Learn about Co-Occurring Education Groups, identify strategies to assist mental health and substance use staff, and learn about the qualitative outcomes of a non-judgmental, educational approach.
NatCon 2018 Presentation: Pay for Success and Social Impact Bondscommteam
Faith Richie, SVP of Development at Telecare, as well as Shannon Mong, Director of Innovation Initiatives at Telecare, provided an insider’s perspective on the planning and implementation of our “pay for success” behavioral health program, Partners in Wellness. This community-based program in San Jose, California, establishes performance incentives that align clinical goals and social impact regarding reducing expensive utilization of wraparound services.
Turning High-Utilizers into Partners: Pay for Success (PFS) & Behavioral Healthcommteam
At the California Healthcare Association Behavioral Health Care Symposium on December 10 & 11, 2018, Telecare presented on the PFS model, the model’s goals, lessons we have learned so far, and the financial and clinical impacts this type of model has on the larger system of care.
Sensible Specialist Service Responses to the Methamphetamine “Crisis”Uniting ReGen
APSAD 2014 presentation by Trevor King on current community concerns about methamphetamines and ReGen's experience in developing targetted treatment models for people affected by methamphetamine use.
HXR 2016: Designing to Support Mental Health -Scott R. Cousino, myStrengthHxRefactored
Scott R. Cousino is the CEO and co-founder of myStrength, Inc., a digital behavioralhealth company delivering innovative, scalable solutions for healthcare payers andproviders. myStrength's evidence-based resources uniquely empowerconsumers with interactive web and mobile applications to manage and overcomedepression, anxiety, substance use disorder, and soon chronic pain.
NatCon 2018 Presentation: Pay for Success and Social Impact Bondscommteam
Faith Richie, SVP of Development at Telecare, as well as Shannon Mong, Director of Innovation Initiatives at Telecare, provided an insider’s perspective on the planning and implementation of our “pay for success” behavioral health program, Partners in Wellness. This community-based program in San Jose, California, establishes performance incentives that align clinical goals and social impact regarding reducing expensive utilization of wraparound services.
Turning High-Utilizers into Partners: Pay for Success (PFS) & Behavioral Healthcommteam
At the California Healthcare Association Behavioral Health Care Symposium on December 10 & 11, 2018, Telecare presented on the PFS model, the model’s goals, lessons we have learned so far, and the financial and clinical impacts this type of model has on the larger system of care.
Sensible Specialist Service Responses to the Methamphetamine “Crisis”Uniting ReGen
APSAD 2014 presentation by Trevor King on current community concerns about methamphetamines and ReGen's experience in developing targetted treatment models for people affected by methamphetamine use.
HXR 2016: Designing to Support Mental Health -Scott R. Cousino, myStrengthHxRefactored
Scott R. Cousino is the CEO and co-founder of myStrength, Inc., a digital behavioralhealth company delivering innovative, scalable solutions for healthcare payers andproviders. myStrength's evidence-based resources uniquely empowerconsumers with interactive web and mobile applications to manage and overcomedepression, anxiety, substance use disorder, and soon chronic pain.
This is a summary of all of the QI projects reported by KDHE staff in 2019. For questions about projects, please contact the team leader or other team members listed for the project.
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
Presented by Stephen Cha, MD, MHS of the Centers for Medicare and Medicaid Services at the annual meeting of the Asthma Regional Council of New England, June 13, 2013, Shrewsbury, MA.
Advancing Team-Based Care: Enhancing the Role of the Medical AssistantCHC Connecticut
In this webinar, we explored the expanded role that medical assistants play in improving patient health outcomes. The role of the medical assistant was explored in population management, using electronic dashboards, and health coaching. We discussed how state-by-state variation and regulation may influence medical assistant practice.
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
This webinar discussed the importance of research and evaluation in measuring successes and failures in the implementing of postgraduate residency programs within health centers. Different evaluative methods were explored in this webinar including self-assessment, standardized tools and journaling.
This webinar took place April 13, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care CHC Connecticut
This webinar highlighted the ways that practices utilize technology to improve individual patient care and track and meet the needs of their whole patient population. By using electronic health record data and clinical dashboards, members of the team can organize visits to resolve care gaps, optimize prevention, and improve clinical outcomes.
This webinar was presented April 7, 2016 3:00 PM Eastern Time
Andrea Sutcliffe, Chief Inspector of Adult Social Care for the Care Quality Commission (CQC) presented at the National Children and Adult Services Conference (NCAS) on 4 November 2016. These are the speech notes that relate to the presentation http://www.slideshare.net/CareQualityCommission/presentation-adult-social-care-quality-matters-andrea-sutcliffe
Tailoring programs and services to methamphetamine (Nov 15)Uniting ReGen
Presentation by Laurence Alvis & Rose McCrohan on ReGen's work developing a range of treatment responses to people seeking treatment for methamphetamine dependence.
