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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 ACT Teams ACT Teams 65% unemployed 9% actively seeking 13% paid competitive 6% supported, transitional 5% volunteer 47% The Most Common Diagnoses for CTT Consumers 2% 20% Adjustment D/O 17% 4% Bipolar D/O Conduct D/O Depressive D/O and Maj. Depr. Schizophrenia Allegheny HealthChoices, Inc., 2004 ACT Teams Road to Implementation Approximately 70% of all CTT consumers have a co-occurring disorder. 100% 80% 60% 40% 20% 0% Four Team Average: Percentage of CTT Consumers by Diagnostic Type (HealthChoices only) 2002 Q 1 2002 Q 2 2003 Q 1 2003 Q 2 MISA MH Original Plan Designated D and A specialist on team. Direct provision of all D and A individual and group TX (ACT=TX Home). Mid-Analysis Change title to MISA specialist. Difficulty in engaging consumers in D and A TX. Poor group attendance, 1/1 provided on the fly and inconsistently. Goals Fully integrated MISA specialist. Adopt stage-wise assessment and treatment approaches; adopt Motivational Interviewing as a primary approach. Allegheny HealthChoices, Inc., 2004 Road to Implementation Road to Implementation Original Plan Divert from rehabs and other outpatient and residential (reduce cost ). Mid-Analysis Reduction in utilization: key components of ACT(assertive outreach, high tolerance, 24/7 crisis, contingency funds, assisting with housing,own respite) and informal use of harm reduction TX strategies, in some cases by default. Goals ACTT provides all dual disorders treatment and rehab, all teams formally adopt and provide Integrated Dual Disorders Treatment as an EBP. Original Plan D and A specialist works with the treatment team and trains team staff in D and A TX. Harm reduction as prevailing TX strategy. D and A treatment ongoing and integrated. Mid-Analysis D and A specialist provides all D and A treatment; other staff ‘pass off’ D/A issues to specialist. Informal harm reduction strategies by individual staff. D/A TX goals separate and distinct from life goals; D/A addressed during crisis. Goals All team members provide TX and rehab to consumers with dual disorders. Methodical and strategic harm reduction strategies reinforced by team. All teams provide integrated treatment planning. 2
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Implementing the Evidenced-Based Practice of Integrated Dual Disorders Treatment (IDDT) on ACTT Assertive Community Treatment Teams and Integrated Dual Disorders Treatment: A Natural Fit EBP of ACTT: Critical Ingredients EBP of ACTT: Critical Ingredients HUMAN RESOURCES: STRUCTURE & COMPOSITION • SMALL CASELOAD • TEAM APPROACH • PROGRAM MEETING • PRACTICING TEAM LEADER • CONTINUITY OF STAFFING • STAFF CAPACITY • PSYCHIATRIST ON STAFF • NURSE ON STAFF • SUBSTANCE ABUSE SPECIALIST ON STAFF • VOCATIONAL SPECIALIST ON STAFF • PROGRAM SIZE Dartmouth Assertive Community Treatment Scale (DACTS) ORGANIZATIONAL BOUNDARIES • EXPLICIT ADMISSION CRITERIA • INTAKE RATE • FULL RESPONSIBILITY FOR TREATMENT SERVICES • RESPONSIBILITY FOR CRISIS SERVICES • RESPONSIBILITY FOR HOSPITAL ADMISSIONS • RESPONSIBILITY FOR HOSPITAL DISCHARGE PLANNING • TIME-UNLIMITED SERVICES (GRADUATION RATE) Dartmouth Assertive Community Treatment Scale (DACTS) EBP of ACTT: Critical Ingredients EBP of IDDT: Critical Ingredients NATURE OF SERVICES • COMMUNITY-BASED SERVICES • NO DROPOUT POLICY • ASSERTIVE ENGAGEMENT MECHANISMS • INTENSITY OF SERVICE • FREQUENCY OF CONTACT • WORK WITH INFORMAL SUPPORT SYSTEM • INDIVIDUALIZED SUBSTANCE ABUSE TX • DUAL DISORDER TREATMENT GROUPS • DUAL DISORDERS (DD) MODEL • ROLE OF CONSUMERS ON TX TEAM Dartmouth Assertive Community Treatment Scale (DACTS) • Multidisciplinary Team • Integrated Substance Abuse Specialist • Stage-Wise Interventions • Access for IDDT Clients to Comprehensive DD Services • Time-Unlimited Services • Outreach • Motivational Interventions SAMHSA Integrated Dual Disorders Treatment Fidelity Scale 3
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Program Description: The Commonweal
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Conference Information: The Pennsyl
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MONDAY May 15 th , 2006
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Monday Morning Plenary Session “S
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COSIG Co-Occurring Disorders Confer
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M01: The Addiction Psychiatry Couns
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5. Criminal Logic: This is a 3- to
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12 Roadblocks of Communication 1 Or
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3 G.R.A.C.E. G- For Gap. Often our
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5 _________________________________
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7 Overall, what do you gain by drug
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9 2. What time of day would be best
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11 10. What good things would happe
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13 Decisional Balance for Drug Use
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15 ________________________________
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17 Drug use: Antecedents, Consequen
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Certificate of Achievement Temple U
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M06: An Overview: Co-Occurring Diso
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Requirements for CCDP Employment CC
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ecertification cycle (PCB approved
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Work Experience Verification Applic
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Code of Ethical Conduct UNLAWFUL CO
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psychoactive substance impairs the
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Easy Pass for PCB credentialed prof
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CCDP Checklist for applicants with
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TABLE OF CONTENTS Purpose of the Ca
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confidentiality in substance abuse
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Task 4 - Recognize signs and sympto
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individual’s needs and circumstan
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and community resources and service
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3. Social supports and networks for
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COUNSELING Task 1 - Provide a safe,
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CASE MANAGEMENT information. Task 1
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ensure continuity of care whenever
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disciplinary codes of ethics and st
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2. Effective public relations techn
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2. Eliciting accurate evaluation da
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2. There are seven elements in the
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elationship is established with the
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In taking the test, you may find it
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REFERENCES The following resources
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Other Drug Abuse Counselors. Columb
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Stern, T., Herman, J., & Slavin, P.
