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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 How does the Center learn about these factors in Ohio? • Fidelity assessments & consultation - since 2000 • CCOE Evaluation surveys • Data collection – SAMHSA National Implementing Evidence Based Practices Project: IDDT and IMR (2002 – 2004) with 9 teams (+ 52 cmh teams + 9 state hospitals) – SAMHSA 2 nd Wave Implementation Project: SE (2004-2006) with 10 sites – ODMH funded SE Outcomes Research Promoting Recovery-Oriented Project (2005-2007) Programs & Practices Case studies: IDDT Implementation Methods • All sites use the IDDT Toolkit (enhanced) • All sites receive intensive and ongoing technical support from an expert Consultant/Trainer • Success of the implementation at each site was measured using the General Organizational Index and the IDDT Fidelity Scale Promoting Recovery-Oriented Programs & Practices What do we know about those factors? Integrated Dual Disorders Treatment (IDDT) State of the art in implementation science is: – Identifying the factors that appear to be important – components of the implementation process – Gathering empirical support for importance of key components – Beginning to describe the factors/components so that they can be measured Promoting Recovery-Oriented Programs & Practices • Developed for persons with co-occurring severe and persistent mental illness and substance use disorders • Emphasis is on treatment of both disorders by the same team of clinicians in the same location at the same time • Treatment is most often delivered in mental health centers or integrated Promoting Recovery-Oriented Programs & Practices mental health and SA treatment centers Substance abuse common in people with mental illness Combination and levels of illness • Over 50% of people with schizophrenia, bipolar disorder and other severe mood disorders have a substance use disorder at some time in their life • About one third of people with anxiety and depressive disorders have a substance use disorder at some time in their life Mild to moderate I Mental illness symptoms Low to moderate substance use disorder Mild to moderate III Mental illness symptoms Severe substance use disorder Severe II mental illness symptoms Low to moderate Substance use disorder Severe IV mental illness symptoms Severe substance use disorder Promoting Recovery-Oriented Programs & Practices Promoting Recovery-Oriented Programs & Practices 4
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Status NHDD 10 years Status 250 200 150 100 50 0 0 1 2 3 4 5 6 7 8 9 10 Year Remission No-Remission Dropout Not_Rated Dead Course of dual disorders • Both disorders are chronic, wax & wane • Recovery from mental illness or substance abuse occurs in stages over time – Precontemplation – Contemplation – Preparation/Determination –Action – Relapse prevention » Prochaska and DiClemente, Miller and Rollnick 1991 Promoting Recovery-Oriented Programs & Practices Promoting Recovery-Oriented Programs & Practices Promoting Recovery-Oriented Programs & Practices Dual disorders - worse outcomes than singular • Relapse of mental illness • Treatment problems and hospitalization • Violence, victimization, and suicidal behavior • Homelessness and Incarceration • Medical problems, HIV & Hepatitis risk behaviors and infection • Family problems • Increase service use and cost Promoting Recovery-Oriented Programs & Practices Why integrated treatment of dual disorders? • More effective than separate treatment • 26 studies show integrated treatment is more effective than traditional separate treatment Promoting Recovery-Oriented Programs & Practices Abstinence leads to improvements in other outcomes • Reduce institutionalization • Reduce symptoms, suicide • Reduce violence, victimization, legal problems • Better physical health • Improve function, work • Improve relationships and family Promoting Recovery-Oriented Programs & Practices 5
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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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M12: An Overview of Adolescents and
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G. Benson, 2004 G. Benson 2004 COSI
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M13: Tri-Recovery Process: Improvin
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Page 223 and 224: COSIG Co-Occurring Disorders Confer
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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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W83: Beaver County Forensic COD Ini
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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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W91: Collaborative Care for Concurr
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W96: Stigma & Co-occurring Disorder
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