Build Physician Relationships that Drive Business Results; Part 2Renown Health
Baystate Health has established a comprehensive, data-driven approach to cultivate new physician referrals, retain current business and earn trust. In this presentation, learn how market intelligence, business analytics and customer engagement are used to focus physician outreach efforts and drive bottom line results.
How to make cash-based telepsychiatry work for youVSee
Session: Telepsychiatry Best Practices
Speaker: Chris O'Brien (TherapyWorks)
Telehealth Secrets Conference 2018 by VSee
More info here: vsee.com/conference
This is a summary of all of the QI projects reported by KDHE staff in 2019. For questions about projects, please contact the team leader or other team members listed for the project.
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
Presented by Stephen Cha, MD, MHS of the Centers for Medicare and Medicaid Services at the annual meeting of the Asthma Regional Council of New England, June 13, 2013, Shrewsbury, MA.
Advancing Team-Based Care: Enhancing the Role of the Medical AssistantCHC Connecticut
In this webinar, we explored the expanded role that medical assistants play in improving patient health outcomes. The role of the medical assistant was explored in population management, using electronic dashboards, and health coaching. We discussed how state-by-state variation and regulation may influence medical assistant practice.
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
This webinar discussed the importance of research and evaluation in measuring successes and failures in the implementing of postgraduate residency programs within health centers. Different evaluative methods were explored in this webinar including self-assessment, standardized tools and journaling.
This webinar took place April 13, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care CHC Connecticut
This webinar highlighted the ways that practices utilize technology to improve individual patient care and track and meet the needs of their whole patient population. By using electronic health record data and clinical dashboards, members of the team can organize visits to resolve care gaps, optimize prevention, and improve clinical outcomes.
This webinar was presented April 7, 2016 3:00 PM Eastern Time
Andrea Sutcliffe, Chief Inspector of Adult Social Care for the Care Quality Commission (CQC) presented at the National Children and Adult Services Conference (NCAS) on 4 November 2016. These are the speech notes that relate to the presentation http://www.slideshare.net/CareQualityCommission/presentation-adult-social-care-quality-matters-andrea-sutcliffe
Tailoring programs and services to methamphetamine (Nov 15)Uniting ReGen
Presentation by Laurence Alvis & Rose McCrohan on ReGen's work developing a range of treatment responses to people seeking treatment for methamphetamine dependence.
Build Physician Relationships that Drive Business Results; Part 2Renown Health
Baystate Health has established a comprehensive, data-driven approach to cultivate new physician referrals, retain current business and earn trust. In this presentation, learn how market intelligence, business analytics and customer engagement are used to focus physician outreach efforts and drive bottom line results.
How to make cash-based telepsychiatry work for youVSee
Session: Telepsychiatry Best Practices
Speaker: Chris O'Brien (TherapyWorks)
Telehealth Secrets Conference 2018 by VSee
More info here: vsee.com/conference
Transforming Care: Building clinical commissioning group capability for large scale change
Jo Godman, Senior Associate and Mark Jennings, Senior Associate - 26 March 2014
Presentation from Commissioning Live 2014, London:
Transforming Care programme for CCGs. The programme offers supported learning for CCG and partner organisations to address large scale change.
Developed by NHS Improving Quality and NHS England’s commissioning development directorate, the Transforming Care programme is designed to empower commissioners to lead change across boundaries and improve outcomes for patients. So far, the programme has been taken up by more than 50% of CCGs.
Advance Care Plans for children and young people with life-threatening and li...NIHR CLAHRC West Midlands
Advance Care Plans for children and young people with life-threatening and life-limiting conditions: Developing an evidence based strategy for improvement - Dr Karen Shaw (Theme 1 – Maternity & Child Health) - Programme Steering Committee meeting on 12th March 2015
This presentation described the experience of the University of South Carolina School of Medicine's Rehabilitation Counseling program in implementing an SBIRT curriculum in an interdisciplinary setting.
In 2015, LWB began the implementation of the Leading Practice strategy, aiming to build a learning culture among a 4,200-strong workforce that improves leadership and practice quality at the frontline.
Article by Dr Mary Haynes about her agency's journey to a recovery orientation via CDOI and PCOMS published in the SAMHSA Recovery to Practice Newsletter.