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2004 PA Certification Board (PCB).
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Prochaska, J.O. & DiClemente, C.C.,
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M12: An Overview of Adolescents and
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G. Benson, 2004 G. Benson 2004 COSI
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M13: Tri-Recovery Process: Improvin
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M15: TIP 42 Treatment for Persons w
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M16: Housing Implications for the O
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DRAFT - Community Based and Recover
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are perceived as necessary for stat
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esponsibility shared with consumers
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or provided at other rehab programs
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Supportive housing is a successful,
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Living on the Edge: Substance Use a
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M26: Dual Recovery: 12-Step Program
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Using Dialectical Behavior Therapy
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Using Dialectical Behavior Therapy
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TUESDAY May 16 th , 2006
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Article by Kenneth Minkoff, MD and
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Page 341 and 342: Article by Kenneth Minkoff, MD and
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Page 371: T32: Berks County Adolescent Pilot
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Page 414 and 415: Volume 1, Issue 1 Vision/Mission CO
Page 416 and 417: Volume 1, Issue 1 3. The population
Page 418 and 419: Volume 1, Issue 1 Complete
Page 420 and 421: Volume 1, Issue 1 The forgoing Cons
Page 422 and 423: Volume 1, Issue 1 Language for Inte
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T41: Offering Positive Incentives t
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Motivational Incentives for Enhance
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T43: Prison to Community: Reducing
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T45: Workforce Issues and Co-occurr
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T46: Creation of Local Housing Opti
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Fetal alcohol spectrum disorders fo
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MY 9-YR-OLD SON’S HISTORY OF MEDI
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Don’t Ask My Child to Fly Bruce R
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1 Multisystemic Therapy MST Model H
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3 NCFAS RESULTS: Adolescents & Pare
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Adelphoi Village Multisystemic Ther
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DISCHARGES PER AGENCY TOTAL DISCHAR
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T53: Using Change Theory to Assess
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The following questionnaire is desi
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THE STAGES OF CHANGE APPLIED TO COU
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T55: Creating Co-Occurring Centers
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12. What is the diagnosis: |___| 1
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Fact Sheet A Project to Establish A
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Planning and Implementing a Welcomi
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All organizations signing this memo
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3. Region I organizations will assi
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e) Link organizations with websites
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Planning and Implementing a Welcomi
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Welcome to the Johnson Institute ht
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johnsoninstitute.com - History http
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johnsoninstitute.com - President's
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MISA PILOT TAKES FLIGHT: A PILOT AP
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In Flight Changes for COD in Washin
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Crisis & Counseling Centers Co-occu
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Fact Sheet A Project to Establish A
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Mental Health Network Co-Occurring
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100% Treatment Team Improvement in
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T67: Antisocial Personality Disorde
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Wednesday Morning Plenary Session
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Cultural Clashes in Co-Occurring Di
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W72: Use of Animal Assisted Therapy
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W74: Therapy for Women Facing Traum
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HIEN, COHEN, MIELE, ET AL. for the
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HIEN, COHEN, MIELE, ET AL. TABLE 2.
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HIEN, COHEN, MIELE, ET AL. TABLE 4.
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W75: The MISA/COD Pilot Projects: L
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THE BEAVER COUNTY MODEL • Targets
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Additional Information Contact: Nan
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W76: Friends Connection Peer Suppor
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W81: The Pennsylvania COSIG Evaluat
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W83: Beaver County Forensic COD Ini
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W84: Improving Assessment and Treat
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Improving Assessment and Treatment
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W86: Fairweather Lodge - An Evidenc
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Housing, Employment, Social and Aut
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Principle VI. Successful Lodges res
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Fidelity to Autonomy Principles 1.
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W87: Physical Disorders and Persons
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W91: Collaborative Care for Concurr
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W96: Stigma & Co-occurring Disorder
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