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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Training “We now have thousands of experiments across the country which have proven that in mental health training is not enough to create change.” --Dr. Robert Drake/Dartmouth PRC Promoting Recovery-Oriented Programs & Practices • Factors – Multiple methods – Quality and structure of supervision • Link training and supervision – Policies and standards • Strategies – Integrate & intersperse didactic & applied learning – Provide ongoing monitoring & in vivo clinical supervision for skill maintenance – Address productivity policies & standards that pose obstacles to skill development & maintenance Promoting Recovery-Oriented Programs & Practices Interaction of Staff Selection, Staff Training, and Staff Supervision • Training staff with fewer skills required more intensive sessions initially - left no room for anything but ongoing and expert supervision from the Team Leader • Failing to accurately assess practitioners’ attitudes about the model and the population as well as their openness to change proved even more costly Promoting Recovery-Oriented Programs & Practices Supervision • Factors • Strategies – Recruitment – Match supervisors to IDDT approach and philosophy philosophical stance – Facilitate meeting structure and opportunity for in vivo – Supervision structure monitoring – Supervisor support – Provide supervisors with access –Time to training, consultation, and – Consultation support peer networking – Administrative support Promoting Recovery-Oriented Programs & Practices – Evaluate feasibility of program leadership role Study finding: Conclusions from Case Study Findings The process of developing the skills required to deliver IDDT well occurs over time, in context of clinical application and with consistent and expert supervision and mentoring. • Practitioner characteristics are variably important • Professional experience and skills did not compensate for unwillingness to change • Expert supervision and training appeared • Skills Training and Supervision to compensate for deficits in experience cannot be separated and skill level where motivation to • Both are necessary for success change was present Promoting Recovery-Oriented Promoting Recovery-Oriented Programs & Practices Programs & Practices 18
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Some overarching themes… • Each agency has areas of strength and vulnerability • No two local Boards or Agencies are alike • Agency cultures are heterogeneous • Change occurs in stages and takes time • Key stakeholders must “have a stake” in the implementation • An infrastructure for external technical support is salient Promoting Recovery-Oriented Programs & Practices Implementation strategies: Training Participants often cited training – at all levels - as the most critical factor in building programs and systems of care. Strategies for Developing Treatment Programs for People With Co- Occurring Substance Abuse and Mental Disorders. 2003. U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) 10 Promoting Recovery-Oriented Programs & Practices Training As Usual • “It may be a waste of time, energy, and financial resources to continue to train staff in this manner without first addressing the changes that are necessary in the systems within which they work to enable them to implement these interventions.” » Fadden, 1997 Some effective training strategies… Intensive, Comprehensive, Targeted Training - Both didactic and applied learning – Ongoing in vivo supervision – Attention to work environment – Staff support – Advocacy to remove barriers to using newly learned practice skills Promoting Recovery-Oriented Programs & Practices Promoting Recovery-Oriented Programs & Practices What We Are Learning About Practitioners….. • Longtime personal and professional belief systems take time to change • Intellectual acceptance of a new approach does not immediately translate into changed practice • Practitioners who have had previous exposure to innovation find it easier to adopt change What We Are Learning About Practitioners, cont’d….. • Practitioners tend to become more enthusiastic about a new practice when they begin to see results • Once they’re “sold,” they feel empowered and are more likely to continue to develop their skills Promoting Recovery-Oriented Programs & Practices Promoting Recovery-Oriented Programs & Practices 19
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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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M15: TIP 42 Treatment for Persons w
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Page 323 and 324: Using Dialectical Behavior Therapy
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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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