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CO-OCCURING DISORDERS

This program emphasizes understanding and implementing the primary goal of welcoming individuals with co-occurring disorders, including referrals, screening, treatment, and supportive services. It covers the meaning of welcoming, its goals, and how programs can effectively engage and support clients with dual diagnoses.

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CO-OCCURING DISORDERS

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  1. CO-OCCURING DISORDERS WELCOMING EXPECTATIONS for INDIVIDUAL PROGRAMS

  2. Objectives • Understand and accept the primary goal of welcoming • Understand the meaning of welcoming • Prepare for the way welcoming will affect you and your program • Implement welcoming in your program • Learn how to make referrals that are welcoming

  3. What is the primary goal of welcoming? • REMEMBER THE PRIMARY GOAL IS TO MAKE A FIRST CONNECTION THAT IS: • Cordial • Informative • Hopeful and • Empathic

  4. What does welcoming mean? • Clients with co-occurring substance use disorders and mental health issues are expected-they are NOT exceptions • There is “no wrong door” to facilitate engagement in services • Screening routinely will include substance use and mental disorders to recognize the population and plan for treatment needs

  5. What doesn’t welcoming mean? • Welcoming does NOT mean that a program must treat all of these clients RATHER, IT DOES MEAN • Programs will provide services they have, if appropriate, AND • Help clients find the other services they need

  6. How your program will be affected • Persons with dual diagnoses should be expected to show up routinely • Some of them will be actively using • Policies and procedures need to address dual diagnosis: • Assessment • Treatment • Medication • Discharge planning • Programming etc.

  7. How your program will be affected (continued) • Clinicians must develop familiarity with diagnostic criteria for abuse vs. dependence and for common mental disorders • Intake assessment should include integrated substance abuse history and mental health history to identify probable concerns or diagnoses

  8. How your program will be affected (continued) • Treatment and referral should address dual diagnosis problems and goals openly • Treatment and referral should be stage-specific i.e. meeting the client where he or she is in the stages of change • REMINDER: Welcoming does not mean that each program must treat all of these clients, rather... • Clients will obtain the services you have, if appropriate, and you will help them find other services they need

  9. Ways to implement welcoming • Routinely accept those with co-occurring disorders • Directly communicate to them that the program does accept them • Staff behaviors reflect welcoming: • Voice (tone, volume, speed...) • Body language (eye contact, posture...) • Use of language (pleasant, calm communication...)

  10. Making referrals • If you are not the appropriate program for an individual, then it is imperative to help the person make the connection to a program that is appropriate by doing more than merely giving a phone number • Remember to be: cordial, informative, hopeful, and empathic

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