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

More documents

Recommendations

Info

<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Our basic design was a randomized, parallel group design… What were our methods? Referral CRC & Inpatient Units Consent Process Assessment Randomization TAU FASST Follow-up Assessment What were the inclusion criteria… What were the intake research assessments? • Axis I disorder including a Substance Use Disorder. • Positive urine drug screen. • Anticipated hospital stay of at least 3 days. • No serious medical condition requiring evaluation, hospitalization or referral. • Not admitted involuntarily. • IQ >70 • Pre-assessments. • On admission. • SCID • ASI • SIRS • K-BIT/K-FAST • Mini-Mental Status • RAB • Drug Craving • GAF • ICCI • Post-assessments. • Immediately prior to discharge. • GAF • Impact Scale What were the follow-up assessments? • Assessments: • Outpatient attendance. • Rehospitalization. • Index of Risk. • Functioning: • Addiction Severity Index (drug use section). • Urine Drug Screen. Geographical Information Systems Analysis: Community, program and individual risk factors associated with non-attendance… Domiciled 1 or more temporary housing within 0.4 miles Returning Home Variable 3 or more prior treatment episodes Bizarre behavior (presenting problem) 2 or more liquor/beer stores within 0.4 miles 7 or more NA/AA meetings within 0.8 miles Substance induced mood disorder Odds Ratio 2.66 2.61 2.42 0.18 0.29 0.43 0.45 0.48 Significance .022 .006 .004 .000 .008 .018 .009 .038 UDS positive for heroin 0.48 .059 Suicidal ideation 0.49 .023 20% or more public assistance in census tract 0.60 . 075 Note: Significance at p < .10 level Logistic regression used to predict likelihood of showing up to first outpatient appointment within 30 days of post discharge from acute inpatient program 4
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 How did we assess understanding of Informed Consent? The Informed Consent Comprehension Interview (ICCI) • Assessed after consent obtained and prior to therapy. • Misunderstandings clarified. • Assess: • Expressing choice. • Understanding relevant information and significance. • Appreciation of significance and consequences of alternatives. • Reasoning with relevant information. In this vulnerable population can we enhance comprehension of informed consent? • Can we enhance comprehension of informed consent? • Intervention: Series of cards with answers to FAQs. • Four groups: I. Consent-ICCI-Cards-ICCI II. Consent Cards-ICCI III. Consent-ICCI ICCI IV. Consent-ICCI • Improved understanding but not reasoning. 2.5 2 1.5 1 0.5 0 I II III IV Groups Understanding Appreciation Reasoning What was Treatment-as-Usual? • Conducted by Unit Staff. • Group treatments now in place on the unit. • Group treatments • Relapse prevention • Denial & Acceptance • Coping with addiction • Anger & Stress Management What is Functional Analytic Structured & Systemic Therapy (FASST)… • Theoretically-based behavioral treatment. • Conducted by supervised graduate student assistants. • Combines principles and techniques of a Functional Analysis of Behavior, Motivational Interviewing Techniques and Community Reinforcement. • Five 45 minute sessions. • Sessions 2 per day. What are the characteristics of Functional Analytic Structured & Systemic Therapy? Phases • Engagement. • Assessment. • Motivation. • Behavioral Change. • Generalization. Characteristics • Functional analysis • Structured • Systemic What is the rationale for Functional Analytic Structured & Systemic Therapy? • Allocation Principle: All