Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by
description
Transcript of Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by
![Page 1: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/1.jpg)
Co-Occurring Disorder Treatment with People Involved in the Criminal Justice
SystemPresented byCenter for Evidence Based Practices at Case/Ohio Substance Abuse and Mental IllnessCoordinating Center of Excellencethe Ohio SAMI CCOE is a partnership between the Mandel School of Applied Social Sciences and the Department of Psychiatry, CWRU School of Medicine, Case Western Reserve University in collaboration with the Ohio Departments of Mental Health and Alcohol Dependence and Addiction Services
![Page 2: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/2.jpg)
www.centerforebp.case.edu
![Page 3: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/3.jpg)
Why focus on Co-Occurring Disorders?
• Substance use disorders are common in people with severe mental illness
• Mental illness is common in people with substance use disorders
• Co-occurring disorders lead to worse outcomes and higher costs than single disorders
![Page 4: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/4.jpg)
Co-Occurring Disorders lead to worse outcomes than single disorders
• Relapse of mental illness• Treatment problems and hospitalization • Violence, victimization, and suicidal behavior• Homelessness and Incarceration• Medical problems, HIV & Hepatitis risk behaviors
and infection• Family problems• Increase service use and cost
![Page 5: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/5.jpg)
Traditional Co-Occurring Disorders Treatment
• Treat each disorder separately– May be parallel or sequential
• Separate treatment is less effective
![Page 6: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/6.jpg)
Integrated Dual Disorders Treatment (IDDT): What is it?
• Treatment of substance use disorder and mental illness together– Same team– Same location– Same time– Other characteristics to be described later
• ACT (Assertive Community Treatment)• DD-CAT and DD-CMHT
![Page 7: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/7.jpg)
Abstinence after Integrated Dual Disorder Treatment
010203040506070
0.00 1.00 2.00 3.00 4.00Years
% in
rem
issi
on
IDDTParallel
![Page 8: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/8.jpg)
Abstinence leads to improvements in other outcomes
• Reduce institutionalization• Reduce symptoms, suicide• Reduce violence, victimization, legal problems• Better physical health • Improve function, work• Improve relationships and family
![Page 9: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/9.jpg)
Now What…
• Treatment Works
• How To Get and Keep People in Treatment
• Rapport and Relationship
• Stage-Wise and Motivational Implications
9
![Page 10: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/10.jpg)
Introduction of Panelists:Organizational Missions and History
• Nikki Bisig: Greater Cincinnati Behavioral Health (GCB)
• John Scalish and Lou LaMarca, Community Assessment and Treatment Services, Inc. (CATS)
![Page 11: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/11.jpg)
The Benefits
• Why did your organization endeavor to provide co-occurring treatment?
• Why did your organization seek to work with the criminal justice system?
![Page 12: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/12.jpg)
The Challenges and Solutions
• Differing cultures between the criminal justice system and the mental health and substance abuse treatment systems
• Compliance vs. Adherence and Risk Management
• What is “Treatment”? What is “Success” in Treatment?
![Page 13: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/13.jpg)
Lessons Learned
• Training implications• Communication and developing trust between
treatment providers and criminal justice staff• A range of treatment services (case management,
groups, meds, etc)• Stagewise treatment and motivational interventions
![Page 14: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/14.jpg)
Questions?
![Page 15: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/15.jpg)
www.centerforebp.case.edu
Scott Gerhard, MA, LSWConsultant and TrainerCenter for Evidence-Based Practices (CEBP)Case Western Reserve [email protected]
![Page 16: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/16.jpg)
www.centerforepb.case.edu
![Page 17: Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by](https://reader035.fdocuments.in/reader035/viewer/2022062520/5681611c550346895dd07592/html5/thumbnails/17.jpg)
www.centerforebp.case.edu