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Tip 46 Administrative Issues In IOP

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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 and CEUs available at http://www.allceus.com

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Tip 46 Administrative Issues In IOP

  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.  Mission statement and philosophy  Client care  screening, assessment, treatment and discharge planning  Recordkeeping  security of clients’ records  Organizational structure  governance committees and staff positions  Personnel  hiring, evaluating, terminating  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)  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.  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 persons served and stakeholders  Individual-centered planning, design, service delivery  Organizational leadership  Information management and performance management  Fiscal management  risk management  Human resources Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  8. 8.  Communication  Accessibility  Health, safety, transportation  Information analysis and outcomes management  Rights of the persons served  Program structure and staffing  Screening and access to services  Transition/recovery support services Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  9. 9.  Pharmacotherapy  Seclusion and restraint  Records of the persons served  Quality Improvement Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  10. 10.  FloridaRules Common Licensing Standards  Standards for IOP  Core services provided at least each 9 hours/week  Individual, group, 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
  11. 11.  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
  12. 12.  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
  13. 13.  Eliminate non-core services  Non-self-supporting after 6 months  Evaluatestaffing and consolidate positions  Reduce paperwork  Implement time-saving EMR  Automate repetitive activities  Record and rebroadcast orientation  Team with other agencies  Increase buying power Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  14. 14.  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
  15. 15.  Cultivate relationships with the money people  Invite officials and funders to program functions  Humanize the client population  To funders and community-at-large  Website updates  Program achievements Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  16. 16.  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
  17. 17.  Experienced clinician?  Program’s modality  With client population  Clinician understand co-occurring disorders?  Skills ability to perform all functions effectively?  Assessment  Integrated summary  Treatment planning  Referral Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  18. 18.  Staff interview candidates  Before clinical director  Candidates role-play counseling session  Clinical director interviews  Candidates recommended by staff Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  19. 19.  New staff sign statement supporting:  Addiction  biopsychosocial  spiritual disorder  multidisciplinary approaches  medication  Recovery is possible  Recovery support groups  vital role in treatment and recovery Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  20. 20.  Professional standards and reporting requirements  Supervision and peer assessments  Gain insights into deficiencies  Current on addiction research and trends  Involvement in professional organizations  Respect for clients’ diverse backgrounds  Recognition of personal bias  Effect on treatment  Understanding of personal recovery  Effect on treatment provision Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  21. 21.  Capacity to conduct self-evaluation  Participation in regular continuing education  Emotional maturity  Adaptability  Creativity  Ability to relate effectively  Confront and resolve  Internal personal difficulties  Willingness to learn about and understand  Diverse backgrounds Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  22. 22.  Current screening and assessment instruments  Cultural diversity  Information gathering and client assessment  Symptoms of intoxication, withdrawal, toxicity  Psychoactive substances  Physical, pharmacological, 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 change Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  23. 23.  Communicate  Clients and their significant others  Define and prioritize needs  Treatment modalities and community resources  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
  24. 24.  Engage clients and establish rapport  Recognize intervention effectiveness  Integrate therapy with real-time events  Recognize when to seek consultation or refer  Educate about addiction and recovery  Help clients build and practice recovery skills  Encourage strong sober support system Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  25. 25.  Conflicts of interest  Staff-client relationships  Grievance procedures Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  26. 26. Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  27. 27.  Core clinical staff  Clinical management  Case managers and clinical supervisors  Specializedservices  Administrative and support staff Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  28. 28.  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
  29. 29.  Vocational rehabilitation  Recreational therapy  Art, music, 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
  30. 30.  Policy on length of time 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
  31. 31.  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
  32. 32.  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
  33. 33.  Program performance/Utilization review  Policymaking  Competitive status  Finances Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC
  34. 34.  Essentialstep-down component  Management involves outreach, advocacy, planning, supervision  Community partnerships  Referrals and distribute workload  Motivate and engage their staff through bottom-up management  Regularly assessed  Cost-effectiveness and meeting patients’ needs Copyright 2008-2012 AllCEUs.com A subsidiary of CDS Ventures, LLC

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