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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 History of Evidence Based Practice Toolkits INTRODUCING EVIDENCE BASED CARE TO A CONTINUUM OF CARE Andrew B. Loman, LCSW, LADC Program Manager Co-occurring Disorder Treatment Services Maine Medical Center and Spring Harbor Hospital • SAMHSA Initiates EBP Toolkit project • Six EBP Toolkits developed • Website for EBP’s Developed Mentalhealthpractices.org • Co-occurring Disorders Toolkit developed by staff of the New Hampshire-Dartmouth Psychiatric Research Center. • NHDPRC staff authored book on Integrated Treatment- Integrated Treatment for Dual Disorders, A Guide to Effective Practice, Guilford Press 2003. INTEGRATED TREATMENT • Shared Decision making • Integration of Services • Comprehensiveness • Assertiveness • The reduction of negative consequences • A long-term perspective (time-unlimited services) • Motivation based treatment • Availability of multiple psychotherapeutic modalities What does this mean? • Integration means services for both illnesses same staff, same organization. • Comprehensiveness refers to total client functioning- Housing, vocational services, self help etc. • Assertiveness addresses outreach to clients in creative ways. • Reduction of negative consequences represents a philosophy of harm reduction • Long-term perspective refers to sticking it out clients offering what they need when they require it. • Motivation based approaches are based upon clients motivation to change and the stage of change that they are determined to be in. • Multiple psychotherapeutic modalities means that treatment is tailored to the client not designing treatment programs to fit clients into. SHARED DECISION MAKING? • Are you really saying what I think you are saying? • Clients and families often know better what is best for them. • Client and helper as co-conspirators STAGES OF TREATMENT/STAGES OF CHANGE • Engagement- Precontemplation • Persuasion- Contemplation/Preparation • Active Treatment- Action • Relapse prevention- Maintenance 1
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Treatment Matching • Treatment must match the stage • Interventions must be fluid • Services must be comprehensive How do you get an 800 pound Gorilla to listen to you? • Empower staff to think out of the box • Develop a philosophy that guides your system • Create a management structure that really, really believes in this work. • Identify program champions Memorandum of Understanding • Ken Minkoff, M.D. and the MOU • Comprehensive, continuous, integrated system of care model (CCISC) • Eight principles • Four core characteristics The Holy Grail • Dual Diagnosis is an expectation, not an exception • The core of treatment success in any setting is the availability of empathic hopeful treatment across multiple treatment episodes. • Consensus model of treatment based on severity of illnesses. • Care must be balanced in a comprehensive manner. • When both illnesses are present, each must be considered primary. • Treatment must be matched to phase of recovery and stage of change. • There is no correct intervention or program • Outcomes must be individualized. Four Core Characteristics • The CCISC will be implemented within existing treatment resources. • The CCISC will promote participation from all components of the system. • The CCISC will utilize a full range of outcome based best practices. • The CCISC will promote an integrated treatment philosophy, common policies, procedures and language throughout the system of care. How do you know what your doing really works? • The COPASS Instrument • The CODECAT • Program specific action planning • Pre test • Post test 2
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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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MY 9-YR-OLD SON’S HISTORY OF MEDI
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Don’t Ask My Child to Fly Bruce R
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1 Multisystemic Therapy MST Model H
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3 NCFAS RESULTS: Adolescents & Pare
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Adelphoi Village Multisystemic Ther
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DISCHARGES PER AGENCY TOTAL DISCHAR
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T53: Using Change Theory to Assess
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The following questionnaire is desi
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THE STAGES OF CHANGE APPLIED TO COU
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T55: Creating Co-Occurring Centers
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12. What is the diagnosis: |___| 1
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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 617: 100% Treatment Team Improvement in
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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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W76: Friends Connection Peer Suppor
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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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W91: Collaborative Care for Concurr
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W96: Stigma & Co-occurring Disorder
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