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CO-OCCURING DISORDERS

CO-OCCURING DISORDERS. WELCOMING EXPECTATIONS for INDIVIDUAL PROGRAMS. 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

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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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