Addictions case manager and former addict Jean-Paul (JP) Michael provides a brief overview of harm reduction as it pertains to addiction care for individuals that use substances. Additionally, he covers the 6 principles of harm reduction:

1. Humanism

2. Pragmatism

3. Individualism

4. Autonomy

5. Incrementalism

6. Accountability without termination

*[ Harm reduction principles for healthcare settings Mary Hawk, Robert W. S. Coulter, James E. Egan, Stuart Fisk, M. Reuel Friedman, Monique Tula & Suzanne Kinsky Harm Reduction Journal volume 14, Article number: 70 (2017)]

https://www.toronto.ca/community-people/health-wellness-care/health-programs-advice/services-provided-by-the-works/

JP would like to acknowledge some of the amazing mentors he has had in the field of harm reduction: Nicole Kirwan, Nadia Wali, Dr. Alex Caudarella, Dr. Wiplove Lamba, Dr. Tim Guimond, and Dr. Erin Lurie.

Captain Hooked Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.

The content should not be taken as direct medical advice or clinical instruction.

#Lived experience

#PWID

#addiction

#recovery

#Captainhooked

#wiplove lamba

#jean-paul michael

#addiction medicine

#Humanism

#Pragmatism

#Individualism

#Incrementalism

#Harm reduction

#SIS,

#naloxone

#clean needles

Third wave psychotherapies are starting to show efficacy for people who use drugs. Here, Addiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager and former addict Jean-Paul (JP) Michael discuss the diagnosis of borderline personality disorder, Marsha Linehan, CBT, the dialectic of acceptance and change, the 4 components of DBT including group, individual, phone coaching and case conferences and the 4 key skills for the groups. Those skills are distress tolerance, mindfulness, emotion regulation and distress tolerance.

Here are the 3 key books that helped Wip learn DBT:

https://www.amazon.ca/Doing-Dialectical-Behavior-Therapy-Practical/dp/1462502326/ref=nodl_

https://www.amazon.ca/DBT®-Skills-Training-Manual-Second/dp/1462516998/ref=asc_df_1462516998_nodl/?tag=googlemobshop-20&linkCode=df0&hvadid=309806161563&hvpos=&hvnetw=g&hvrand=14565136303026684778&hvpone=&hvptwo=&hvqmt=&hvdev=m&hvdvcmdl=&hvlocint=&hvlocphy=9000920&hvtargid=pla-436016876073&psc=1

https://www.guilford.com/books/DBT-Skills-Training-Manual/Marsha-Linehan/9781462516995/package-offer#pr-section

Here is the introductory course he took several years ago:

https://cmbh.space/professional-trainings/

Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.

The content should not be taken as direct medical advice or clinical instruction.

#dialectical behaviour therapy

#psychotherapy

#mindfulness

#BPD

#personality disorder

#borderline personality disorder

#complex trauma

Addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael have been discussing the clinical assessment. In a previous talk, they discussed the content and compared and contrasted different kinds of assessments. Today, they discuss the “process”. This includes the context, the questions you ask, how you formulate the person, and how you give recommendations. Here they share different approaches in different situations, pros and cons of different ways of dressing, the importance of authentic acceptance before you can give advice on change, and most interestingly the value of direct vs indirect communication.

Here is an interview template for medical students and residents:

https://bcmj.org/sites/default/files/...

Here is the Stacer assessment form:

https://psychiatry.utoronto.ca/sites/...

Here is the Stacer feedback form:

https://psychiatry.utoronto.ca/media/...

The book on how to the psychiatric interview is by Shea:

Shea, Shawn C. Psychiatric Interviewing : the Art of Understanding : a Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and Other Mental Health Professionals. Philadelphia :Saunders. 1998

https://www.elsevier.ca/ca/product.js...

Here is the book on the bio psychosocial formulation:

https://www.bookdepository.com/The-Bi...

Perspectives of psychiatry approach:

https://www.hopkinsguides.com/hopkins...

Our other video on psychiatric assessments:

https://youtu.be/neAzQZkD5Xg

Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.

The content should not be taken as direct medical advice or clinical instruction.

