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

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Article by Kenneth Minkoff, MD and Christie A. Cline, MD http://www.kenminkoff.com/article2.html Page 18 of 23 4/26/2006 department. Conclusion and Discussion This article has described the CCISC model, and the process of implementation of systemic implementation of co-occurring disorder services enhancements within the context of existing resources. Four projects were described as illustrations of current implementation activities. Clearly, there is great need for improved services for these individuals, and increasing recognition of the need for systemic change models that are both effective and efficient. The CCISC model has been recognized by SAMHSA as a consensus best practice for system design, and initial efforts at implementation appear to be promising. The existing toolkit may permit a more formal process of data driven evaluation of system, program, clinician, and client outcomes, in order to better measure the effectiveness of this approach. Some projects have begun such formal evaluation processes, but clearly more work is needed, not only with individual projects, but also to develop opportunities for multi-system evaluation, as more and more projects come on line. SYNOPSIS Individuals with co-occurring psychiatric and substance disorders are increasingly recognized as a population with high prevalence, poor outcomes, and high costs who are not well served in current service delivery systems. As increasing research has delineated evidence based programs and interventions that demonstrate success with this population, it has become abundantly clear that specialized programs are insufficient to meet the need. This article describes a recognized best practice model for systems design, the Comprehensive, Continuous, Integrated System of Care (CCISC), that organizes all aspects of the system to meet minimal standards of dual diagnosis capability (DDC) within the context of its existing resources and mission. The basic characteristics of the model are delineated, along with eight evidence based treatment principles that fit an integrated treatment philosophy and provide a framework for treatment matching throughout the system. The article then outlines a “Twelve Step Program of Implementation” for CCISC developed by the authors, and describes some examples of existing projects and outcomes. Evaluation of project outcomes is in process, but more research is needed to quantify methodologies for system design and implementation for individuals with co-occurring disorders. ACKNOWLEDGEMENTS The authors gratefully acknowledge the assistance of Leslie Hveem in the production of this article.
Article by Kenneth Minkoff, MD and Christie A. Cline, MD http://www.kenminkoff.com/article2.html Page 19 of 23 4/26/2006 BIBLIOGRAPHY 1. Substance Abuse and Mental Health Services Administration. Report to Congress on the Prevention and Treatment of Co-occurring Substance Abuse Disorders and Mental Disorders. Rockville, MD. SAMSHA 2002. 2. Center for Substance Abuse Treatment. Treatment Improvement Protocol Series. Assessment and Treatment of Co-occurring Psychiatric and Substance Disorders (updated). In press, 2004. 3. Drake RE, Burnette, Mary, eds. Integrated Dual Disorders Treatment Workbook. SAMSHA. 2001. 4. Drake, RE, Essock, SM, et al. Implementing Dual Diagnosis services for clients with severe mental illness. Psych Services. 2001; 52 (4). PAGE #’S ? 5. Minkoff, K. Developing standards of care for individuals with co-occurring psychiatric and substance disorders. Psych Services. 2001; 52:597-99. 6. Minkoff K. Chair. CMHS Managed Care Initiative Panel on Co-occurring Disorders Co-occurring psychiatric and substance disorders in managed care systems: standards of care, practice guidelines, workforce competencies, and training curricula. Center for Mental Health Policy and Services Research. Philadelphia, 1998. Web site: www.med.upenn.edu/cmhpsr 7. Cline C and Minkoff K, Substance Abuse and Mental Health Services Administration. A Strength Based Systems Approach to Creating Integrated Services for Individuals with Co-occurring Psychiatric and Substance Abuse Disorders-A Technical Assistance Document. NMDOH/BHSD Dec. 2002. 8. Minkoff K. Program components of a comprehensive integrated care system for serious mentally ill patients with substance disorders. In: Minkoff K, Drake RE, eds. Dual Diagnosis of Major Mental Illness and Substance Disorder. New Directions for Mental Health Services, No 50. San Francisco, CA . Jossey- Bass, 1991 pp13-27 9. Minkoff, K. Chair. CMHS Managed Care Initiative Panel on Co-occurring Disorders Co-occurring psychiatric and substance disorders in managed care systems: standards of care, practice guidelines, workforce competencies, and training curricula. Center for Mental Health Policy and Services Research. Philadelphia, 1998. Web site: www.med.upenn.edu/cmhpsr
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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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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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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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Fact Sheet A Project to Establish A
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Planning and Implementing a Welcomi
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All organizations signing this memo
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3. Region I organizations will assi
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e) Link organizations with websites
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Planning and Implementing a Welcomi
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Welcome to the Johnson Institute ht
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johnsoninstitute.com - History http
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johnsoninstitute.com - President's
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MISA PILOT TAKES FLIGHT: A PILOT AP
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In Flight Changes for COD in Washin
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Crisis & Counseling Centers Co-occu
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Fact Sheet A Project to Establish A
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Mental Health Network Co-Occurring
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100% Treatment Team Improvement in
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Wednesday Morning Plenary Session
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Cultural Clashes in Co-Occurring Di
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HIEN, COHEN, MIELE, ET AL. for the
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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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Improving Assessment and Treatment
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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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