The Current State of Play of Community Health Workers Training Programs in Su...germainsky
Literature Review, Commissioned of the One Million Community Health Workers Campaign by mPowering Frontline Health Workers, through support from USAID & Intel
Comments by the professorWeek 1 Weekly Summary You have done aLynellBull52
Comments by the professor
Week 1 Weekly Summary
You have done a great job in meeting these outcomes, especially in your discussion of past organizational change projects as connected to your leadership self-awareness. You also opened up a new avenue of self-awareness by complete the Zinger-Folkman Extraordinary Leader Assessment and constructing your strengths-to-strategy plan in the interactive exercise. I encourage you to continue collecting new tools for your leadership toolbox and building leadership capacity throughout this course and afterward. You will find that you will test some of the skills you are discovering (or rediscovering) through this class in your practicum project. Let's keep the dialogue going to foster an understanding of leadership from the evidence that supports guiding change for a compelling practice problem. I enjoyed reading your examples and seeing the insight you were able to have with regard to leading a change in your organization and doing some self-reflection on what you could have done differently. Understanding and explaining the change process as a self-aware leader helps you internalize these ideas for future projects, especially the impending DNP projects. Remember that you can leverage others’ skills and attributes, which also facilitates the team process.
As a reminder, the following Course Outcomes (COs) guided your learning this week
· CO3. Differentiate attributes of effective leaders and followers in influencing healthcare. (PO 6)
· CO5. Formulate selected strategies for leadership and influence across healthcare systems. (PO 8
This week, we discovered that each practice scholar plays a role in transforming healthcare through self-assessment to identify individual leadership gaps. Evaluating leadership gaps builds tacit knowledge to move us toward professional maturity. You now know that insight into improved systems begins with insight into one's self. Improved systems evolve through the collaboration of individuals who are first committed to improving their own practice. Practice scholars are called to transform the health of our nation. I have no doubt that you'll answer the call by reflecting on your individual and professional commitment to gain insight on needed change within yourself, and your organization. Next week, you'll reflect on emotional intelligence and mindfulness in the workplace. So, let's keep going! Your work is needed to improve patient outcomes!
Week 2
Hello! Last week, we explored how the self-aware practice scholar is influencing the practice of nursing and the health of our nation. The call for transformation to improve patient care delivery requires nurse leaders to reach beyond their intellect to their emotional intelligence. By increasing emotional competence, nurse leaders are raising their awareness to make better choices. Establishing and maintaining relationships are essential to leadership, and all relationships have an emotional component. Emotional ...
Changing practice through knowledge translation and implementation science.
Have you asked, told, taught and begged, but your hand hygiene results aren’t changing as quickly as you want? Changing practice is hard! Join CPSI on May 4th for an interactive webinar exploring the fundamentals of knowledge translation and the efforts of Public Health Ontario to change practice through this innovative science. We will also look at how you can impact patient and family hand hygiene efforts through the successful use of campaigns.
These slides have been designed for healthcare leaders and managers to enable them to run an Making Every Contact Count (MECC) introductory session within their organisations. It may be delivered to teams and individuals prior to them undertaking MECC training.
Similar to Reaching the Unreachable: Engaging People with SUDS in Pre-Contemplation Phase (20)
We will share our experience implementing the nation’s first Pay for Success mental health program in partnership with Santa Clara County Behavioral Health Services at NatCon19.
Turning High-Utilizers into Partners: Pay for Success & Behavioral Healthcommteam
At the California Healthcare Association Behavioral Health Care Symposium on December 10 & 11, 2018, Telecare presented on the PFS model, the model’s goals, lessons we have learned so far, and the financial and clinical impacts this type of model has on the larger system of care.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Reaching the Unreachable: Engaging People with SUDS in Pre-Contemplation Phase
1. Telecare Corporation | Respect. Recovery. Results. | www.telecarecorp.com 8/2/2018 1
Reaching the Unreachable
Engaging People with SUDs in Pre-Contemplation Phase
2. Session
Objectives
①Experience elements of the COEG Curriculum
②Identify strategies to assist mental health staff and
substance abuse staff to provide and sustain SUDS services
for individuals not ready for change
③Learn about the qualitative outcomes of a non-
judgmental, educational approach.
3. What We’ll
Cover Today
① Introduce Ourselves & Give You Some Context
② Demo a COEG Session
③ Tell You abut the COEG System
④ Share Our Organization’s Next Steps
4. The COEG
Team
David Heffron,
Vice President of Operations
• Recovery Session Content
• Facilitator Training
• Recovery-Centered Clinical System
• Inpatient Expertise
Scott Madover, Ph.D.
Director of SUDs Services
• Substance Use Session Content
• Facilitator Training
• Co-Occurring Services
• Outpatient Expertise
6. Who is
Telecare
Telecare was founded in 1965
Belief in rehabilitation potential
of people with mental illness.
Put the client at the center
of the organization.
Founder’s daughter, Anne Bakar,
is CEO today.