#addiction

#recovery

#Unity health

#Captainhooked

#wiplove lamba

#jean-paul michael

#addiction medicine

#addiction psychiatry assessments

#neo five factor model

#personality

#lifestory

#mchugh

#biopsychosocial

Addiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager and former addict Jean-Paul (JP) Michael discuss the basic outpatient psychiatric assessment. Wiplove covers the key headings including identifying data, reason for referral, chief complaint, history of presenting illness, past psychiatric history, review of symptoms and personal history. JP has questions about how the assessment would change in different contexts and also asks “what is an addiction psychiatrist”. For interviews, Wiplove discusses how the content and process are both important. It’s not just what you ask but how you ask it.

Here is an interview template for medical students and residents.

https://bcmj.org/sites/default/files/public/PsychAssessform.pdf

Here is the evaluation form for when residents have to mock practice interviews.

Here is the stacer assessment form.

https://psychiatry.utoronto.ca/sites/default/files/General%20STACER%20Assessment%20Form.pdf

Here is the Stacer feedback form

https://psychiatry.utoronto.ca/media/2747/download?attachment

The book on how to the psychiatric interview is by Shea.

Shea, Shawn C. Psychiatric Interviewing : the Art of Understanding : a Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and Other Mental Health Professionals. Philadelphia :Saunders. 1998

https://www.elsevier.ca/ca/product.jsp?isbn=9781437716986

Here is the book on the bio psychosocial formulation.

https://www.bookdepository.com/The-Biopsychosocial-Formulation-Manual-William-H.-Campbell/9780415951425?redirected=true&utm_medium=Google&utm_campaign=Base2&utm_source=CA&utm_content=The-Biopsychosocial-Formulation-Manual&selectCurrency=CAD&w=AF4BAU9SLU3YQKA8VT31&gclid=CjwKCAiApvebBhAvEiwAe7mHSAvD6-gPqUiDHUQaFtmQCW8sT97qLr9_2a8BUmzI4_C1Y2-Dal9XTBoCoz0QAvD_BwE

Perspectives of psychiatry approach.

https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787008/all/The_Perspectives_Approach_to_Psychiatry

Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.

The content should not be taken as direct medical advice or clinical instruction.

#addiction

#recovery

#Unity health

#Captainhooked

#wiplove lamba

#jean-paul michael

#addiction medicine

#addiction psychiatry assessments

#neo five factor model

#personality

#lifestory

#mchugh

#biopsychosocial

Addictions case manager and former addict Jean-Paul (JP) Michael and addiction psychiatrist Dr. Wiplove (Wip) Lamba discus the perspectives of psychiatry in more detail. This includes shifting the conversation from how the perspectives of psychiatry model is into how would you actually use it in practice. Wip is not able to fully answer the questions and for clarity, both of them decide the next best step is a mock demonstration of what a psychiatric assessment looks like with a mock patient or a standardized patient.

The key point is that a traditional psychiatric assessment is how it is. And the perspectives of psychiatry approach allows for a unique and complementary formulation.

Here is a sample summary of a psychiatric assessment online.

https://bcmj.org/sites/default/files/public/PsychAssessform.pdf

Here is a web resource describing the perspectives of psychiatry approach.

https://www.psychdb.com/teaching/perspectives-approach-psychiatry

Here is another summary:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3357579/#!po=19.7674

Here is the first book they wrote on the topic.

https://www.amazon.ca/Perspectives-Psychiatry-Paul-R-McHugh/dp/0801860466/ref=nodl_

Here is the most recent and most practical version we showed in the podcast.

https://www.amazon.ca/Systematic-Psychiatric-Evaluation-Step-Step/dp/1421407027/ref=nodl_

Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.

The content should not be taken as direct medical advice or clinical instruction.

#addiction

#recovery

#Unity health

#Captainhooked

#wiplove lamba

#jean-paul michael

#addiction medicine

#addiction psychiatry assessments

#neofivefactormodel

#personality

#lifestory

#mchugh

#biopsychosocial

At John Hopkins, McHugh and Slavney developed the perspectives approach to psychiatry. Addiction psychiatrist Dr. Wiplove (Wip) Lamba regularly uses it in his clinical practice. In this episode, Wip and addictions case manager and former addict Jean-Paul (JP) Michael discuss the model, the different quadrants and how they help us understand the person and match to the appropriate treatment.  Wip believes this allows for a broader understanding of the person than a DSM diagnosis alone, and it is a useful complement to whichever clinical approach any of you use. It divides compliments of the person  into 4 areas: disease, dimensional, behavior and life story.  Disease is what a patient has, dimensional is what the person is, behavior is what the person does and life story is what the person encounters.    

