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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 />

ACT Teams<br />

ACT Teams<br />

65% unemployed<br />

9% actively seeking<br />

13% paid competitive<br />

6% supported, transitional<br />

5% volunteer<br />

47%<br />

The Most Common Diagnoses for CTT Consumers<br />

2%<br />

20%<br />

Adjustment D/O<br />

17%<br />

4%<br />

Bipolar D/O<br />

Conduct D/O<br />

Depressive D/O and Maj.<br />

Depr.<br />

Schizophrenia<br />

Allegheny HealthChoices, Inc., 2004<br />

ACT Teams<br />

Road to Implementation<br />

Approximately 70% of all CTT consumers have a co-occurring disorder.<br />

100%<br />

80%<br />

60%<br />

40%<br />

20%<br />

0%<br />

Four Team Average: Percentage of CTT Consumers by Diagnostic<br />

Type (HealthChoices only)<br />

2002 Q 1 2002 Q 2 2003 Q 1 2003 Q 2<br />

MISA<br />

MH<br />

Original Plan<br />

Designated D and A<br />

specialist on team.<br />

Direct provision of all<br />

D and A individual and<br />

group TX<br />

(ACT=TX Home).<br />

Mid-Analysis<br />

Change title to MISA<br />

specialist.<br />

Difficulty in engaging<br />

consumers in D and A<br />

TX. Poor group<br />

attendance, 1/1<br />

provided on the fly and<br />

inconsistently.<br />

Goals<br />

Fully integrated MISA<br />

specialist.<br />

Adopt stage-wise<br />

assessment and<br />

treatment approaches;<br />

adopt Motivational<br />

Interviewing as a<br />

primary approach.<br />

Allegheny HealthChoices, Inc., 2004<br />

Road to Implementation<br />

Road to Implementation<br />

Original Plan<br />

Divert from rehabs and<br />

other outpatient and<br />

residential (reduce<br />

cost ).<br />

Mid-Analysis<br />

Reduction in<br />

utilization: key<br />

components of<br />

ACT(assertive<br />

outreach, high<br />

tolerance, 24/7 crisis,<br />

contingency funds,<br />

assisting with<br />

housing,own respite)<br />

and informal use of<br />

harm reduction TX<br />

strategies, in some<br />

cases by default.<br />

Goals<br />

ACTT provides all dual<br />

disorders treatment<br />

and rehab, all teams<br />

formally adopt and<br />

provide Integrated<br />

Dual Disorders<br />

Treatment as an EBP.<br />

Original Plan<br />

D and A specialist<br />

works with the<br />

treatment team and<br />

trains team staff in<br />

D and A TX.<br />

Harm reduction as<br />

prevailing TX strategy.<br />

D and A treatment ongoing<br />

and integrated.<br />

Mid-Analysis<br />

D and A specialist<br />

provides all D and A<br />

treatment; other staff<br />

‘pass off’ D/A issues to<br />

specialist.<br />

Informal harm<br />

reduction strategies by<br />

individual staff.<br />

D/A TX goals<br />

separate and distinct<br />

from life goals; D/A<br />

addressed during<br />

crisis.<br />

Goals<br />

All team members<br />

provide TX and rehab<br />

to consumers with<br />

dual disorders.<br />

Methodical and<br />

strategic harm<br />

reduction strategies<br />

reinforced by team.<br />

All teams provide<br />

integrated treatment<br />

planning.<br />

2

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