Achieving Dual Diagnosis Capability Across Your System of Care
|
|
- Marybeth O’Neal’
- 5 years ago
- Views:
Transcription
1 Achieving Dual Diagnosis Capability Across Your System of Care Steve Wiland, LMSW, ICADC Andrea Smith, CPI Manager; Carmita Williams-Brown, Data Specialist
2 As increasing attention is paid to research findings pointing to the high prevalence of co-occurring mental health and substance use disorders among those served by public sector substance use disorder treatment providers, the need for systems of care to become integrated becomes increasingly important. This session will outline a comprehensive strategy for progressing toward implementation of integration of services for Dual Disorders across the provider networks of the Detroit Wayne Mental Health Authority (DWMHA). The Dual Diagnosis Capability in Addictions Treatment framework promoted by the Substance Abuse and Mental Health Services Administration will be reviewed and the use of the DDCAT review process across DWMHA s provider network will be described. Additional resources will also be shared, that have been found useful in supporting systems to become increasingly dual diagnosis capable.
3 Learning Objectives: Participants will be able to: 1. Distinguish between Dual Diagnosis Capable and Dual Diagnosis Enhanced levels of services; 2. Understand three significant reasons why addressing cooccurring mental health disorders is important in populations receiving treatment for addictive disorders; and 3. Learn about the 35 items across the seven domains of the Dual Diagnosis Capability in Addictions Treatment assessment framework.
4 BEGINNING Unique Code F2
5 HOW DO WE KNOW IF AN ADDICTION TREATMENT PROGRAM IS DUAL-DIAGNOSIS CAPABLE?
6 Two Pre-existing Measures of Dual Diagnosis Capability COMPASS & IDDT Fidelity Scale The Comorbidity Program Audit and Self-Survey for Behavioral Health Services (COMPASS) Adult & Adolescent Program Audit Tool for Dual Diagnosis Capability Ken Minkoff & Christine Cline (2002) Designed for either mental health or addiction programs Leans in the direction of mental health program & SMI clients (Quadrant 2)
7 The Four-Quadrant model III LOW PSYCHIATRIC (psychiatrically complicated) HIGH SUBSTANCE (Dependence) HIGH PSYCHIATRIC (SPMI) HIGH SUBSTANCE (Dependence) IV LOW PSYCHIATRIC HIGH PSYCHIATRIC (mild psychopathology) (SPMI) LOW SUBSTANCE LOW SUBSTANCE I (Abuse) (Abuse) II 7
8 Two Pre-existing Measures of Dual Diagnosis Capability COMPASS & IDDT Fidelity Scale Integrated Dual Disorders Treatment (IDDT) model developed and standardized via SAMHSA for MH settings. IDDT model for persons with SMI (Quadrants 2 & 4) Mueser, Drake et al (2003) Differences between MH and Addiction Treatment: 1) Historic and cultural 2) Levels of care (physical settings) 3) Evidence-based practices 4) Role of assertive community treatment 5) Persons served (MH: Q2 & Q4; SUD: Q3 & Q4)
9 The American Society of Addiction Medicine s taxonomy system (ASAM-PPC-2R, 2001) Addiction-Only Services (AOS) Dual Diagnosis Capable (DDC) Dual Diagnosis Enhanced (DDE)
10 Addiction-Only Services (AOS) Programs that either by choice or for lack of resources, cannot accommodate clients who have psychiatric illnesses that require ongoing treatment, however stable the illness and however well-functioning the client.
11 Dual Diagnosis Capable (DDC) Programs that have a primary focus on the treatment of substance-related disorders, but are also capable of treating clients who have relatively stable diagnostic or sub-diagnostic cooccurring mental health problems related to an emotional, behavioral or cognitive disorder.
12 Dual Diagnosis Enhanced (DDE) Programs that are designed to treat clients who have more unstable or disabling co-occurring mental disorders in addition to their substancerelated disorders.
13 Rational for Developing a Dual Diagnosis Capability Index ASAM offers the road map, but no operational definitions for services; Fidelity => Adherence to an evidence-based practice model; Fidelity scales => Objective ratings of adherence; Need for objective ratings of adherence to consensus clinical guidelines or principles => Index.
14 Can we use Fidelity Scale Methodology for Objective Rating of Dual Diagnosis Capability? 3 rd -party site visit (yields data beyond self-report); Multiple sources: Review of client records, brochure & program manual; Observation of clinical process, team meeting, & supervision session; Interviews with agency director, clinicians & clients; Objective ratings on operational definitions using a 5-point scale.
15 Why do we need to measure Dual Diagnosis Capability? Generic terms like integrated care amount to feel-good rhetoric but lack specificity. Full integration (a clinician or program fully treating both mental health and substance use conditions) is sometimes presented as the only worthwhile model of integration.
16 Why do we need to measure Dual Diagnosis Capability? In reality, programs whose history and culture are much closer to substance abuse or mental health only are more likely to move towards more intermediate levels of integration (co-occurring capable). Ultimately we want and need a system with a complete range of levels of integration, from capable to enhanced.
17 LEVELS OF PROGRAM CAPACITY Fully Integrated COD Integrated * ASAM Dual Diagnosis Capable ** ASAM Dual Diagnosis Enhanced What challenges are encountered in moving toward the center? What can be done to overcome these challenges?
18 Use of the Dual Diagnosis Capability Framework and Review Instrument Reviews at least a sample of individual programs within a given region; Employs objective, third-party, direct on-site observation and review; Scores and reports on 7 domains (35 subdomain items) both separately, and aggregately.
