Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS) Center for Substance Abuse Treatment (CSAT)

Slides:

Advertisements

Similar presentations

Co-Occurring Services Network Division of Addiction Services Fiscal Year 2009.

Advertisements

Evidence Based Practices Lars Olsen, Director of Treatment and Intervention Programs Maine Department of Corrections September 4, 2008.

The San Francisco Parent Training Institute Triple P Program December 7, 2011 Stephanie Romney, PhD Danijela Zlatevski, PhD

PARTNERING TO END HOMELESSNESS IN A CHANGING HEALTH CARE ENVIRONMENT Pamela S. Hyde, J.D. SAMHSA Administrator National Alliance to End Homelessness U.S.

Measuring strengths & recovery Observations on the Mental Health Center of Denver.

Introduction Results and Conclusions Comparisons on the TITIS fidelity measure indicated a significant difference between the IT and AS models on the Staffing.

Integrated Dual Diagnosis Treatment

Texas Department of State Health Services - Supporting Evidenced-based Practices for the Advancing Recovery Project.

Primary Care-Mental Health Integration in the Department of Veterans Affairs Andrew Pomerantz, MD National Mental Health Director for Integrated Services,

A MERICAN P SYCHOLOGICAL A SSOCIATION 11. Forensic Issues II.

PROJECT FUNDING PROVIDED BY R e-entering O ffenders A chieving R ecovery ROAR offers reintegration and recovery services to male adult offenders transitioning.

Behavioral Health Services for Injured or Ill workers – Collaborative Care Analysis and Recommendations January 22, 2015.

Dimensional Assessment for Co-Occurring Disorders 8 th Annual Prevention and Recovery Conference Todd Crawford, LPC, LADC Director, Residential Services.

Assertive Community Treatment (ACT) NAMI Maryland Annual Conference The Conference Center at Sheppard Pratt Friday, October 17, 2014 Saturday, October.

1 Mental Health and Co- Occurring Treatment Needs of Individuals in the Criminal Justice System American Psychiatric Association 2007 Annual Meeting May.

Psychosis: Early Identification and Intervention Easter Seals Michigan.

Dual Diagnosis Capability in Addiction Treatment: A Comparison of Client Characteristics and Treatment Outcomes Laurel Mangrum, Ph.D. University of Texas.

Enhancing Co-Occurring Disorder Services in Addiction Treatment: Preliminary Findings of the Texas Co-Occurring State Incentive Grant Dartmouth Psychiatric.

Federal and State Initiatives on Dual Disorders Lenore A. Kola, Ph.D. Co-Director, Substance Abuse and Mental Illness Coordinating Center of Excellence.

VACO Update Informatics Section Kathleen Lysell, Psy.D. May 19, 2007 VA Psychology Leadership Conference.

1 What’s New in Screening and Assessment Tools? Florida Partners in Crisis: Annual Conference and Justice Institute July 13, 2011 Orlando, Florida Roger.

Workforce Assessment COPSD Specialists in Texas Dick Spence 1 Laurel Mangrum 1 A.J. Ernst 2 Presented at the NASMHPD Research Institute (NRI) Conference,

Participant Choice – Access to Recovery as a Voucher Service Delivery Model Presented to National Summit on Prisoner Re-Entry Sponsored by the White House.

Bureau of Drug and Alcohol Services (BDAS) /DHHS Presentation to the Gaming Study Commission March 16 th, 2010 Joe Harding – Director –

Strategic Planning 2013 CMHSAS-SJC Board Description of a Good and Modern Addictions and Mental Health Services System Affordable Care Act  Patient.

Mental Health and Substance Abuse Services Joe Vesowate Assistant Commissioner.

Medicaid and Behavioral Health – New Directions John O’Brien Senior Policy Advisor Disabled and Elderly Health Programs Group Center for Medicaid and CHIP.

Integrated Treatment for Co-Occurring Disorders An Evidence-Based Practice.

Andy Finch, Ph.D. Vanderbilt University Mary Jo Rattermann, Ph.D. Research & Evaluation Resources

Oklahoma’s Integrated Services Initiative For Treatment of Persons With Co-Occurring Substance Use and Mental Health Disorders Substance Use and Mental.

