1. dave neilsen Deputy Director

2. Commitment, Knowledge and Services… The Department of Alcohol and Drug Programs (ADP) is committed to providing excellent quality care and services to our clients with Co- Occurring Disorders (COD). The Department of Alcohol and Drug Programs (ADP) is committed to providing excellent quality care and services to our clients with Co- Occurring Disorders (COD). As a former provider, Director Zito knows it is critical that providers are able to serve our clients that walk through the treatment door. As a former provider, Director Zito knows it is critical that providers are able to serve our clients that walk through the treatment door.

3. State of Affairs: ADP, the Department of Mental Health and the Co-Occurring Joint Action Council’s (COJAC) Collaboration has lead to progress in COD treatment COJAC Screening Sub-Committee developed a simple instrument designed to assist substance abuse and mental health providers screen for clients in need of further assessment of COD. COJAC Screening Sub-Committee developed a simple instrument designed to assist substance abuse and mental health providers screen for clients in need of further assessment of COD. –The instrument contains nine questions –Requires very little time to administer –Minimal staff training and can be used in a wide variety of settings

4. Validation of COJAC Screener ADP is sponsoring and conducting a scientific study designed to establish the validity of the COJAC screening instrument. ADP is sponsoring and conducting a scientific study designed to establish the validity of the COJAC screening instrument. The duration of the study is two years. The duration of the study is two years. Once validated, one possible next step is: Once validated, one possible next step is: Adoption of this instrument throughout California. The use of this instrument will ensure that those with COD are identified and served at every point of entry because there should be “no wrong door.”

5. Use of the Dual Diagnosis Capability Assessment Tool (DDCAT) to Assess Treatment Providers COD Services in the following Areas: I. Program’s Environment II. Clinical Process: Assessment III. Clinical Process: Treatment IV. Continuity of Care V. Program Structure VI. Staffing VII. Training

6. Benefits of the DDCAT User friendly User friendly Concrete Concrete Identifies strengths in programs Identifies strengths in programs Identifies specific avenues for change Identifies specific avenues for change Develops a baseline for development of action plans to advance dual diagnosis capability Develops a baseline for development of action plans to advance dual diagnosis capability

7. Endorsed by the Substance Abuse and Mental Health Services Administration (SAMHSA) SAMHSA provides state incentive grants to states using the DDCAT SAMHSA provides state incentive grants to states using the DDCAT SAMHSA views the DDCAT as an instrument that fosters integrated services for persons with co- occurring mental and addictive disorders SAMHSA views the DDCAT as an instrument that fosters integrated services for persons with co- occurring mental and addictive disorders SAMHSA endorses the DDCAT as an assessment tool that may be used to determine effectiveness of programs providing integrated treatment services SAMHSA endorses the DDCAT as an assessment tool that may be used to determine effectiveness of programs providing integrated treatment services Currently, 20 other states are using this instrument in similar efforts Currently, 20 other states are using this instrument in similar efforts

8. ADP’s Pilot of the DDCAT ADP’s Pilot involves administering and validating the scores of the DDCAT instrument among 3 southern and ADP’s Pilot involves administering and validating the scores of the DDCAT instrument among 3 southern and 3 northern California providers. This effort will help the state and substance abuse providers determine their capability for treating COD: This effort will help the state and substance abuse providers determine their capability for treating COD: –A first step in identifying which providers are delivering effective treatment and what program areas can be improved upon –Helps inform the field to move towards standards in care for COD programs

9. Opportunities within the Mental Health Services Act (MHSA) The MHSA, Prevention and Early Intervention (PEI) component, provides a unique opportunity to accomplish some of this work. The MHSA, Prevention and Early Intervention (PEI) component, provides a unique opportunity to accomplish some of this work. The PEI allows substance abuse providers to participate locally by offering programs for individuals who are at risk of developing a serious mental illness or for those whose substance abuse treatment would prevent the worsening of a mental illness. The PEI allows substance abuse providers to participate locally by offering programs for individuals who are at risk of developing a serious mental illness or for those whose substance abuse treatment would prevent the worsening of a mental illness.

10. DDCAT ON THE WEB The DDCAT (14 pages) is available for download at the following location: The DDCAT (14 pages) is available for download at the following location: http://www.smilevermont.com/mh/visi/documents/DDCAT_fidelity_scale.pdf An introductory manual (40 pages): An introductory manual (40 pages): http://www.smilevermont.com/mh/visi/documents/DDCAT_introductory_manual.pdf An explanatory computer slide show (67 pages): An explanatory computer slide show (67 pages): http://coce.samhsa.gov/cod_resources/PDF/DDCATIntroVersion23.pdf A Dual Diagnosis Capability in Addiction Treatment Toolkit (127 pages): A Dual Diagnosis Capability in Addiction Treatment Toolkit (127 pages): http://www.smilevermont.com/mh/visi/documents/DDCAT_Toolkit.pdf

11. PEI Strategies ADP’s COD Unit staff developed and disseminated several strategies to substance abuse providers. ADP’s COD Unit staff developed and disseminated several strategies to substance abuse providers. Providers can use in collaboration with their counties, for the provision of services, when consistent with local PEI priority activities. Providers can use in collaboration with their counties, for the provision of services, when consistent with local PEI priority activities.

12. Strategies for Substance Abuse in: Student Assistance Programs Student Assistance Programs Youth Development Youth Development Mentoring Programs Mentoring Programs Drug Court and Proposition 36 Support Programs Drug Court and Proposition 36 Support Programs Hiring of Mental Health Staff at Alcohol and Other Drug Treatment Programs – “No Wrong Door” Hiring of Mental Health Staff at Alcohol and Other Drug Treatment Programs – “No Wrong Door” Family Counseling for Domestic Violence Clients and Family Members Family Counseling for Domestic Violence Clients and Family Members Suicide Prevention Suicide Prevention

13. For More Information The Co-Occurring Joint Action Council The Co-Occurring Joint Action Council www.adp.ca.gov/cojac/index.shtml The Department of Alcohol and Drug Programs The Department of Alcohol and Drug Programs www.adp.ca.gov/COD/index.shtml The Co-Occurring Disorders Unit The Co-Occurring Disorders Unit CODUnit@adp.ca.gov