19 Levels of Capability per DDC Framework DIMENSIONS OF CAPABILITY LEVELS OF CAPABILITY S.A./ M.H. ONLY CAPABLE ENHANCED I Program Structure Program mission, structure and financing, format for delivery of cooccurring services. II Program Milieu Physical, social and cultural environment for persons with mental health and substance use problems. III IV Clinical Process: Assessment Clinical Process: Treatment Processes for access and entry into services, screening, assessment & diagnosis. Processes for treatment including pharmacological and psychosocial evidence-based formats. V Continuity of Care Discharge and continuity for both substance use and mental health services, peer recovery supports. VI Staffing Presence, role and integration of staff with mental health and addiction expertise, supervision process. VII Training Proportion of staff trained and program s training strategy for cooccurring disorder issues.
20 Enhanced Dual Diagnosis Capability example report Scores based on DDC = Dual Diagnosis Capability in Addiction [or Mental Health] Treatment Index Capable Basic Total Score Program Structure Program Milieu Screening & Assessment Treatment Continuity Staffing Training of Care
21 SYSTEMS-LEVEL CONSIDERATIONS
22 Observations The outpatient system has moved away from addiction and mental health only status, and is moving towards co-occurring capable levels of care. The outpatient substance abuse treatment system is repositioning itself to provide services for mood and anxiety conditions. (Quadrant 3: high substance abuse + mild to moderate mental health); The outpatient mental health system is repositioning itself to provide services for mild to moderate levels of substance abuse. (Quadrant 2: high mental health + mild-tomoderate substance abuse);
23 Observations Consumers with high severity of mental health and addiction (Quadrant 4: high substance abuse high mental health) still have very few service options, however more integrated program development, as well as collaborations between substance abuse and mental health clinics, have the potential to address this significant gap.
24 The Four-Quadrant Model: Traditional loci of care Category III Severe SUD, Mild MI Locus of Care Addiction Treatment Providers Category I Mild MI, Mild SUD Locus of Care Primary Health Care Providers Category II Severe MI, Mild SUD Locus of Care Mental Health System Providers
25 Issues for consideration Its now feasible to consider that in time, a baseline of co-occurring capability is achievable across both systems. As programs who are currently in the midrange ( 2.71), move to capable status there may be further movement of those currently capable ( ), to more enhanced levels of care, although greater resources would be required to accomplish the latter.
26 Issues for consideration Programs who have undertaken a measure of their current co-occurring capability using the DDCAT or DDCMHT are in a better position to target specific areas requiring co-occurring competency building training. Programs who have undertaken a measure of their current co-occurring capability using the DDCAT or DDCMHT and then implement recommendations to increase capability can use the same tool to guide their evaluation of outcomes of changes in their capability.
27 Issues for consideration The results of each survey provides individual programs with immediate recommendations for increasing cooccurring capability. The aggregate trends that emerge from all programs surveyed across a region or state will assist decisionmakers in identifying larger issues of systemic change that could be considered for advancing dual diagnosis capability.
28 Key issues for building capability Outpatient programs vary considerably, from those that offer core components of treatment to those where treatment is driven almost entirely by individual clinician preference: One-way recovery; Cult of [practitioner] personality. In the case of the latter it has proved far more difficult to implement programmatic change.
29 Key issues for building capability The implementation of recommended co-occurring evidence-based practices at a programmatic level is consistent with a system that is moving from addiction-only to dual-diagnosis capable For many programs, the next step in capability building will be to increase either the mental health or the substance abuse content of their existing treatment regimes rather than the implementation of a specific COD evidence-based practice.
30 THE EXPERIENCE OF THE DETROIT WAYNE MENTAL HEALTH AUTHORITY
31 DWMHA Developmental History IDDT Team Development; SUD Coordinating Agency-contracted requirement to engage in an annual DDCAT review; Audit vs. Performance Improvement opportunity; Technical Assistance, coaching; Financial incentive leading to best-foot-forward and subsequent grade inflation; Once the approach was clearly changed to one of performance-improvement, grade-inflation pressures decreased, and scores dipped to some extent before resuming an upward trend.
