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 COD Program Content (con’t.) 5. COD Education for Individuals & Families 6. COD Relapse Prevention, and 7. Access to Peer Support Services and Self- Help Recovery Resources. Also recommended, in addition, are: 8. Stage of Change Matched Interventions, 9. Motivational Enhancement Interventions, 10. Contingency Management. 1. Individual and Group Interventions are being used appropriately… ‣when the P&P/Operations Manual describes how the assessment process leads to a careful decision about which forms of intervention to use under what conditions; ‣when each form of intervention is described in sufficient detail in the P&P/ Operations Manual; ‣when each individual record describes the rationale for the current choice of interventions. 1. Choice of Individual & Group Interventions • Interventions targeted to individual and scope of program (types of diagnoses, ages, cultural groups, etc.) • Choice dictated by diagnostic symptoms, stage of change, program efficiencies • Cognitive behavioral strategies generally used in helping people alter thinking habits • See COD IDDT Workbook, pp. 69-79 & 87-92 2. Skill-Building Interventions are being used… ‣when the types of skills groups and the criteria for their use are described in the P&P/Operations Manual; ‣when the rationale for teaching specific skills is described in individual plans; ‣when the person learning the skills can describe the skills being learned and their particular use to him/her. 2. Choosing Skill Building Interventions ‣Skills tend to be of two types: • Specific activity skills • Social skills (reference p. 84 of IDDT Workbook) ‣Persons with CODs often need skill development ‣Skills related to desired goals need to be further assessed in the “Preparation” stage ‣Skills teaching needs to relate the skills to the person’s own desired goals 3. Education about disorders is occurring … ‣when the types of educational offerings and criteria for their use are described in the P&P/Operations Manual; ‣when the educational intervention and its rationale is described in individual plans; ‣When people in the program can describe what they are learning in their own words. 6
COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 3. MH & SUD Education • Designed to help people acquire knowledge about what we have learned from research so far about the various psychiatric disorders, their symptoms, and what may work to manage symptoms well • Designed to help people learn about the various chemical substances used, their biological effects and risks, fact from myth, benefits and cost ratios, and alternatives to use 4. Medication Education is occurring when… ‣when the types of educational offerings and criteria for their use are described in the P&P/Operations Manual; ‣when medication education is documented as occurring individually and in groups; ‣When the people in the program can say what medication(s) they are taking and why, report on side effects, and are satisfied that their issues are heard and responded to. 4. Medication Education • One of the 6 adult EBPs on SAMHSA website: “Medication Management Approaches in Psychiatry” (algorithms for schizophrenia-MedMAP) involves the person, family members & supporters and facilitates adherence by partnering with the person in shared decision-making. • Medication is a first line treatment for many psychiatric disorders and should not be denied because the person is using. 5. Co-occurring Education for Persons and Families is occurring… ‣when the types of educational offerings and the expectation that family members will also be invited and involved is described in the P&P/Operations Manual; ‣when recovering persons and family members are involved as presenters in educational groups; ‣when discussion about potential need for some form of education is documented in individual charts. 5. COD Education-People/Families • Workbook defines family interventions: – Education – Involvement in treatment planning – Family therapy – Family support groups – Organizations such as NAMI • Educational topics include: psychiatric dx.; medications; stress-vulnerability model; role of family; basic facts about alcohol/drugs; cues or triggers for & consequences of SU; treatment of dual disorders; good communication 6. COD Relapse Prevention is occurring… ‣when relapse prevention interventions (individual/group) are described in the P&P/Operations Manual; ‣when the rationale for initiating these interventions is indicated in the P&P/Operations Manual; ‣when individual strengths and skills in constructing a relapse prevention plan are described in individual charts. 7
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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />
COD Program Content (con’t.)<br />
5. COD Education for Individuals & Families<br />
6. COD Relapse Prevention, and<br />
7. Access to Peer Support Services and Self-<br />
Help Recovery Resources.<br />
Also recommended, in addition, are:<br />
8. Stage of Change Matched Interventions,<br />
9. Motivational Enhancement Interventions,<br />
10. Contingency Management.<br />
1. Individual and Group Interventions are<br />
being used appropriately…<br />
‣when the P&P/Operations Manual<br />
describes how the assessment process<br />
leads to a careful decision about which<br />
forms of intervention to use under what<br />
conditions;<br />
‣when each form of intervention is<br />
described in sufficient detail in the P&P/<br />
Operations Manual;<br />
‣when each individual record describes the<br />
rationale for the current choice of<br />
interventions.<br />
1. Choice of Individual & Group<br />
Interventions<br />
• Interventions targeted to individual and<br />
scope of program (types of diagnoses,<br />
ages, cultural groups, etc.)<br />
• Choice dictated by diagnostic symptoms,<br />
stage of change, program efficiencies<br />
• Cognitive behavioral strategies generally<br />
used in helping people alter thinking habits<br />
• See COD IDDT Workbook, pp. 69-79 & 87-92<br />
2. Skill-Building Interventions are<br />
being used…<br />
‣when the types of skills groups and the<br />
criteria for their use are described in the<br />
P&P/Operations Manual;<br />
‣when the rationale for teaching specific<br />
skills is described in individual plans;<br />
‣when the person learning the skills can<br />
describe the skills being learned and their<br />
particular use to him/her.<br />
2. Choosing Skill Building<br />
Interventions<br />
‣Skills tend to be of two types:<br />
• Specific activity skills<br />
• Social skills (reference p. 84 of IDDT Workbook)<br />
‣Persons with CODs often need skill<br />
development<br />
‣Skills related to desired goals need to be<br />
further assessed in the “Preparation” stage<br />
‣Skills teaching needs to relate the skills to<br />
the person’s own desired goals<br />
3. Education about disorders is<br />
occurring …<br />
‣when the types of educational offerings<br />
and criteria for their use are described in<br />
the P&P/Operations Manual;<br />
‣when the educational intervention and its<br />
rationale is described in individual plans;<br />
‣When people in the program can describe<br />
what they are learning in their own words.<br />
6