A Framework to Guide Full Service Partnerships for Adults Maria Funk, Ph.D. Mental Health Clinical District Chief ASOC Countywide Programs Los Angeles.

Evidence Based Practices for Adults NAMHPAC Technical Assistance to West Virginia Planning Council October 13, 2005 Wheeling, WV Jerry Goessel.

Recovery Support Services and Client Outcomes: What do the Data Tell Us? Recovery Community Services Program Grantee Meeting December 14, 2007.

Texas COSIG Project Client and Service Characteristics Associated with Treatment Completion 4 th Annual COSIG Grantee Meeting March 2007.

Washington D.C., USA, July 2012www.aids2012.org Collaborative HIV/AIDS Mental Health Project (CHAMP) Susan Reif, PhD, LCSW Center for Health Policy.

Belinda Seto, Ph.D. Acting Deputy Director for Extramural Research National Institutes of Health Human Subjects Research Enhancements Awards Renaissance.

SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) 1.

Introduction Results and Conclusions ATR Results: On demographic and social characteristics, ATR completers were more likely to be Hispanic, employed,

Recovery Support Services and Client Outcomes: Results of Two Interim Evaluations in Texas College on Problems of Drug College on Problems of Drug Dependence.

Dave neilsen Deputy Director. Commitment, Knowledge and Services… The Department of Alcohol and Drug Programs (ADP) is committed to providing excellent.

Introduction Introduction Alcohol Abuse Characteristics Results and Conclusions Results and Conclusions Analyses comparing primary substance of abuse indicated.

Introduction Results and Conclusions Categorical group comparisons revealed no differences on demographic or social variables. At admission to treatment,

Introduction Results and Conclusions On demographic variables, analyses revealed that ATR clients were more likely to be Hispanic and employed, whereas.

SUBSTANCE ABUSE Healthy Kansans 2010 Steering Committee Meeting May 12, 2005.

Introduction Results and Conclusions Analyses of demographic and social variables revealed that women were more likely to have children, be living in a.

Educating Social Workers in Evidence Based Practice and Treatments in Mental Health The NY State Social Work in Mental Health Consortium Nancy J. Smyth,

FOCUS ON INTEGRATED TREATMENT (FIT) Nancy H. Covell, Ph.D. Center for Practice Innovations at Columbia Psychiatry April 27, 2011.

Introduction Results and Conclusions On counselor background variables, no differences were found between the MH and SA COSPD specialists on race/ethnicity,

Texas COSIG Project Gender Differences in Substance Use Severity and Psychopathology in Clients with Co-Occurring Disorders 5 th Annual COSIG Grantee Meeting.

Introduction Results and Conclusions Comparisons of psychiatric hospitalization rates in the 12 months prior to and after baseline assessment revealed.

Introduction Results and Conclusions Analyses of demographic and social variables indicated that Hispanics were more likely to be male, married, and living.

The CONTINUUM OF CARE Essential for Effective Substance Use Disorder Prevention, Treatment & Recovery Support Services.

Association for Women in Psychology Conference “A Model of Integrated Treatment for Women with Co-Occurring Disorders who are at High Risk for HIV” Presented.

1 Center Mission Statements SAMHSA ? CSAT Improving the Health of the Nation by Bringing Effective Alcohol and Drug Treatment to Every Community CMHS Caring.

Introduction Results and Conclusions Numerous demographic variables were found to be associated with treatment completion. Completers were more likely.

Legislative Enhancements to Behavioral Health. Recent Legislation Behavioral Health Enhancements HB 7019/SB 7068 (2015) SB 12/HB 7097 (2016) Housing Assistance.

Substance Abuse and Mental Health Services Administration Impact of Screening and Brief Intervention Grants in Seven States: Substance Use, Criminal Justice,

Introduction Results and Conclusions Results: On demographic and social characteristics, ATR completers were more likely to be male, Hispanic, employed,

Addressing Unhealthy Substance Use with Older Adults Dawn Matchett,LICSW Hearth, Inc. October 20, 2014.