32 DWMHA Developmental History MDCH/MDHHS MIFAST resources; Systems Transformation Block Grant projects; Sustainability planning & resourcing:
33
34
35
36 DWMHA Recent Progress to Date The chart lists the DDCAT & DDMHT Site Reviews completed by DWMHA (FY15) to date (as of ). Three agencies scored in the AOS/DDC (2-2.99) ranking. The other agencies scored at a DDC to DDC/DDE ranking. Addiction-Only Services [AOS] = (1 1.99) Addiction-Only/Dual Diagnosis Capable [AOS/DDC] = (2 2.99) Dual Diagnosis Capable [DDC] = (3 3.49) Dual Diagnosis Capable/Dual Diagnosis Enhanced [DDC/DDE] = ( ) Dual Diagnosis Enhanced [DDE] = ( )
37 DWMHA 2014/2015 DDCAT & DDMHT Site Review Score 3rd Quarter Star Center 2.82 Oakdale Heigra Recovery 4.01 Adult Well Being Community Care Services Positive Images Name of Agency Operation Get Down Sobriety House New Center Mental Health Arab American Chaldean Council- Warren 3.51 Arab American Chaldean Council-7 mile 3.72 Metro East 2.82 Black Family Development 3.12 The Guidance Center Professional Psychological & Psychatric Services III Jabez Recovery Management Services Northeast Guidance Center Dual Diagnosis Capability Scores
38 DWMHA 2015 DDC Area I Area II Area III Area IV Area V Area VI Area VII Northeast Guidance Center Jabez Recovery Management Services Professional Psychological & Psychatric Services III The Guidance Center Black Family Development Metro East Arab American Chaldean Council- 7 mile Arab American Chaldean Council- Warren New Center Mental Health Sobriety House Operation Get Down Positive Images Community Care Services Adult Well Being Oakdale Heigra Recovery Star Center AVERAGE SCORES:
39 AREA IV Clinical Process: Treatment A. Integrated Treatment Plans [64.67%] B. Monitoring of Disorder Interaction [58.67%] C. Protocols for Active Use / Relapse [64%] D. Stage-wise Treatment Interventions [54.67%] E. Pharmacological Support for Addictions Treatment [65.33%] F. Specialized Psychosocial Interventions [59.33%] G. Integrated Client Education [58.33%] H. Family Education/Support [45.33%] I. Peer-led Support Group Resources [53.33%] J. Other Peer Recovery Support Services [53.33%]
40 AREA IV Clinical Process: Treatment RANKED AREAS of NEED 1. Family Education/Support [45.33%] 2. Peer-led Support Group Resources [53.33%] 3. Other Peer Recovery Support Services [53.33%] 4. Stage-wise Treatment Interventions [54.67%] 5. Integrated Client Education [58.33%] 6. Monitoring of Disorder Interaction [58.67%] 7. Specialized Psychosocial Interventions [59.33%] 8. Protocols for Active Use / Relapse [64%] 9. Integrated Treatment Plans [64.67%] 10. Pharmacological Support for Addictions Treatment [65.33%]
41 Training Resources / Opportunities Multiple public-domain resources posted or linked at:
42 Family Education / Support: 20 educational slidesets
43 Family Education / Support: Educational slideset examples
44 Peer-led Support Group Resources
45 Peer-led Support Group Resources
46 Stage-wise Treatment Interventions
47 Other Training Resources / Opportunities Motivational Interviewing series of 20 online learning modules (~30-40 min. each)
48
49 AREA V Continuity of Care A. Integrated Discharge Planning [52%] B. Treatment Continuity Capacity [52%] C. Integrated Ongoing Recovery Focus [66.67%] D. Community-based Peer Support Groups [60%] E. Ongoing Pharmacological Support [52%]
50 AREA V Continuity of Care RANKED AREAS OF NEED 1. Ongoing Pharmacological Support [52%] 2. Integrated Discharge Planning [52%] 3. Treatment Continuity Capacity [52%] 4. Community-based Peer Support Groups [60%] 5. Integrated Ongoing Recovery Focus [66.67%]
51 Ongoing Pharmacological Support
52 Training Opportunities in development Online learning modules Overview of Co-occurring Disorders Engagement & Understanding Difficult Behavior Stages of Change and Treatment Motivational Enhancement I & II Others Integrated Discharge Planning Treatment Continuity
53 Comments, Questions? ENDING Unique Code 2L
Effects of Organizational Characteristics on Change in Capability to Provide Co-Occurring Services
Effects of Organizational Characteristics on Change in Capability to Provide Co-Occurring Services Heather J. Gotham, PhD 1, Ron Claus, PhD 2, Andrew Homer, PhD 3, Edward Riedel, MSW 3, & Rachel Christiansen,
More informationDDCMHT Rating Scale Cover Sheet
Cover Sheet Program Identification Date Rater(s) Time Spent (Hours) Agency Name Program Name Address Zip Code Contact Person 1) 2) Telephone FAX Email State Region Program ID Time Period Program Characteristics
More informationWHAT IS YOUR PROGRAM S CAPABILITY WITH CO-OCCURRING DISORDERS?: An introduction to the DDCAT (& DDCMHT)
WHAT IS YOUR PROGRAM S CAPABILITY WITH CO-OCCURRING DISORDERS?: An introduction to the DDCAT (& DDCMHT) 2009 MARRCH Conference 22 October 2009 NIDA, SAMHSA & THE ROBERT WOOD JOHNSON FOUNDATION SUBSTANCE
More informationE N V I R O N M E N T
E T H I C A L D I L E M M A : B A L A N C I N G P R O F E S S I O N A L R O L E S A N D S C O P E O F P R A C T I C E I N A N E V O L V I N G C L I N I C A L E N V I R O N M E N T E RW I N C O N C E P
More informationGetting to Capable. Status of Long Island & New York State s Outpatient Systems. Stanley Sacks, PHD Director of CEIC at NDRI
Getting to Capable Status of Long Island & New York State s Outpatient Systems Stanley Sacks, PHD Director of CEIC at NDRI presentation to Nassau County s 2 nd Annual Conference on Co-Occurring Disorders
More informationMinnesota s Co-Occurring State Incentive Grant (COSIG) Lessons Learned: A Preliminary Report
