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Volume 1, Issue 1 Vision/Mission CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS INITIATIVE [MISA] CONSENSUS DOCUMENT July 2004 July 2004 In early 2000, the Blair County Mental Health and Drug and Alcohol Programs began working together to address the barriers to services and supports experienced by persons with co-occurring mental health and substance use disorders 1 . The two programs recognized individuals with cooccurring mental health and substance use disorders as a population with unacceptable outcomes and higher costs in multiple clinical domains. Persons with co-occurring disorders are often poorly served in both mental health and substance use disorder settings, resulting in over-utilization of resources in criminal justice, primary health care, child protection, and women’s and homeless shelter systems. Individuals with co-occurring disorders are sufficiently prevalent in all mental health and substance use disorders service settings that they should be considered an expectation, rather than an exception. In the process of developing a system of recovery for persons with co-occurring disorders, the following vision and mission for a treatment and support services system that would welcome individuals with co-occurring disorders were developed and adopted by Blair County: Project Vision Blair County persons with mental health disorders and substance use disorders have the opportunity to exercise choice and control in their lives, supported by a system of recovery that integrates mental health and drug and alcohol services into a behavioral health system of care. Project Mission Blair County MH/MR/D&A program office, Blair County behavioral health providers network, and the Blair County consumers/clients and families will implement a plan to integrate mental health and drug and alcohol services into a behavioral health system of care for “persons with cooccurring disorders.” 1 Substance use disorders are defined as substance abuse and/or substance addiction. As of December 2004
Volume 1, Issue 1 Background In February 2003, the realities of operating what some have called “a third system” became obvious. The development and funding of dually licensed programs has resulted in an admission criteria that limited the availability of the services and supports for persons with co-occurring disorders [MISA] resulted in many individuals who are in need of these services being placed on a waiting list or denied services due to lack of meeting the admission criteria. Providers and other departments within dually licensed organizations felt that if they identified a person needing services for co-occurring disorders [MISA] that the new protocol required them to refer those persons to the funded, dually licensed programs. Through this pilot, Blair County has learned that the entire treatment system must have the ability and the capability to accept and treat persons with co-occurring disorders and that all facilities licensed to provide treatment for mental health disorders, all facilities licensed to provide treatment for substance use disorders, and dually licensed facilities must become welcoming to persons with mental health and substance use disorders. Therefore, in order to provide welcoming, accessible, integrated, continuous, and comprehensive services to individuals with co-occurring disorders, the MISA Policy Council and the Blair County Mental Health and Drug and Alcohol Program have adopted the Comprehensive, Continuous, Integrated System of Care (CCISC) model and will adapt it for designing systems change at the local level and for modeling and supporting change at the state-wide level. This Consensus Document contains a description of the principles and characteristics of CCISC as well as an implementation action plan for the participating organizations. Endorsement of this Consensus Document by the principal partner organizations or by other stakeholder organizations within the mental health and substance use disorders systems will: 1. Signify their support and participation as a partner in this initiative, and 2. Commit their organizations to adopting the CCISC model and to participating in a change process consistent with the principles and philosophies set out here. Best Practice Principles This model is based on the following eight best clinical consensus practice principles (adapted from Minkoff, 1998, 2000), which espouse an integrated clinical service philosophy. These principles make sense from the perspective of both the mental health and the substance use disorders service systems. 1. Co-occurring disorders are an expectation, not an exception. This expectation must be a consideration in every aspect of system planning, program design, clinical procedure, and clinician competency, and incorporated in a welcoming manner into every clinical contact. 2. The core of success in any setting is the availability of empathic, hopeful clinical relationships that provide integrated and coordinated service during each episode of care across multiple episodes. As of December 2004
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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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RESOURCE BIBLIOGRAPHY (2005) 1. Ame
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38. Foundation Associates, Making M
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71. Minkoff K & Cline C, Developing
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co-occurring psychiatric and substa
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T31: Implementing Evidence-Based Pr
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Page 420 and 421: Volume 1, Issue 1 The forgoing Cons
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Page 430 and 431: Integration or Occupation? •QUEST
Page 432 and 433: Coming to a Balance “Rather shall
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Page 458 and 459: Motivational Incentives for Enhance
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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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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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W96: Stigma & Co-occurring Disorder
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