Here is a web resource describing the perspectives of psychiatry approach:    

https://www.psychdb.com/teaching/perspectives-approach-psychiatry 

Here is another summary:   

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3357579/#!po=19.7674 

Here is the first book they wrote on the topic:    

https://www.amazon.ca/Perspectives-Psychiatry-Paul-R-McHugh/dp/0801860466/ref=nodl_ 

Here is the most recent and most practical version we showed in the podcast:    

https://www.amazon.ca/Systematic-Psychiatric-Evaluation-Step-Step/dp/1421407027/ref=nodl_ 

Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work. 

The content should not be taken as direct medical advice or clinical instruction.

#addiction

#recovery

#Unity health

#Captainhooked

#wiplove lamba

#jean-paul michael

#addiction medicine

#addiction psychiatry assessments

#neofivefactormodel

#personality

#lifestory

#mchugh

#biopsychosocial

Dr. Wiplove (Wip) Lamba has come closing questions for addictions case manager and former addict Jean-Paul (JP) Michael.  A lot of things were not discussed.    

Wip does ask however what it was like to have had a recent history of drug use and attend a training on chemsex for health care providers, how he can do his job better, and JP gives Wip a few ideas of what to put up into his office to make the environment more inviting.   

JP also makes it clear that we need to have the conversations to get these experiences out in the open.    

Here is David Stuart website   

https://davidstuart.org 

Here is HQ, a sexual health clinic that offers so much more, and is led by Dr. Tim Guimond, a close mentor and friend who embodies the spirit that we want to with our patients.    

https://hqtoronto.ca 

The Aids Committee of Toronto

https://www.actoronto.org

Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work. 

The content should not be taken as direct medical advice or clinical instruction.

#Lived experience

#PWID

#addiction

#recovery

#Unity health

#St. Michael’s hospital

#Captainhooked

#wiplove lamba

#Jean-Paul Michael

#addiction medicine

#Crystal meth

#chemsex

#party and play

#pnp

#ghb

#grindr

Information prepared by OHTN think tank for GBMSM  

Irene Nkoroge prepared a slide deck on GBMSM (gay and bisexual men who have sex with men) and crystal meth in Ontario after a discussion with the OHTN think tank.     

This is the link to the talk.   

http://www.metaphi.ca/wp-content/uploads/Call_RN_CrystalMethMSM.pdf 

The Ontario HIV Treatment Network 

https://www.ohtn.on.ca/ 

Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work. The content should not be taken as direct medical advice or clinical instruction.

Addiction psychiatrist Dr. Wiplove (Wip) Lamba tries to bring Dr. Dave Stuart message about 'Chemsex  / Party and Play' to a different audience.  Wip had to prepare a talk on chemsex and he watched numerous hours of Dave Stuart on YouTube to prepare. The storytelling is Dave Stuart’s story and he has numerous workshops and talks on YouTube. This is a topic that both sexual health workers and addiction counselors require knowledge to build compassion,  desire and skill to help people that want change.  Addictions case manager JP Michael listens and helps Wip fine tune his message. Please note, Wip is really sharing Dave Stuart’s message.    

Here are some of his YouTube videos.   

https://youtu.be/EhFE5WMRoZo 

His YouTube channel

https://youtube.com/@DavidStuartChemsex 

Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work. 

The content should not be taken as direct medical advice or clinical instruction.

In 2015, Jean-Paul ended his two-decade long entanglement with substance use. He has attempted to put that lived experience to a useful purpose. He joined St. Michael’s, Hospital Addiction Service, as one of their first Peer Support Specialists. Today, as a Community Case Manager he provides intensive case management for some of the most marginalized patients.  When not working directly with patients, Jean-Paul’s other passion is as an harm reduction educator and as a consultant. Primarily providing guidance on how to better support Persons Who Inject Drugs (PWID).   Prior to healthcare, Jean-Paul was a lifelong entrepreneur. At 19, he co-founded Northern Cards, which ultimately grew into becoming Canada’s largest greeting card company.  

Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in  Canada's largest city. This work is separate from Wiplove’s clinical and academic work. 

The content should not be taken as direct medical advice or clinical instruction.

#Lived experience 

#PWID 

#addiction 

#recovery 

#Unity health 

#St. Michael’s hospital 

#csam2022 

#Captain Hooked 

#CSAM 

#addiction medicine 

#Peer support