CoOccurring State Incentive Grant

1
Co-Occurring State Incentive Grant

• Laurel Mangrum, P.I.
• Stephanie Howard, R.A.

2
COSIG Project

• The goal of the COSIG project is to improve
  the delivery of state-funded services for clients
  in Texas with co-occurring psychiatric and
  substance use disorders (COPSD).
• The project consists of two components
  designed to promote system change and to enhance
  specialized clinical skills of providers treating
  COPSD clients.

3
COSIG Project Component 1

• Focused education at the clinician level
  regarding treatment issues relevant to COSPD and
  training on the use of diagnostic and assessment
  instruments to enhance identification of
  psychiatric comorbidity and monitor progress of
  clients.

4
Diagnostic and Assessment Measures

• Mini International Neuropsychiatric Interview
  (MINI)
• Brief Symptom Inventory (BSI)
• Brief Derogatis Psychiatric Rating Scale (BDPRS)
• Substance Abuse Treatment Scale (SATS)
• Ancillary Service Assessment
• Client Evaluation of Self in Treatment (CEST)

5
COSIG Project Component 2

• A voucher system that provides additional
  funding for procurement of ancillary services in
  an effort to address the multifaceted needs of
  COSPD clients and to support the treatment
  process.

6
COSIG Voucher Categories

• Child Care
• Housing Support
• Transportation
• Food Assistance
• Education Support

• Employment Assistance
• Clothing
• Medical Care
• Prescriptions
• Peer Mentoring

7
Participating Treatment Programs

• Association for the Advancement of
  Mexican-Americans, Inc. (Edinburg)
• Fort Bend Council on Family and Community
  Development, Inc. (Stafford)
• Hill Country MHMR Center (Kerrville)
• Homeward Bound, Inc. (El Paso)
• Lubbock Regional MHMR Center (Lubbock)
• Montrose Counseling Center (Houston)

8
Administration of Evaluation Measures
9
Psychiatric Diagnostic Impressions
10
Substance Use Disorders
11
BSI Scores at Admission and One Month in COSIG
Program
12
BDPRS Scores at Admission and One Month in COSIG
13
SATS Ratings at Admission and One Month in COSIG
14
Ancillary Services Received at One Month in COSIG