Minnesota s Co-Occurring State Incentive Grant (COSIG) Lessons Learned: A Preliminary Report Minnesota Department of Human Services Chemical and Mental Health Services Administration 1 Grant title: Minnesota
More informationCo-occurring Disorders Workshops with Dr. David Mee-Lee. WCOD34 Co-occurring Disorders: Clinical Dilemmas in Assessment and Treatment
WCOD34 Co-occurring Disorders: Clinical Dilemmas in Assessment and Treatment Workshop Description A large proportion of individuals suffering from alcohol and other substance use disorders also suffer
More informationCENTER FOR PRACTICE INNOVATIONS ONLINE MODULE CATALOGUE Updated February 5, 2016
CENTER FOR PRACTICE INNOVATIONS ONLINE MODULE CATALOGUE Updated February 5, 2016 i TABLE OF CONTENTS KNOWLEDGE-BUILDER MODULES - These videos, ranging from 10-30 minutes, provide basic information in specific
More informationThe dual diagnosis capability of residential addiction treatment centres: Priorities and confidence to improve capability following a review process
University of Wollongong Research Online Faculty of Health and Behavioural Sciences - Papers (Archive) Faculty of Science, Medicine and Health 2011 The dual diagnosis capability of residential addiction
More informationIDDT Recovery Life Skills Program
IDDT Recovery Life Skills Program A GROUP APPROACH TO RELAPSE PREVENTION AND HEALTHY LIVING Objectives Provide an overview of critical issues related to planning and conducting group interventions Explore
More informationIntegrated Dual Disorders Treatment (IDDT) Fidelity Scale Tips and Tools Treatment Characteristics and Organizational Characteristics
Tx.1a. Multidisciplinary Team: Case managers, psychiatrist, nurses, residential staff, and vocational specialists work collaboratively on mental health treatment team Tx.1b. Integrated Substance Abuse
More informationISSUE DATE: 2/10/2006
BULLETIN COMMONWEALTH OF PENNSYLVANIA Department of Public Welfare Department of Health NUMBER: OMHSAS-06-03 ISSUE DATE: 2/10/2006 EFFECTIVE DATE: Immediately SUBJECT: Co-Occurring Disorder Competency
More informationIDDT Fidelity Action Planning Guidelines
1a. Multidisciplinary Team IDDT Fidelity Action Planning Guidelines Definition: All clients targeted for IDDT receive care from a multidisciplinary team. A multi-disciplinary team consists of, in addition
More informationGeneral Principles for the Use of Pharmacological Agents for Co- Occurring Disorders
General Principles for the Use of Pharmacological Agents for Co- Occurring Disorders Individuals with co-occurring mental and substance use disorders (COD) are common in behavioral and primary health settings
More informationASAM Criteria What it is and Why it s Important
ASAM Criteria What it is and Why it s Important ASAM Criteria: What it is and Why it s Important Webinar Wednesday, June 10, 2015 10:00 AM 11:30 AM Facilitator: Will Rhett-Mariscal, PhD, MS, Associate
More informationReferral to Treatment: Utilizing the ASAM Criteria
Referral to Treatment: Utilizing the ASAM Criteria AOAAM Essentials in Addiction Medicine October 22, 2016 East Lansing, MI Stephen A. Wyatt, DO Medical Director, Addiction Medicine Behavioral Health Service
More informationDDCAT. The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index. A Toolkit for enhancing ADDICTION ONLY SERVICE (AOS) PROGRAMS.
DDCAT The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index A Toolkit for enhancing ADDICTION ONLY SERVICE (AOS) PROGRAMS And DUAL DIAGNOSIS CAPABLE (DDC) PROGRAMS Version 2.0 December 2006
More informationThe Value of Engagement in Substance Use Disorder (SUD) Treatment
The Value of Engagement in Substance Use Disorder (SUD) Treatment A Report from Allegheny HealthChoices, Inc. June 2016 Introduction When considering substance use disorder (SUD) treatment, the length
More informationIntegrated Dual Disorder Treatment IDDT
Integrated Dual Disorder Treatment IDDT Margret Overdijk & Niels Mulder IDDT Severe Mental Illness (SMI) Psychotic disorders Severe depression Severe PD Severe Addiction Disorders.or combinations 50% addiction
More informationNote: The trainings below represent a foundational list, and may be adapted based on audience and need.
MOTIVATIONAL INTERVIEWING Introduction to Motivational Interviewing (offered in English and Spanish) 2-day Course (12-14 credit hours) This course is designed to introduce clinicians and staff members
More informationIntegrating ITEP BETI across services
Integrating ITEP BETI across services Luke Mitcheson, Clinical Team, National Treatment Agency Optimising i i Treatment t Effectiveness, KCA, London 30th November 2009 Structure What is ITEP / BTEI? Why
More informationNote: The trainings below represent a foundational list, and may be adapted based on audience and need.
MOTIVATIONAL INTERVIEWING Introduction to Motivational Interviewing (offered in English and Spanish) 2-day Course (12-14 credit hours) This course is designed to introduce clinicians and staff members
More informationSUD Requirements. Proprietary
SUD Requirements Triage screening to determine eligibility and appropriateness (proper member placement) for admission and referral. A comprehensive bio-psychosocial evaluation must be completed prior
More informationDO NOT WRITE IN SHADED AREA ABOVE
Page: 1 of 6 Policy It is the policy of Bay-Arenac Behavioral Health Authority (BABHA) to publish prescriber practice guidelines for the treatment of persons with co-occurring mental health and substance
More informationCACREP Competency Areas on iwebfolio
Date 09-5-5 CACREP Competency Areas on iwebfolio "Foundations" is the first CACREP Competency Area of Clinical Mental Health Counseling (adapted to include 2-core functions of addiction counseling). A.
