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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Prevalence of Co-Occurring Disorders mental health programs 1 clients with substance use disorder 20% — 50% Facilities Offering Special Programs for Clients with COD Number of Facilities COD Special Programs drug treatment facilities 1 50% — 75% clients with mental disorder General Population of those with lifetime addictive disorder of those with lifetime mental illness disorder (National Comorbidity Survey 2 ) 50% 50% have mental disorder have substance use disorder 4 million with serious mental disorders 3 Source: 1 Sacks et al. 1997; 2 Kessler, R. et al. 1994; 3 Grant et al. 2004; SAMHSA, 2004 20000 15000 10000 5000 0 8,736 1995 3,295 15,239 13,428 13,720 10,860 6,818 6,696 6,696 5,255 1997 1999 2000 2002 Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b) Advances in Treatment “No wrong door” policy Mutual self-help for people with COD Integrated care as a priority for people with severe and persistent mental illness Development of effective approaches, models, and strategies Pharmacological Adapted from advances Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b) Four Quadrants Service Coordination by Severity Quadrant III Less severe mental disorder More severe substance disorder Quadrant I Less severe mental disorder Less severe substance disorder Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b) Quadrant IV More severe mental disorder More severe substance disorder Quadrant II More severe mental disorder Less severe substance disorder Integrated Treatment Integrated treatment refers broadly to any mechanism by which treatment interventions for COD are combined within the context of a primary treatment or service setting. Integrated treatment is a means of coordinating substance abuse and mental health interventions to treat the whole person more effectively. Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b) Levels of Program Capacity in COD Beginning Addiction Only Tx Intermediate COD Capable Advanced COD Enhanced Substance Abuse Tx More Tx for Mental Disorders Fully Integrated COD Integrated COD Enhanced Advanced Intermediate COD Capable Mental Health Only Tx Beginning Mental Health Tx More Tx for Substance Abuse Disorders Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b) 2
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 The Clinical Planning Process COD TIP Definition: Screening Screening Person Treatment Services (referral or provision) Developing Treatment Resources Assessment Individualized Treatment Plan Diagnosis A formal process of testing to determine whether a client does or does not warrant further attention at the current time in regard to a particular disorder and, in this context, the possibility of a co-occurring substance or mental disorder. The screening process for co-occurring disorders (COD) seeks to answer a “yes” or “no” question: Does the substance abuse [or mental health] client being screened show signs of a possible mental health [or substance abuse] problem? Note that the screening process does not necessarily identify what kind of problem the person might have, or how serious it might be, but determines whether or not further assessment is warranted. Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b) The Goal: Universal Screening All individuals presenting for treatment of a substance use disorder should undergo at a minimum screening for any co-occurring mental disorders. All individuals presenting for treatment of a mental disorder should undergo at a minimum screening for any cooccurring substance use disorders. Features of Screening Instruments High sensitivity (but not high specificity) Brief Low cost and no cost Minimal staff training required Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b) Consumer friendly Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b) Measures of Precision Defined Sensitivity: the probability that the screening test is positive given that the person has the disorder. This is also know as the true positive rate. A large sensitivity means that a negative test can rule out the disorder. Specificity: the probability that the screening test is negative given that the person does not have the disorder. This is also known as true negative rate . A large specificity means that a positive test can rule in the disorder. Overall Accuracy: is the combination of sensitivity and specificity – the probability that the screening test is positive given that the person has the disorder combined with the probability that the screening test is negative given that the person does not have the disorder. Screening Protocol and Processes Screening processes always should define a protocol for determining which clients screen positive and for ensuring that those clients receive a thorough assessment. Screening process establishes precisely how any screening tools or questions are to be scored and indicated what constitutes scoring positive for a particular possible problem (often called “establishing cut-ff scores”). The screening protocol details exactly what takes place after a client scores in the positive range and provides the necessary standard forms to be used to document both the results of all later assessments and that each staff member has carried out his or her responsibilities in the process. Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b) 3
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Program Description: The Commonweal
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Conference Information: The Pennsyl
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MONDAY May 15 th , 2006
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Monday Morning Plenary Session “S
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COSIG Co-Occurring Disorders Confer
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M01: The Addiction Psychiatry Couns
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5. Criminal Logic: This is a 3- to
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12 Roadblocks of Communication 1 Or
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3 G.R.A.C.E. G- For Gap. Often our
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5 _________________________________
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7 Overall, what do you gain by drug
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9 2. What time of day would be best
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11 10. What good things would happe
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13 Decisional Balance for Drug Use
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15 ________________________________
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17 Drug use: Antecedents, Consequen
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Certificate of Achievement Temple U
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M06: An Overview: Co-Occurring Diso
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Requirements for CCDP Employment CC
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ecertification cycle (PCB approved
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Work Experience Verification Applic
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Code of Ethical Conduct UNLAWFUL CO
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psychoactive substance impairs the
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Easy Pass for PCB credentialed prof
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CCDP Checklist for applicants with
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TABLE OF CONTENTS Purpose of the Ca
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confidentiality in substance abuse
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Task 4 - Recognize signs and sympto
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individual’s needs and circumstan
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and community resources and service
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3. Social supports and networks for
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COUNSELING Task 1 - Provide a safe,
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CASE MANAGEMENT information. Task 1
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ensure continuity of care whenever
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disciplinary codes of ethics and st
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2. Effective public relations techn
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2. Eliciting accurate evaluation da
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2. There are seven elements in the
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elationship is established with the
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In taking the test, you may find it
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REFERENCES The following resources
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Other Drug Abuse Counselors. Columb
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Stern, T., Herman, J., & Slavin, P.
