Co-Occurring Disorders - 2011 Winners
Ridgeview Psychiatric Hospital and Center, Inc.
The Modified Assertive Treatment for Co-Occurring Homeless (M.A.T.C.H. ) program targets the ever-growing numbers of the rural homeless by shedding light on the fact that the odds of being both poor and henceforth homeless are between 1.2 and 2.3 times higher than the metropolitan poor. With this, Ridgeview, providing mental health and substance abuse services in five East Tennessee counties, addresses a significant treatment void of the Appalachian homeless population with co-occurring disorders by implementing individual community-based treatment linked with a vast array of contingent social need services. With considerable project development history, Ridgeview and the M.A.T.C.H program model recognizes the evidenced-based interventions of Assertive Community Treatment (Modified), Integrated Dual Diagnosis Treatment and Supported Employment as key interventions addressing the typically rural homeless, unemployed and substance abusing/mentally-ill individuals.
Program fidelity has been assured through extensive monitoring, QI/QA review and a program feedback survey. This focus on quality improvement, combined with strong probity measures, have resulted in members reaching defined goals of abstinence from or reduction in substance use, amelioration of mental illness symptoms and improved housing and vocational stability.
Serving approximately 326 consumers to date, evaluation rates have exceeded core expectations per GPRA and SAIS-GPRA dashboard which demonstrates that M.A.T.C.H participants achieve a substantially higher rate of change from baseline to follow-up in all outcome domains. While quantitative findings strongly support the efficacy of the program, program member feedback shares the story of change. "MATCH believed in me...", "the MATCH staff don’t judge you".... . "they cared about today-not yesterday". These statements are the MATCH program, the MATCH members and the MATCH staff.
St. Clair County Community Mental Health Authority
Based in St. Clair County, Michigan, St. Clair County Community Mental Health (SCCCMH) is a public mental health authority providing services and supports to adults with mental illnesses, children with serious emotional disturbances, adults and children with developmental disabilities, and persons with co-occurring mental health and substance use disorders. To best fulfill the needs of persons served, staff are trained in specific evidence based practices in order to provide individualized treatment opportunities focused on each person’s specific recovery needs.
The Integrated Dual Disorders Treatment (IDDT) program, developed by SAMHSA, is an evidenced-based practice that improves the quality of life for people with co-occurring mental and substance use disorders. This approach integrates substance abuse services with mental health services in a coordinated manner, providing stage-wise treatment in one setting, utilizing a multi-disciplinary approach.
After attending a Mueser presentation on IDDT at a national ACT conference, clinical leadership were inspired to begin implementation of IDDT in 2003. SCCCMH fully implemented the IDDT model in 2006 to fidelity, breaking ground as a leader in the treatment of dual disorders as it became the first mental health authority in the State of Michigan to implement this model. SCCCMH anticipated the community would benefit as individuals received services at one location in a coordinated manner. In the long-term, SCCCMH anticipated a reduction in hospitalizations, homelessness and incarcerations. These initial goals have been realized. Services provided at one location from dually trained staff have reduced costs and duplication of services. Overall, implementation of the IDDT model has provided significant benefits to the individuals served in St. Clair County.
Last updated: 09/19/2011