Dr. Dawn-Elise Snipes, PhD, LMHC, CRC, NCC




Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
 Strategic                        planning
          Conducting a community needs assessment
      
          Identifyin...
People who have knowledge of or experience

  with SA
 Representatives from the:
        local community
      
      ...
 Program   mission statement and philosophy
 Client care (screening, assessment, and
  treatment and discharge planning)...
 Comprehensive    Accreditation Manual for
  Behavioral Health Care (CAMBHC)
 Section 1: Client-Focused Functions
      ...
 Section                     2: Organization Functions
          Improving Organization Performance (PI)
      
        ...
Core values and mission

 Input from the persons served and other
  stakeholders
 Individual-centered planning, design ...
Information analysis and outcomes management

 Rights of the persons served
 Program structure and staffing
 Screening...
 FloridaRules Common Licensing Standards
 Standards for IOP
          Core services provided at least each 9
      
   ...
 Managed   care companies
 Vocational Rehabilitation & Employers
 Mental health treatment providers
 Employee assistan...
 Food  banks
 Recreational facilities and programs
 Credit Counseling
 Adult education
 Parent training
 Housing res...
 Eliminate non-core services that are non-
  self-supporting after 6 months
 Evaluate staffing and consolidate positions...
 Recruitinterns and volunteers
 Write AmeriCorps and other grants
 Work with programs that refurbish computers




Copy...
 Cultivate                         relationships with the money
  people
 Invite officials and funders to program
  func...
 Lack of experienced staff
 High demand for counselors
 Low pay, long hours
 Stressful job
 Administrative demands
 ...
 Does                the clinician have experience
          In the programs modality
      
          With the client p...
 Program   staff interview candidates before
  the clinical director
 Candidates role-play a counseling session
  with s...
 New      staff should sign a statement that they
     will support the concepts that:
          Addiction is a biopsycho...
Familiarity with professional standards and

  reporting requirements
 Willingness to use supervision and peer
  assessm...
 Capacity  to conduct self-evaluation
 Participation in regular continuing education
 Emotional maturity
 Adaptability...
Use of current screening and assessment

  instruments
 Effect of cultural diversity on information
  gathering and clie...
 Communicate                                     with clients and their significant
  others
 Work with clients to defin...
 Engage  clients and establish rapport
 Recognize intervention effectiveness
 Integrate therapy with real-time events
...
 Conflicts of interest
 Staff-client relationships
 Grievance procedures




Copyright 2008-2012 AllCEUs.com A subsidia...
Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
 Core  clinical staff
 Clinical management (case managers and
  clinical supervisors)
 Specialized services
 Administr...
 Medical  services
 Counseling
 Case management
 Family services
 Social services
 Psychological services
 Psychiat...
 Vocational  rehabilitation
 Recreational therapy
 Art, music and dance therapy
 Nutrition counseling
 HIV/AIDS couns...
 Policy on how long a client needs to be in
  recovery
 Written job requirement specifying staff
  abstinence
 ADA prot...
 Staffto client ratio 1:8-1:15
 Considerations
          State regulations
      
          Funder regulations
      
...
 General                       staff meetings
          Weekly
      
          Address staff concerns
      
         ...
 Program  performance/Utilization review
 Policymaking
 Competitive status
 Finances




Copyright 2008-2012 AllCEUs.c...
 IOP is an essential step-down component.
 IOP management involves
  outreach, advocacy, planning and
  supervision.
 T...
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TIP 46 Administrative Issues In Intensive Outpatient

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NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions available at http://www.allceus.com

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TIP 46 Administrative Issues In Intensive Outpatient

