Flo A. Stein, MPH
NC PIC Project Manager
Chief, Community Policy Management
Division of MH/DD/SAS

A message from Flo...

EBP Quick Links
MH#1: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Mental Health Bulletin #1 - Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) was developed to treat post-traumatic stress and related emotional and behavioral problems in children and adolescents.
MH#2: Integrated Dual Disorders Treatment (IDDT)
Mental Health Bulletin #2 - Integrated Dual Disorders Treatment (IDDT) requires that mental health and substance abuse treatment be delivered concurrently by a team of cross-trained clinicians within the same program.
MH#3: Wellness Management and Recovery (WMR)
Mental Health Bulletin #3 - The National Institute of Mental Health estimates that approximately 6% of the U.S. population has severe mental illness (SMI). For North Carolina, that percentage translates to approximately 200,000 people who suffer from severe psychiatric disorders.
MH#4: Family Psychoeducation
Mental Health Bulletin #4 - Persons with severe mental illness (SMI) often rely on family members for the majority of their needed support, and it is estimated that 35-60% of adults with SMI live with family members.
SA#1: Contingency Management (CM)
Substance Abuse Bulletin #1 - Contingency management (CM) is a motivational incentive intervention in which clients with substance use disorders receive small rewards for attending treatment, taking prescribed medication, providing negative urine samples, or complying with other defined treatment-related goals.
SA#2: Strengthening Families Program (SFP)
Substance Abuse Bulletin #2 - The Strengthening Families Program (SFP) is a parenting and family strengthening program for high risk families. It combines science-based (1) parenting-skill training, (2) child life-skill building, and (3) family lifeskill education into a program that improves the child's social/life skills and family functioning and protects the children from the long-term risks of drug abuse.
SA#3: Seeking Safety
Substance Abuse Bulletin #3 - Post-Traumatic Stress Disorder (PTSD) is an anxiety disorder that may result from exposure and sometimes multiple exposures to highly traumatic events such as child abuse, accidents, violent personal assaults, military combat, or natural or human caused disasters.
SA#4: Matrix Intensive Outpatient Treatment
Substance Abuse Bulletin #4 - Matrix was developed in the 1980s by researchers at the University of Southern California and clinicians at the Matrix Institute on Addictions who found that clients addicted to stimulants were challenging the existing treatment system.
SA#5: The Seven Challenges®
Substance Abuse Bulletin #5 - The Seven Challenges program was developed in the early 1990s by Dr. Robert Schwebel who recognized the lack of age appropriate substance abuse treatment models for adolescents.
Developing Effective, High-Quality Community Mental Health and Substance Abuse Services: A Guide for Local Management Entities
by Beth Melcher, Ph.D. This manual seeks to clarify and provide guidance to LMEs on how to successfully engage in the service development role. It promotes the implementation of evidence-based and best practice services and supports.
National Registry of Evidence-based Programs and Practices
NREPP is a searchable database of interventions for the prevention and treatment of mental and substance use disorders. SAMHSA has developed this resource to help people, agencies, and organizations implement programs and practices in their communities.

PIC Application
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August 6th, 2010
HHS Strategic Plan: Submit Your Comments

The draft HHS Strategic Plan for Fiscal Years 2010–2015 was recently posted on the U.S. Department of Health and Human Services (HHS) Open Government Web site. The Open Government site allows the public consultation process truly to be participatory. Individuals can review and comment on the draft plan as well as see the comments posted by others.

To ensure the broadest possible participation in the development of the Strategic Plan, please review and comment on the draft. The public comment period will end August 14, 2010.

Comment Now

Posted in PIC News & Updates
July 27th, 2010
SA5: The Seven Challenges®

The Seven Challenges program was developed in the early 1990s by Dr. Robert Schwebel who recognized the lack of age appropriate substance abuse treatment models for adolescents. The Seven Challenges is a counseling program designed to assist youth with their drug problems as well as co-occurring psychological problems and life skill deficits. This program is used across the nation and helps counselors to work more effectively with adolescents, many of whom are not voluntarily seeking treatment.

  The Seven Challenges (249.3 KiB)

Posted in SA EBP
June 7th, 2010
MH4: Family Psychoeducation

Persons with severe mental illness (SMI) often rely on family members for the majority of their needed support, and it is estimated that 35-60% of adults with SMI live with family members. Research has shown that families need and want information and support from professionals about how to assist in their SMI family member’s recovery as well as how to cope with the problems and challenges that inevitably arise when working with SMI family members.

The Family Psychoeducation model is designed to address these needs. It has been proven not only to be highly effective in promoting recovery, but is also cost effective.

  Family Psychoeducation (203.0 KiB)

Posted in PIC News & Updates
April 7th, 2010
Developmental Disability Subcommittee Minutes

The Developmental Disability PIC Subcommittee met on March 26, 2010 minutes from the meeting can be found here.

  DD PIC Minutes 03-26-10 (66.5 KiB)

Posted in DD News & Updates
March 31st, 2010
Mental Health Subcommittee Minutes

The Mental Health PIC Subcommittee met on March 17, 2010 to discuss plans for the PIC Congress. Minutes from the meeting can be found here.

  MH PIC Minutes 03-17-10 (25.3 KiB)

Posted in MH News & Updates
March 29th, 2010
SAMHSA Science and Service Awards

In 2007, SAMHSA created the Science and Service Awards as a national program to recognize community-based organizations and coalitions for exemplary implementation of evidence-based services. The deadline for applications is APRIL 9, 2010.

Eligibility Criteria
The organization and/or coalition implementing the evidence-based intervention should be able to demonstrate positive outcomes from the intervention in at least one of the five award categories. Both public sector (State, local, territorial, tribal) and private sector organizations and/or coalitions are eligible for a Science and Service Award.