behavior is choice behavior and is allocated to alternatives of greatest benefit. – B = R 1 /(R 1 +R O ) • Mediation Principle: Other persons and social institutions mediate the occurrence of benefits and costs important to the patient. • Economic Principle: Price is an important determinant of consumption of goods and services. – C = LP b e -aP where C is consumption and P price. • Discounting Principle: Within a limited time horizons patients weigh costs and benefits. – V = A/(1+kD) V is reinforcer value, A dollar amount, D is delay and k discounting rate. • Preference Principle: We do not always know the patients utility curve. 5
Page 3 and 4:
Program Description: The Commonweal
Page 5 and 6:
Conference Information: The Pennsyl
Page 7:
MONDAY May 15 th , 2006
Page 11:
Monday Morning Plenary Session “S
Page 14 and 15:
COSIG Co-Occurring Disorders Confer
Page 16 and 17:
Page 18 and 19: COSIG Co-Occurring Disorders Confer
Page 27: M01: The Addiction Psychiatry Couns
Page 47: COSIG Co-Occurring Disorders Confer
Page 61: 5. Criminal Logic: This is a 3- to
Page 67: COSIG Co-Occurring Disorders Confer
Page 75 and 76: 12 Roadblocks of Communication 1 Or
Page 77 and 78: 3 G.R.A.C.E. G- For Gap. Often our
Page 79 and 80: 5 _________________________________
Page 81 and 82: 7 Overall, what do you gain by drug
Page 83 and 84: 9 2. What time of day would be best
Page 85 and 86: 11 10. What good things would happe
Page 87 and 88: 13 Decisional Balance for Drug Use
Page 89 and 90: 15 ________________________________
Page 91 and 92: 17 Drug use: Antecedents, Consequen
Page 93: Certificate of Achievement Temple U
Page 103: M06: An Overview: Co-Occurring Diso
Page 107 and 108: Requirements for CCDP Employment CC
Page 109 and 110: ecertification cycle (PCB approved
Page 111 and 112: Work Experience Verification Applic
Page 113 and 114: Code of Ethical Conduct UNLAWFUL CO
Page 115 and 116: psychoactive substance impairs the
Page 117 and 118: Easy Pass for PCB credentialed prof
Page 119 and 120:
CCDP Checklist for applicants with
Page 122 and 123:
TABLE OF CONTENTS Purpose of the Ca
Page 124 and 125:
confidentiality in substance abuse
Page 126 and 127:
Task 4 - Recognize signs and sympto
Page 128 and 129:
individual’s needs and circumstan
Page 130 and 131:
and community resources and service
Page 132 and 133:
3. Social supports and networks for
Page 134 and 135:
COUNSELING Task 1 - Provide a safe,
Page 136 and 137:
CASE MANAGEMENT information. Task 1
Page 138 and 139:
ensure continuity of care whenever
Page 140 and 141:
disciplinary codes of ethics and st
Page 142 and 143:
2. Effective public relations techn
Page 144 and 145:
2. Eliciting accurate evaluation da
Page 146 and 147:
2. There are seven elements in the
Page 148 and 149:
elationship is established with the
Page 150 and 151:
In taking the test, you may find it
Page 152 and 153:
REFERENCES The following resources
Page 154 and 155:
Other Drug Abuse Counselors. Columb
Page 156 and 157:
Stern, T., Herman, J., & Slavin, P.
Page 158 and 159:
2004 PA Certification Board (PCB).
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171:
Prochaska, J.O. & DiClemente, C.C.,
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 191:
M12: An Overview of Adolescents and
Page 194 and 195:
Page 196 and 197:
G. Benson, 2004 G. Benson 2004 COSI
Page 198 and 199:
Page 200 and 201:
Page 202 and 203:
Page 205:
M13: Tri-Recovery Process: Improvin
Page 208 and 209:
Page 210 and 211:
Page 212 and 213:
Page 214 and 215:
Page 216 and 217:
Page 218 and 219:
Page 220 and 221:
Page 223 and 224:
Page 225:
M15: TIP 42 Treatment for Persons w
