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Module 6B

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Essential Programming & General Considerations for Treatment of Clients with COD ... Abuse Treatment Programs for Clients with COD. Mod 6A 7 Essential Elements ... – PowerPoint PPT presentation

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Title: Module 6B


1
Module 6B
  • Traditional Settings and Models
  • Outpatient Substance Abuse Treatment Programs
  • for Clients with COD

2
Chapter 6 Modules
  • Module 6A
  • Essential Programming General Considerations
    for Treatment of Clients with COD
  • Module 6B
  • Outpatient Substance Abuse Treatment Programs for
    Clients with COD
  • Module 6C
  • Residential Substance Abuse Treatment Programs
    for Clients with COD

3
Mod 6A7 Essential Elements General
Considerations
  • Screening, assessment, and referral
  • Physical and mental health consultation
  • Prescribing onsite psychiatrist
  • Medication and medication monitoring
  • Psychoeducational classes
  • Double trouble groups (onsite)
  • Dual recovery self-help groups (offsite)
  • Working in groups
  • Involving clients in treatment and program design
  • Family education

4
In This Module . . .
  • Outpatient Substance Abuse Treatment Programs for
    Clients with COD
  • Designing
  • Implementing
  • Evaluating
  • Sustaining
  • Examples of programs

5
Designing Outpatient Programs for Clients with COD
  • Screening and assessment
  • Centralized intake
  • Reassessment
  • Referral and Placement
  • Engagement
  • Discharge Planning
  • Continuing Care

6
Quick TIP Exercise
  • Review Improving Adherence of Clients with COD
    in Outpatient Settings (p. 147).
  • Which have been used in your agency?
  • In your experience, what has been most successful
    in improving engagement in treatment for clients
    with COD?
  • (3 minutes)

7
Discharge Planning
  • Housing
  • Case management services
  • Medication management
  • Relapse prevention
  • Positive peer networks
  • Mutual self help groups
  • Advocacy involvement

8
Continuing Care
  • Clients with COD often require long-term
    continuity of care that
  • Supports their progress
  • Monitors their condition
  • Responds to a return to substance use or return
    to symptoms of mental disorder
  • Describes steps for when how to reconnect with
    services

9
Evaluating Outpatient Programs for Clients with
COD
  • Define operational goals in terms of the client
    behaviors
  • Decide on study clients and sampling
  • Locate and/or develop instruments
  • Develop plan for data collection
  • Develop plan for analysis and reporting

10
Nine Essential Features of ACT
  • Services provided in the community
  • Assertive engagement with active outreach
  • High intensity of services
  • Small caseloads
  • Continuous 24-hour responsibility
  • Team approach
  • Multidisciplinary team, reflecting integration of
    services
  • Close work with support systems
  • Continuity of staffing

Source Drake et al. 1998a.
11
ICM Activities and Interventions
  • Engage client to facilitate process connect
    with community-based treatment programs
  • Assess needs, identify barriers facilitate
    access to treatment
  • Offer practical assistance facilitate linkages
  • Make referrals
  • Advocate for client
  • Monitor progress
  • Provide counseling support
  • Crisis intervention
  • Assist in facilitating communication between
    service providers

12
TIP ExerciseAct / ICM Grid
  • In small groups, use the information in your TIP
    text to complete the handout grid for the model
    you have been assigned (ACT or ICM).
  • (5 minutes)
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