dave neilsen Deputy Director

1
dave neilsenDeputy Director

2
Commitment, Knowledge and Services

• The Department of Alcohol and Drug Programs (ADP)
  is committed to providing excellent quality care
  and services to our clients with Co-Occurring
  Disorders (COD).
• As a former provider, Director Zito knows it is
  critical that providers are able to serve our
  clients that walk through the treatment door.

3
State of Affairs ADP, the Department of Mental
Health and the Co-Occurring Joint Action
Councils (COJAC) Collaboration has lead to
progress in COD treatment

• COJAC Screening Sub-Committee developed a simple
  instrument designed to assist substance abuse and
  mental health providers screen for clients in
  need of further assessment of COD.
• The instrument contains nine questions
• Requires very little time to administer
• Minimal staff training and can be used in a wide
  variety of settings

4
Validation of COJAC Screener

• ADP is sponsoring and conducting a scientific
  study designed to establish the validity of the
  COJAC screening instrument.
• The duration of the study is two years.
• Once validated, one possible next step is
• Adoption of this instrument throughout
  California.
• The use of this instrument will ensure that
  those with COD are identified and served at every
  point of entry because there should be no wrong
  door.

5
Use of the Dual Diagnosis Capability Assessment
Tool (DDCAT) to Assess Treatment Providers COD
Services in the following Areas

• I. Programs Environment
• II. Clinical Process Assessment
• III. Clinical Process Treatment
• IV. Continuity of Care
• V. Program Structure
• VI. Staffing
• VII. Training

6
Benefits of the DDCAT

• User friendly
• Concrete
• Identifies strengths in programs
• Identifies specific avenues for change
• Develops a baseline for development of action
  plans to advance dual diagnosis capability

7
Endorsed by the Substance Abuse and Mental Health
Services Administration (SAMHSA)

• SAMHSA provides state incentive grants to states
  using the DDCAT
• SAMHSA views the DDCAT as an instrument that
  fosters integrated services for persons with
  co-occurring mental and addictive disorders
• SAMHSA endorses the DDCAT as an assessment tool
  that may be used to determine effectiveness of
  programs providing integrated treatment services
• Currently, 20 other states are using this
  instrument in similar efforts

8
ADPs Pilot of the DDCAT

• ADPs Pilot involves administering and validating
  the scores of the DDCAT instrument among 3
  southern and
• 3 northern California providers.
• This effort will help the state and substance
  abuse providers determine their capability for
  treating COD
• A first step in identifying which providers are
  delivering effective treatment and what program
  areas can be improved upon
• Helps inform the field to move towards standards
  in care for COD programs

9
Opportunities within the Mental Health Services
Act (MHSA)

• The MHSA, Prevention and Early Intervention (PEI)
  component, provides a unique opportunity to
  accomplish some of this work.
• The PEI allows substance abuse providers to
  participate locally by offering programs for
  individuals who are at risk of developing a
  serious mental illness or for those whose
  substance abuse treatment would prevent the
  worsening of a mental illness.

10
DDCAT ON THE WEB

• The DDCAT (14 pages) is available for download at
  the following location
• http//www.smilevermont.com/mh/visi/documents/DDCA
  T_fidelity_scale.pdf
• An introductory manual (40 pages)
• http//www.smilevermont.com/mh/visi/documents/DDCA
  T_introductory_manual.pdf
• An explanatory computer slide show (67 pages)
• http//coce.samhsa.gov/cod_resources/PDF/DDCATIntr
  oVersion23.pdf
• A Dual Diagnosis Capability in Addiction
  Treatment Toolkit (127 pages)
• http//www.smilevermont.com/mh/visi/documents/DDCA
  T_Toolkit.pdf

11
PEI Strategies

• ADPs COD Unit staff developed and disseminated
  several strategies to substance abuse providers.
• Providers can use in collaboration with their
  counties, for the provision of services, when
  consistent with local PEI priority activities.

12
Strategies for Substance Abuse in

• Student Assistance Programs
• Youth Development
• Mentoring Programs
• Drug Court and Proposition 36 Support Programs
• Hiring of Mental Health Staff at Alcohol and
  Other Drug Treatment Programs No Wrong Door
• Family Counseling for Domestic Violence Clients
  and Family Members
• Suicide Prevention

13
For More Information

• The Co-Occurring Joint Action Council
• www.adp.ca.gov/cojac/index.shtml
• The Department of Alcohol and Drug Programs
• www.adp.ca.gov/COD/index.shtml
• The Co-Occurring Disorders Unit
• CODUnit_at_adp.ca.gov