Let your loved one know how brave it is to ask for or accept help. Most people with substance use disorders have a real need to talk. It will help their process to know that people care about them.

Early identification of substance use and timely treatment are essential. Approach the person without judging or confronting them. A kind encouragement at just the right time can help. Most people with substance use disorder have felt external pressure.

You may not be able to cure the disease, but you can offer support and guidance so that the person receives qualified help.