Page 228 and 229:
Page 230 and 231:
Page 232 and 233:
Page 234 and 235:
Page 236 and 237:
Page 238 and 239:
Page 240 and 241:
Page 242 and 243:
Page 245:
M16: Housing Implications for the O
Page 248 and 249:
DRAFT - Community Based and Recover
Page 250 and 251:
are perceived as necessary for stat
Page 252 and 253:
esponsibility shared with consumers
Page 254 and 255:
or provided at other rehab programs
Page 256 and 257:
Supportive housing is a successful,
Page 259 and 260:
Page 261 and 262:
Page 263 and 264:
Page 265:
Living on the Edge: Substance Use a
Page 269 and 270:
Page 271 and 272:
Page 273 and 274:
Page 275 and 276:
Page 277 and 278:
Page 279 and 280:
Page 281 and 282:
Page 283 and 284:
Page 285 and 286:
Page 287 and 288:
Page 289 and 290:
Page 291:
M26: Dual Recovery: 12-Step Program
Page 313 and 314:
Page 315 and 316:
Page 317 and 318:
Page 319 and 320:
Page 321 and 322:
Page 323 and 324:
Using Dialectical Behavior Therapy
Page 325 and 326:
Using Dialectical Behavior Therapy
Page 327:
TUESDAY May 16 th , 2006
Page 331 and 332:
Article by Kenneth Minkoff, MD and
Page 333 and 334:
Page 335 and 336:
Page 337 and 338:
Page 339 and 340:
Page 341 and 342:
Page 343 and 344:
Page 345 and 346:
Page 347 and 348:
Page 349 and 350:
Page 351 and 352:
Page 353 and 354:
RESOURCE BIBLIOGRAPHY (2005) 1. Ame
Page 355 and 356:
38. Foundation Associates, Making M
Page 357 and 358:
71. Minkoff K & Cline C, Developing
Page 359 and 360:
co-occurring psychiatric and substa
Page 361:
T31: Implementing Evidence-Based Pr
Page 364 and 365:
Page 366 and 367:
Page 368 and 369:
Page 371:
T32: Berks County Adolescent Pilot
Page 374 and 375:
Page 376 and 377:
Page 379 and 380:
Page 381 and 382:
Page 383 and 384:
Page 385 and 386:
Page 387:
Page 391 and 392:
Page 393 and 394:
Page 395 and 396:
Page 397 and 398:
Page 399:
T35: CCISC Implementation in Pennsy
Page 402 and 403:
Page 404 and 405:
Page 406 and 407:
Page 408 and 409:
Page 410 and 411:
Volume 1, Issue 5 The Trainers meet
Page 412 and 413:
Volume 1, Issue 1 BLAIR COUNTY’S
Page 414 and 415:
Volume 1, Issue 1 Vision/Mission CO
Page 416 and 417:
Volume 1, Issue 1 3. The population
Page 418 and 419:
Volume 1, Issue 1 Complete
Page 420 and 421:
Volume 1, Issue 1 The forgoing Cons
Page 422 and 423:
Volume 1, Issue 1 Language for Inte
Page 424 and 425:
Volume 1, Issue 1 Language for Inte
Page 427:
T36: The Co-Occurring Distinction:
Page 430 and 431:
Integration or Occupation? •QUEST
Page 432 and 433:
Coming to a Balance “Rather shall
Page 435 and 436:
Page 437 and 438:
Page 439 and 440:
Page 441 and 442:
Page 443 and 444:
Page 445 and 446:
Page 447 and 448:
Page 449:
T41: Offering Positive Incentives t
Page 452 and 453:
Page 454 and 455:
Page 456 and 457:
Page 458 and 459:
Motivational Incentives for Enhance
Page 461:
T43: Prison to Community: Reducing
Page 465 and 466:
Page 467 and 468:
Page 469 and 470:
Page 471:
T45: Workforce Issues and Co-occurr
Page 474 and 475:
Page 476 and 477:
Page 478 and 479:
Page 480 and 481:
Page 483:
T46: Creation of Local Housing Opti
Page 486 and 487:
Page 489 and 490:
Page 491 and 492:
Page 493 and 494:
Page 495 and 496:
Page 497 and 498:
Page 499 and 500:
Page 501 and 502:
Fetal alcohol spectrum disorders fo
Page 503 and 504:
Page 505 and 506:
Page 507 and 508:
Page 509 and 510:
MY 9-YR-OLD SON’S HISTORY OF MEDI
Page 511:
Don’t Ask My Child to Fly Bruce R
Page 515 and 516:
Page 517 and 518:
Page 519:
Page 523 and 524:
1 Multisystemic Therapy MST Model H
Page 525 and 526:
3 NCFAS RESULTS: Adolescents & Pare
Page 527 and 528:
Adelphoi Village Multisystemic Ther
Page 529 and 530:
DISCHARGES PER AGENCY TOTAL DISCHAR
