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

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Fact Sheet A Project to Establish A More Welcoming System of Integrated Treatment* for People with Co-occurring Disorders (COD) in Mental Health and Substance Abuse Treatment Centers in Maine A two-year project of the Co-occurring Collaborative of Southern Maine funded by the Maine Health Access Foundation and the Office of Substance Abuse *Integrated treatment is a model in which one clinician or treatment team provides mental health and substance abuse services without prioritizing treatment for one disorder over the other. It promotes individualized interventions, inspiring a clinician to advance beyond traditional approaches to treat effectively both mental health and substance use issues at the same time. Project Summary This two-year project establishes the Institute for Quality Behavioral Health Care, a collaboration of mental health and substance use providers, administrators, payors, and advocates which will focus concurrently on two areas: 1) Removing structural barriers to integrated treatment for co-occurring disorders (COD) including at the policy, funding, regulatory, contracting, training, and program levels. 2) Developing or enhancing integrated programs for co-occurring disorders (COD) in ten treatment centers throughout Maine through technical assistance, support, and evaluation. This project expands on a federal community action grant awarded in 2002 by the Substance Abuse and Mental Health Service Administration (SAMHSA) to the Maine Department of Behavioral and Developmental Services. That grant was used to build consensus for the integration of substance abuse and mental health services among key stakeholders using a model called the Comprehensive Continuous Integrated Systems of Care (CCISC) Model. Funding The two-year-project is funded with approximately $200,000 by the Maine Health Access Foundation and $60,000 from the Office of Substance Abuse through training sub-contracts with AdCare Educational Institute of Maine and the CCSME, for a total of $260,000. The grants are matched by significant in-kind contributions from project partners. Problem statement Co-occurring disorders are common, they affect from 7 to 10 million adults in the US each year. Youth also may experience co-occurring disorders. According to the US Surgeon General report “Forty-one to 65 percent of individuals with a lifetime substance abuse disorder also have a lifetime history of at least one mental disorder, and about 51 percent of those with one or more lifetime mental disorders also have a lifetime history of at least one substance abuse disorder.” When one co-occurring disorder goes untreated, both usually worsen. Complications arise which result in serious medical, psychological and social problems such as HIV, Hepatitis B and C, and cardiac and pulmonary disease, suicide, unemployment, homelessness, incarceration, and alienation from help and support of family and friends. Consequently, people with COD often require high cost services such as emergency room care, hospitalization, and a range of social services. People with co-occurring disorders need complex, comprehensive, integrated treatment which most do not receive. They historically have received parallel or sequential treatment from separate mental health and substance abuse services.
The need for integrated services Maine’s behavioral health service delivery system continues to struggle with the needs of those with cooccurring disorders. Service providers consistently identify the need for integrated substance use and mental health services in behavioral health. A 2001 survey of Maine professionals in substance abuse and mental health treatment centers found that 89 percent identified substantial structural barriers to establishing integrated treatment for co-occurring disorders including separate administrative structures, funding disparities, differing treatment philosophies, differing clinician abilities, and differing eligibility criteria. The CCISC Model The project uses the Comprehensive Continuous Integrated Systems of Care (CCISC) Model, a systems change model developed by Kenneth Minkoff, MD, to establish integrated treatment within the Centers for Excellence. The model has four basic characteristics: system-level change, efficient use of existing resources, incorporation of best practices and integrated treatment philosophy. Integrated treatment is established by implementing change in treatment philosophy, policy, procedures and practices. The Centers of Excellence Four treatment centers established in year one represent diverse services and geographic distribution. Those agencies and their administrative offices include: • Aroostook Mental Heath Services, Inc. (d.b.a. AMHC), Caribou • Day One, Cape Elizabeth • Maine Medical Department of Psychiatry and Spring Harbor Hospital, Portland and Westbrook • Crisis and Counseling Centers, Augusta The initial four treatment centers will mentor and support four additional treatment centers in year two. Additional treatment centers in year two include: • Wellspring, Bangor • Community Health and Counseling Services, Bangor • MaineGeneral Health, Waterville • Spurwink, Portland System Change Strategies/Tools • Agency Commitment through MOU • Use of agency assessment tool: COMPASS • Development of Action Plans for change • Encouragement to utilize agency Continuous Quality Improvement processes • Biannual visits of national experts Doctors Minkoff and Cline with follow up reports • Additional consultant services from Dorothy Farr and NAMI ME • Monthly tele-video conferences among Centers of Excellence lead change agents • Chart audits • Mentoring across Centers • Evaluation/Outcomes through Hornby Zeller Associates, Inc. Contact Catherine Chichester, Co-Occurring Collaborative of Southern Maine, tel. 207-878-6170, cchichester@ccsme.org, www.ccsme.org Partners of the Institute for Quality Behavioral Health Care National Alliance for the Mentally Ill-Maine (NAMI Maine) ● AdCare Educational Institute of Maine Aroostook Mental Health Services, Inc (AMHC) ● Drug Rehabilitation Incorporated (also known as Day One) Anthem Blue Cross Blue Shield ● Maine Primary Care Association (MPCA) Maine DHHS, Bureau of Medical Services (BMS) ● Dept. of Health and Human Services (HHS) Office of Substance Abuse (OSA)
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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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Volume 1, Issue 1 Complete
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Volume 1, Issue 1 The forgoing Cons
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Volume 1, Issue 1 Language for Inte
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Volume 1, Issue 1 Language for Inte
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T36: The Co-Occurring Distinction:
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Integration or Occupation? •QUEST
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Coming to a Balance “Rather shall
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T41: Offering Positive Incentives t
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Motivational Incentives for Enhance
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T43: Prison to Community: Reducing
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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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Page 509 and 510: MY 9-YR-OLD SON’S HISTORY OF MEDI
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Page 515 and 516: COSIG Co-Occurring Disorders Confer
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Page 523 and 524: 1 Multisystemic Therapy MST Model H
Page 525 and 526: 3 NCFAS RESULTS: Adolescents & Pare
Page 527 and 528: Adelphoi Village Multisystemic Ther
Page 529 and 530: DISCHARGES PER AGENCY TOTAL DISCHAR
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Page 558 and 559: 12. What is the diagnosis: |___| 1
Page 562 and 563: Planning and Implementing a Welcomi
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Page 566 and 567: 3. Region I organizations will assi
Page 568 and 569: e) Link organizations with websites
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Page 573 and 574: Welcome to the Johnson Institute ht
Page 575 and 576: johnsoninstitute.com - History http
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Page 583 and 584: MISA PILOT TAKES FLIGHT: A PILOT AP
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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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W96: Stigma & Co-occurring Disorder
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