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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Stage-Wise Treatment
Sub-type II: SPMI +Substance Abuse
Acute Interventions
For severe MI decompensation, DDC IP unit.
For substance use stabilization, no detox needed.
For substance related symptomatic exacerbation of MI,
without severe decompensation, DDC psychiatric crisis
stabilization bed.
Stage-Wise Treatment
Sub-type II: SPMI +Substance Abuse
Pre-Engagement, Engagement, Early Persuasion, Late
Persuasion Interventions
Individual MI, assuming role of DD recovery companion.
Encourage participation in pre-motivational and persuasion
groups.
Involve families and other collaterals to support the
motivational process and to promote interventions.
Promote harm reduction and behavioral plans to promote
contingency based learning, use payeeships,other
contingencies.
Stage-Wise Treatment
Sub-type II: SPMI +Substance Abuse
Pre-Engagement, Engagement, Early Persuasion, Late
Persuasion Interventions
Utilize negative consequences and adverse outcomes in a
supportive context to promote learning and encourage
change.
Use best psychotropic medication available. Certain
medication changes can be contingent upon reduced
substance use.
Harm reduction-housing (wet housing and damp housing)
supports.
Supported Employment (Individualized Placement &
Support) for vocational rehabilitation.
Stage-Wise Treatment
Sub-type II: SPMI +Substance Abuse
Action-Early Active TX and Late Active Interventions
Continuing meds for MI, along w/appropriate TX supports:
ind and grp, day TX/psych rehab, housing support, CM, etc.
Emphasize building strengths/skills (including substance
reduction skills) to promote recovery from MI.
Cognitive-behavioral skills training (appropriate for level of
psych disability) to promote substance reduction &
elimination, in ind and grp settings integrated into MH TX.
Skills training may be integrated into day treatment or psych
rehab or CTT program.
Stage-Wise Treatment
Sub-type II: SPMI +Substance Abuse
Action-Early Active TX and Late Active
Interventions
Abstinence is recommended goal, but appropriate
outcome can be non-harmful use (e.g., alcohol