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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Centers of Excellence Activities
• Built full agency commitment on multiple levels
• Addressed multiple domains within their
agencies
– Mission statement
– Policy & Procedures
– Screening & Assessment
– Human Resources
– Staff Competencies
– Regulatory
• Defined measurable steps through action plans
• Focused on Welcoming, Measuring Prevalence,
and Enhancing Screening & Assessment
(Stages of Change)
Lessons Learned
• Requires overt commitment from management &
throughout the organization
• Change work occurs best through continuous
quality improvement process
• Change occurs incrementally with feedback &
data & procedure/structural change
• Agencies do best with positive reinforcement,
recognition of successes and on-going support
• Training by itself doesn’t result in change
Lessons Learned continued
Outcomes
• Cultural change is hard—takes time
• Structural barriers are real & need to be
addressed on multiple levels to develop,
maintain & sustain change
• Mentoring works—agencies can learn from each
other and challenge each other within a safe
environment
• Agencies are in different stages of change
• Change requires simultaneous work in multiple
systems
Access
Cost
Quality
Outcome
Effectiveness
Measures of Access
• Screen for both disorders
• Assess for both disorder
• Treat for both disorders
• Consumers perceive change from past
Percent
Identification of a Co-Occurring
Disorder
120
100
80
60
40
20
0
60
62
95
Screening Assessment Integrated
Assessment
97
62
75
Baseline Time Period 1
2