Results Alcohol Use Disorder Disease Management Program: Approximately three-quarters of plans (74%) reported having an alcohol disease management program.

Peteria Chan, MPH Jill Bellinger, Ph.D. Stacey Stevens Manser, Ph.D.

Recovery Support Outcomes: Client and Service Characteristics Associated with Successful Completion of ATR Services Laurel Mangrum, PhDa, Michele Steinley-Bumgarner,

Substance Abuse and Mental Health Services Administration

Treating Alcohol Abuse

Treatment of Clients Experiencing Anxiety

Overview of Peer Recovery Support

Preliminary Outcomes of the Texas Access to Recovery Project

Certified Community Behavioral Health Clinic

Certified Community Behavioral Health Clinics

Can be personalized to individual group needs.

Presentation transcript:

Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS) Center for Substance Abuse Treatment (CSAT) Co-Occurring Center for Excellence (COCE) 3 rd Annual COSIG Grantee Meeting March 1-3, 2006 Omni Shoreham Hotel Washington, DC Texas COSIG Project Laurel Mangrum, Ph.D. Project Evaluator, University of Texas, Addiction Research Institute Kwame Bruce, Psy.D. Project Director, Texas Department of State Health Services

Texas COSIG Project The goal of the COSIG project is to improve the delivery of state-funded services for clients in Texas with co-occurring psychiatric and substance use disorders (COPSD). The project consists of two components designed to promote system change and to enhance specialized clinical skills of providers treating COPSD.

COSIG Project Component #1 Focused education at the clinician level regarding treatment issues relevant to COPSD and training on the use of diagnostic and assessment instruments to enhance identification of psychiatric comorbidity and monitor progress of clients.

COPSD Curriculum Modules Module 1: Substance Use and Mental Health Disorders Module 2: Depression and Substance Use Disorders Module 3: Substance Use and Bipolar Disorders Module 4: Anxiety and Substance Use Module 5: Schizophrenia, Schizoaffective, and Substance Use Disorders Module 6: Substance Use – Motives and Consequences Module 7: Principles of Treatment Module 8: Relapse Prevention

Diagnostic and Assessment Measures  Mini International Neuropsychiatric Interview (MINI)  Brief Symptom Inventory (BSI)  Brief Derogatis Psychiatric Rating Scale (BDPRS)  Substance Abuse Treatment Scale (SATS)  Ancillary Service Assessment  Client Evaluation of Self in Treatment (CEST)

COSIG Project Component #2 A voucher system that provides additional funding for procurement of ancillary services in an effort to address the multifaceted needs of COPSD clients and to support the treatment and recovery process.

COSIG Voucher Categories  Child Care  Housing Support  Transportation  Food Assistance  Education Support  Employment Assistance  Clothing  Medical Care  Prescriptions  Peer Mentoring

Participating Treatment Programs

Administration of Evaluation Measures

Psychiatric Diagnostic Impressions 271 COSIG Clients

Substance Use Disorders 271 COSIG Clients

BSI and BDPRS Scores in Clinically Significant Range at Admission 266 COSIG Clients

Reductions in Client Reported BSI Symptom Severity After One Month in COSIG 87 COSIG Clients

Reductions in Clinician Rated BDPRS Symptom Severity After One Month in COSIG 80 COSIG Clients

Increases in Treatment Engagement on Clinician SATS Ratings after One Month in COSIG 88 COSIG Clients

Ancillary Services Needed and Received at One Month in COSIG 80 COSIG Clients

Lessons Learned  Training on use of diagnostic and assessment instruments is not a one time event  Tiered training on clinical interventions is needed  Training to build clinician skills in identifying ancillary service needs is needed  Programs benefit from regular feedback reports  Compensation for increased clinician workload is needed

Next Steps for the Texas COSIG Project  Expansion of the pilot sites to five additional programs  Design training curriculum for identification of ancillary service needs and treatment planning  Design intermediate and advanced training modules in COPSD treatment  Development of COPSD fidelity instrument for use in both SA and MH programs in Texas  Information technology infrastructure development

COSIG Expansion Programs