Training Description:
Adults with co-occurring mental illness and substance use disorders (SUD) have far worse outcomes in employment, hospitalization, housing, and criminal justice involvement than their single disordered peers. This co-prevalence has been studied since the 1980s, yet despite this, most service systems were organized to treat individuals with a single disorder, excluding those with co-occurring disorders (COD), or providing sequential or parallel treatments that were incompatible or in conflict with each other. Integrated and team-based services offer superior outcomes to parallel or sequential treatments, and call providers to develop interventions to assist individuals in moving toward recovery for both illnesses simultaneously. Integrated Dual Disorder Treatment (IDDT) was designed following systematic study of high intensity COD treatment needs and alterations of the Assertive Community Treatment (ACT) model. Within this training, attendees will understand the components of IDDT, including fidelity and outcome measurement. Specific attention will be paid to the core components of IDDT and of stage-matched assessment, treatment planning, and treatment interventions for adults with co-occurring mental health and SUD using the IDDT model.
Who Should Attend?
This event is sponsored by the adult mental health block grant and is intended for persons who serve adults only struggling with severe mental illness and/or COD receiving services that are community-based/outpatient setting (does not include SUD providers, inpatient, or residential treatment) that is funded by a CMHSP or is a contractor of a CMHSP in the state of Michigan. It contains content appropriate for CEOs, COOs, clinical directors, supervisors, case managers, support coordinators, therapists, crisis workers, peer support specialists, nurses, advocates, and recovery coaches. Preference is given to individuals currently on IDDT and/or ACT/IDDT teams and those in process of joining an IDDT and/or ACT/IDDT teams.
In-Person Training Agenda
Day 1
8:30 – 9 a.m. Registration and Breakfast
9-10:30 a.m. Introduction – Understand the Origin of IDDT as an Evidence-based Practice for Adults with Co-occurring Mental Health and SUD.
10:30 – 10:45 a.m. Break
10:45 a.m. – Noon Working Together: Team Approach
Noon – 1:00 p.m. Lunch
1 – 2:30 p.m. Welcoming and Engaging
2:30 - 2:45 p.m. Break
3 - 4:15 p.m. Incorporating Stage of Change and Stage Wise Treatment
Day 2
8:30 – 9 a.m. Breakfast
9 -10:30 a.m. Substance Counseling, Groups, Family, and Self-Help
10:30 – 10:45 a.m. Break
10:45 a.m. – Noon Strategies for Pharmacological and Health Support
Noon – 1 p.m. Lunch
1 p.m. – 2:30 p.m. Addressing Co-occurring Concerns Utilizing Stage-wise Interventions.
2:30 -2:45 p.m. Break
3 - 4:15 p.m. Putting It All Together: How Do You Know You are Providing IDDT?
Understand the origin of IDDT as an evidence-based practice for adults with co-occurring mental health and SUD.
Describe who qualifies to receive services from IDDT.
Discuss how the team works together to provide integrated treatment.
Identify the role of the integrated treatment specialist and how to support the team’s knowledge of COD.
Explain the critical role of assertive outreach and its relationship with engagement.
Explore how comprehensive services, time unlimited treatment and motivational interventions support a welcoming, engaging environment.
Identify stages of change and stages of treatment.
Determine at least different types of groups that can be provided based on stage-wise intervention and discuss the role of self-help groups.
Discuss the role of family interventions and how to incorporate in treatment.
Identify at least three strategies for pharmacological treatment.
Explore at least three ways the team can promote health.
Utilize scenarios to practice providing stage-wise treatment interventions that can be used in individual, group, and family formats.
Define the term non-responder and how to develop policy to support an individual moving through the stages of change.