CCISC Implementation

1
CCISC Implementation

• Division of Alcohol and Drug Abuse
• Counting via STARS

2
STARS

• Admission Screen
• Question
• Does the client have a psychiatric problem in
  addition to Gambling or Alcohol or Drug use
  problem?

3
List of DSM IV Diagnosis

• Psychiatric/Mental Health Problems (Mark all that
  apply)

4
Psychiatric/Mental Health Problems (Mark all that
apply)

• Adjustment Disorders
• Anxiety Disorders (Panic disorder, phobias,
  obsessive compulsive disorders, post traumatic
  stress disorders)
• Attention-deficit and disruptive behavior
  disorders
• Bipolar Disorders
• Dementia

5
Psychiatric/Mental Health Problems (Mark all that
apply)

• Depressive Disorders (Suicidal
  ideation/attempts)
• Dissociative Disorders (Amnesia,
  Depersonalization)
• Eating Disorders
• Fetal Alcohol Effects
• Fetal Alcohol Syndrome Disorder
• Grief Issues

6
Psychiatric/Mental Health problems (Mark all that
apply)

• Hyper-Activity Disorder
• Impulse-Control Disorders (Intermittent Explosive
  Disorder)
• Learning Disorders
• Personality Disorders (Antisocial, Avoidant,
  Narcissistic, Borderline, Paranoid, Schizoid,
  Dependent)
• Physical and/or Emotional Abuse
• Schizophrenia and Other Psychotic Disorders
• Sexual Abuse or Sexual Assault
• Sleep Disorders

7
STARS Reports

• Clients served with Dual Diagnosis
• Summary of all clients served with Dual Diagnosis
  grouped by age, gender and race
• Clients Served with MH/Psychiatric Problem
• Dual Diagnosis Clients served (Client has ADA and
  MH Admissions in STARS)

8
From 06/01/07 to 03/31/08

• Total Clients served 10,394
• Total Clients served by ADA who also report
  having a MH issue
• 2416 or 23
• Total clients served by both MH ADA
• 1400 or 13
• Report generated in April, 2008

9
SFY08 (06/01/07 to 05/31/08)

• Total Clients served 15,132
• Total Clients served by ADA who also report
  having a MH issue        
• 3,092 or 20
• Total Clients served by both MH ADA
• 1,728 or 11
• Report generated on 08/06/08

10
SFY07 (06.01.06 to 05.31.07)

• Total Clients served 15,216
• Total Clients served by ADA who also report
  having a MH issue   
• 2,384 or 16
• Total Clients served by both MH ADA
• 1,673 or 11

11
Does the client have a psychiatric problem in
addition to Gambling Alcohol or Drug use problem?
12
Possible Answers

• Yes
• No
• Unknown

13

• Dont worry that you have to decide whether the
  clients symptoms are caused by alcohol or drug
  use or not.

14
Yes

• For the purpose of initial data collection,
  answer Yes when
• There is an established diagnosis from a licensed
  practitioner
• The client is presenting with symptoms of a
  mental health problem
• The mental health disorder is in remission or is
  stable but requires ongoing attention

15
Yes

• For the purpose of initial data collection,
  answer Yes when
• The client is screened in with a mental health
  issue (in the event that the client has no
  established diagnosis, then the addiction
  counselors should be able to document, based on
  screening, whether the client appears to meet
  criteria for a particular condition, and then
  arrange for appropriate MH assessment) or

16
MH Screening Tools

• Mental Health Screening Form III
• Alaska Screening Tool
• MAYSI-2 Questionnaire
• Mental Illness Drug Alcohol Screening (MIDAS)

17
Yes

• For the purpose of initial data collection,
  answer Yes when
• The client reports that he or she has a MH
  diagnosis (and it appears to be a fairly reliable
  report, particularly if associated with a
  treatment/med regime).

18
No

• For the purpose of initial data collection,
  answer No when
• The client denies a history of mental health
  problems or current symptoms of a mental health
  issue
• The client has never been diagnosed with a mental
  health disorder or
• The client is not screened in with a mental
  health issue.

19
Unknown or maybe

• For the purpose of initial data collection,
  answer Unknown when
• Your clinical impression of the client is telling
  you there is probably something going on with the
  client that requires further clarification,
  identification or discovery
• Ex I dont have enough time with the client to
  identify issues of mental health or the client
  has shut down and does not want to share
  information related to their mental health.

20
Directions for the Future

• Add the yes, no, unknown question to the
  continued stay review and discharge screen
• Delineate the list of mental health categories
• Ex Make Depression its own box and create a
  new box for suicidal ideation/attempts
• Add a check box for trauma incidents.