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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Co-occurring Disorders
Impact
• Poor Outcomes
– Twice as many days in the hospital
– Higher Relapse
– Higher Suicide Risk
– Higher Arrest Rates
– More Violence
– More HIV Infection
– Higher Treatment Drop-out
Basic -
SA Only
Institute of Medicine
Conceptualization of Co-occurring
Treatment
Levels of Program Capacity in Co-occurring
Disorders
Substance Abuse System
Intermediate -
COD Capable
Advanced -
COD Enhanced
Fully Integrated
Advanced -
COD Enhanced
Mental Health System
Intermediate -
COD Capable
Basic -
MH Only
Self-Report Capability to Provide COD
Services
Results: Overall Capability to Serve
Clients with COD
50
Advanced
Intermediate
Basic
Basic 30%
Intermediate
59%
Advanced 11%
% of Sites
40
30
20
10
0
Basic
Basic/Intermediate
Intermediate
Intermediate/Advanced
Advanced
Basic – 4 programs;
Basic/Intermediate – 6 programs;
Intermediate – 3 programs;
Intermediate/Advanced – 1 program;
Advanced – 0 programs
Missouri DMH
COSIG: MISSOURI
• Comprehensive Psychiatric Services
– State Hospitals and “Administrative Agents”
– Non-competitive contracts & Territories
– Restrictive Eligibility (SMI)
– Heavy Reliance on Medicaid
• Alcohol and Drug Abuse
– Providers in non-exclusive territories
– Competitive Bid Contracts\
– Little Medicaid
– Managed Care
• Andrew Homer, Ph.D., Missouri Institute of
Mental Health – Project Co-Director
• Joseph Parks, M.D., Missouri Department
of Mental Health – Project Co-Director
• Pat Stilen, LCSW, CADAC, Mid-America
ATTC – Training Director
• Heather Gotham, Ph.D., Missouri Institute
of Mental Health – Evaluation Director
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