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.

Reviews:

“As more and more programs are engaged in improving services for individuals with co-occurring disorders, Hendrickson's second publication on this topic will have particular value. Unlike other publications which focus either on overarching system planning or clinical services and practices, Mr. Hendrickson's work applies his 25 years of clinical program management experience in co-occurring disorder (COD) programs to offer a wealth of down-to-earth, concrete, practical suggestions. He provides many examples, illustrating approaches to problem-solving in program design, structure, and policy, and the most valuable sections of this book offer wonderful ideas for hiring, training, and supervising COD clinicians. Although this book is focused on 'specialized' COD programs, it has potential value for program managers in any setting with COD clients.”

Kenneth Minkoff, MD, Clinical Assistant Professor of Psychiatry, Harvard University; Senior Systems Consultant, Zialogic

“This book DESERVES A PLACE ON THE SHELF OF ALL INDIVIDUALS INVOLVED IN THE DEVELOPMENT AND MANAGEMENT OF SERVICES for treating persons with co-occurring disorders. Hendrickson has done a masterful job of providing in-depth advice about the practicalities of developing and running integrated treatment programs. . . . The book PROVIDES USEFUL GUIDANCE TO POLICYMAKERS, ADMINISTRATORS, AND CLINICAL SUPERVISORS on establishing competent and effective co-occurring disorder services, funding treatment services, and the evaluation and optimization of services.”

Kim T. Mueser, PhD, Professor, Departments of Psychiatry and Community & Family Medicine, Dartmouth Medical School

Contents:

• Preface
• Section I: From Then to Now—From Where We Came to Where We Are
• Chapter 1. The Evolution of Treatment Services for Co-Occurring Disorders
• History of Mental Health and Substance Abuse Treatment Systems
• The Beginning of Co-Occurring Disorders Treatment Services
• The Development of Integrated Treatment Programs
• Developing the Necessary Infrastructure
• Current Conditions and the Future
• Chapter 2. Essential Qualities of an Effective Treatment Program for Co-Occurring Disorders
• Accessibility of Services
• Integrated Treatment
• Competency-Based Viewpoint
• Availability of Basic Core Services
• Flexibility of Initial Treatment Requirements
• Variable Lengths of Stay
• Availability of Full Continuum of Care
• Coordinating with Other Support Services
• Conclusion
• Section II: Getting Started—Creating New Programs or Expanding Existing Ones
• Chapter 3. Identifying a Target Population
• Heterogeneity of Co-Occurring Disorders Treatment Populations
• Useful Subgroup Models for This Population
• Designing and Conducting a Needs Assessment
• Analyzing the Findings, Making Decisions, and Developing a Strategy
• Conclusion
• Chapter 4. Planning for New Co-Occurring Disorders Treatment Services
• Identifying Specific Services to Be Implemented
• Establishing Client/Staff Ratios and Program Capacity
• Determining Who Will Provide the Services and Where They Will Be Held
• Determining When the Services Will Begin
• Choosing an Organizational Model
• Identifying Essential Relationships with Other Community Agencies
• Conclusion
• Chapter 5. Implementing a New Treatment Service
• Implementation in an Existing Treatment Setting
• Implementation in a Stand-Alone Program
• Implementation in a Non-Mental Health or Non-Substance Abuse Setting
• Conclusion
• Section III: Making It Work—The Day-to-Day Management of Treatment Services for Co-Occurring Disorders
• Chapter 6. Hiring and Training Clinical Staff
• Essential Knowledge and Skills
• Essential Temperaments and Philosophy
• The Application, Intervening, and Hiring Decision Process
• Developing and Implementing Training Programs
• Conclusion
• Chapter 7. Clinical Supervision of Treatment Services for Co-Occurring Disorders
• Qualities of an Effective Clinical Supervisor
• Establishing a Supervisory Structure
• Common Supervisory Issues
• Supervisory Supports
• Conclusion
• Chapter 8. Day-to-Day Program Management
• Qualities of an Effective Manager
• Developing the Necessary Management Tools (Policies and Procedures)
• Maintaining Effective Relationships with Monitoring Organizations
• Conclusion
• Chapter 9. Operating Within a Larger System
• Nature of Multilevel/Multi-Organizational Systems
• Relationship Hierarchies
• Conclusion
• Chapter 10. Ensuring Service Survival
• Ensuring Adequate and Ongoing Funding
• Ensuring Sufficient Referrals
• Demonstrating Cost and Treatment Effectiveness
• Establishing and Maintaining Community Support
• Conclusion
• Section IV: Appendixes
• Appendix A. Model Community Needs Assessment
• Needs Assessment Form: Substance Abuse Program
• Needs Assessment Form: Mental Health Program
• Needs Assessment Form: Co-Occurring Disorders Program
• Existing Co-Occurring Disorders Treatment Resources
• Appendix B. Interview Questions and Sample Applicant Evaluation Form
• Example Interview Questions
• Case Examples
• Assessment and Treatment Planning Questions
• Applicant Assessment Form
• Appendix C. Training Needs Assessment Form
• Co-Occurring Disorders Clinical Needs Survey
• References
• Index