More informationASAM CRITERIA 3 rd Edition
ASAM CRITERIA 3 rd Edition Presented by Mark Disselkoen, LCSW, LADC CASAT Based on DSM 5 & The ASAM Criteria Manual The ATTC Network Ten Regional Centers Central Rockies ATTC is now the Mountain Plains
More informationIntegrated Treatment for Co-Occurring Disorders. An Evidence-Based Practice
Integrated Treatment for Co-Occurring Disorders An Evidence-Based Practice What Are Evidence-Based Practices? Services that have consistently demonstrated their effectiveness in helping people with mental
More informationCore Competencies for Peer Workers in Behavioral Health Services
BRINGING RECOVERY SUPPORTS TO SCALE Technical Assistance Center Strategy (BRSS TACS) Core Competencies for Peer Workers in Behavioral Health Services OVERVIEW In 2015, SAMHSA led an effort to identify
More informationCO-OCCURRING MENTAL AND SUBSTANCE USE DISORDERS SERIES 2010/2011
CO-OCCURRING MENTAL AND SUBSTANCE USE DISORDERS SERIES 2010/2011 These seminars meet requirements for all educational courses outlined within the PA Co- Occurring Competency Bulletin enacted on February
More informationEvidence Based Practice in Behavioral Health: An Overview. 12 Steps of EBPs by Bonnie Malek, Marion County
Evidence Based Practice in Behavioral Health: An Overview Oregon Department of Human Services Addictions and Mental Health Services (AMH) October, 2008 12 Steps of EBPs by Bonnie Malek, Marion County 1.
More informationTri-Occurring supervision in the criminal Justice System
Tri-Occurring supervision in the criminal Justice System How AIIM Alternatives to Incarceration for Individuals with Mental Health needs uses IDDT Integrated Dual Disorder Treatment model in the criminal
More informationAdult 65D-30 Intervention ASAM Level.05 DIMENSIONS Circle all items in each dimension that apply to the client. ADMISSION CRITERIA
Adult 65D-30 Intervention ASAM Level.05 ADMISSION CRITERIA Place a check in the yes or no box that indicates validation or lack ASAM Requirements Withdrawal and of validation for placement into this level
More informationFY17 SCOPE OF WORK TEMPLATE. Name of Program/Services: Medication-Assisted Treatment: Buprenorphine
FY17 SCOPE OF WORK TEMPLATE Name of Program/Services: Medication-Assisted Treatment: Buprenorphine Procedure Code: Modification of 99212, 99213 and 99214: 99212 22 99213 22 99214 22 Definitions: Buprenorphine
More informationImplementing integrated treatment for dual disorders in The Netherlands: lessons learned. Anneke van Wamel
Implementing integrated treatment for dual disorders in The Netherlands: lessons learned Anneke van Wamel Who are we? LEDD 4 Mental health care institutions and Trimbos Institute Goal: central base of
More informationPractical Interventions for Co-occurring Disorders: Dissemination from Efficacy and Effectiveness Studies
Practical Interventions for Co-occurring Disorders: Dissemination from Efficacy and Effectiveness Studies Sitharthan Thiagarajan *Australian Centre for Addiction Research www.acar.net.au Today s presentation
More informationIllness Management & Recovery (IMR) Results of a pilot, Design of an RCT, Challenges
Illness Management & Recovery (IMR) Results of a pilot, Design of an RCT, Challenges Bert-Jan Roosenschoon, psychologist, senior-researcher, Parnassia Academy, Rotterdam the Netherlands ESPRi, november
More informationConcurrent Disorders. Case Management: Making It Work Ontario Harm Reduction Distribution Conference February 2013
Concurrent Disorders Case Management: Making It Work Ontario Harm Reduction Distribution Conference February 2013 Allison Potts, MSW, RSW Concurrent Disorders System Integration Lead Mental Health and
More informationVermont Recovery Network
Vermont Recovery Network 200 Olcott Drive White River Junction, VT 05001 vtrecoverynetwork@gmail.com www.vtrecoverynetwork.org 802-738-8998 The Vermont Recovery Network currently consists of 12 recovery
More informationCreating Balance 2017 ATSA Conference Friday October 27 3:30 PM 5:00 PM
F-40 ID Clients Treatment and Ethical Considerations Ethical Challenges and Considerations When Supporting Persons with ID Who Have Sexually Abused and Are Supported in Community Settings Christa Outhwaite-Salmon,
More informationEvidence-Based Practice Fidelity Site Visit Tools
Evidence-Based Practice Fidelity Site Visit Tools This product was supported by Florida Department of Children and Families Substance Abuse and Mental Health Program Office funding. Evidence-Based Practice
More informationClinical Mental Health Counseling (CMHC)
Clinical Mental Health Counseling (CMHC) 1 Clinical Mental Health Counseling (CMHC) Chairperson: Alan W. Burkard, Ph.D. College of Education Master's Program in Clinical Mental Health Counseling website
More informationColorado Mental Wellness Network s Peer Support Specialist Training Overview
Colorado Mental Wellness Network s Peer Support Specialist Training Overview Real Skills~ Real Support~ Real Hope Training Experience The Colorado Mental Wellness Network (The Network), formerly known
