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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Rules, Regulations, Procedures, Luck
1. Internship acceptance standard is substance abuse recovery
program referral, maintaining good standing in your program,
maintenance of stable recovery with community access.
2. Internship candidates are pre-oriented, and interviewed by a
screening team prior to selection.
3. Interns are registered as volunteers at Bronx Psychiatric
Center and receive two-week orientation modeled on new staff
training prior to fieldwork assignments.
4. All interns participate in rounds and both hospital and Albert
Einstein College of Medicine teaching events.
5. Interns are assigned in pairs.
6. Initial sites are chosen based on need for CoD counseling and
presence of CoD trained or recovering masters level staff.
7. First intern graduation involves families, teaching faculty,
supervisors, referring vocational counselors, clients, staff from
teaching sites, BPC leadership and invited guests.
First outcomes
1. All eight accepted interns from Class 1 complete their
internship, with field placements in male and female
admissions wards, CoD ward, and an OPD clinic.
2. Seven of eight interns in Class 1 get jobs in the field.
3. The eighth intern stays home to take care of her young
children and later finishes her Bachelor’s degree.
4. Two interns later relapse. Both return to treatment and are
currently abstinent.
5. An intern from Class 1 is voted Employee of the Year at
Services for the Underserved in New York and later
switches to working with developmental disability clients
with substance abuse disorders.
6. Five of eight interns from Class 1 refer clients to the
internship who then graduate and become counselors
themselves. Some of them later refer intern candidates.
®
© 2006, Dual Diagnosis Resources and Research, LLC.
®
© 2006, Dual Diagnosis Resources and Research, LLC.
First Lessons
• Interns assigned to clinical site where project
staff believes they will experience the most
stress and they are gleefully told about it.
• Expectation is communicated that “it is for you”,
that going through more stressors with peer,
program, faculty and treatment support will
enable coping when a paid employee providing
care to people in need
• Constant emphasis that APCIP was created to
train future staff and that we expect students to
follow clinical professional standards .
®
From Conformity to Complexity:
The Personal and Professional Development of
MICA Interns
Dorinda L. Welle, Ph.D.
National Development &
Research Institutes, Inc. New
York, NY welle@ndri.org
© 2006, Dual Diagnosis Resources and Research, LLC.
History of Peer Counseling
Innovations at
Bronx Psychiatric Center
• 1991-1992 NIMH Demonstration Project: “Peer
Counselors as Members of Intensive Case
Management Teams”
– Employing former psychiatric patients as peer
counselors paired with Intensive Case Managers
– Emphasis on “experiential knowledge” of mental
illness, hospitalization, recovery
– Paraprofessional “control group” for comparative
outcomes
Findings from Peer Counseling
Demonstration Project
• Patients assigned a
Peer Counselor had
significantly higher
perception of their
economic situation
and economic
options.
• Whether assigned a
Paraprofessional or a
Peer Counselor,
patients experienced
positive outcomes in
many areas, including
mental health
aftercare, other health
care seeking, and
social support.
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