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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 The Four Quadrant Model is a viable mechanism for categorizing individuals with co-occurring disorders for purpose of service planning and system responsibility. SUB-GROUPS OF PEOPLE WITH COEXISTING DISORDERS Patients with “Dual Diagnosis” - combined psychiatric and substance abuse problems - who are eligible for services fall into four major quadrants PSYCH. HIGH SUBSTANCE HIGH Serious & Persistent Mental Illness with Substance Dependence QUADRANT IV PSYCH. HIGH SUBSTANCE LOW Serious & Persistent Mental Illness with Substance Abuse QUADRANT II PSYCH. LOW SUBSTANCE HIGH Psychiatrically Complicated Substance Dependence QUADRANT III PSYCH. LOW SUBSTANCE LOW Mild Psychopathology with Substance Abuse QUADRANT I Treatment success derives from the implementation of an empathic, hopeful, continuous treatment relationship, which provides integrated treatment and coordination of care through the course of multiple treatment episodes. Within the context of the empathic, hopeful, continuous, integrated relationship, case management/care (based on level of impairment) and empathic detachment/confrontation (based on strengths and contingencies) are appropriately balanced at each point in time. When substance disorder and psychiatric disorder co-exist, each disorder should be considered primary, and integrated dual primary treatment is recommended, where each disorder receives appropriately intensive diagnosis-specific treatment. Both substance dependence and serious mental illness are examples of primary, chronic, biologic mental illnesses, which can be understood using a disease and recovery model, with parallel phases of recovery. 2
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 PARALLELS PROCESS OF RECOVERY • PHASE 1: Stabilization - Stabilization of active substance use or acute psychiatric symptoms • PHASE 2: Engagement/ Motivational Enhancement - Engagement in treatment - Contemplation, Preparation, Persuasion • PHASE 3: Prolonged Stabilization - Active treatment, Maintenance, Relapse Prevention • PHASE 4: Recovery & Rehabilitation - Continued sobriety and stability - One year - ongoing There is no one type of dual diagnosis program or intervention. For each person, the correct treatment intervention must be individualized according to subtype of dual disorder and diagnosis, phase of recovery/treatment, level of functioning and/or disability associated with each disorder. In a managed care system, individualized treatment matching also requires multidimensional level of care assessment involving acuity, dangerousness, motivation, capacity for treatment adherence, and availability of continuing empathic treatment relationships and other recovery supports. Treatment Matching and Treatment Planning CCISC CHARACTERISTICS • 1. SYSTEM LEVEL CHANGE • 2. USE OF EXISTING RESOURCES • 3. BEST PRACTICES UTILIZATION • 4. INTEGRATED TREATMENT PHILOSOPHY CHANGING THE WORLD • A. SYSTEMS • B. PROGRAM • C. CLINICAL PRACTICE • D. CLINICIAN 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 351 and 352: Article by Kenneth Minkoff, MD and
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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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Page 427: T36: The Co-Occurring Distinction:
Page 430 and 431: Integration or Occupation? •QUEST
Page 432 and 433: Coming to a Balance “Rather shall
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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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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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