Download federal and state initiatives - Mandel School

Federal and State
Initiatives on
Dual Disorders
Lenore A. Kola, Ph.D.
Co-Director, Substance Abuse and Mental Illness
Coordinating Center of Excellence
http://www.ohiosamiccoe.cwru.edu
Federal and State Initiatives

Substance Abuse and Mental Health Service
Administration (SAMSHA) Priority:

As part of a mandate from the Report to
Congress, SAMHSA has identified as one of its
highest priorities the improvement of treatment
and services for individuals with co-occurring
mental and substance abuse disorders.
Federal Initiatives

SAMHSA provides technical, informational,
and training resources needed for the
dissemination of knowledge and the adoption
of evidence-based practices (EBP) in systems
and programs that serve persons with cooccurring disorders.
Federal Initiatives
SAMHSA’s lead agencies for this initiative are:
The Co-occurring Center of Excellence (CCOE)
The Center for Substance Abuse Treatment
(CSAT)
The Center for Mental Health Services (CMHS).
See website: http:coce.samhsa.gov
Federal Initiatives

In addition, they developed funding
opportunities for seven evidence-based
practices including those related to dual
disorders and supported employment.

Ohio has been funded for two of these
projects.
Ohio’s Priorities

President’s New Freedom Commission on MH
recommended transforming the mental health
system by taking advantage of the most effective
treatments and supports available.

The Ohio Department of Mental Health (ODMH)
and the Ohio Department of Alcohol and Drug
Addiction Services (ODADAS) began a
collaboration on projects in the year 1999.
Ohio Initiatives


ODMH AND ODADAS funded nine programs in
Ohio to develop dual disorder programs using
the New Hampshire Integrated Dual Disorder
Model of treatment.
These were competitive grants given to MH and
AODA programs that were to develop these
“integrated programs.”
Development of the Coordinating
Centers of Excellence (CCOE)

As part of this transformation of ODMH, they
developed 10 centers

The purpose of the CCOE was to serve as an
expert resources providing technical assistance
and consultation to improve quality of programs
by promoting best practices.
The Substance Abuse and Mental
Illness Coordinating Center of
Excellence
(SAMI CCOE)

Ohio SAMI CCOE, initiated in 2001, is a
partnership between the Mandel School of
Applied Social Sciences and the Department of
Psychiatry, CASE School of Medicine, Case
Western Reserve University, in collaboration
with the Ohio Departments of Mental Health and
Alcohol and Drug Addiction Services.
The SAMI CCOE - IDDT
The main function of the SAMI CCOE is to develop
and enhance services to persons with co-occurring
mental and substance use disorders by supporting
the implementation of the IDDT model.
The SAMI CCOE provides:



Program and clinical consultation
Training and education
Research and Evaluation
SAMI CCOE
Supported Employment

ODMH was awarded a SAMHSA grant in
October 2003 to disseminate Support
Employment through the SAMI CCOE.

The Supported Employment CCOE helps
organizations implement the Supported
Employment model working collaboratively with
the Ohio Rehabilitation Commission.
Historical Roots of Change



Co-occurring problems of substance use and
mental health disorders not new – at least not to
clients!
Programs separated themselves into
alcoholism, drugs and mental health..
Then as more and more clients presented with
both alcohol and drug problems, programs
evolved to deal with them.
Need for Change

As pointed out in the quadrants, individuals have
at minimum 3 combinations of problems seen in
our treatment systems.

Clients ahead of the service delivery system,
and now it is time for providers to deal with
people who come with mental health, regardless
of severity and who have AODA problems.
Research into Dual Disorders

Two separate projects that are funded by both
federal, state, and foundation dollars to be
discussed this morning.

Both have the capacity to strengthen practice
and service delivery for individuals with cooccurring substance use and mental disorders.
Summary

We are happy to have the opportunity to talk to
practitioners this morning to translate our
scientific findings into information that we hope
will be useful in your work.