COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 CO-OCCURRING DISORDER(S) ‣A term used when a person is found to have one or more DSM-IV-TR diagnosed psychiatric disorders as well as one or more substance use disorders. ‣Both disorders are considered primary, meaning that one does not cause the other and that both require interventions that assist the person in overcoming the negative effects of these disorders. COD Professional Credential (CCDP) ‣ A competency-based credential now granted by the Pennsylvania Certification Board for professions who provide co-occurring mental health and substance use treatment. ‣ The grandfathering period for this credential has now expired and an examination is required. There are about 1000 practitioners currently approved. ‣ Not the only acceptable credential that indicates dual competency. *COD Competent Facility* ‣ A licensed facility (by one or both) that: Addresses co-occurring psychiatric and substance use disorders in its policies and procedures; Provides integrated screening and assessment to determine interventions needed and engage in an integrated care planning process; Provides education on co-occurring disorders in both individual and group programming; Establishes appropriate crisis intervention protocols; Develops interagency coordination for co-occurring services and ensures COD discharge planning; If singly licensed, does NOT provide treatment for the other disorder. COD Enhanced Facility ‣A dually-licensed facility that: Has programmatic capacity to provide integrated substance use and psychiatric treatment to persons presenting with symptomatic and/or functional impairments as a result of their co-occurring disorders; and Address CODs using an integrated philosophy and treatment model in a single setting. Integrated Treatment “Any mechanism by which treatment interventions for CODs are combined within the context of a primary treatment relationship or service setting with an individual clinician or clinical team.” • Recognizes the need for a unified treatment approach for person or family • This approach is characteristic of the standard of care in a COD enhanced facility 2
COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Evidence-Based Practice ‣Practices are referred to as being “evidence-based” or “promising” (not “best”). ‣Some definitions: • “Evidence-based practices are interventions for which there is consistent scientific evidence showing that they improve client outcomes” (Drake et al, 2001) • “Evidence-based practice is the integration of best research evidence with clinical expertise and patient values….” (Crossing the Quality Chasm, Institute of Medicine, 2001) POLICY AND CRITERIA FOR CO-OCCURRING DISORDER COMPETENT PROGRAMS POLICY To be approved as a co-occurring disorder capable facility, in addition to meeting the following criteria, the facility must: • Have a current license or certificate of compliance from the Department of Health, Division of Drug and Alcohol Program Licensure; OR • Have a current license or certificate of approval from the Department of Public Welfare, Office of Mental Health and Substance Abuse Services. CRITERIA SECTIONS A. COD Mission and Philosophy B. COD Screening C. COD Assessment Process D. COD Program Content E. Integrated Treatment Planning F. Medication G. Crisis Intervention Procedures H. Communication, Collaboration & Consultation I. Staff Competencies J. Transition/Discharge/Aftercare Approval Procedure APPROVAL PROCESS • The licensed facility desiring to be approved as a COD competent program requests approval from DOH or OMHSAS in writing*, indicating that the facility meets all criteria in the bulletin; • The licensing division/office conducts an on-site survey to assess compliance as soon as possible after request is received. 3
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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />
CO-OCCURRING DISORDER(S)<br />
‣A term used when a person is found to<br />
have one or more DSM-IV-TR diagnosed<br />
psychiatric disorders as well as one or<br />
more substance use disorders.<br />
‣Both disorders are considered primary,<br />
meaning that one does not cause the<br />
other and that both require interventions<br />
that assist the person in overcoming the<br />
negative effects of these disorders.<br />
COD Professional Credential<br />
(CCDP)<br />
‣ A competency-based credential now granted by<br />
the Pennsylvania Certification Board for<br />
professions who provide co-occurring mental<br />
health and substance use treatment.<br />
‣ The grandfathering period for this credential has<br />
now expired and an examination is required.<br />
There are about 1000 practitioners currently<br />
approved.<br />
‣ Not the only acceptable credential that indicates<br />
dual competency.<br />
*COD Competent Facility*<br />
‣ A licensed facility (by one or both) that:<br />
Addresses co-occurring psychiatric and substance<br />
use disorders in its policies and procedures;<br />
Provides integrated screening and assessment to<br />
determine interventions needed and engage in an<br />
integrated care planning process;<br />
Provides education on co-occurring disorders in both<br />
individual and group programming;<br />
Establishes appropriate crisis intervention protocols;<br />
Develops interagency coordination for co-occurring<br />
services and ensures COD discharge planning;<br />
If singly licensed, does NOT provide treatment for the<br />
other disorder.<br />
COD Enhanced Facility<br />
‣A dually-licensed facility that:<br />
Has programmatic capacity to provide<br />
integrated substance use and psychiatric<br />
treatment to persons presenting with<br />
symptomatic and/or functional impairments as<br />
a result of their co-occurring disorders; and<br />
Address CODs using an integrated<br />
philosophy and treatment model in a single<br />
setting.<br />
Integrated Treatment<br />
“Any mechanism by which treatment<br />
interventions for CODs are combined<br />
within the context of a primary treatment<br />
relationship or service setting with an<br />
individual clinician or clinical team.”<br />
• Recognizes the need for a unified<br />
treatment approach for person or family<br />
• This approach is characteristic of the<br />
standard of care in a COD enhanced<br />
facility<br />
2