CoOccurring Disorders Comprehensive Continuous Integrated System of Care

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Co-Occurring Disorders Comprehensive Continuous
Integrated System of Care

• (CCISC)
• Training Presentation for BACC

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Co-Occurring Disorders Comprehensive Continuous
Integrated System of Care

• An initiative by the Florida Department of
  Children and Families District 11
• Implementation affects all contracted agencies
  which provide mental health and/or substance
  abuse services
• Targets individuals with co-occurring psychiatric
  and substance disorders

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WHO IS INVOLVED

• Department of Children and Families District 11
• SAMH Planning Council
• Miami-Dade County Homeless Trust
• Consumer Advocacy
• Providers Mental Health, Substance Abuse
• South Florida Providers Coalition
• Juvenile Justice
• Mental Health Court Jail Diversion
• Public Health Trust / Jackson Memorial Hospital
• Medicaid
• Community Based Care
• Our Kids, Inc.
• Public Defenders Office
• Alliance for human Services
• The Childrens Trust
• SEDNET
• ASH/SFSH

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Model Principles (Minkoff, 1998, 2000)

• 1. Dual diagnosis is an expectation, not an
  exception.
• Empathic relationships integration and
  coordination yields treatment success
• Assign services using the four quadrant model
  high and low severity of the psychiatric and
  substance disorder
• Balance help and challenge
• Integrated dual primary treatment of both
  disorders
• Match treatment to phase of recovery and stage of
  change
• All programs have some dual diagnosis capability
• Outcomes must be individualized

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Implementing CCISC in District 11

• Requires participation from all components of the
  behavioral health care system
• Initial implementation within existing resources
• Incorporates best practices
• All involved have an integrated treatment
  philosophy and common language

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Components

• The Project Leadership Team
• Adoption of the Memorandum of Agreement
• Training Train the Trainer and agency wide
• COMPASS agency self assessment
• CODECAT clinician self assessment
• COFIT system fidelity assessment
• Action Plan for the District
• Action Plan for Individual Providers

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More to Come

• Dual Diagnosis Capability Standards
• Integrated Assessment Instrument
• Practice Guidelines
• Service Planning Guidelines
• Systemic CQI

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What BACC has done

• Adopted the Memorandum of Agreement
• Circulated the Memorandum of Agreement to all
  staff
• Joined the Project Leadership Team
• Assigned staff to become trainers
• Completed the COMPASS (agency self assessment)
• Developed an Action Plan
• Posted an online training module on the website

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What BACC is working on

• Updating the BACC Strategic Plan
• Updating the BACC QA Plan
• Selecting a screening instrument
• Arranging for administration of the CODECAT
  clinician self survey
• Developing policies and procedures that integrate
  mental health and substance disorder services

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Call for more information 305 756-7116