  1. 1. Dr. Dawn-Elise Snipes, PhD, LMHC, CRC, NCC Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  2. 2.  Strategic planning Conducting a community needs assessment  Identifying program strengths  Clarifying program mission  Developing and evaluating goals  Identifying strategies to attain goals   Communities that Care Planning System https://preventionplatform.samhsa.gov/ Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  3. 3. People who have knowledge of or experience  with SA  Representatives from the: local community   client population  program’s referral sources Gender, racial, cultural diversity   People with expertise in: state and local politics  insurance & managed care  financial management  legal matters  nonprofits and foundations  Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  4. 4.  Program mission statement and philosophy  Client care (screening, assessment, and treatment and discharge planning)  Recordkeeping (security of clients’ records)  Organizational structure (governance committees and staff positions)  Personnel (procedures for hiring, evaluating, and termination)  Program structure and staffing  Clients’ rights and the program’s grievance process Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  5. 5.  Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC)  Section 1: Client-Focused Functions Ethics, Rights, and Responsibilities (RI)  Provision of Care, Treatment, and Services (PC)  Medication Management (MM)  Surveillance, Prevention, and Control of Infection (IC)  Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  6. 6.  Section 2: Organization Functions Improving Organization Performance (PI)  Leadership (LD)  Management of the Environment of Care (EC)  Life Safety (LS)  Management of Human Resources (HR)  Management of Information (IM)  Opioid Treatment Programs (OTP)  Foster Care (FC)  Performance Measurement and the ORYX  Initiative Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  7. 7. Core values and mission   Input from the persons served and other stakeholders  Individual-centered planning, design and delivery of services  Organizational leadership  Information management and performance management  Fiscal management (including risk management)  Human resources  Communication  Accessibility  Health, safety and transportation Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  8. 8. Information analysis and outcomes management   Rights of the persons served  Program structure and staffing  Screening and access to services  Transition/recovery support services  Pharmacotherapy (if applicable)  Seclusion and restraint (if applicable)  Records of the persons served  Quality Improvement Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  9. 9.  FloridaRules Common Licensing Standards  Standards for IOP Core services provided at least each 9  hours/week Individual, group and family counseling  Psychiatric services  Substance abuse education  Relapse prevention skills  Life skills  Vocational Rehabilitation  Referral to wrap-around services  No more than 50 clients  Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  10. 10.  Managed care companies  Vocational Rehabilitation & Employers  Mental health treatment providers  Employee assistance programs (EAPs)  Schools  Hospitals  Welfare agencies  Criminal justice agencies  Religious leaders Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  11. 11.  Food banks  Recreational facilities and programs  Credit Counseling  Adult education  Parent training  Housing resources  Childcare providers  Self-help groups  Legal assistance  Transportation Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  12. 12.  Eliminate non-core services that are non- self-supporting after 6 months  Evaluate staffing and consolidate positions  Reduce paperwork  Implement time-saving EMR  Automate repetitive activities (record and rebroadcast orientation)  Team with other agencies to increase buying power Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  13. 13.  Recruitinterns and volunteers  Write AmeriCorps and other grants  Work with programs that refurbish computers Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  14. 14.  Cultivate relationships with the money people  Invite officials and funders to program functions (i.e. graduations) with appropriate releases  Humanize the client population to funders and the community at large  Keep website updated about program achievements Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  15. 15.  Lack of experienced staff  High demand for counselors  Low pay, long hours  Stressful job  Administrative demands  Limited community resources Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  16. 16.  Does the clinician have experience In the programs modality  With the client population   Does the clinician understand co-occurring disorders  Do skills suggest ability to perform all functions effectively Assessment  Integrated summary  Treatment planning  Referral  Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  17. 17.  Program staff interview candidates before the clinical director  Candidates role-play a counseling session with staff  Clinical director interviews candidates recommended by staff Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  18. 18.  New staff should sign a statement that they will support the concepts that: Addiction is a biopsychosocial and spiritual  disorder best treated by multidisciplinary approaches which may include medication Recovery is possible  Recovery support groups play a vital role in  treatment and recovery Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  19. 19. Familiarity with professional standards and  reporting requirements  Willingness to use supervision and peer assessments to gain insights into deficiencies  Awareness of current addiction research and trends  Involvement in professional organizations  Respect for clients from diverse backgrounds  Recognition of the effect that personal bias toward other cultures and lifestyles can have on treatment  Understanding of personal recovery and its effect on the provision of treatment Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  20. 20.  Capacity to conduct self-evaluation  Participation in regular continuing education  Emotional maturity  Adaptability  Creativity  Ability to relate effectively with others  Capacity to confront and resolve internal personal difficulties  Willingness to learn about and understand people with different backgrounds Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  21. 21. Use of current screening and assessment  instruments  Effect of cultural diversity on information gathering and client assessment  Symptoms of intoxication, withdrawal and toxicity for psychoactive substances  Physical, pharmacological and psychological implications of substance abuse  Mental status assessment criteria  Treatment matching and placement criteria  Confidentiality requirements  Theories about how behavior changes  Assessing clients’ readiness for changes Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  22. 22.  Communicate with clients and their significant others  Work with clients to define and prioritize needs  Understand available treatment modalities and community resources  Develop individualized treatment plans with clients  Establish a SPOC  Marshall community resources  Advocate for the client Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  23. 23.  Engage clients and establish rapport  Recognize intervention effectiveness  Integrate therapy with real-time events  Recognize when to seek consultation or refer  Educate clients and their families about addiction and recovery  Help clients build and practice recovery skills  Encourage clients to develop a strong sober support system Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  24. 24.  Conflicts of interest  Staff-client relationships  Grievance procedures Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  25. 25. Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  26. 26.  Core clinical staff  Clinical management (case managers and clinical supervisors)  Specialized services  Administrative and support staff Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  27. 27.  Medical services  Counseling  Case management  Family services  Social services  Psychological services  Psychiatric services  Liaison with criminal justice, child welfare and other agencies Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  28. 28.  Vocational rehabilitation  Recreational therapy  Art, music and dance therapy  Nutrition counseling  HIV/AIDS counseling  Spiritual counseling  Literacy instruction  General equivalency diploma preparation Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  29. 29.  Policy on how long a client needs to be in recovery  Written job requirement specifying staff abstinence  ADA protects against discrimination in employment  Staff Relapse Legal vs. illegal drugs  Incentives for relapsing employees to seek treatment  (job modifications, temporary transfers etc.) Duration of abstinence before returning to work  and/or client services Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  30. 30.  Staffto client ratio 1:8-1:15  Considerations State regulations  Funder regulations  Types of care provided  Linkages to wrap-around services  Realistic workload  Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  31. 31.  General staff meetings Weekly  Address staff concerns  Provide training  Allow for case reviews   Crisis meetings Sentinel events  Client crisis  Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  32. 32.  Program performance/Utilization review  Policymaking  Competitive status  Finances Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  33. 33.  IOP is an essential step-down component.  IOP management involves outreach, advocacy, planning and supervision.  Through community partnerships, IOP programs can receive referrals and distribute workload.  IOP administrators can motivate and engage their staff through bottom-up management.  IOP programs should regularly be assessed for their cost-effectiveness and improved to meet patient needs. Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC

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