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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Co-Occurring Disorders in Those
Seeking Services Were Under
Recognized
The OK-COD Screen:
Rapid Detection of People
with Co-Occurring Disorders of
Substance Abuse, Mental Illness and
Trauma
• Nationwide information led to expectation 50 %
or more of those seeking services would have
co-occurring disorders
• Less than 8% of those presenting for service in
Oklahoma were being identified as needing
COD treatment
Recognition Needed To Be a Priority
• Data from 1999 Mortality Review in New Mexico
made it clear that deaths by accident, suicide,
homicide, illness or natural causes were a high
probability of under recognizing COD
• Under recognition at best leads to low retention
rates, inefficient coordination of services,
inefficient use of resources, poor treatment
matching, discharge planning and follow up.
How to Increase the Number of Service
Recipients Assessed for COD
• Statewide Committee of Mental Health,
Substance Abuse and Domestic Violence
Clinicians, Consumers, and Advocacy
Groups Formed Through COSIG Process
• Decision Made to Utilize “Hot Button”
Screen to Broaden the Number of People
Assessed for COD
• Screen Would Simply Determine Whether Client
Warranted Assessment for a Possible Co-
Occurring Mental or Substance Use Disorder
• Screen Process Would Seek a “Yes” or “No”
Answer to Questions About Possible Problem,
Including Trauma.
• Screening Process Would Not Attempt to
Identify or Determine Seriousness of any
Problem Service Recipient Might Have
• A Yes Answer Results in Automatic Referral for
Assessment
• All Persons Seeking Services Would Receive an
Integrated Screen, SA for Those Seeking MH
Services and MH for Those Seeking SA
Services. Everyone Would Receive Trauma
Screening.
• Screening Would be Brief, Require A Bare
Minimum of Training and Collect Only Enough
Information to Determine Immediate Need for a
Full, More Sophisticated Assessment
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