Adolescent co occurring disorders
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Holiday Inn, Grantville

November 19-20, 2008

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Training Goal:

  • Develop a cadre of trained professionals (educators, clinicians, other professionals) that can “transfer/train” the larger workforce across the state; thus, alleviating the barrier of access to adolescent co-occurring training resources

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  • assist those who provide training to clinicians working specifically with the adolescent population

  • integrating assessment and treatment approaches

  • the transfer of evidence-based and promising practices that support integrated treatment interventions

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Selection Process

  • 25 selected professionals selected from 58 applicants

    • previous training experience

    • expertise in treating the adolescent population with mental health or substance use disorders, or co-occurring disorders.

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Training Introductions

Meaningful meeting of participants v. rote introductions

  • Illustrate the importance of initial positive engagement by having participants DO it

    • First impressions of agencies by clients

  • Demonstrate people remember more about interests and commonalities than names and roles

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Overview of Training Modules in Groups

  • Brief Overview of Co-Occurring Disorders

  • Best Practice

  • Adolescent Development

  • Substance Abuse

  • Mental Health

  • Integrated Assessment

  • Recommendations from Evidence-Based Approaches

  • Cross Systems Collaboration

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Brief Overview of Co-Occurring Disorders

  • Case examples and interpretations

  • Growing evidence of links and impact on course of illness

    • Impact that substance abuse has on course of treatment for mental illness

    • Substance abuse treatment for clients with co-occurring mental illness and substance abuse disorders can be beneficial for clients with serious mental illness

  • General statistics and trends among adolescent population

    • National Treatment Improvement Evaluation Study

      ( NTIES)

      • Decreased suicide attempts year following substance abuse treatment

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Best Practices vs. Promising Practices Evidence Based Practices

  • Treatment approaches

    • Historical

      • Sequential-treat one disorder than the other

      • Parallel-treated at same time by different professionals

    • Integrated treatment

      • Treatment interventions are combined w/i context of primary treatment relationship or service setting.

      • Treat the Whole person-combining interventions to address and treat both MH and SA related problems

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Level of Care Quadrants Practices

SAMHSA, A Treatment Improvement Protocol-TIP 42

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Guiding Principles PracticesSAMHSA, A Treatment Improvement Protocol-TIP 42

  • Employ a recovery perspective

  • Adopt a multi-problem viewpoint

  • Develop a phased approach to treatment

  • Address specific real life problems early in treatment

  • Plan for cognitive and functional impairments

  • Use support systems to maintain and extend treatment effectiveness

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Delivery of Services Practices

  • Provide Access

  • Complete a full assessment

  • Provide appropriate level of care

  • Achieve integrated treatment

    • Treatment planning and review

    • Psychopharmacology

  • Provide comprehensive services

    • Supportive and ancillary wrap services

  • Ensure continuity of care

    • Extended care, Halfway Homes and other residence alternatives

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Additional Module Highlights Practices

  • Adolescent Development

    • Normal and Maladaptive adolescent development

    • Biopsychosocial issues and changes

  • Substance Abuse

    • Importance of applying adolescent specific criteria to substance abuse diagnosis

    • Risk factors

  • Mental Health

    • Increase precision of diagnostic considerations and treatment planning

    • Increased knowledge and ability to communicate about these disorders across disciplines

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Additional Module Highlights(cont’d.) Practices

  • Assessment

    • Describe domains, strategies and tools for assessment

    • Discuss value and application of assessment

  • Recommendations form Evidence Based Approaches

    • Effective treatment program characteristics

    • Evidence based interventions

    • Characteristics of Evidence Based Practices

  • Cross System Collaboration

    • Clinical and Program barriers

    • Obstacles for clients accessing services

    • Local strategies across the country

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Teach Back (Groups) Practices

  • Each module broken down and “taught” to larger group

  • Illustrate understanding of module content

  • Demonstrate ability of each group member to apply various training methods and techniques based on content and audience.

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Areas for Curriculum Revision Practices(2004)

  • Current research on Adolescent Brain Development

  • GLTQB considerations

  • Cultural Competency

  • Family Involvement

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Recognition Practices

  • Adolescent Co-Occurring Trainers for PA:

    • OMHSAS

    • Department of Health

    • Listed on BDAP training website

    • Resource to train agency staff/service provider Adolescent Co-Occurring services

    • Resource for Community training

    • Independent consultants/trainers for Adolescent Co-Occurring

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Products Page-down load trainers manual

On-line training

Additional Resources