Page 531:
T53: Using Change Theory to Assess
Page 534 and 535:
Page 536 and 537:
Page 538 and 539:
The following questionnaire is desi
Page 540 and 541:
THE STAGES OF CHANGE APPLIED TO COU
Page 543 and 544:
Page 545 and 546:
Page 547 and 548:
Page 549 and 550:
Page 551:
T55: Creating Co-Occurring Centers
Page 554 and 555:
Page 556 and 557:
Page 558 and 559:
12. What is the diagnosis: |___| 1
Page 560 and 561:
Fact Sheet A Project to Establish A
Page 562 and 563:
Planning and Implementing a Welcomi
Page 564 and 565:
All organizations signing this memo
Page 566 and 567:
3. Region I organizations will assi
Page 568 and 569:
e) Link organizations with websites
Page 570 and 571:
Planning and Implementing a Welcomi
Page 573 and 574:
Welcome to the Johnson Institute ht
Page 575 and 576:
johnsoninstitute.com - History http
Page 577:
johnsoninstitute.com - President's
Page 581 and 582:
Page 583 and 584:
MISA PILOT TAKES FLIGHT: A PILOT AP
Page 585:
In Flight Changes for COD in Washin
Page 589 and 590:
Page 591 and 592:
Page 593:
Page 597 and 598:
Page 599 and 600:
Page 601:
Page 605 and 606:
Crisis & Counseling Centers Co-occu
Page 607 and 608:
Page 609 and 610:
Page 611 and 612:
Page 613 and 614:
Fact Sheet A Project to Establish A
Page 615 and 616:
Mental Health Network Co-Occurring
Page 617:
100% Treatment Team Improvement in
Page 621:
T67: Antisocial Personality Disorde
Page 624 and 625:
Page 626 and 627:
Page 628 and 629:
Page 630:
Page 633:
Page 637:
Wednesday Morning Plenary Session
Page 640 and 641:
Cultural Clashes in Co-Occurring Di
Page 642 and 643:
Page 644 and 645:
Page 647 and 648:
Page 649:
W72: Use of Animal Assisted Therapy
Page 653 and 654:
Page 655 and 656:
Page 657 and 658:
Page 659 and 660:
Page 661:
W74: Therapy for Women Facing Traum
Page 664 and 665:
Page 666 and 667:
Page 668 and 669:
HIEN, COHEN, MIELE, ET AL. for the
Page 670 and 671:
HIEN, COHEN, MIELE, ET AL. TABLE 2.
Page 672 and 673:
HIEN, COHEN, MIELE, ET AL. TABLE 4.
Page 679:
W75: The MISA/COD Pilot Projects: L
Page 682 and 683:
THE BEAVER COUNTY MODEL • Targets
Page 684 and 685:
Additional Information Contact: Nan
Page 686 and 687:
Page 688 and 689:
Page 691:
W76: Friends Connection Peer Suppor
Page 694 and 695:
Page 696 and 697:
Page 699:
W77: Treatment for Older Adult with
Page 702 and 703:
Page 704 and 705:
Page 706 and 707:
Page 708 and 709:
Page 710 and 711:
Page 712 and 713:
Page 715:
W81: The Pennsylvania COSIG Evaluat
Page 718 and 719:
Page 720 and 721:
Page 723:
W83: Beaver County Forensic COD Ini
Page 726 and 727:
Page 728 and 729:
Page 730 and 731:
Page 732 and 733:
Page 734 and 735:
Page 737:
W84: Improving Assessment and Treat
Page 740 and 741:
Improving Assessment and Treatment
Page 742 and 743:
Page 744 and 745:
Page 746 and 747:
Page 748 and 749:
Page 750 and 751:
Page 752:
Page 759 and 760:
Page 761 and 762:
Page 763 and 764:
Page 765 and 766:
Page 767 and 768:
Page 769 and 770:
Page 771:
W86: Fairweather Lodge - An Evidenc
Page 774 and 775:
Housing, Employment, Social and Aut
Page 776 and 777:
Principle VI. Successful Lodges res
Page 778 and 779:
Fidelity to Autonomy Principles 1.
Page 781:
W87: Physical Disorders and Persons
Page 784 and 785:
Page 787:
W91: Collaborative Care for Concurr
Page 790 and 791:
Page 792 and 793:
Page 795 and 796:
Page 797:
Page 801 and 802:
Page 803 and 804:
Page 805:
W96: Stigma & Co-occurring Disorder
Page 808 and 809:
Page 810 and 811:
Page 812 and 813:
Page 814 and 815:
Page 816 and 817:
Page 818 and 819:
Page 821 and 822:
Page 823 and 824:
Page 825 and 826:
Page 827:
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?