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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
What We Learned
2002 Overall
Only Mercer County mandated MISA Case
Management services.
Only Mercer County had preliminary adult MISA
client outcomes.
• 33% arrested and 39% incarcerated
• 67% admitted to ER (75% for MH & 83% for
Medication)
• 92% still engaged in treatment
What We Learned
2002 Washington County
Barriers
• Need for two licenses (MH and D/A)
• Two regulatory bodies at the state level
• Two different sets of licensing regulations
• Two different sets of confidentiality laws
What We Learned
2002 Washington County
Barriers
• Separate county administrative bodies
• Two funding streams
• Lack of program staff and administrators with
MISA expertise and commitment to integrated
programming
What We Learned
2002 Washington County
Barriers
• Concern for ‘turf’
• Concern for census
• Lack of Case Management services for coordination
of care
What We Learned
2002 Washington County
Benefits
• Clients could go to one location for assessment
and treatment
• Clients became cohesive as a group
• Clients began to advocate for what they needed
What We Learned
2002 Washington County
Recommendations
• Administration needs to consider MISA
services the primary option for clients
• Providers should be required by regulation and
contract to assess for dual disorders and refer
to integrated treatment
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