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Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by Center for Evidence Based Practices at Case/ Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence the Ohio SAMI CCOE is a partnership

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Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System

Presented by

Center for Evidence Based Practices at Case/

Ohio Substance Abuse and Mental Illness

Coordinating Center of Excellence

the Ohio SAMI CCOE is a partnership

between the Mandel School of Applied Social Sciences and the Department of Psychiatry, CWRU School of Medicine, Case Western Reserve University

in collaboration with the Ohio Departments of Mental Health and

Alcohol Dependence and Addiction Services

why focus on co occurring d isorders
Why focus on Co-Occurring Disorders?
  • Substance use disorders are common in people with severe mental illness
  • Mental illness is common in people with substance use disorders
  • Co-occurring disorders lead to worse outcomes and higher costs than single disorders
co occurring disorders lead to worse outcomes than single disorders
Co-Occurring Disorders lead to worse outcomes than single disorders
  • Relapse of mental illness
  • Treatment problems and hospitalization
  • Violence, victimization, and suicidal behavior
  • Homelessness and Incarceration
  • Medical problems, HIV & Hepatitis risk behaviors and infection
  • Family problems
  • Increase service use and cost
traditional co occurring disorders treatment
Traditional Co-Occurring Disorders Treatment
  • Treat each disorder separately
    • May be parallel or sequential
  • Separate treatment is less effective
integrated dual d isorders treatment iddt what is it
Integrated Dual Disorders Treatment (IDDT): What is it?
  • Treatment of substance use disorder and mental illness together
    • Same team
    • Same location
    • Same time
    • Other characteristics to be described later
  • ACT (Assertive Community Treatment)
  • DD-CAT and DD-CMHT
abstinence leads to improvements in other outcomes
Abstinence leads to improvements in other outcomes
  • Reduce institutionalization
  • Reduce symptoms, suicide
  • Reduce violence, victimization, legal problems
  • Better physical health
  • Improve function, work
  • Improve relationships and family
now what
Now What…
  • Treatment Works
  • How To Get and Keep People in Treatment
  • Rapport and Relationship
  • Stage-Wise and Motivational Implications
introduction of panelists organizational missions and history
Introduction of Panelists:Organizational Missions and History
  • Nikki Bisig: Greater Cincinnati Behavioral Health (GCB)
  • John Scalish and Lou LaMarca, Community Assessment and Treatment Services, Inc. (CATS)
the benefits
The Benefits
  • Why did your organization endeavor to provide co-occurring treatment?
  • Why did your organization seek to work with the criminal justice system?
the challenges and solutions
The Challengesand Solutions
  • Differing cultures between the criminal justice system and the mental health and substance abuse treatment systems
  • Compliance vs. Adherence and Risk Management
  • What is “Treatment”? What is “Success” in Treatment?
lessons learned
Lessons Learned
  • Training implications
  • Communication and developing trust between treatment providers and criminal justice staff
  • A range of treatment services (case management, groups, meds, etc)
  • Stagewise treatment and motivational interventions
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Scott Gerhard, MA, LSW

Consultant and Trainer

Center for Evidence-Based Practices (CEBP)

Case Western Reserve University

[email protected]

216-268-0808

www.centerforebp.case.edu

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