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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Co-occurring Disorders
– Clinical Care Managers possess a detailed
knowledge of services within and beyond the
provider network to address COD member’s
recovery needs
– The Clinical Care Managers possess
extensive information regarding each
outpatient and residential (including hospital
level/medically managed) program and
coordinates with the member, the referral
contact and the program to optimize treatment
engagement.
Co-occurring Disorders
– For a comprehensive and individualized approach the
clinical care manager is in a pivotal role to coordinate
services beyond residential care - with most of the
available services established in joint MBH-County
projects.
– From the Managed Behavioral HealthCare
perspective, we consider co-occurring disorders (and
addiction) to be chronic illnesses (White, W.L. 2005).
For too long we have over emphasized the early
stages of intervention with neglect of the long term
course of the syndrome.
Co-occurring Disorders
• Case Review Process
– In the case review process there is focus on
early and ongoing assessment for cooccurring
disorders and discussion with
program staff about determining “Quadrants
of Care” (TIP 42)
– In May 2006 nearly all members identified in
Quadrants II and IV can be involved in
integrated intervention within a residential
D&A facility and have a meaningful treatment
episode
Co-occurring Disorders
– In the case review process there is discussion
with program contacts regarding consensus
and evidence-based intervention strategies in
addressing PCPC dimensions 3, 4, 5, and 6
– Throughout the residential treatment episode
there is a pronounced focus in the review
process on “Readiness for Change” and on
Relapse Prevention Therapy (McGovern,
M.P. et al 2005)
Co-occurring Disorders
– The MBH/HealthChoices approach (or
paradigm) emphasizes critical
discharge/transition planning to ensure
continuity of care
– The Clinical Care Manager may be the most
knowledgeable person about the individual in
treatment and may be the one “most involved”
in collaborating on the case during the
transition planning phase
Co-occurring Disorders
– MBH/HealthChoices continues to coordinate a
continuum of support services within each county for
COD members to further promote successful
community re-integration (“success” often rests on
availability of community support)
– MBH/HealthChoices coordinates a High Risk member
group in each county (Intensive Support
Network/IMPACT Programs) with specialized
monitoring and follow-up protocols
• Members with COD syndromes comprise 48-60% of these
groups
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