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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Previous Model Service Silos Our Recovery Philosophy Recovery is an ongoing personal process of developing and achieving healthful goals despite the current presence of psychiatric disability and substance abuse. SPMI Adult Outpatient Geriatric Forensics Substance Abuse The mental health center’s role in recovery is to provide services to help individuals to develop satisfying, hopeful and fulfilling lives in the community of their choice. © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 Ohio Department of Mental Health Model • Evidence Based Model for Recovery of Mental _ Health issues • Not Specifically Designed to Treat Co-occurring _ MH/SA Issues • Demands a large array of service be available • Emphasizes client choice and participation in _ treatment • Requires specific levels of care be defined Levels of Care © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 Typical CORE Client Typical Discovery Client • Cannot identify personal needs • Uninformed of resource opportunities • May be angry, anxious, distrustful, unmotivated • May not accept diagnosis • Symptoms of Mental Health and Substance Abuse tend to be _ active /untreated • May be reluctant to seek treatment for either or both issues • Stigma may interfere with motivation • May lack experience developing trusting relationship © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 • Aware of illness(es) • Beginning to Gain Control of Symptoms at Least Intermittently • Depends heavily upon professional care • Aware of services and choices available • May not feel empowered or desire to make appropriate choices • Begins to set Basic Recovery Goals • Often lacks self confidence, unable to be self sustaining • May not have interaction or decision-making skills needed for work environment • May be afraid of losing benefits • Feels powerless and victimized • Begins to see relationship between decisions and quality of life • Goals still shaped by external needs rather than consumer preference © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 2
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Typical Passages Client • Takes responsibility for life goals, personal growth and fulfilling needs • Makes choices independently • Capable of taking risks • Reasonably self confident, positive values of personal worth • Chooses level of involvement based on needs / interests • Works toward achieving recovery goals for Mental Health and Substance Use • Capable of sustaining personal care and existence • May be vulnerable to relapse in either arena or both • Aware of consequence of decisions • Aware of personal responsibility • Understands the need for assistance Typical Summit Client • Views service providers & personal support system as partners/peers • Willing and ready to give back to community • Serves as role model for other consumers • May move out of public system for employment and private benefits • Understands roles in work environment and seeks to contribute • Aware of how he/she affects other lives • Asks for help when needed • Obtains & uses needed information and resources with minimal support • Completed all major recovery goals • Effectively manages Substance and Mental Health Issues © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 Medical Team Interface What we wanted… • Integration of care across teams • Better cross-coverage of medical job duties • Increased nursing, CM and operations support • Centralized medication samples • Expansion of medication assistance program (PAP) • Efficiency within the team, connections outside Medical Team Interface How we got it… • Medical staff chose to practice in their specialty including substance abuse • Prescribers, nurses and medical casemanagers assigned to clinical teams • Staffing, networking and fun on clinical teams included medical team staff • Medical team able to focus on mission © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 Client Movement Through the Model Admission and Discharge Criteria for each Level of Recovery CORE: Admission Criteria • Expectation for improvement • GAF score < 45 • Resistant to medication • Denial of illness/addiction • Recent inpatient • Homelessness • Difficulty keeping appointments • Needs case management-type services • Requires support to attend to basic ADLs • Resistant to traditional mental health and/or substance abuse services • Unable to identify personal needs © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 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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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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T32: Berks County Adolescent Pilot
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T35: CCISC Implementation in Pennsy
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Volume 1, Issue 5 The Trainers meet
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Volume 1, Issue 1 BLAIR COUNTY’S
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Volume 1, Issue 1 Vision/Mission CO
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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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