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

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

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COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 E. Integrated Treatment Planning Integrated Treatment Planning (continued) 1. The individual’s participation in the development of his/her integrated treatment plan. 2. Input from the multidisciplinary treatment team, collaborating agencies & practitioners. 3. Goals and measurable objectives that reflect the presence of both disorders and how treatment interventions may vary to meet the needs of the individual. 4. Individualized goals that are stage-specific based upon the assessment of co-occurring needs. (Evidence of use of Stage of Change assessment and goals that are clearly THIS person’s – not a “cookie cutter” plan) 5. Identification and incorporation of the individual’s strengths in accomplishing the identified goals. 6. Reviews and revisions based upon additional clinical information obtained through the ongoing assessment and evaluation process. 7. Recovery supports for both disorders. F. Medication The program shall: 1. Develop medication policies and procedures that address the prescribing, dispensing, and administration of medication, as well as the reporting of medication errors and adverse drug reactions for all medications prescribed by the facility’s attending physician. 2. Provide written justification for all medications prescribed by the facility correlating them to specific symptoms, as well as identifying potential side-effects. Medication (continued) 3. Document a medication record including drug, dose, frequency, and prescribing physician. 4. Develop a system to monitor medication adherence, including self-report. 5. Develop policies and procedures addressing access to medication, if not available within the facility. 6. Develop policies and procedures outlining the coordination of care between all programs providing treatment services and medications to the individual. G. Crisis Intervention Procedures The program shall develop policies and procedures to address the following: 1. Psychiatric emergencies 2. Withdrawal emergencies 3. Medication emergencies 4. Intoxication H. Communication, Collaboration & Consultation 1. Written agreements to maintain linkages with practitioners and organizations necessary to support co-occurring service needs. 2. Policies and procedures for integrating input from ollaborating agencies into the treatment process. 3. Procedures for obtaining written consent from the individual receiving services for all communication and collaboration with other agencies. 4. Procedures for identifying situations requiring consultation. 6

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 I. Staff Competencies 1. Documentation of credentialed staff, including the CCDP. 2. Number of staff who have completed the approved cooccurring core training curriculum. 3. Program training plan addressing co-occurring issues. 4. Documentation of credentialed supervisors, including the CCDP. 5. Documentation of ongoing supervision to address cooccurring services. J. Transition/Discharge/Aftercare 1. Aftercare needs planning commencing upon admission to the program. 2. Referral for psychiatric access and medication management. 3. Identification of and referral to a community support network including recovery self-help groups and other individualized support/ services for recovery 4. Instructions for accessing crisis services. 5. Linkage with case management services for community resources, if appropriate and available. Personnel: Credentialing Staff • Co-occurring Disorders Certification – CCDP and CCDP Diplomate • Education • Supervision • Experience • Code of ethical conduct • Recertification Continuing Education • Workforce development sub-committee charged 3 PA Training Institutes to develop extensive curriculum in 1998 • Has been offered throughout the Commonwealth every year since 1999 • Participants receive a certificate of completion of all required courses PA COD Approved Curriculum • Co-occurring Disorders: Integrated Concepts and Approaches • Co-occurring Disorders: Ethics and Boundaries for Effective Practice • Co-occurring Disorders: Treatment Planning and Documentation Issues • Treatment and Supports for Co-occurring Disorders • Co-occurring Disorders : Recovery, Rehabilitation and Self-Help: What, When and How PA COD Approved Curriculum • Co-occurring Disorders: Crisis Prevention, Intervention and Postvention • Co-occurring Disorders : Groups and Group Skills • Co-occurring Disorders: Working Respectfully with Family Members and Significant Others • Co-occurring Disorders and Psychopharmacology: An Overview • Co-occurring Disorders: Practice Principles for Continuous Quality Improvement and Collaboration 7

<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

E. Integrated Treatment Planning<br />

Integrated Treatment Planning (continued)<br />

1. The individual’s participation in the development of<br />

his/her integrated treatment plan.<br />

2. Input from the multidisciplinary treatment team,<br />

collaborating agencies & practitioners.<br />

3. Goals and measurable objectives that reflect the<br />

presence of both disorders and how treatment<br />

interventions may vary to meet the needs of the<br />

individual.<br />

4. Individualized goals that are stage-specific based upon<br />

the assessment of co-occurring needs. (Evidence of use<br />

of Stage of Change assessment and goals that are<br />

clearly THIS person’s – not a “cookie cutter” plan)<br />

5. Identification and incorporation of the individual’s<br />

strengths in accomplishing the identified goals.<br />

6. Reviews and revisions based upon additional clinical<br />

information obtained through the ongoing assessment<br />

and evaluation process.<br />

7. Recovery supports for both disorders.<br />

F. Medication<br />

The program shall:<br />

1. Develop medication policies and procedures that<br />

address the prescribing, dispensing, and<br />

administration of medication, as well as the reporting<br />

of medication errors and adverse drug reactions for all<br />

medications prescribed by the facility’s attending<br />

physician.<br />

2. Provide written justification for all medications<br />

prescribed by the facility correlating them to specific<br />

symptoms, as well as identifying potential side-effects.<br />

Medication (continued)<br />

3. Document a medication record including drug, dose,<br />

frequency, and prescribing physician.<br />

4. Develop a system to monitor medication adherence,<br />

including self-report.<br />

5. Develop policies and procedures addressing access to<br />

medication, if not available within the facility.<br />

6. Develop policies and procedures outlining the<br />

coordination of care between all programs providing<br />

treatment services and medications to the individual.<br />

G. Crisis Intervention<br />

Procedures<br />

The program shall develop policies and procedures to<br />

address the following:<br />

1. Psychiatric emergencies<br />

2. Withdrawal emergencies<br />

3. Medication emergencies<br />

4. Intoxication<br />

H. Communication, Collaboration<br />

& Consultation<br />

1. Written agreements to maintain linkages with<br />

practitioners and organizations necessary to support<br />

co-occurring service needs.<br />

2. Policies and procedures for integrating input from<br />

ollaborating agencies into the treatment process.<br />

3. Procedures for obtaining written consent from the<br />

individual receiving services for all communication and<br />

collaboration with other agencies.<br />

4. Procedures for identifying situations requiring<br />

consultation.<br />

6

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