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Region 8 Co-Occurring Disorders (Wk 5)
- 1. Christina Boyd, LSCSW, LCAC Co-Occurring Disorders EPL
- 2. Week #5 A Start to Integration
- 3. • Check in • Review Learning Activity-Let’s hear about those apps and statutes! Welcome • Client Centered Treatment for Co-Occurring DO • Scope of Practice • A start to Integration Presentation • Preview of next week • Assign Learning Activity • Questions Summary Agenda
- 4. What Apps are out there?
- 5. It is Important to find out! Check with your licensing or certification board. Other Ideas? How does your state/discipline look at this?
- 6. Why are we looking at all of this?? Please type into the chat some reasons that we have talked about so far in this series!
- 7. A client-centered treatment plan is based on a careful assessment inclusive of immediate needs, motivation for change, and readiness for change –TIP 48 (Center 2008) Client Centered Treatment…
- 8. “The counseling activities described in this TIP are legally and ethically appropriate for substance abuse counselors to undertake in all 50 States and the District of Columbia.” “Furthermore, maintaining collaborative relationships with mental health treatment providers for consultation and referral is recommended, either directly or through clinical supervision.” Scope of Practice-TIP 48 (Center 2008)
- 9. • As a substance abuse counselor, you may be legally entitled to work with clients who have depressive symptoms as defined earlier in this chapter. However, most States require additional training or credentials to provide treatment to clients with diagnosable depressive illness TIP 48-Page 23-Figure 1.6 https://store.samhsa.gov/system/files/sma13-4353.pdf
- 10. • Participate in Webinars-free, less time • Use staffing time to bring in a BH topic-quarterly or monthly • Pamphlets available in the waiting room • Help sponsor community efforts for awareness • Participate on coalitions in community • Start asking the question and opening that can of worms-Screens • Education/Awareness of staff, patients, public • Reduce the Stigma • Secure feedback loops between SUD providers and MH/BH providers • Being conscience of the powerful words we use (not crazy, psycho, wackadoodle) • Partnering with local BH providers to provide consult (BHC or psychiatry) • Development of multidisciplinary teams A start to Integration…
- 12. DISCUSS SBIRT SERVICES AS AN INTRODUCTION TOWARDS INTEGRATION IDENTIFY ROUTES OF COMMUNICATION BETWEEN MEDICAL PROVIDERS AND BEHAVIORAL HEALTH PROVIDERS STRENGTHEN REFERRAL MECHANISMS BETWEEN AGENCIES DEVELOP MULTIDISCIPLINARY TEAMS OFFER TO SWAP TRAINING OR STAFF FOR EDUCATIONAL EXPERIENCES OFFER CONSULTATION SERVICES TO LOCAL BH PROVIDERS TO INCLUDE PSYCHIATRISTS OR THERAPISTS, BROWN BAG LUNCHES Integrating Behavioral Health into Medical Settings
- 16. Some are better than others!
- 18. Develop Your Own
- 19. Edinburgh Post Natal Depression Scale Post Natal Depression Screen https://www.youtube.com/watch?v=s LJxcY7Jc9A PSQ-9 Universal Depression Screen SCREENS Moms www.brightfutures.org Referrals to other BH providers in community
- 20. PHQ-9 Screen
- 21. Substance Use Disorders • Self Help/Support Groups • Individual Counseling • Group Counseling • Intensive Outpatient • Detox • Inpatient/Residential Mental Health • Self Help/Support Groups • Individual Therapy • Group Therapy • Family Therapy • Case Management • Intensive Outpatient • Inpatient Psychiatric Behavioral Health Interventions
- 23. How do we manage working with others from other Disciplines? Codes of Ethics? Frameworks? Pedagogies? Working Together…
- 24. Key ethical principles in several disciplines • Self-determination • Client Rights/Providing Informed Consent • Preserving Professional Boundaries • Safeguarding Confidentiality • Honoring Diversity • Professional Competence Ethical Principles
- 26. Lessons From the Field -Other Considerations- integration
- 27. Lesson #1: These practices work best when they are part of what we do not in ADDITION to what we do.
- 28. You can take it one step further and have a representative from the population that will be receiving the services involved too!Lesson #2: Have people providing the service involved in the process of implementing the service…
- 29. Lesson #3: Buy-in and training are key elements to changing the culture…that means everyone!!
- 30. Lesson #4: Implementation works best when it makes sense in your setting.
- 31. Lesson #5: The skills used to provide SUD services work really well with other human beings for other things.
- 32. What will you do to help integration efforts in your work? PLEASE TYPE INTO CHAT YOUR FIRST STEP CHALLENGE:
- 33. Sneak Peek at next week …. Cultural Intelligence and Wrap Up!
- 34. Watch Video and Consider Questions -Cultural Competence: Managing Your Prejudices - Be Prepared to Discuss next week! Learning Activity-Week #5
- 35. Questions
- 36. • Center for Substance Abuse Treatment. Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery. Treatment Improvement Protocol (TIP) Series, No. 48. HHS Publication No. (SMA) 13-4353. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2008 • http://www.integration.samhsa.gov/integrated- care-models/integration-infographic • http://www.drugabuse.gov/related- topics/medical-consequences-drug- abuse/mortality • http://www.thenationalcouncil.org/topics/addictio ns • http://www.integration.samhsa.gov/integrated- care-models/integration-infographic • Strosahl, 1998; Fries, et. al., 1993; Shapiro, et. al., 1985 References: