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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 60 50 40 30 IDDT fidelity to model improves abstinence *** If current & subsequent points = 1 then the current score = 1 Assessment Figure Points 1. Percent Baseline of Participants 6 mo. in Stable 12 mo. Remission 18 mo. for High-Fidelity 24 mo. 30 ACT mo. 36 mo. Hi-Fidelity Programs ( E n=61) 19.67 Low-Fidelity 26.23 ACT 29.51 Programs 42.62 ; n=26). 55.74 ; 0 vs. 37.7 ( G Low-Fidelity 0 3.85 3.85 7.69 7.69 15.38 15.38 How do people obtain remission from dual disorders? • Stable housing • Sober support network/family • Regular meaningful activity • Trusting clinical relationship 20 10 – Alverson et al, Com MHJ, 2000 0 Baseline 6 mo. 12 Promoting mo. Recovery-Oriented 18 mo. 24 mo. 30 mo. 36 mo. Promoting Recovery-Oriented Programs & Practices Programs & Practices Traditional treatment • Treating each disorder separately – Parallel—occurs in the same time frame but at separate agencies or programs – Sequential—occurs at different times, in the same or separate agencies/programs – Typically treated by different staff, who have differing types of training • Separate treatment is far less effective Promoting Recovery-Oriented Programs & Practices Promoting Recovery-Oriented Programs & Practices Integrated Dual Disorders Treatment - IDDT: What is it? • The New Hampshire-Dartmouth Model • Robert Drake, MD and colleagues • Treatment of substance use disorder and mental illness together – Same team – Same location – Same time frame Ten Treatment Principles of IDDT 1. Integration of substance abuse & mental health treatments •Same clinicians within program or agency •Supports cross training Source: Mercer-McFadden, C., Drake, R.E., Clark, R.E., Verven, N., Noordsy, D.L., Fox, T.S. (1998). Substance Abuse Treatment for people with Severe Mental Disorders: a program manager’s guide. New Hampshire-Dartmouth Psychiatric Research Center. Promoting Recovery-Oriented Programs & Practices Promoting Recovery-Oriented Programs & Practices 6
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Ten Treatment Principles of IDDT 2. Flexibility & specialization of clinicians •Cross-trained staff 3. Assertive outreach Ten Treatment Principles of IDDT 4. Recognition of client preferences • Client-centeredness • Cultural competence 5. Close Monitoring 6. Comprehensive Services Promoting Recovery-Oriented Programs & Practices Promoting Recovery-Oriented Programs & Practices Ten Treatment Principles of IDDT 7. Range of Stable Living Situations The Basic Change Paradigm 8. The Long-term Perspective 9. Stage-wise Treatment 10. Optimism Promoting Recovery-Oriented Programs & Practices • Why change? – What is in it for me as a stakeholder? • How to change? – How is the practice implemented? • How to sustain the practice? – What structures need to be modified? Promoting Recovery-Oriented Programs & Practices No one has It goes We don’t Our consumers are tried it in our against have the staff different state our They are tradition too We aren't doing it It needs more entrenched wrong now thought We have tried that I'm all This is It is too before for it, just a fad but... ambitious We We don't There's We have weren't have the not always done trained to I don't have resources enough it this way do it this the time way authority We didn't It There's budget for It's not our takes no money Everyone We have too this problem too for it else isn't many crises long doing it to do this It won't work in this There is no agency clear mandate for this No se puede It's not We don't important to have a clear I am not everyone consensus sure my It is a system boss will problem, not Me falta animo like it ours How many times do we hear these reactions to change? There are numerous reasons not to change. And one overpowering reason to change. To improve the lives of adults with severe mental illness. Evidence-Based Practices, worth the change. Promoting Recovery-Oriented Programs & Practices Measuring Fidelity to the IDDT Model IDDT Fidelity Index • Subscale I. Organizational Characteristics • Total of 12 components • Subscale II. Treatment Characteristics • Total of 14 components Promoting Recovery-Oriented Programs & Practices 7
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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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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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