More informationRecovery Services & Supportive/Recovery Housing
Recovery Services & Supportive/Recovery Housing CASSANDRA PRICE, GCADC- II, MBA DIRECTOR, OFFICE OF ADDICTIVE DISEASES GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES NATIONAL ASSOCIATION
More informationThe Recovery Vision for Mental Health Crosswalk
The Recovery Vision for Mental Health Crosswalk 1-800-729-9198 ext 266 www.essentiallearning.com info@essentiallearning.com Essential Learning s Courses Promote Concepts Key to the Recovery of Individuals
More informationIntegrated Treatment for Co-Occurring Disorders
Integrated Treatment for Co-Occurring Disorders An Evidence-Based Practice Tiffany Parkhouse, MA Cindy Peterson, MS Community Solutions, Inc Training and Resource Center Workshop Objectives Provide understanding
More informationPediatric Primary Care Mental Health Specialist Certification Exam. Detailed Content Outline
Pediatric Primary Care Mental Health Specialist Certification Exam Detailed Content Outline Description of the Specialty The Pediatric Primary Care Mental Health Specialist (PMHS) builds upon the Advanced
More informationIntegrating MH/SA Treatment in Primary Care Firm Clinics: The Behavioral Health Clinic
Integrating MH/SA Treatment in Primary Care Firm Clinics: The Behavioral Health Clinic John D. Dingell VA Medical Center VISN 11 - Detroit, MI Objectives Upon completion of this session, participants will
More informationAmethyst House Strategic Plan
Amethyst House Strategic Plan Mission Amethyst House provides a foundation for sober living by partnering with individuals, families and communities impacted by addictions and substance-abuse issues, offering
More informationWhite, W. (2014). ROSC in Michigan: An Interview with Deborah Hollis. Posted at William L. White
White, W. (2014). ROSC in Michigan: An Interview with Deborah Hollis. Posted at www.williamwhitepapers.com. ROSC in Michigan: An Interview with Deborah Hollis, Director, Office of Recovery Oriented Systems
More informationOklahoma Department of Mental Health And Substance Abuse Services. Regional Performance Management Report. Report for Third Quarter of FY2003
Oklahoma Department of Mental Health And Substance Abuse Services al Performance Management Report Report for Third Quarter of FY23 Reported September 23 By ODMHSAS Decision Support Services Table of Contents
More informationIDDT FIDELITY SCALE
Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence Case Western Reserve University www.ohiosamiccoe.case.edu.6.0 IDDT FIDELITY SCALE ORGANIZATIONAL CHARACTERISTICS O. Program Philosophy
More informationHomeless Housing Initiative. May 18, 2016
Homeless Housing Initiative May 18, 2016 Homeless Housing Initiative Overview In the next several slides we will discuss: The Recovery Philosophy The primacy of stable housing as the foundation of recovery
More informationValerie B. Idada-Parker
USING THE DUAL DIAGNOSIS CAPABILITY OF ADDICTION TREATMENT (DDCAT) INDEX TO IMPROVE OUTCOMES: AN EVALUATION OF A COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAM Valerie B. Idada-Parker A DNP project submitted
More informationUnderstanding and Using Current ASAM Criteria. for Ce-Classes.com
Understanding and Using Current ASAM Criteria for Ce-Classes.com Learning Objectives After completing this course, participants will: Identify ASAM and the history of its development Describe how ASAM
More informationASAM Level.05 DIMENSIONS Circle all items in each dimension that apply to the client. ADMISSION CRITERIA
Print Client Name: Client Identification Number: Date: Adolescent 65D-30 Intervention ASAM Level.05 ADMISSION CRITERIA Acute Intoxication and /or Withdrawal Biomedical Conditions and of validation for
More informationHealth Share Level of Care Authorization Form Adult Mental Health Services Initial Treatment Registration Form
Health Share Level of Care Authorization Form Adult Mental Health Services Initial Treatment Registration Form Member Information Member Name: OHP ID: Date of Birth: Provider: Location: Service Period
More informationAsk the Doctor Webinar Series:
Ask the Doctor Webinar Series: Evidence Based Practices - Myths and Realities Dr. Fred Osher Director of Health Systems and Services Policy Council of State Governments Justice Center Today s Presentation
More informationROSC in Action: Perspectives from Michiganʹs System Transformation
ROSC in Action: Perspectives from Michiganʹs System Transformation Presented by: Andre Johnson, MA, President/CEO, Detroit Recovery Project Inc. Marci Scalera, ACSW, LMSW, CAADC, Director of Clinical &
More informationInpatient and outpatient substance use disorder programs
Inpatient and outpatient substance use disorder programs We can help you heal, learn to manage and take back your life. When you re struggling with addiction, things can seem hopeless and out of control.
More informationOctober 11, July 25, Great Lakes Mental Health Technology Transfer Center (MHTTC) New. A resource for Indiana Mental Health providers.
