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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Problem:
Lack of integrated psychiatric &
substance abuse (SA) treatment
Maine Mental Health Network
Co-Occurring Treatment
Improvement Initiative
• Substance abuse (SA) was prevalent in
patient population and complicated
patients’ psychiatric issues
• Discrete psychiatric and SA programs were
delivered in silos, without formal alignment
or organizational structure
• Less-than-optimal outcomes
March, 2006
Plan for Improvement
• Adopted State’s evidence-based treatment
philosophy & care model for co-occurring
psychiatric & SA issues
• Mission, vision revised to reflect the philosophy
& model
• Launched pilot program (Centers of Excellence
for Integrated Treatment)
• Received private foundation support and federal
funds to offset start-up costs
• Five-year planning & implementation timeline
Improvement Design
• Developed infrastructure to oversee, support
& implement program
– Champion model: 22 champions represent
24 programs
– Steering Committee
• Created process for independent audits of
patient charts
• Redesigned assessments/treatment plans to
reflect stages of change
• Created systematic staff training program &
orientation process
• Solicited consumers to facilitate self-help
groups
Stages of Change
• Pre-contemplation
• Contemplation
• Preparation
• Action
• Maintenance
Outcome Measures
• Patient survey data
– % of SA and psychiatric issues treated
concurrently
– % self-reported improvement in condition
• % Increase in chart audits that demonstrate
caregivers’ consistent presentation of
treatment model to patients
• % of caregivers/treatment teams reporting
improved knowledge, skills, values &
attitudes concerning the model
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