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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Modified TC Program in
Criminal Justice Settings
MICA Offender 12 Month Outcomes
Psycho-educational
Classes
Cognitive-behavioral
Elements
50
40
30
20
33%
reincarceration
rates
Therapeutic
Interventions
Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders TIP, 2005b
10
0
MH
16%
TC only
TC +
aftercare
5%
Total n= 139 n=64 n=32 n=43
Sacks, S., Sacks, J., et al. 2004
CSAT 2005b.
Why Integrate Services?
Strong literature base supports the need for the integration of services
provided to COD clients (CSAT, 2005).
Need is generally based on:
High rates of COD in community samples (National Comorbidity
Study (NCS); National Epidemiologic Study on Alcohol and Related
Conditions (NESARC); and the National Survey of Drug Use and
Health (NSDUH), and in treatment samples (Sacks et al. 1997).
Negative impact of each untreated disorder on recovery from the
other (Drake et al 1998, Office of Surgeon General, 1999).
Most treatment settings unprepared to effectively manage both
substance use and mental disorders (SAMHSA, 2002).
CSAT 2005b.
Why Integrate Services? (Continued)
Available research for the severely mentally ill
(e.g., Drake et al., 2001) in combination with
documents based on consensus-based
practices (CSAT, 2005), support the principle
that, provided that proper attention is paid to
severity and type of disorder, services
integration can play an important role in
providing appropriate and effective treatment to
persons with COD (SAMHSA, 2002).
Why Integrate Services? (Continued)
Most research evidence has focused on
need for, and effects of, services integration
for severe substance use and mental
disorders (e.g. Drake et al., 2001).
Integrated Treatment: Definition
Integrated treatment refers broadly to any
mechanism by which treatment interventions
for COD are combined within the context of a
primary treatment or service setting.
CSAT 2005b.
Less work has been done investigating
services integration for those with severe
addiction problems and less severe cooccurring
mental disorders, (e.g., Quadrant III).
CSAT 2005a. TIP 42.
Integrated treatment is a means of
coordinating substance abuse and mental
health interventions to treat the whole person
more effectively.
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