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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
The Addiction Psychiatry Counseling Internship Project:
Student Characteristics, Service and Vocational Outcomes, and
Change in Students, Teachers, Colleagues, and Employers
Student Characteristics, Service and Vocational
Outcomes and Change in Students, Teachers,
Colleagues and Employers
• Background and Overview - Stefan Larkin, Ed.D.
• From Conformity to Complexity: The Personal and Professional
Development of MICA Interns - Dorinda Welle, Ph.D.
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Stefan Larkin, Ed.D.
Carmelo Romeo, M.S. (CRC)
Jeffrey A. Barrett, M.D.
Dorinda Welle, Ph.D.
Maia Mamamtrashvili, M.D.
Rodney A. Waldron
• Who are the interns, where do they come from, where do they
stop on the way to where they are going? - Carmelo
Romeo, M.S. (CRC)
• And what about trauma? - Jeffrey Barrett, M.D.
• Add four psychiatric residents, two recovering interns, some
salt, 20 complex cases, and a teaching faculty - Maia
Mamamtrashvili, M.D.
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© 2006, Dual Diagnosis Resources and Research, LLC.
• And when you are done you begin to… - Rodney Waldron,
TASC
The Addiction Psychiatry
Counseling Internship Project:
Background and Need
Background and Need
Proposal to use advanced recovery TC clients as counselors-intraining
in adolescent foster care system leads to interagency
planning regarding mental health aftercare system.
Initial view in 1990 by MHCoD Coordinator, SA Vocational Services
Director, and President of aftercare consortium is of three systems in
deficit:
1. Residential aftercare for post-psychiatric hospitalization clients (group
homes and community residences) is characterized by extensive client
substance abuse, poorly trained staff, virtually no CoD trained staff, and
high staff turnover.
Stefan Larkin, Ed.D.
President, CEO, Dual Diagnosis Resources and Research, LLC
Clinical Instructor, Department of Psychiatry,
Albert Einstein College of Medicine
1. Substance abuse treatment agencies face increased pressure to reduce
length of stay, have housing options for clients but job pathways and
vocational options are limited at best.
2. New York State Office of Mental Health Psychiatric Centers are asked to
provide services for CoD clients with zero substance abuse counselor
positions allocated by Civil Service Department.
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© 2006, Dual Diagnosis Resources and Research, LLC.
Internal and External Resources
1. Bronx Psychiatric Center organizational self-concept as
pioneering agency in mental health (Family Studies Institute,
Schizophrenia Research Institute, Hispanic Units, Consumer
Operated Co-op Center, Peer Counselor/Case management
Research Grant, Family Run Resource Center).
2. Closet community of cross-trained and recovering staff
(including leadership) that communicates with one another, and
expectation among resisters that new ideas will be tried once
they are formally approved.
3. Competition for program resources offset by low cost of program
and desire of mental health focused staff to have someone else
deal with substance abuse disorders.
4. New Clinical Director arrives with Forensic Psychiatry
background and mandate to end single CoD ward and expand
CoD services to all locations with CoD clients.
Key Steps
1. Program submitted to and formally approved by both Bronx
Psychiatric Center (BPC) Executive Cabinet (Administrative)
and Medical Staff Organization (Clinical).
2. Office of Alcohol and Substance Abuse Services organizes
outreach to vocational counselors at SA treatment agencies to
recruit candidates for internship.
3. Association for Community Living pre-commits to consider
internship graduates for job openings in aftercare agencies.
4. All BPC clinical departments agree to allow masters degree or
higher members to add supervision of interns to their
workload.
®
© 2006, Dual Diagnosis Resources and Research, LLC.
®
© 2006, Dual Diagnosis Resources and Research, LLC.
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