Center for Practice Innovations Brings Best Practices to NYS:
Focus on Integrated Treatment (FIT) and ACT Institute
NYAPRS ConferenceSeptember 23, 2010
Carlos Jackson, Ph.D.Paul Margolies, Ph.D.Nancy Covell, Ph.D.Dan Herman, Ph.D.
Who we are?
Public-Academic Partnership
Paul Margolies, Ph.D.Associate Director
Implementation
Carlos Jackson, Ph.D.Associate Director
Operations
Susan Essock, Ph.D.Director
Dan Herman, Ph.D.Director,
ACT Institute
Nancy Covell, Ph.D.Project Director,
Focus on Integrated Treatment
What we do?
www.practiceinnovations.orgWeb-based CollaborationsOn-line trainingDistance Learning
Building best practices with you.
Focus on Integrated TreatmentFocus on Integrated Treatment
Receive treatment whether you walk into an OMH-licensed or OASAS-certified program.
What is integrated treatment for People What is integrated treatment for People with Co-Occurring Mental Health and with Co-Occurring Mental Health and
Substance Use Disorders (COD)?Substance Use Disorders (COD)?Both mental health and substance use treatment provided by the same clinician or team.
No Wrong Door
• Assertive outreach and engagement
• Screening and assessment
• Motivational interventions
• Education about mental health and substance use
• Counseling – group, individual and/or family
• Staged interventions to target an individual’s stage of readiness for change
• Linkage to 12-step programs
• Long-term and comprehensive perspective
• Culturally sensitiveDrake, RE, Essock, SM, et al. (2001). Psychiatric Services, 52, 469-476.
What does integrated treatment for What does integrated treatment for COD include?COD include?
Integrated Treatment is Effective!Integrated Treatment is Effective!
People achieve abstinence or really cut down on substance use
They get their own apartments or homes
They get jobs
Drake RE, Mueser KT, Brunette MF, et al. (2004). A review of treatments for people with severe mental illnesses and co-occurring substance use disorders. Psychiatric Rehabilitation Journal, 27, 360–374.
Essock SM, Mueser KT, Drake RE, et al. (2006). Comparison of ACT and standard case management for delivering integrated treatment for co-occurring disorders. Psychiatric Services, 57, 185-196.
They make friends with people who don’t use substances
Their mental health symptoms improve and they are happier with life overall.
Overview of the FIT InitiativeOverview of the FIT Initiative
What is Unique about FIT?What is Unique about FIT?
We offer all training and supports online
We are one of a few blazing this new trail
Advantages to Distance LearningAdvantages to Distance Learning
Practitioners do not leave the office for extended periods to obtain training
Travel costs are eliminated
No cancelled trainings (e.g., for weather ) resulting in lost resources
Advantages to Distance LearningAdvantages to Distance LearningLog in and complete modules when convenient
Re-review modules any time
New staff trained immediately and consistently
35 Modules by December 201035 Modules by December 2010
Video Skill
Demonstrations
InteractiveExercises
Recovery
Stories
22 Modules Now Available!22 Modules Now Available!
Stage-wise
Treatment
Cognitive-behavioraltherapy
Motivational Interviewing
Screening &Assessment
Individual collaborative treatment
Peer Recoverysupports
Supervision
Capability &
Fidelity
Leadership
Distance Implementation SupportsDistance Implementation Supportsfor Practitioners, Supervisors, and Agency Leadersfor Practitioners, Supervisors, and Agency Leaders
Monthly Webinars
Ask an Expert on LMS
Discussion threads on LMS
Monthly Calls
What learners are sayingWhat learners are saying “I love the trainings. They are so welcome because it is difficult to get out of the office. I enjoy learning more about substance abuse and value the melding of the two disciplines.”
“Very clear, effective presentation of different types of supervision.”
“I like the mix of video and text. The information about stages of treatment and stages of change gives one some very concrete information which I can directly utilize when working with an individual”
What learners are sayingWhat learners are saying “I like the way you showed a real person in a real situation. It made it easy to identify with the person and view their needs as able to be met in manageable steps ... the steps of each module were broken down to make them easy to learn, manageable and much in the same way I would hope I treat my clients.”
“This module addresses the critical issue of what leadership should look like, and what a leader should be doing. The sections about supervision were excellent.”
“It reinforced my beliefs about what my agency needs to do to move our integrated program forward.”
ACT InstituteACT Institute Current Activities and Future Directions
ACT ModelACT Model
• Interdisciplinary
• Community-based
• Comprehensive services
• 24 hour coverage
Client characteristics (n=5000)Client characteristics (n=5000)Percent
Male 58
Female 42
Diagnosis
Schizophrenia 77
Bipolar Disorder 17
Other 8
Co-existing substance abuse 57
High use of psychiatric hospitals
55
Current AOT order 22
Values & PhilosophyValues & Philosophy
• Recovery
• Individualized
• Shared decision-making
• Culturally informed
Core TrainingCore Training
• Part One (2 days)• Recovery• Cultural competence• Engagement• Assessment & treatment planning• Treatment services • Transition planning
• Part Two (2 days)• Person-centered treatment planning
ConsultationConsultation
• New teams and team leaders
• Referrals from NYSOMH
• Self-referral
EBP trainingEBP training
• Supported employment, integrated dual diagnosis treatment, family psychoeducation
• Consultation
• Web-based resources
New directionsNew directions
• Web-based training• Core• EBP
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