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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Ways of Achieving Integrated Treatment
Differing mechanisms can be used to achieve integration. For example:
One clinician delivers a variety of needed services.
Two or more clinicians work together to provide needed services
A clinician may consult with other specialties and then integrate that consultation into
the care provided.
A clinician may coordinate a variety of efforts in an individualized treatment plan that
integrates the needed services. For example, if someone with housing needs was not
accepted at certain facilities, the clinician might work with a State-level communityhousing
program to find the transitional or supported housing the client needs.
One program can provide integrated care.
Multiple agencies can join together to create a program that will serve a specific
population. For example, a mental health center, a local housing authority, a
foundation, a county government funding agency, a drug and alcohol treatment
program, and a neighborhood association could join together to establish a treatment
center to serve women and children with
co-occurring disorders.
Issues in Evidence-Based Practices
Context
When the circumstances surrounding the
application of the practice change to the
extent that the practice must be modified,
the original evidence or consensus base
may well prove to be insufficient.
Center for Substance Abuse Treatment. (2005a)
CSAT 2005a. TIP 42.
Issues in Evidence-Based Practices
Transferability
Even once established across a range of
client groups and settings, the
transferability of treatment techniques
and models is not assured.
Do Clinically-Driven “Best Practices” Have a Role?
The reality is that the number of evidence-based practices available
to the clinician is insufficient to the task of treatment.
Clients with co-occurring disorders present a variety of disorders,
and appropriate treatment covers a wide spectrum of services —
screening, assessment, engagement, intensive treatment, re-entry
— with only a modest number of research-driven (i.e., evidencebased)
practices available to clarify and guide the selection
process.
Under these conditions, the clinician must turn to accepted,
sensible, and seemingly effective practice.
Evidence Based practices where available, Consensus- Based
practices where necessary.
Center for Substance Abuse Treatment. (2005a)
Center for Substance Abuse Treatment. (2005a)
Technology Transfer Approach
Backer, T. 1991
Technology
Transfer
The transmission of information
to achieve application.
Principles
Relevant
Timely
Clear
Credible
Multifaceted
Continuous
Bi-directional
Practices
Readiness for change
Interpersonal Strategies
Organizational support
Use of:
• Translators
• Early adopters
• Champions
• Peer networking
Follow-up and support
Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders TIP, 2005b & ATTC. 2000. The Change Book.
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