Integrated Co-Occurring Disorders Services: Assessment, Staff, Skills and Systems Issues
Many clinicians are now aware of the increasing population of multiproblem, complex, co-occurring disordered clients. However they often lack training in both addiction and mental health treatment so that clients in withdrawal from alcohol and other drugs; and those with co-occurring disorders (COD) too often receive inadequate care, caught in the gap between the mental health and addiction treatment systems. Clinicians can feel ill equipped to face the variety of assessment, treatment and systems issues necessary to provide integrated co-occurring disorders services.
This workshop will offer guidelines to address clinical dilemmas in the assessment and treatment for those with co-occurring mental and substance-related disorders. It will also address the differences between the addiction and mental health systems to improve skills and systems issues in integrated COD services.
Reference will be made to the Third Edition of The ASAM Criteria (American Society of Addiction Medicine) to focus person-centered assessment and services to implement integrated services.
Review the context and background of the behavioral health field that has created attitudinal and values differences contributing to fragmentation.
Apply assessment strategies, techniques and priorities to determine COD treatment options.
Identify staff, program and systems issues in providing integrated services for those with co-occurring mental and substance-related disorders.
Discuss how to improve the range and use of treatment services to better meet the needs of clients.
9:00 AM A. Terminology
Co-Occurring Disorders; integrated treatment
B. Cultural Clashes in the Behavioral Health Field
Polarized Perspectives about Presenting Problems
Different Theoretical Perspectives; Different Treatment Methodologies
10:30 AM BREAK
10:45 AM C. Assessment Dilemmas and Skills Development
Diagnostic confusion between addiction and mental disorders
Decision Tree to assess for co-occurring disorders
D. Integrated Treatment Approach
Treatment options and matching treatment to multidimensional needs
Different Approaches for Various COD Clinical Situations
12:00 PM Lunch
1:00 PM E. Engaging People into Collaborative Treatment
Different stages of change for addiction and mental health recovery
Attracting people into recovery
Discovery versus Recovery services
F. Improving Integrated COD Services
Co-Occurring Capable, Enhanced and Complexity Capable services
Developing an integrated treatment approach in service delivery
2:30 PM BREAK
2:45 PM G. Systems Issues and Case Consultation
Staff, Program and Systems skills and changes
H. Communication and conflict resolution
Policy and procedure
I. Gathering data on Policy and Payment Barriers
Identifying and documenting systems gaps
4:00 PM Adjourn