October 11, 2018 July 25, 2018 New Great Lakes Mental Health Technology Transfer Center (MHTTC) A resource for Indiana Mental Health providers. University of Wisconsin-Madison Scott Gatzke Director of
More informationPeer Recovery Specialist Academy Training Overview
Peer Recovery Specialist Academy Training Overview Funding for the development of this manual was provided by the Minnesota Department of Human Services Alcohol and Drug Abuse Department Peer Recovery
More informationPrimary Health Networks
Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 Hunter New England & Central Coast Please note: This Activity Work Plan was developed in response to the HNECC PHN
More informationRegistration and Continental Breakfast. 8:00am to 9:00am
8:00am to 9:00am 9:00am to 10:30am Registration and Continental Breakfast Concurrent Workshops 1. Using Motivational Interviewing to Identify the Loss of Critical Life Function for People with Co-Occurring
More informationTABLE OF CONTENTS Certified Peer Specialist Core Courses Certified Peer Specialist Prerequisite for the Core Courses Elective Courses
COURSE CATALOG May 2018 TABLE OF CONTENTS Certified Peer Specialist Core Courses... 4 Action Planning for Prevention and Recovery... 4 Creating Person-Centered Service Plans... 4 Documentation for Peer
More informationCOURSE CATALOG. Fall Term 2018
COURSE CATALOG Fall Term 2018 APS CATALOG CONTENTS Core Courses (Required for Certification)... 4 Action Planning for Prevention and Recovery... 4 Creating Person-Centered Service Plans... 4 Documentation
More informationRequest for Proposals (RFP) for School-Based Screening, Brief Intervention, and Referral to Treatment (SBIRT) Services
Request for Proposals (RFP) for School-Based Screening, Brief Intervention, and Referral to Treatment (SBIRT) Services As issued by Montgomery County Alcohol, Drug Addiction and Mental Health Services
More informationCOMORBIDITY OF ALCOHOL AND MENTAL HEALTH: ADDRESSING ACCESS TO DUAL DIAGNOSIS TREATMENT CENTERS AND THE PERCEIVED EFFECTIVENESS
California State University, San Bernardino CSUSB ScholarWorks Electronic Theses, Projects, and Dissertations Office of Graduate Studies 6-2017 COMORBIDITY OF ALCOHOL AND MENTAL HEALTH: ADDRESSING ACCESS
More informationQUALITY IMPROVEMENT TOOLS
QUALITY IMPROVEMENT TOOLS QUALITY IMPROVEMENT TOOLS The goal of this section is to build the capacity of quality improvement staff to implement proven strategies and techniques within their health care
More informationDual Diagnosis Recovery Program Ó The Handbook for Recovery
Dual Diagnosis Recovery Program Ó The Handbook for Recovery Outpatient mental health and substance abuse / addictive behaviors services for adolescents, young adults, and adults Turning Your Insights Into
More informationSexually Addicted Offender Program
1000 Germantown Pike F-5 Plymouth Meeting, PA 19462 610-844-7180 drjenniferweeks@gmail.com Sexually Addicted Offender Program The Sexually Addicted Offender program at SATS is based on the Risk Needs Responsivity
More informationVIRGINIA MEDICAID PERSPECTIVE ON BEST PRACTICES IN THE TREATMENT OF OPIOID USE DISORDER
VIRGINIA MEDICAID PERSPECTIVE ON BEST PRACTICES IN THE TREATMENT OF OPIOID USE DISORDER Katherine Neuhausen, MD, MPH Chief Medical Officer Virginia Department of Medical Assistance Services October 26,
More informationIDDT Program Certification rule Public input meeting December 8, 2011 Department of Human Services 540 Cedar Street, St. Paul, Minnesota 2370/2380
IDDT Program Certification rule Public input meeting December 8, 2011 Department of Human Services 540 Cedar Street, St. Paul, Minnesota 2370/2380 Andersen Building 8:30 AM 12:00 noon 2 AGENDA 8:30 8:45
More informationCondensed Clinical Practice Guideline Treatment Of Patients With Schizophrenia
Condensed Clinical Practice Guideline Treatment Of Patients With Schizophrenia I. Key Points a. Schizophrenia is a chronic illness affecting all aspects of person s life i. Treatment Planning Goals 1.
More information2. ORGANIZATIONAL READINESS
Building Blocks to Peer Program Success 2. ORGANIZATIONAL READINESS STATE OR LOCAL HEALTH DEPT Are you ready for a peer program? The tools in this section can be used by health departments (state or local)
More informationContent Outlines and KSAs Social Work Licensing Examinations
Content Outlines and KSAs Social Work Licensing Examinations What are KSAs? A KSA is a Knowledge, Skills, and Abilities statement. These statements describe the discrete knowledge components that may be
More informationChild and Adolescent Screening and Assessment Tools
Child and Adolescent Screening and Assessment Tools Randall Stiles, PhD. State of Nevada Division of Child and Family Services The views, opinions, and content expressed in this presentation do not necessarily
More informationRequest for Proposals
Request for Proposals Innovative Model for Bringing Autism Expertise and Services to Rural Areas of Pennsylvania The Pennsylvania Department of Public Welfare (DPW) through the Tuscarora Intermediate Unit
More informationAssessment and Treatment of Members with Co-occurring Disorders Serious Mental Illness (SMI) and Substance Abuse (SA)
Assessment and Treatment of Members with Co-occurring Disorders Serious Mental Illness (SMI) and Substance Abuse (SA) Presenter: Steve Edfors, LCPC University of Illinois at Chicago Learning Objectives
More informationPOSITION PAPER - THE MENTAL HEALTH PEER WORKFORCE
POSITION PAPER - THE MENTAL HEALTH PEER WORKFORCE TANDEM INC. Tandem began as the Victorian Mental Health Carers Network (the Network) in 1994. Four main organisations were involved Carers Victoria, the
More informationTestimony of. Michael J. Polenberg, Director of Policy & Advocacy Coalition of Voluntary Mental Health Agencies, Inc.
Testimony of Michael J. Polenberg, Director of Policy & Advocacy Coalition of Voluntary Mental Health Agencies, Inc. At the Oversight Hearing: Integrated Dual Disorder Treatment and Co-Occurring Disorders
More informationSubstance Abuse Services. AIDS Drug Assistance. Oral Health Care. Program (ADAP) Medical Care
2017-2018 Council for HIV/AIDS Care and Prevention Core Medical Service Area Paired Comparison Analysis Prioritization Worksheet Medical Case Management Services Substance Abuse Services - Outpatient AIDS
More informationMutual Help Groups for People with Co-Occurring Disorders
Mutual Help Groups for People with Co-Occurring Disorders Joan E. Zweben, Ph.D. Executive Director, East Bay Community Recovery Project Clinical Professor of Psychiatry, UCSF Staff Psychologist, VA Medical
More informationPrevention Services. Disorders Among Young People: Progress and Possibilities. Washington, DC: The National Academies Press.
