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Survivors of overdose are often considered complex clients because they present with multiple, interacting problems and seem to be the most difficult to engage in treatment. Despite using more health care resources, they often have the poorest outcomes. This 4-hour workshop will examine how neurocognitive impairment (difficulties in thinking learning and memory), as well as neurobehavioral impairment (difficulties in impulse control, judgment and social behavior), may impede the process of assessment and intervention. In this presentation, we will explore sources of neurocognitive and neurobehavioral impairment and practical strategies clinicians can use to recognize this impairment and adapt their current practices. Topics covered will include screening for brain injury, cognitive compensation strategies and models of care.

As a result of attending, participants will be able to:

• describe how history of traumatic brain injury, chronic use of opioids and overdose may contribute to neurocognitive impairment
• describe the process of screening for acquired brain injury generally, and neurocognitive impairment after overdose specifically
• identify basic cognitive compensation strategies useful in assessment and counseling settings; and
• identify program modifications that may be particularly helpful to individuals living with neurocognitive impairment.

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