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2004 PA Certification Board (PCB).
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Prochaska, J.O. & DiClemente, C.C.,
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Page 177 and 178: COSIG Co-Occurring Disorders Confer
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M26: Dual Recovery: 12-Step Program
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Using Dialectical Behavior Therapy
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Using Dialectical Behavior Therapy
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TUESDAY May 16 th , 2006
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Article by Kenneth Minkoff, MD and
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RESOURCE BIBLIOGRAPHY (2005) 1. Ame
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38. Foundation Associates, Making M
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71. Minkoff K & Cline C, Developing
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co-occurring psychiatric and substa
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T31: Implementing Evidence-Based Pr
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T32: Berks County Adolescent Pilot
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T35: CCISC Implementation in Pennsy
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Volume 1, Issue 5 The Trainers meet
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Volume 1, Issue 1 BLAIR COUNTY’S
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Volume 1, Issue 1 Vision/Mission CO
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Volume 1, Issue 1 3. The population
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Volume 1, Issue 1 Complete
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Volume 1, Issue 1 The forgoing Cons
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Volume 1, Issue 1 Language for Inte
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Volume 1, Issue 1 Language for Inte
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T36: The Co-Occurring Distinction:
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Integration or Occupation? •QUEST
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Coming to a Balance “Rather shall
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T41: Offering Positive Incentives t
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Motivational Incentives for Enhance
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T43: Prison to Community: Reducing
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T45: Workforce Issues and Co-occurr
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T46: Creation of Local Housing Opti
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Fetal alcohol spectrum disorders fo
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MY 9-YR-OLD SON’S HISTORY OF MEDI
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Don’t Ask My Child to Fly Bruce R
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1 Multisystemic Therapy MST Model H
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3 NCFAS RESULTS: Adolescents & Pare
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Adelphoi Village Multisystemic Ther
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DISCHARGES PER AGENCY TOTAL DISCHAR
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T53: Using Change Theory to Assess
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The following questionnaire is desi
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THE STAGES OF CHANGE APPLIED TO COU
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T55: Creating Co-Occurring Centers
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12. What is the diagnosis: |___| 1
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Fact Sheet A Project to Establish A
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Planning and Implementing a Welcomi
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All organizations signing this memo
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3. Region I organizations will assi
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e) Link organizations with websites
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Planning and Implementing a Welcomi
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Welcome to the Johnson Institute ht
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johnsoninstitute.com - History http
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johnsoninstitute.com - President's
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MISA PILOT TAKES FLIGHT: A PILOT AP
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In Flight Changes for COD in Washin
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Crisis & Counseling Centers Co-occu
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Fact Sheet A Project to Establish A
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Mental Health Network Co-Occurring
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100% Treatment Team Improvement in
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T67: Antisocial Personality Disorde
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Wednesday Morning Plenary Session
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Cultural Clashes in Co-Occurring Di
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W72: Use of Animal Assisted Therapy
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W74: Therapy for Women Facing Traum
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HIEN, COHEN, MIELE, ET AL. for the
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HIEN, COHEN, MIELE, ET AL. TABLE 2.
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HIEN, COHEN, MIELE, ET AL. TABLE 4.
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W75: The MISA/COD Pilot Projects: L
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THE BEAVER COUNTY MODEL • Targets
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Additional Information Contact: Nan
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W81: The Pennsylvania COSIG Evaluat
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W84: Improving Assessment and Treat
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Improving Assessment and Treatment
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W86: Fairweather Lodge - An Evidenc
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Housing, Employment, Social and Aut
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Principle VI. Successful Lodges res
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Fidelity to Autonomy Principles 1.
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W87: Physical Disorders and Persons
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W96: Stigma & Co-occurring Disorder
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