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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
What is an Evidence-Based Practice?
In the area of COD treatment, EBP is defined by COCE
primarily as the use of current and best research evidence in
making clinical and programmatic decisions about services to
client[s). The research considerations involved in
determining what constitutes an evidence-based practice
include not only the robustness of the study findings but also
the type of design employed and the methodological rigor of
the procedures.
A broader definition of EBP also includes taking into account
clinician expertise and patient values, as indicated by the
Institute of Medicine (2000) and more recently by the American
Psychological Association (2005).
What is a Consensus-Based Practice?
Consensus-based practice (CBP) in the field of co-occurring
substance use and mental disorder treatment is defined as
agreements regarding treatment practice that are achieved
through the general concurrence of treatment practitioners,
researchers, clients and other experts in the field.
Concurrence may be actively sought, such as through the
development of a Treatment Improvement Protocol
wherein clinicians and clinical researchers join forces to
agree on appropriate practice[s], or through the use of
constituent service organizations, such as the American
Society for Addiction Medicine, to develop standards for
service providers.
Center for Substance Abuse Treatment. (2005a)
Center for Substance Abuse Treatment. (2005a)
Levels of Research Evidence
The Co-Occurring Center for Excellence
has developed a pyramid to capture the
level or strength of research evidence (see
next slide).
Center for Substance Abuse Treatment. (2005a)
Consensus- and Evidence-Based Practices for COD
Consensus Based
Evidence Based
Guiding Principles
Essential
Programming
Techniques for
Working with Clients
with COD (with evidence
based in substance abuse
treatment)
Models
Evidence-Based Practices
for the Severely
Mentally Ill
Employ a Recovery
Perspective
Adopt a Multi-Problem
Viewpoint
Develop a Phased Approach
to Treatment
Screening, Assessment,
and Referral
Psychiatric and Mental
Health Consultation
Prescribing
Onsite Psychiatrist
Medication and
Medication Monitoring
Motivational
Enhancement
Contingency
Management
Techniques
Cognitive–Behavioral
Therapeutic Techniques
Relapse Prevention
Assertive
Community
Treatment
Modified
Therapeutic
Community
Collaborative
Psychopharmacology
Family Psycho-education
Supported Employment
Illness Management and
Recovery Skills
Consensus – Based
Practices
Address Specific Real-Life
Problems Early in Treatment
Psychoeducational
Classes
Repetition and
Skills-Building
Assertive Community
Treatment
Plan for the Client’s
Cognitive and Functional
Impairments
Double Trouble Groups
(Onsite)
Client Participation in
Mutual Self-Help Groups
Integrated Dual Disorder
Treatment (Substance Use and
Mental Illness)
Use Support Systems to
Maintain and Extend
Treatment Effectiveness
Dual Recovery Mutual
Self-Help Groups (Offsite)
Intensive Case
Management
Adapted from Substance Abuse Treatment for Persons With Co-
Occurring Disorders TIP, 2005b
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