Co-Occurring Disorders - 2010 Winners
Family Service and Community Mental Health Center
Family Service & Community Mental Health Center for McHenry County (McHenry, Illinois) is a comprehensive behavioral healthcare provider, collaborating with individuals, families, and community partners to provide evidence-based interventions guided by the principles of recovery. A wide array of high quality professional services are available to maximize the strengths of individuals, families, and the community to improve problem-solving, increase capacity to function, and provide a higher quality of life.
The Integrated Co-occurring Treatment Program is an evidence-informed treatment program for high-risk adolescents with co-occurring mental health and substance abuse disorders. The integrated treatment approach utilized in ICT is embedded in an intensive home-based method of comprehensive service delivery and provides a set of core services to youth with co-occurring disorders and their families.
The goals of the Integrated Co-occurring Treatment Program are to decrease mental health symptoms and substance abuse while improving a youth’s functioning over the life domains of: family, school, community, and peers. Over 90% of youth admitted to the program have completed ICT treatment and the majority of graduated youth have made progress across these life domains and have been maintained in the community. The ICT program has maintained a broad and steady referral base and has doubled in capacity in the first two years. The program is financially sustainable based on billable services and has become a promising and cost-effective alternative to inpatient and residential treatment.
Institute for Health and Recovery (IHR)
Based in Cambridge, Massachusetts, the Institute for Health and Recovery is a state-wide service, program development, policy, research and training organization focused on developing a comprehensive continuum of care for individuals, youth and families affected by alcohol, tobacco, and other drug use, mental health problems and violence/trauma.
Families Living Together (FLT) is an integrated (SUD/COD), trauma-informed treatment program for homeless mothers and their children living in shelters, motels and scattered site housing in the Metro Boston area. Within the family shelters and motels, as well as in continuing care in the community, FLT provided Integrated Trauma-Informed Treatment, as developed under SAMHSA’s Women, Co-Occurring Disorders and Violence Study, which included the EBPs of Motivational Interviewing, Integrated Dual Diagnosis Treatment, the Nurturing Program for Families in Substance Abuse Treatment and Recovery, and Seeking Safety.
Based on data collected in the first 5 years of the program, improvements in outcomes included: significant increase in percent housed and decrease in number of moves; significant increase in percent in training/school, increase in percent employed; improvement in all 8 measures of physical health; decrease in symptoms of PTSD and mental health problems; decrease in percent reporting committing a crime, awaiting trial/sentencing, percent involved in any legal issues; decrease in use of illegal drugs.
InterAct of Michigan, Inc. (269) 381-3700
InterAct of Michigan, Inc. is a private, non-profit agency that contracts with Kalamazoo Community Mental Health & Substance Abuse Services to offer a continuum of behavioral health services prioritizing use of evidence-based practices to assist over 1,300 people annually to achieve their goals of living successfully in the community. Services include: Assertive Community Treatment, Integrated Dual Disorder Treatment, Integrated Recovery Services/Targeted Case Management, Supported Employment, Dialectical Behavior Therapy, Substance Abuse Services for Co-occurring Disorders, Community Payee Services, and the peer-run Wellness Center.
In order to address the reality that co-occurring substance use disorders are an "expectation rather than an exception" when working with people who have serious mental illnesses, InterAct developed its Substance Abuse Services (SAS) outpatient program in 1999 to focus on harm reduction with a goal of achieving abstinence. The agency enhanced effectiveness by adding Integrated Dual Disorder Treatment (IDDT) to ACT services in 2006. The two programs collaborate to serve over 500 individuals per year by matching the individuals’ stage of treatment to their stage of change utilizing group and individual therapy strategies, integrated psychiatric services, motivational interviewing, and peer service delivery as a valued component to enhance welcoming and engagement and to improve retention.
InterAct’s ACT/IDDT teams achieved an overall IDDT fidelity score of 4.53 and participants documented an 83% decrease in psychiatric hospital usage, 89% lived independently in the community, and 32% were involved in vocationally directed activity. SAS documented a 71% completion rate for its active treatment groups and 57% reduction pre/post in participants’ Negative Consequences Questionnaire scores.
Missouri Cadre for Co-Occurring Excellence
No current web site
The Missouri Cadre for Co-Occurring Excellence evolved from a core of 23 initial agencies into a statewide partnership of community mental health and substance abuse frontline supervisors, clinicians, and consumers engaging in multi-year efforts to make integrated treatment for these disorders part of Missouri’s culture. Based in St. Louis, MO, the Cadre supports each member’s efforts, as well as influencing state policy, to develop and sustain systems of care that are welcoming, recovery orientated, and co-occurring, complexity capable.
The Cadre was established through funding from the Missouri Foundation for Health, with strong policy support from the Missouri Department of Mental Health, research/evaluation assistance from the Missouri Institute of Mental Health, and consultation/technical assistance from Drs. Ken Minkoff and Christie Cline. The Cadre has successfully pursued change in the following areas: (1) systems of care, creating an empowered partnership with system leadership; (2) agencies, facilitating quality improvement efforts to create co-occurring capability; (3) services, training and supervising staff to become co-occurring comfortable, confident and competent; and (4) consumers, insuring systems are shaped by consumer and family needs and input.
In its first two years, the Cadre achieved near statewide adoption and faithful implementation of a complex set of evidence-based principles and practices. Based on results from a research-based assessment, co-occurring capability improved significantly among Cadre members, and the improvements were widespread, occurring in both substance abuse and mental health and in both urban and non-urban organizations. Most importantly, these changes are translating into substantial improvements among individuals and families served by the Cadre membership, including symptom reduction, reduction in substance use, and improved quality of life, among other benefits.
Project 180, A division of Special Service for Groups
Based in Los Angeles, CA, Project 180 runs forensic treatment programs that aim to decrease recidivism and improve the quality of life for men and women previously involved in the criminal justice system. As a "one stop shop" Project 180 delivers evidence-based treatment with specialists in the following fields: housing, education, job preparation and supportive employment, benefits, intensive case management, individual and group psychotherapy, psychiatry, probation, anger management, substance treatment, family reunification and life skills. Project 180 is a division of Special Service for Groups, a non-profit organization - established in 1952 - dedicated to providing community based solutions to the social and economic issues facing those in greatest need.
The Los Angeles Co-Occurring Disorder Court (CODC) program, established in 2007, was designed on the Drug Court model, but with expanded services to address the co-occurring population that has historically fallen through the cracks. Once accepted into the program, clients progress through a highly structured four phase treatment model that includes two primary Evidenced Based models, Forensic Assertive Community Treatment (FACT) and Moral Reconation Therapy (MRT), in addition to full wraparound services and intensive supervision.
Significant improvements have been found between the 12 months prior to enrollment and at 12 months after enrollment in the following areas: 95% drop in homelessness; 79% drop in number of arrests; 85% drop in number of days in jail; 47% increase in Global Assessment of Functioning scale; 54% increase in gainful employment and/or continued education.
Last updated: 11/25/2010