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ADOLESCENT CO-OCCURRING DISORDERS TRAINING of TRAINERS Holiday Inn, Grantville November 19-20, 2008 Training Goal :

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adolescent co occurring disorders



Holiday Inn, Grantville

November 19-20, 2008

training goal
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
  • 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
selection process
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.
training introductions
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
overview of training modules in groups
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
brief overview of co occurring disorders
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


      • Decreased suicide attempts year following substance abuse treatment
best practices vs promising practices evidence based practices
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

Level of Care Quadrants

SAMHSA, A Treatment Improvement Protocol-TIP 42

guiding principles s amhsa a treatment improvement protocol tip 42
Guiding PrinciplesSAMHSA, 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
delivery of services
Delivery of Services
  • 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
additional module highlights
Additional Module Highlights
  • 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
additional module highlights cont d
Additional Module Highlights(cont’d.)
  • 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
teach back groups
Teach Back (Groups)
  • 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.
areas for curriculum revision 2004
Areas for Curriculum Revision(2004)
  • Current research on Adolescent Brain Development
  • GLTQB considerations
  • Cultural Competency
  • Family Involvement
  • 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
additional resources

Products Page-down load trainers manual

On-line training

Additional Resources