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

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Senior Clinical Team<br />

• Fosters spirit of collaboration between<br />

programs<br />

• Facilitates coordination of services<br />

• Promotes a unified clinical philosophy and<br />

clinical practice standards<br />

• Reviews (multi-program) cases<br />

• Reviews OP and IOP<br />

intake/assessment/clinical dispositions<br />

Clinical Practice Changes<br />

• Integrated assessment in all programs-<br />

MH,SA,COD<br />

• Eliminating barriers-<br />

• Crisis program assessing clients under the<br />

influence;<br />

• CRUs accepting clients under the influence.<br />

• Increasing inter-program collaboration.<br />

BARRIERS<br />

Solutions?<br />

• Maine Licensing (both agency and clinician) and Billing<br />

Structures maintain distinct bifurcation.<br />

• Increasing fiscal pressures,<br />

• requiring higher clinician productivity;<br />

• limiting time for clinical collaboration (such as team meetings);<br />

• limiting time and funds available for training to support<br />

technology transfer.<br />

• Pockets of resistance supported by long-held and<br />

resilient cultural myths and reactions to personal history.<br />

• Result: Tendency for some levels of the system<br />

to stall half-way, implementing parallel rather<br />

than integrated treatment.<br />

• Utilize group and individual supervision as a<br />

primary cost and time effective means of<br />

technology transfer and integration;<br />

• Identify resistance and apply strategies to<br />

enhance motivation and increase readiness to<br />

change.<br />

• Further organizational change- Redefining MH<br />

and SA Director roles to further collaboration<br />

and minimize distinctions between services.<br />

C&C Today, Having Achieved a<br />

Smooth, Seamless, Continuous<br />

System of Care<br />

2

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