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

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

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COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Consensus Based Essential Guiding Principles Programming Techniques for Working with Clients with COD (with evidence based in substance abuse treatment) Evidence Based Evidence-Based Practices for the Models Severely Mentally Ill Change Management Employ a Recovery Perspective Screening, Assessment, and Referral Motivational Enhancement Assertive Community Treatment Collaborative Psychopharmacology Adopt a Multi-Problem Viewpoint Psychiatric and Mental Health Consultation Contingency Management Techniques Modified Therapeutic Community Family Psycho-education Develop a Phased Approach to Treatment Intensive Case Management Cognitive–Behavioral Therapeutic Techniques Supported Employment Address Specific Real-Life Problems Early in Treatment Prescribing Onsite Psychiatrist Relapse Prevention Illness Management and Recovery Skills Plan for the Client’s Cognitive and Functional Impairments Medication and Medication Monitoring Repetition and Skills-Building Assertive Community Treatment Use Support Systems to Maintain and Extend Treatment Effectiveness Psychoeducational Classes Double Trouble Groups (Onsite) Dual Recovery Mutual Self-Help Groups (Offsite) Client Participation in Mutual Self-Help Groups Integrated Dual Disorder Treatment (Substance Use and Mental Illness) Adapted from TIP 42 by S. Sacks When you’re up to your neck in alligators, its hard to drain the swamp! 1st Barrier = Funding 2nd Barrier = Attitudes • N= 148 • Funding for providers/staff • Agency budget constraints • Reimbursement & insurance/billing issues • Funding for continuing training • n= 94 • Philosophical differences among providers • Rigid belief systems • Resistance to change policies/procedures • Lack of readiness to change • Turf/Territory issues • Competition between fields 3rd Barrier = Lack of Knowledge/Education & Need for Training in… • = 87 • Treatment for COD • Mental health issues • Substance abuse issues • Cultural diversity issues • Time & resources to implement training/knowledge gains 4th Barrier = Service Delivery Issues • n= 65 • Limited resources available (e.g., staff time, large caseloads, wait-lists, consumer access to services) • Service eligibility requirements for clients (e.g., diagnostic issues, provider certification for treatment) • Poor client outcomes • Inefficient treatment system 6

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 5th Barrier = Stigma • n= 59 • Negative perceptions toward substance abuse clients & counselors • Negative perceptions toward mental illness & mental health field • Prejudice toward clients in recovery utilizing medication • Negative attitude toward use of medication in treatment • “Fear of the unknown” 6th Barrier = Lack of Experiential Base, “Top-Down” Leadership • n= 58 • Influence of politics & the treatment system • Lack of understanding regarding the actual needs of consumers • Gap between policy-makers & consumer services • Lack of priority for stigmatized groups • Lack of priority for social services 7th Barrier = Lack of Collaboration between Fields Preliminary Screening Results • n= 22 • Lack of communication between mental health & addiction treatment counselors/staff • Lack of a “common language” to discuss COD • Lack of communication w/ other provider agencies • Lack of cooperation between fields • 63% Screened Positive for on Both Screeners • 67% of those who screened positive for substance use disorder also screened positive for other mental disorders • 97% of those who screened positive for a mental disorder also screened positive for a substance use disorder Preliminary Assessment Results Utility of Assessments • 86% had positive assessments for substance use disorders and other mental disorders • 91% of those who had a positive assessment for a substance use disorder also were positive for other mental disorders • 95% of those who had a positive assessment for a mental disorder also were positive for a substance use disorder • 74% of workers surveyed rated the ASI either helpful or very helpful • 18% rated the CDIS as either helpful or very helpful • We replaced the CIDS with the M.I.N.I. 7

<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

Consensus Based<br />

Essential<br />

Guiding Principles<br />

Programming<br />

Techniques for<br />

Working with<br />

Clients with COD<br />

(with evidence<br />

based in substance<br />

abuse treatment)<br />

Evidence Based<br />

Evidence-Based<br />

Practices for the<br />

Models<br />

Severely<br />

Mentally Ill<br />

Change Management<br />

Employ a Recovery<br />

Perspective<br />

Screening,<br />

Assessment, and<br />

Referral<br />

Motivational<br />

Enhancement<br />

Assertive<br />

Community<br />

Treatment<br />

Collaborative<br />

Psychopharmacology<br />

Adopt a Multi-Problem<br />

Viewpoint<br />

Psychiatric and Mental<br />

Health Consultation<br />

Contingency<br />

Management<br />

Techniques<br />

Modified<br />

Therapeutic<br />

Community<br />

Family Psycho-education<br />

Develop a Phased<br />

Approach<br />

to Treatment<br />

Intensive Case<br />

Management<br />

Cognitive–Behavioral<br />

Therapeutic<br />

Techniques<br />

Supported Employment<br />

Address Specific Real-Life<br />

Problems Early in<br />

Treatment<br />

Prescribing<br />

Onsite Psychiatrist<br />

Relapse Prevention<br />

Illness Management and<br />

Recovery Skills<br />

Plan for the Client’s<br />

Cognitive and Functional<br />

Impairments<br />

Medication and<br />

Medication Monitoring<br />

Repetition and<br />

Skills-Building<br />

Assertive Community<br />

Treatment<br />

Use Support Systems to<br />

Maintain and Extend<br />

Treatment Effectiveness<br />

Psychoeducational<br />

Classes<br />

Double Trouble Groups<br />

(Onsite)<br />

Dual Recovery Mutual<br />

Self-Help Groups<br />

(Offsite)<br />

Client Participation in<br />

Mutual Self-Help<br />

Groups<br />

Integrated Dual Disorder<br />

Treatment (Substance Use<br />

and Mental Illness)<br />

Adapted from TIP 42 by S. Sacks<br />

When you’re up to your neck in<br />

alligators, its hard to drain the swamp!<br />

1st Barrier = Funding<br />

2nd Barrier = Attitudes<br />

• N= 148<br />

• Funding for providers/staff<br />

• Agency budget constraints<br />

• Reimbursement & insurance/billing issues<br />

• Funding for continuing training<br />

• n= 94<br />

• Philosophical differences among providers<br />

• Rigid belief systems<br />

• Resistance to change policies/procedures<br />

• Lack of readiness to change<br />

• Turf/Territory issues<br />

• Competition between fields<br />

3rd Barrier = Lack of<br />

Knowledge/Education & Need for<br />

Training in…<br />

• = 87<br />

• Treatment for COD<br />

• Mental health issues<br />

• Substance abuse issues<br />

• Cultural diversity issues<br />

• Time & resources to implement<br />

training/knowledge gains<br />

4th Barrier = Service<br />

Delivery Issues<br />

• n= 65<br />

• Limited resources available (e.g., staff time,<br />

large caseloads, wait-lists, consumer access to<br />

services)<br />

• Service eligibility requirements for clients<br />

(e.g., diagnostic issues, provider certification<br />

for treatment)<br />

• Poor client outcomes<br />

• Inefficient treatment system<br />

6

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