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

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

Washington County Co-<br />

Occurring Disorders<br />

Pilot<br />

A Pilot Approach for Continuity of Care<br />

through Mental Health and Drug &<br />

Alcohol systems in Washington County<br />

COD <strong>CONFERENCE</strong> Flight Intro<br />

Airport:<br />

April – December, 2005:<br />

Washington County COD Pilot Integration Project<br />

30% completed flight<br />

70% no shows/refusing further treatment/unable<br />

to locate (take a parachute)<br />

Terminal/Gates: Gate A- Greenbriar (Check-in Point)<br />

Begin @ Airport: 66% severe mental illness (SMI), 85% COD<br />

72% with drug use disorder<br />

• Axis II, serious personality disorders<br />

21.8% serious suicidal ideations<br />

FLIGHT MENU:<br />

Welcoming/intakes/engage/re-engage (49% began @ this LOC)<br />

Physical/psych evaluation (assess MH & D&A) (72% on<br />

psychotropic meds)<br />

Medications (nurses on site, med education groups)<br />

Treatment plans/d/c plans with COD competent staff (increase<br />

COD staff)<br />

Case management services (continuity with treatment @ all<br />

levels, and other agencies involved)/housing issues/<br />

transportation<br />

Gate B- Lighthouse (Layover Until Take-off)<br />

Remain in Hanger: More intense treatment and longer stays<br />

FLIGHT MENU:<br />

• Welcoming/pre-admit assessment (Consumers skills extremely low)<br />

• Onsite psychiatrist/nurse weekly<br />

• Medications<br />

Need continuity of services for COD females<br />

All clients have co-occurring disorders<br />

49% have depressive disorders<br />

68% unemployed<br />

• Comprehensive treatment plans, discharge plans, re-engagin<br />

COD - ICM involvement, 100% pilot consumers<br />

Gate C- Wesley Spectrum service (12 Steps for Boarding)<br />

Preflight preparation: Onsite COD – ICM (12 domains critical)<br />

Ed. groups, + staff changes,<br />

more staff<br />

COD Partial/IOP/OP, DRA group<br />

• 24% began @ Partial LOC, 1/3 complete<br />

• 40% Self/family referral<br />

FLIGHT MENU: Welcoming/COD assessments (25 COD pilot slots)<br />

• Engaging/re-engaging (74% living with someone/independent)<br />

• Onsite psychiatrist weekly (Potential immediate access to Dr)<br />

• Medication accessible (Nearly ¾ of COD consumers on meds)<br />

• Increased COD competent staff, groups with MH component<br />

• COD – ICM for continuity of treatment/housing/transportation<br />

• Onsite self-help groups<br />

Gate D- SPHS D&A Outpatient, Monessen (Preparation for Landing)<br />

In-flight Necessities:<br />

• Competent psychiatric time/meds<br />

• Mobile medication delivery,<br />

• Multiple agency involvement<br />

• COD documentation/chart<br />

FLIGHT MENU:<br />

• Welcoming from D&A, MH/COD evaluations (25 COD pilot slots)<br />

• Engaging/re-engaging<br />

• Onsite psychiatrist weekly<br />

• Mobile medication, (72% on psychotropic meds)<br />

• COD staff with COD partial hospitalization program (79% high<br />

severity) MH partial hospitalization accessible<br />

• COD – ICM availability (100%)<br />

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