Center for Practice Innovations Brings Best Practices to NYS: Focus on Integrated Treatment (FIT) and ACT Institute

1. Center for Practice Innovations Brings Best Practices to NYS:Focus on Integrated Treatment (FIT) and ACT Institute • NYAPRS Conference • September 23, 2010 • Carlos Jackson, Ph.D. • Paul Margolies, Ph.D. • Nancy Covell, Ph.D. • Dan Herman, Ph.D.

3. Who we are?

4. Public-Academic Partnership

5. Paul Margolies, Ph.D. Associate Director Implementation Nancy Covell, Ph.D. Project Director, Focus on Integrated Treatment Susan Essock, Ph.D. Director Dan Herman, Ph.D. Director, ACT Institute Carlos Jackson, Ph.D. Associate Director Operations

6. What we do?

7. On-line training Web-based Collaborations Distance Learning www.practiceinnovations.org

8. Building best practices with you.

9. Focus on Integrated Treatment

10. Receive treatment whether you walk into an OMH-licensed or OASAS-certified program. What is integrated treatment for People with Co-Occurring Mental Health and Substance Use Disorders (COD)? Both mental health and substance use treatment provided by the same clinician or team. No Wrong Door

11. 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 sensitive What does integrated treatment for COD include? • Drake, RE, Essock, SM, et al. (2001). Psychiatric Services, 52, 469-476.

12. Integrated Treatment is Effective! People achieve abstinence or really cut down on substance use They get jobs They get their own apartments or homes

13. They make friends with people who don’t use substances Their mental health symptoms improve and they are happier with life overall. 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.

14. Overview of the FIT Initiative

15. What is Unique about FIT? We offer all training and supports online We are one of a few blazing this new trail

16. Advantages to Distance Learning Practitioners do not leave the office for extended periods to obtain training No cancelled trainings (e.g., for weather ) resulting in lost resources Travel costs are eliminated

17. Advantages to Distance Learning Log in and complete modules when convenient New staff trained immediately and consistently Re-review modules any time

18. 35 Modules by December 2010 Recovery Stories Interactive Exercises Video Skill Demonstrations

19. 22 Modules Now Available! Motivational Interviewing Cognitive-behavioral therapy Stage-wise Treatment

20. Screening & Assessment Peer Recovery supports Individual collaborative treatment

21. Supervision Leadership Capability & Fidelity

22. Distance Implementation Supportsfor Practitioners, Supervisors, and Agency Leaders Discussion threads on LMS Monthly Webinars Ask an Expert on LMS Monthly Calls

23. What 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”

24. What 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.”   

25. ACT InstituteCurrent Activities and Future Directions

26. ACT Model Interdisciplinary Community-based Comprehensive services 24 hour coverage

28. Client characteristics (n=5000)

29. Values & Philosophy Recovery Individualized Shared decision-making Culturally informed

30. Core Training Part One (2 days) Recovery Cultural competence Engagement Assessment & treatment planning Treatment services Transition planning Part Two (2 days) Person-centered treatment planning

31. Consultation New teams and team leaders Referrals from NYSOMH Self-referral

32. EBP training Supported employment, integrated dual diagnosis treatment, family psychoeducation Consultation Web-based resources

33. New directions Web-based training Core EBP