COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Co-occurring Disorders
• Alcoholism and Other Drug Dependency
(AODD) RECOVERY Principles (cont)
– Direction of recovery is based on individual
assessment criteria, the individual’s response to
treatment and the individual’s history of previous
treatments and responses to recovery principles
– RECOVERY is a continuum comprised of specialized
service components that may include any, or all, of
the following
• Detoxification
• Residential treatment and rehabilitation
• Partial hospitalization/intensive outpatient programs
• Outpatient therapy, counseling, psychiatric treatment
Co-occurring Disorders
• Alcoholism and Other Drug Dependency
(AODD) RECOVERY Principles (cont)
– Individual assignment to particular levels and
types of recovery programs are based on
specified standards and criteria utilized by
appropriately trained or credentialed
professionals
– Self help groups (AA, NA, Double Trouble)
are essential adjuncts to the recovery process
Co-occurring Disorders
• Clinical staff are acutely aware of the
ramifications of alcohol/drug dependence
– There exists significant thinking that
substance dependence results in “systematic
deconstruction” of the personality
– This is characterized by a loss of interest in
life, feelings of guilt and self resentment and
anger towards self and others (Latcouich,
M.A. 2003)
Co-occurring Disorders
• CLINICAL CARE MANAGERS
– In the HealthChoices program Clinical Care
Managers assume a critical role in coordinating
services for COD members beyond merely
“approving” services (we are not just “The Insurance
Company”)
– Licensed Clinical Care Managers along with medical
and supervisory staff frequently collaborate with
agency & program staff to identify and/or establish a
“best-fit” treatment protocol for the member
Co-occurring Disorders
– Intake Clinical Care Managers receive service
requests from either the member directly or
form individuals at assorted sites including
ERs, Crisis Centers, Medical Facilities or
Forensic Staff
– Whatever the source for the request, the
Clinical Care Manage considers the case with
a comprehensive perspective rather than
through a strict Mental Health or Drug and
Alcohol “lens”
Co-occurring Disorders
– This comprehensive perspective focuses on
Integrated Treatment with the member
entering the “right door” for treatment
initiation.
– Results of the Pennsylvania Client Placement
Criteria (PCPC) or the ASAM (PPC-2R) for
adolescents, as well as the current mental
status, drives the process for actual program
selection and assignment
• All background and clinical information is reviewed
and included in the treatment assignment process
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