6
8. Who We
Serve
▪ SMI population with complex co-occurring
substance use & health issues
Highest utilizers of care:
Frequent utilization of high-cost services (psychiatric
emergency services, ER, acute hospital)
Justice System involvement common
Housing instability, few natural supports, and limited access
to community resources
8
Of people we serve
have co-occurring
substance use
9. How would you describe: “hard to reach”?
Question
for You
10. Nope,
Not A
Problem!
60% of our clients with co-occurring
conditions are in Pre-Contemplation
or Contemplation Stage about
substance use
Our “Hard
to Reach”
11. Our Internal
Barriers
Limited Co-Occurring services
Substance abuse interventions were not integrated into all programs
Providers weren’t cross-trained
Behavioral health providers had limited experience with substance use
Substance Use Specialists in short supply and had limited knowledge of behavioral health
Many providers applied mismatched interventions (preparation and action phase
approaches for a pre-contemplation population)
Services were not standardized
Our unique clinical approach to mental health (RCCS) was not fully
integrated in all programs
14. Take Action
Identify an Intervention That Fits Our Population
Educate & Inform
CHANGE IN THINKING
Increase Knowledge &
Understanding
15. Take Action
▪ Identify an Intervention that fits our
Population
▪ Education - Not Treatment
▪ Harm Reduction
▪ Integrate Telecare’s Recovery Centered
Clinical Model with Substance Use
Education
19. Take Action
Let’s Experiment
Integrate Telecare’s Recovery Model
with Substance Use Education
Pilot
Pilot Again
Make it Better
Manualize & Train
Post Training Support
21. 1. Hopes and Dreams that Inspire
2. Understanding Co-occurring Conditions
3. What is Addiction?
4. The Recovery Journey from Mental Illness
5. My Values
6. My Story
7. Pros and Cons of Using
8. Triggers and Cravings
Session
Content
22. 9. Choice Making
10. Stages of Changes
11. Early Stages of Recovery
12. My Identity Now
13. My Identity Future
14. How Use Impacts Us and Our Family
15. The Recovery Journey
16. Recovery and Change
Session
Conten
26. Group
Curriculum
All the materials, structures, and processes used to
implement a Co-Occurring Education Group
One or more COEG groups are provided at the program,
each group has a set time and rotates through the 16
sessions.
Session
Program Facilitators organize and provide 16 unique COEG
sessions
The COEG
System:
The Structure
27. Wrap UpOpening Learning
There are 3 predictable parts
to every COEG session
BEGINNING MIDDLE END
The COEG
System:
The Structure
29. TELECARE FIDELITY MEASURES
10 Essential Ingredients for Success
Include Everyone
Educate & Explore
Show Respect & Non-Judgment
Keep Them Open
Schedule Them Regularly
Keep On Going
Teach it All
Share the Facilitation
Stick to the Script
Be Prepared
The COEG
System:
The Structure
31. Implementation Support Team
Learning Community Webinars
COEG Facilitator at Program BCOEG Facilitator at Program A
Clinical “Lead” at Program C
Learning Communities
The COEG System:
Implementation
35. “Clients talked about their success with sobriety which has motivated some
other clients who are in the pre-contemplation stage.”
[increased] “willingness to engage”
“Clients appreciate the presentation of the group
as educational. They don’t feel sobriety is being
forced down their throats.”
“feel safe”
Staff Feedback
What Did
We Learn?
36. Witnessing the quick scale rise pre/post session: members really like the quick-
scale and seeing it go up at the end of the group. They consistently report a
higher number at the end of the group and identify it helping them.
We have a member that always says "I'm at a one" on the quick scale. He says
this is his baseline. Today he came in and said "I'm at a three." Our members
are sometimes very hard on themselves about any mistake they make on this
journey, however, COEG has given them a place to feel safe and share. I have
seen so much; it is simply amazing.
What Did
We Learn? Staff Feedback
40. “We had a state survey a couple weeks ago and they observed the group and were
impressed with the program!!”
“The COEG curriculum has increased the discussion of addressing substance abuse in the
programs”
“It has given our Case Managers another tool to use when addressing co-occurring
issues”
“Clients and their families are happy to hear that this is an option in our program.”
“People are more willing to discuss/entertain the idea of their own sobriety. We have
had more people enter into treatment programs. Just today, in a clinical meeting, a
client who has attended the past few groups agreed to detox (yay!).”
“Clients are wanting to get scheduled into a group due to the [positive] ‘gossip’ around
what is being learned in the group.”
What
Programs
Gain
41. Our Next Steps
COEG
COEG at additional Telecare programs
including Sobering Stations
Sustain
Additional refinement of Curriculum
Educational Handouts
Our
Next Steps
46. Our Next Steps
Substance Use Treatment
(Approaches for individuals with SMI
ready for change/treatment)
New 16 Week Curriculum
Residential Treatment
MI/SBIRT
Medication Assisted Treatment
Mobile Detox Pilots
Our
Next Steps