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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 CORE: Transfer/Discharge Criteria 1. Expresses willingness to continue recovery process 2. Ability to use public transportation 3. Can tolerate structured setting for at least 30 minutes 4. 80% medication compliance • < 1 recent inpatient stay • GAF score > 45 • Understands medications • Stable housing • Met at least one goal • Involved in some outside activities • Understands next steps toward recovery • Applied for benefits Discovery: Admission Criteria • Can tolerate group > 15 min. • Likely to improve or stabilize • Willing to engage in Recovery • SA and/or MH symptoms don’t impede participation Admissions Criteria: • GAF of 40-60 • Understands MH and SA minimally • Willing to participate • Can set goals and design a WRAP • Minimal support systems © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 Discovery: Transfer/Discharge Criteria • Achieved major goals and desires psychotherapy • Is discharged to more intensive services or external provider • Has not been hospitalized in the last six months • Takes responsibility for own recovery and has the skills to manage symptoms Passages: Admission Criteria • Has needs requiring psychotherapy • Participates in care • Has some external support systems • GAF > 55 • Minimal case management • Minimal crisis potential • Self sufficient • Symptoms/Addiction largely controlled • Attends services • Effective recovery process © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 Passages: Transfer/Discharge Criteria • Has an external prescriber • Sustained social occupational functioning • MH/SA Symptoms managed • GAF > 61 • Has met primary goals • No longer needs regular services • Participates in no more than one group weekly • Needs no more than one contact per month • Needs only occasional services as a booster to recovery program Summit: Admission Criteria Must meet at least the first 5 criteria: • Met goals and is stable • No recent detox / hospitalizations • Attends sessions consistently • GAF > 61 • Need monthly one to one contact • Attends group or Clubhouse • Occasional need for brief episodic care (4-8 sessions) • Has an outside therapist/other providers but needs medications that cannot be provided by PCP © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 4
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Summit: Graduation Criteria • Outside provider for medications • No longer needs medications • No hospitalizations > year • Utilizes support systems in the community • Prescriber has agreed to the discharge • Is transferred to more intensive services or to external provider Lighthouse Acute Treatment Unit Detox& Inpatient MH/SA Care and Crisis Services Benefits Team Housing / Benefits / Payeeships Drop in Center Haven House Adult Network CORE Discovery Passages Summit Program Interdependencies Outreach Services Community Resources Churches Red Cross Community Health Soup Kitchen Dental Clinic Wahsatch Transitional Housing House Outreach Admissions Clubhouse Aspen Diversified Industries Vocational Work Ordered Day Services Community-Based Prevocational © Copyright Pikes Peak Mental Health Center System, Inc. 2006 Services © Copyright Pikes Peak Mental Health Center System, Inc. 2006 Continuum Available Lighthouse Programs • Medical Detox • Acute Treatment Unit – Mental Health Only – Co-Occurring Disorders • Transitional Residential Treatment • Intensive Outpatient Treatment • Harbor House © Copyright Pikes Peak Mental Health Center System, Inc. 2006 Metric Pre and Post Recovery Implementation Outcomes Increase Client Clubhouse Involvement Serve More People / Less Money (LOS > 500) Increase in Clinical Productivity Reduce No Show Rates (Passages) Reduce ALS with Same Outcomes Reduce Cost of Service with Same Outcomes (per person per month) 2002 15 74% 44% 33% 1936 days $385 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 2003 78 61% 2004 156 62% 58% 74% 10% 7% 1840 days 1827 days $237 $122 Continuing Recovery Model Outcomes • Lehman Quality of Life • Basis 24 • Level of Functioning • Length of Stay in any given level of the model • Movement Between Levels Subjective Domain General Life Satisfaction Satisfaction with Living Situation** Satisfaction with Daily Activities Satisfaction with Family Contact Satisfaction with Social Relations Satisfaction with Finances Satisfaction with Safety Satisfaction with Health Lehman Quality of Life Average QOL Score on First Test 4.57 4.42 4.68 4.33 4.87 3.49 4.85 4.44 Average QOL Score on Most Recent Test 4.76 4.97 4.77 4.64 5.00 3.78 4.67 4.50 PPMH Change Compared with Change for Similar Clients Reported by Lehman [1] .19 (PPMH) vs .12 .55 (PPMH) vs .17 .09 (PPMH) vs .13 .31 (PPMH) vs .22 .13 (PPMH) vs. .04 .29 (PPMH) vs. .14 -.18 (PPMH) vs. .07 Comparison data not available [1] Lehman’s comparison of change from baseline to two month follow-up for clients with SPMI **Difference between first and second test significant, p=.02 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 © Copyright Pikes Peak Mental Health Center System, Inc. 2006 5
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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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Volume 1, Issue 1 3. The population
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Page 427: T36: The Co-Occurring Distinction:
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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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