Authority: 42 U.S.C. s. 300x 2 45 C.F.R., pt. 96, sub. L. Frequency: Due Date: Defining Prevention Annual Monitoring Ongoing Prevention Services Programs designed to prevent the development of mental,
More informationPOSITION DESCRIPTION:
POSITION DESCRIPTION: SECTION A: POSITION CONTEXT Position Title Peer Practitioner - Personalised Support Services Position Reference 10556 Position Type Part time, 22.8 hours per week, fixed term contract
More informationPosition is based Access Health & Community: Hawthorn and Doncaster East Manager, Alcohol and Other Drug Service
Position Details Position Title Mode of Employment Award/EBA Classification Salary Packaging Department/Team Location Reports to Direct Reports Probationary Period Working with Children Check required
More informationTreatment of Individuals Living With Co-occurring Disorders
Kentucky School of Addiction Studies Presents Treatment of Individuals Living With Co-occurring Disorders Presenter Mark Sanders, LCSW, CADC Objectives By the end of the workshop participants will: 1.
More informationPeer Support Roles in Criminal Justice Settings
A Webinar-Supporting Document August 2017 Support Roles in Criminal Justice Settings The term recovery can be defined as a process of change through which individuals improve their health and wellness,
More informationOBJECTIVES KEY ACTION STEPS EVALUATION METHODS STAFF RESPONSIBLE
WORK PLAN FY 2013-2014 Mental Health STSC Baltimore EMA PROBLEM/NEED: Patients with undiagnosed psychiatric disorders need comprehensive evaluation. Patients need ongoing treatment and evaluation of response
More informationFAMILY & CHILDREN S SERVICES STRATEGIC PLAN
2014-2019 FAMILY & CHILDREN S SERVICES STRATEGIC PLAN WHO WE ARE Family & Children s Services is a leading provider of behavioral health care and family services for people of all ages in Tulsa and surrounding
More informationSelected Aspects of Psychopathology: Understanding Mental Illness. Facilitator: Darlene Hopkins, PhD, LCAS, CCS
Selected Aspects of Psychopathology: Understanding Mental Illness Facilitator: Darlene Hopkins, PhD, LCAS, CCS Brief Outline 1. A Model for Mental Illness 2. Classifying Mental Illnesses 3. Treatment 4.
More informationTYPE IN THE CHAT. Please type your name, organization, and city/state into the chat.
TYPE IN THE CHAT Please type your name, organization, and city/state into the chat. 1 EDC. 2017 All Rights Reserved. Data-Driven Quality Improvement in Zero Suicide May 2, 2017 2 Funding and Disclaimer
More informationInteCare Addendum to CAQH Application
InteCare Addendum to CAQH Application I. Required Provider Information Needed for CAQH Last Name First Name Organization Name CAQH Number Service Location Address City State Zip II. Clinical Services:
More informationSuicide Prevention Strategic Plan
Suicide Prevention Strategic Plan 2019 For more information visit dphhs.mt.gov/suicideprevention 2 Vision Zero suicide in the Big Sky State Mission Our Reduce suicide in Montana through a comprehensive,
More informationEnsuring Fidelity to Motivational Interviewing among Frontline Service Providers
Ensuring Fidelity to Motivational Interviewing among Frontline Service Providers Presented by Benjamin Callaway, LMSW & Nicole S. Chisolm, MPH May 23, 2018 Thomas Durham, PhD Director of Training NAADAC,
More informationQueen s Family Medicine PGY3 CARE OF THE ELDERLY PROGRAM
PROGRAM Goals and Objectives Family practice residents in this PGY3 Care of the Elderly program will learn special skills, knowledge and attitudes to support their future focus practice in Care of the
More informationPEER LEARNING COURT PROGRAM WAPELLO COUNTY FAMILY TREATMENT COURT
PEER LEARNING COURT PROGRAM WAPELLO COUNTY FAMILY TREATMENT COURT LEAD AGENCY Wapello County Family Treatment Court LOCATION Ottumwa, Iowa FIRST DATE OF OPERATION June 2007 CAPACITY Adults: 40 NUMBER OF
More informationPEER LEARNING COURT PROGRAM DUNKLIN COUNTY FAMILY TREATMENT COURT
PEER LEARNING COURT PROGRAM FAMILY TREATMENT COURT LEAD AGENCY Dunklin County Family Treatment Court LOCATION Kennett, Missouri FIRST DATE OF OPERATION November 2004 CAPACITY Adults: 20 NUMBER OF GRADUATES
More informationPART II PSYCHOSOCIAL TREATMENT PRINCIPLES
PART II PSYCHOSOCIAL TREATMENT PRINCIPLES 132 Psychosocial Treatment Principles EDITOR'S COMMENTARY: PART II This section addresses the individual in the psychosocial context of his family, his work, his
More informationAlberta Alcohol and Drug Abuse Commission. POSITION ON ADDICTION AND MENTAL HEALTH February 2007
Alberta Alcohol and Drug Abuse Commission POSITION ON ADDICTION AND MENTAL HEALTH POSITION The Alberta Alcohol and Drug Abuse Commission (AADAC) recognizes that among clients with addiction problems, there
More informationTreating Tobacco Use Disorders as an Addiction: Why clinicians should address it, and some tools to help them. PAM BENNETT KATHY GARRETT
Treating Tobacco Use Disorders as an Addiction: Why clinicians should address it, and some tools to help them. PAM BENNETT KATHY GARRETT Objectives Why Tobacco Use should be viewed as an addiction Why
More information