Integrated recovery lessons learned implementing iddt
This presentation is the property of its rightful owner.
Sponsored Links
1 / 20

INTEGRATED RECOVERY Lessons Learned: Implementing IDDT PowerPoint PPT Presentation


  • 98 Views
  • Uploaded on
  • Presentation posted in: General

INTEGRATED RECOVERY Lessons Learned: Implementing IDDT. Stanislaus County Elizabeth Oakes, MFT Adrian Carroll, MFT January 19, 2007. Organizational Context. Why we selected IDDT : -Committed to integrated services BHRS -Integrated system isn’t integrated treatment

Download Presentation

INTEGRATED RECOVERY Lessons Learned: Implementing IDDT

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Integrated recovery lessons learned implementing iddt

INTEGRATED RECOVERYLessons Learned: Implementing IDDT

Stanislaus County

Elizabeth Oakes, MFT

Adrian Carroll, MFT

January 19, 2007


Organizational context

Organizational Context

  • Why we selected IDDT:

    -Committed to integrated services BHRS

    -Integrated system isn’t integrated treatment

    -Established experience with co-occurring Tx

    -Valued EBP aspect

    -Interested in ‘implementation’ aspect

    -Not the Money

    -High mortality rate


Organizational context1

Organizational Context

  • Why we selected IDDT continued:

    -High co-morbidity

    -High treatment failure rate

    -Cost of not serving for system

    -Highly underserved

    -Co-occurring conditions often used as exclusion criteria, rather than inclusion criteria


Organizational context2

Organizational Context

  • Goals and expectations

    -Actual OP treatment track, consistent across programs, across department

    -Both: broad system-wide competence;

    and specialized enhanced expertise.

    -ID system barriers to implementing EBPs

    -Save money eventually

    -Accurate identification of AOD,MH, and COD

    -Develop staff training curriculum

    -Increased integration


Key factors

Key Factors

  • Factors that facilitated implementation :

    -Staff with MH and AOD knowledge

    -CIMH training

    -Effective use of project planning consultant

    -Inter-county collaboration

    -Learning collaborative

    -System-wide steering committee

    -Psychiatrists early adopters

    -Integrated system

    -Training coordinator


Key factors1

Key Factors

  • Factors that impeded implementation:

    -Caseload size

    -Attempting treatment before engagement

    -MH downsizing and loss of funding

    -Resistance from some staff

    -Stigma, 2 types MH and AOD

    -Lack of COD housing

    -Funding categorical


Team structure

Team Structure

  • Project Team - Behavioral Health Integration Oversight Committee:

    -Assistant Director

    -Chiefs and other key managers

    -Selected site Program Coordinators

    -Program Coordinators MH and AOD

    -Residential AOD manager

    -Training Coordinator

    -Line staff

    -MHSA Coordinator


Team structure1

Team Structure

  • Clinical/IDDT Team

    -Program Coordinator

    -Psychiatrist

    -Consumer

    -Select MH Case managers

    -Select MH Clinicians

    -Select AOD counselors


Benefits of integrated recovery

Benefits of Integrated Recovery

  • Saves money

  • Helps staff motivation

  • Impacts long-time ‘stuck’ clients

  • Stage-based treatment

  • Formulation helps consumers understand how 2 conditions creates a 3rd condition

  • Recovering peers from either MH or AOD can support each other

  • DRA sustained

  • Recognition with in AOD for need of specialized track


Team structure2

Team Structure


Sustaining positive change

Sustaining Positive Change

  • Challenges:

    -Staff changes

    -Caseload size

    -”Drift”

    -Integration into daily practices

    -Forms

    -Staff passion for MH or AOD

    -Separate funding


Sustaining positive change1

Sustaining Positive Change

  • Successes

    -Hire consumers with COD recovery

    -Paperwork to forms committee

    -All FSPs trained

    -Written into MHSA plan

    -Residential AOD with COD track

    -Stages of Treatment

    -MH and AOD specific stages

    -MH board member trained


Support wheel

SUPPORT WHEEL

Phone Numbers

Use In A Circular Manner So Not To Burn Out Any One Source

My Recovery

Be Selective In Choosing Support Phone Numbers


Sustaining positive change2

Sustaining Positive Change

  • Failures

    -Caseload size

    -Growing own experts

    -Motivational Interviewing measure

    -Didn’t do own cost-benefit data

    -Greater consumer/family presence on steering committee


Summary of lessons learned

Summary of Lessons Learned

  • What we would do again

    -We would do it again

    -All of it

    -Stage-based, Motivational Interviewing, AOD staff, clinical tools


Summary of lessons learned1

Summary of Lessons Learned

  • What we would do differently

    -Someone dedicated full time to implementation

    -More MI up front

    -More training for MH staff on state-of-art AOD treatment


  • Login