CoOccurring Disorders: Fact and Future

1
Treatment for Individuals With
Co-Occurring Mental Illness and Substance Abuse
Disorders The Federal Perspective

June 17, 2005 Trenton, NJ

• A. Kathryn Power, M.Ed., Director
• Center for Mental Health Services

2

• Accountability breeds response-ability.

Steven R. Covey Author of The 7 Habits of
Highly Effective People
3
SAMHSAs Four Redwood Programs

• Address the needs of adults and youth with
  co-occurring mental and substance abuse disorders
• Build substance abuse treatment capacity
• Implement the Strategic Prevention Framework
• Transform the mental health system

4
Implementation Resource Kitswww.mentalhealth.samh
sa.gov

• Co-occurring Disorders Integrated Dual Diagnosis
  Treatment
• Illness Management and Recovery
• Medication Management Approaches in Psychiatry
• Assertive Community Treatment
• Family Psychoeducation
• Supported Employment

5
Co-Occurring Center for Excellence
http//coce.samhsa.gov/
6
Overview Papers Available from COCE
Definitions and Terms Relating to Co-Occurring
Disorders Screening, Assessment, and Treatment
Planning for Persons With Co-Occurring Disorders
Principles To Address the Needs of Persons With
Co-Occurring Disorders
Co-Occurring Center for Excellence http//coce.sa
mhsa.gov/cod_resources/papers.htm
7
Integrated Treatment

• Co-occurring disorders (COD) should be
• The expectation in all behavioral health settings
• Addressed in all screening, assessment, and
  treatment planning
• Addressed in all policies, regulations, funding
  mechanisms, and programming.
• Systems of care must
• Be accessible from multiple points of entry
• Emphasize continuity and quality.

8
Comprehensive Services

• Treatment of persons with COD must
• Accommodate the needs, personal goals, and
  cultural perspectives of unique individuals in
  different stages of change
• Address the special needs of children and
  adolescents
• Reflect a respectful, empathetic belief in a
  persons capacity for recovery
• Recognize the valued contributions made by
  communities and consumers to each other.

9
Comprehensive Services

• To meet the complex needs of persons with COD,
  behavioral health systems must collaborate with
  professionals in
• Primary care
• Social and child welfare
• Housing
• Criminal justice
• Education
• Other agencies serving children and adults with
  mental and substance abuse disorders.

10
Integrated Approach to Science and Service

• Systems of care must
• Reflect the importance of the partnership between
  science and service
• Support the application of evidence- and
  consensus-based practices for persons with COD
• Support the evaluation of existing programs and
  services.

11
The Science-to-Service Cycle
12

• For too many Americans with mental illnesses, the
  mental health services and supports they need are
  fragmented, disconnected, and often inadequate,
  frustrating the opportunity for recovery. . . .
  Instead of ready access to quality care, the
  system presents barriers that all too often add
  to the burden of mental illnesses for
  individuals, their families, and our communities.

Achieving the Promise Transforming Mental
Health Care in America Presidents New Freedom
Commission on Mental Health
13
Goals of a Transformed Mental Health System

• Consumer and family driveneach adult and child
  will have access to the full spectrum of services
  needed to support recovery.
• Recoverya process, sometimes lifelong, through
  which a consumer achieves independence,
  self-esteem, and a meaningful life in the
  community.

14
Hope is the thing with feathersthat perches in
the souland sings the tune without the wordsand
never stopsat all.
Emily Dickinson