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

G. Benson, 2004
G. Benson 2004
COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Perspective of Assessors & Providers
BELIEF SYSTEMS
THEORETICAL UNDERPINNING & ORIENTATION
PHILOSOPHICAL ORIENTATION
KNOWLEDGE COMPETENCY
SKILLS COMPETENCY
ATTITUDINAL POSITIONS
LANGUAGE
COMMITMENT
PURPOSE
CURIOSITY
HUMILITY
Assessment for ALL Disorders
is Needed Because. . .
• Having one disorder increases the risk of
developing another disorder;
• The presence of a second disorder makes
treatment of the first more complicated;
• Treating one disorder does NOT lead to effective
management of the other(s);
• Treatment outcomes are poorer when co-occurring
disorders are present.
Gender Differences
Latimer, 2002, Robbins, 2002
Males
• More common overall
• Disruptive disorders
• Acting Out
•Poly SD
Females
• Higher rates of
depression
• Acting In
• One drug
THE INTEGRATED DIAGNOSTIC FORMULATION/SUMMARY
• INTERPRETATION OF COLLECTED DATA – HOW DO YOU UNDERSTAND THE
DATA AND BRING MEANING?
• ARTICULATES THE SEVERITY OF ILLNESS PROBLEMS ACROSS THE SIX
DIMENSIONS INCLUSIVE OF INTERACTIONS BETWEEN DIMENSIONS
• IMPRESSIONS, SUSPICIONS & CURIOSITY REGARDING COLLECTED DATA
• IDENTIFICATION AND ANALYSIS OF RESILIENCIES, STRENGTHS AND
EXECUTIVE EGO FUNCTIONS
• IDENTIFICATION AND ANALYSIS OF DEFICITS, RESISTANCES, DEFENSES
AND/OR OTHER POTENTIAL INTERFERENCES WITH TREATMENT (E.G.,
MULTIPLE TREATMENT EPISODES, MULTIPLE RELAPSE HISTORY,
TRAUMA/ABUSE ISSUES, CO-OCCURRING/ASSOCIATED DISORDERS, ETC)
• PRIORITIZATION OF IDENTIFIED DIMENSIONAL PROBLEMS BY
ASSESSED/EVALUATED SEVERITY OF ILLNESS AND IN CONSIDERATION OF
POTENTIAL TREATMENT INTERFERENCES/RISKS THEY MAY POSE
• ASAM LEVEL OF CARE PLACEMENT IS DETERMINATION BY SEVERITY OF
ILLNESS AND “DOSE/INTENSITY” OF SERVICES) REQUIRED IN ACCORDANCE
WITH PPC-2R CRITERIA
ASAM PPC-2R - Levels of Care
• Level .05 - Early Intervention
• Level I - Outpatient Treatment
• Level II.1- Intensive Outpatient (IOP)
• Level II.5 - Partial Hospitalization (PHP)
• Level III.1- Clinically Managed Low Intensity Residential TX
• Level III.5 - Clinically Managed Med. Intensity Residential TX
• Level III.7 - Medically Monitored High Intensity Res./IP TX
• Level III.7D - Medically Managed Sub-Acute Detox Res./IP TX
• Level IV - Medically Managed Intensive Inpatient TX/Detox
ASAM PPC 2R - Dimensions
• Dimension 1 - Acute Intoxication/Withdrawal Potential
• Dimension 2 - Biomedical Conditions and Complications
• Dimension 3 Emotional, Behavioral or Cognitive Conditions
and Complications
– Co-morbidity
» Dangerousness
» Interference with addiction recovery
» Social functioning
» Ability for self-care
» Course of illness
• Dimension 4 – Readiness to Change
• Dimension 5 – Relapse, Continued Use or Continued Problem Potential
• Dimension 6 - Recovery Environment
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