Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action

by Hendrickson; Edward L.

• ISBN13: 9780789011466
• ISBN10: 0789011468
• Edition: 1st
• Format: Hardcover
• Copyright: 2006-04-01
• Publisher: Routledge

Summary

Your blueprint to develop and manage effective co-occurring treatment programs! Sequential or parallel treatments for co-occurring disorders are much less effective than a quality co-occurring treatment program. Most mental health and substance abuse professionals know how to provide an effective program for individuals with a substance use or mental health disorder, but few are aware of the issues involved in providing services for those with dual diagnosis. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action gives you with the tools you need to develop an effective program specific to co-occurring treatment as well as to implement and manage the program's services. Author Edward Hendrickson shares his knowledge from over two decades of developing and implementing co-occurring treatment services. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action is thorough, insightful, and informative, covering all facets of plan and execution, helping you form strategies to address a co-occurring treatment program's unique issues. The book examines the historical basis of the current dual treatment system to provide the philosophical tenets the program must follow and the essential qualities for an effective treatment program. It explores the issues in creating a new program or expanding an existing one, as well as the mechanics of day-to-day management. Helpful appendices, tables, and case examples illustrate the discussion. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action discusses: developing the necessary infrastructure for integrated treatment programs the eight essential qualities for an effective treatment program choosing a target population identifying specific services to implement implementation of services in an existing treatment setting implementation of services in a non-mental health or substance abuse setting hiring and training staff clinical supervision and human resource development program management issues multilevel and multi-organization systems steps to ensure program survival Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action is more than an instructional text for students; it is an essential resource for any substance abuse and mental health professional considering implementing a co-occurring treatment program.

Table of Contents

Preface	xi
Section I: From Then to Now---From Where We Came to Where We Are	1	(30)
The Evolution of Treatment Services for Co-Occurring Disorders	3	(12)
History of Mental Health and Substance Abuse Treatment Systems	3	(2)
The Beginning of Co-Occurring Disorders Treatment Services	5	(2)
The Development of Integrated Treatment Programs	7	(2)
Developing the Necessary Infrastructure	9	(3)
Current Conditions and the Future	12	(3)
Essential Qualities of an Effective Treatment Program for Co-Occurring Disorders	15	(16)
Accessibility of Services	15	(2)
Integrated Treatment	17	(1)
Competency-Based Viewpoint	18	(2)
Availability of Basic Core Services	20	(3)
Flexibility of Initial Treatment Requirements	23	(1)
Variable Lengths of Stay	24	(2)
Availability of Full Continuum of Care	26	(3)
Coordinating with Other Support Services	29	(1)
Conclusion	30	(1)
Section II: Getting Started---Creating New Programs or Expanding Existing Ones	31	(74)
Identifying a Target Population	33	(14)
Heterogeneity of Co-Occurring Disorders Treatment Populations	35	(1)
Useful Subgroup Models for This Population	36	(1)
Designing and Conducting a Needs Assessment	37	(5)
Analyzing the Findings, Making Decisions, and Developing a Strategy	42	(4)
Conclusion	46	(1)
Planning for New Co-Occurring Disorders Treatment Services	47	(20)
Identifying Specific Services to Be Implemented	47	(3)
Establishing Client/Staff Ratios and Program Capacity	50	(3)
Determining Who Will Provide the Services and Where They Will Be Held	53	(3)
Determining When the Services Will Begin	56	(4)
Choosing an Organizational Model	60	(3)
Identifying Essential Relationships with Other Community Agencies	63	(1)
Conclusion	64	(3)
Implementing a New Treatment Service	67	(38)
Implementation in an Existing Treatment Setting	67	(17)
Implementation in a Stand-Alone Program	84	(7)
Implementation in a Non--Mental Health or Non--Substance Abuse Setting	91	(12)
Conclusion	103	(2)
Section III: Making It Work---The Day-to-Day Management of Treatment Services for Co-Occurring Disorders	105	(96)
Hiring and Training Clinical Staff	107	(14)
Essential Knowledge and Skills	107	(3)
Essential Temperaments and Philosophy	110	(3)
The Application, Interviewing, and Hiring Decision Process	113	(3)
Developing and Implementing Training Programs	116	(4)
Conclusion	120	(1)
Clinical Supervision of Treatment Services for Co-Occurring Disorders	121	(26)
Qualities of an Effective Clinical Supervisor	121	(8)
Establishing a Supervisory Structure	129	(2)
Common Supervisory Issues	131	(14)
Supervisory Supports	145	(1)
Conclusion	146	(1)
Day-to-Day Program Management	147	(20)
Qualities of an Effective Manager	148	(5)
Developing the Necessary Management Tools (Policies and Procedures)	153	(7)
Maintaining Effective Relationships with Monitoring Organizations	160	(5)
Conclusion	165	(2)
Operating Within a Larger System	167	(14)
Nature of Multilevel/Multi-Organizational Systems	167	(5)
Relationship Hierarchies	172	(7)
Conclusion	179	(2)
Ensuring Service Survival	181	(20)
Ensuring Adequate and Ongoing Funding	181	(4)
Ensuring Sufficient Referrals	185	(3)
Demonstrating Cost and Treatment Effectiveness	188	(8)
Establishing and Maintaining Community Support	196	(3)
Conclusion	199	(2)
Section IV: Appendixes	201	(20)
Appendix A. Model Community Needs Assessment	203	(10)
Needs Assessment Form: Substance Abuse Program	204	(2)
Needs Assessment Form: Mental Health Program	206	(2)
Needs Assessment Form: Co-Occurring Disorders Program	208	(2)
Existing Community Co-Occurring Disorders Treatment Resources	210	(3)
Appendix B. Interview Questions and Sample Applicant Evaluation Form	213	(6)
Example Interview Questions	213	(1)
Case Examples	214	(2)
Assessment and Treatment Planning Questions	216	(1)
Applicant Assessment Form	217	(2)
Appendix C. Training Needs Assessment Form	219	(2)
Co-Occurring Disorders Clinical Needs Survey	220	(1)
References	221	(8)
Index	229