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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

Implementation Drivers<br />

CONSULTATION<br />

& COACHING<br />

PRESERVICE<br />

TRAINING<br />

STAFF<br />

EVALUATION<br />

INTEGRATED &<br />

COMPENSATORY<br />

RECRUITMENT<br />

AND SELECTION<br />

DECISION SUPPORT<br />

DATA SYSTEMS<br />

FACILITATIVE<br />

ADMINISTRATIVE<br />

SUPPORTS<br />

SYSTEMS<br />

INTERVENTIONS<br />

Fixsen, et al. 2005<br />

Staff<br />

Time &<br />

Place<br />

Program<br />

Climate<br />

Resources<br />

Staff<br />

Motivation<br />

Program Change Model<br />

Reception<br />

& Utility<br />

Stages of Transfer<br />

1-Exposure<br />

(Training)<br />

• Lecture<br />

• Self Study<br />

• Workshop<br />

• Consultant<br />

• Satisfaction<br />

• Ease of use<br />

• Values fit<br />

2-Adoption<br />

(Leadership decision)<br />

3-Implementation<br />

(Exploratory use)<br />

4-Practice<br />

(Routine use)<br />

Institutional<br />

Supports<br />

Program<br />

Improvement<br />

(Services/Process/<br />

Management)<br />

• Monitoring<br />

• Feedback<br />

• Rewards<br />

Simpson, 2002<br />

Program<br />

Climate<br />

Resources<br />

Staff<br />

Motivation<br />

Organizational Functioning<br />

Climate:<br />

• Mission<br />

• Cohesion<br />

• Autonomy<br />

• Communication<br />

• Stress<br />

• Change<br />

Resources:<br />

• Offices<br />

• Staffing<br />

• Training<br />

• Equipment<br />

• E-Communications<br />

Job Attitudes:<br />

• Burnout<br />

• Satisfaction<br />

• Director Leadership<br />

Staff:<br />

• Growth<br />

• Efficacy<br />

• Influence<br />

• Adaptability<br />

Motivation:<br />

• Program Needs<br />

• Training Needs<br />

• Pressures<br />

Workplace Practices:<br />

• Peer Collaboration<br />

• Deprivatized Practice<br />

• Collective Responsibility<br />

• Focus on Outcomes<br />

• Reflective Dialogue<br />

• Counselor Socialization<br />

Simpson, 2002<br />

Co-Occurring Center for Excellence (COCE) Change Model<br />

Inputs<br />

(Advances in<br />

the field)<br />

Resources<br />

Available<br />

SAMHSA<br />

Initiatives<br />

NIH<br />

Research<br />

Change<br />

Agents<br />

CO-<br />

OCCURRING<br />

DISORDERS<br />

CENTER<br />

National Steering<br />

Council<br />

Project<br />

Management Team<br />

Project Staff<br />

Subcontractors<br />

Consultants<br />

Technology<br />

Transfer<br />

Approach<br />

Principles:<br />

• Relevance<br />

• Credibility<br />

• Clarity<br />

• Feasibility<br />

• Psychosocial<br />

factors<br />

Practices:<br />

• Matching goals to<br />

readiness<br />

• Interpersonal<br />

Strategies<br />

• Organizational<br />

support<br />

• Use of:<br />

–Translators<br />

– Early adopters<br />

–Champions<br />

• Peer networking<br />

• Follow-up and<br />

support<br />

Targets of<br />

Change<br />

Norms and<br />

Culture of<br />

Practice<br />

Legislative<br />

Regulatory<br />

Context<br />

<strong>COSIG</strong> and<br />

non-<strong>COSIG</strong> States<br />

Sub-State Entities<br />

(Cities, Counties,<br />

Tribes, and<br />

Tribal Organizations)<br />

Providers<br />

(community-based,<br />

educational<br />

establishments,<br />

homelessness<br />

system, criminal<br />

justice, other<br />

social and<br />

public health)<br />

Clinical<br />

Practice<br />

Outcomes<br />

Short Term<br />

Long Term<br />

Willingness to<br />

Science and practice<br />

challenge<br />

viewed as coequal<br />

traditional<br />

partners in advancing<br />

assumptions<br />

patient outcomes<br />

Incentives for<br />

change<br />

Removal of<br />

barriers<br />

Support of and<br />

resources for<br />

innovation<br />

Interagency<br />

communication,<br />

cooperation<br />

Cross<br />

competence<br />

Readiness for<br />

organizational<br />

change and<br />

development<br />

Support of clinical<br />

innovation<br />

Readiness<br />

for/adoption of<br />

innovation<br />

Institutionalization of<br />

evidence-based<br />

practices through<br />

reimbursement,<br />

licensing, etc.<br />

Evidence-based<br />

practices as<br />

strategic goals<br />

Capacity<br />

development<br />

No wrong door<br />

Integrated<br />

systems<br />

System<br />

sustainability<br />

Evidence-based<br />

practices as<br />

organizational<br />

norm<br />

Evidence-based<br />

practices as<br />

standard of care<br />

Building Blocks for Constructing a<br />

Co-Occurring Treatment System<br />

Clinical Capacity<br />

Evaluation and Monitoring<br />

Evidence and Consensus- Based<br />

Practices<br />

Workforce Development and<br />

Training<br />

Screening, Assessment, &<br />

Treatment Planning<br />

Definitions, Terminology,<br />

Classification<br />

Infrastructure<br />

Information Sharing<br />

Certification and<br />

Licensure<br />

Financing Mechanisms<br />

Systems Change<br />

Services Integration<br />

Service & System Change<br />

Co-Occurring Center of Excellence (COCE)<br />

Type<br />

Higher Intensity<br />

Technical<br />

Assistance<br />

Main Outcome<br />

Service &<br />

System Change<br />

Areas Of Emphasis<br />

Services & Services<br />

Infrastructure<br />

Systems<br />

Evaluation and<br />

Information Sharing<br />

Evidence<br />

Monitoring<br />

and<br />

Certification and<br />

Consensus- Based<br />

Workforce<br />

Licensure<br />

Practices<br />

Development and Financing Mechanisms<br />

Screening,<br />

Training<br />

Assessment, &<br />

Systems Change<br />

Definitions,<br />

Treatment Planning<br />

Terminology,<br />

Services Integration<br />

Classification<br />

Approach<br />

comprehensive<br />

collaborative<br />

proactive<br />

longitudinal<br />

organizational<br />

6

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