There are 5 categories that individuals can apply for. These categories are:

  1. Mental Health Promotion
  2. Treatment of Mental Illness and Recovery Support Services
  3. Substance Abuse Prevention
  4. Treatment of Substance Abuse and Recovery Support Services
  5. Co-Occurring Disorders

The link to the awards program is as follows:      http://www.samhsa.gov/scienceandservice/

Posted in PIC News & Updates
March 26th, 2010
Substance Abuse Subcommittee Minutes

The Substance Abuse Subcommittee met on March 5, 2010 to discuss plans for the PIC Congress. The group discussed recommendations of evidence-based practices, programs, and policies to be made to the Department of HHS. Minutes for the meeting can be found here.

  SA PIC Minutes 03-05-2010 (20.8 KiB)

Posted in SA News & Updates
February 12th, 2010
Differences in MI & MET Explained

mi_3of3Motivational Interviewing (MI) is a therapeutic style that addresses client ambivalence and enhances motivation for positive change. MI is a particularly effective strategy for enhancing and maintaining client engagement in treatment.

Motivational Enhancement Therapy (MET) is a specific application of MI developed by Dr. Miller for use in the treatment of substance use disorders. Numerous studies have shown that MET reduces the intensity of drinking behavior in a number of diverse populations.

  Differences in MI & MET Explained (97.5 KiB)

See also:
MI Release 1 of 3 - What is motivational interviewing?

MI Release 2 of 3 -Why is MI so important?



Posted in PIC News & Updates
January 28th, 2010
Why is MI so important?

mi_203Person-centered care is an effective way to help consumers with mental illness, substance abuse related disorders, and/or development disabilities meet their own personal goals.  A person-centered approach is associated with improvements in the lives of consumers. “Individualizing treatment services has been shown to improve outcomes” (Robert Drake, Ph.D., Dartmouth University as presented to the Committee on the Quality of Health Care in America, in Crossing the Quality Chasm, Institute of Medicine, 2001). In addition, consumers identify a person-centered approach as a critical component of their care. According to the President’s New Freedom Commission on Mental Health, “Nearly every consumer …expressed the need to fully participate in his or her plan for recovery.” (New Freedom Commission, 2003).

  WHY ARE MOTIVATIONAL INTERVENTIONS SO IMPORTANT? (129.4 KiB)

See also:
MI Release 1 of 3 - What is motivational interviewing?

Posted in PIC News & Updates
January 15th, 2010
SA4: Matrix Intensive Outpatient Treatment

mh-matrixMatrix was developed in the 1980s by researchers at the UCLA (University of California, Los Angeles) and clinicians at the Matrix Institute on Addictions who found that clients addicted to stimulants were challenging the existing treatment system.

Together, they looked at the specific problems and behavioral needs of clients in treatment for stimulant abuse and collaborated to develop an effective outpatient service.

  Matrix Intensive Outpatient Treatment (330.1 KiB)

Posted in SA EBP
January 14th, 2010
Addressing the Needs of Our Returning Veterans

ncpic_returning_veterans_cover

From the Battlefront to the Home Front and Back Again

ritchie Col. Elspeth Cameron Ritchie, M.D., M.P.H., Adult and Forensic Psychiatrist and Director, Behavioral Health Proponency in the Office of the Army, The Surgeon General

  From the Battlefront to the Home Front and Back Again (1.3 MiB)

Depression: An Illness You Can’t See

Mrs. Carol Graham, wife of Major General Mark A. Graham, US Army, Deputy Chief of Staff, G-3/5/7, US Army Forces Command, Fort McPherson, Georgia and keynote faculty of the 2007 National Military Suicide Prevention Conference and the 2008 AUSA National Guard Suicide Prevention Conference

Taking the Fight to the Enemy

ritchie Evidence-Based Substance Abuse Interventions for Iraq and Afghanistan Veterans
Susan A. Storti, PhD, RN, CARN-AP, Project Director of the National Institute on Drug Abuse Blending Research and Practice and the former Director of the Addiction Technology Transfer Center of New England at Brown University’s Center for Alcohol and Addiction Studies.

  Taking the Fight to the Enemy (8.0 MiB)

An Integrated Approach to Working with People with Traumatic Brain Injury

ritchie Jim Hardiman MSW, LCSW, CSAC, Clinical Director at Virginia NeuroCare and the Regional Care Coordinator for the Defense and Veterans Brain Injury Center

  An Integrated Approach to Working with People with Traumatic Brain Injury (262.1 KiB)

Posted in PIC News & Updates
January 12th, 2010
What is Motivational Interviewing?

mi_1of3Motivational Counseling is a person-centered form of counseling and has its roots in the work of Carl Rogers in the late 1950s.  Referred to as the existential-humanistic tradition, the goal of this counseling philosophy is to help the client remove barriers that limit his/her ability to live a meaningful life. Rogers published Client-Centered Therapy in 1951 but continued to develop his theories, eventually referring to applications of his theories as “person-centered” approaches.

Part 1 of a 3 part release.  The next release will cover “Why MI is important in delivering public services in North Carolina”

  WHAT IS MOTIVATIONAL INTERVIEWING? (191.2 KiB)

Posted in PIC News & Updates
December 14th, 2009
MH3: Wellness Management and Recovery (WMR)

mh-wmrThe National Institute of Mental Health estimates that approximately 6% of the U.S. population has severe mental illness (SMI). For North Carolina, that percentage translates to approximately 200,000 people who suffer from severe psychiatric disorders. Research shows that without effective treatment, people with SMI are at greater risk than the general population for suicide, incarceration, acute hospitalization, homelessness, joblessness, substance abuse, and medical problems such as obesity and diabetes. Yet, with effective treatment, recovery is possible for people with SMI.

  Wellness Management and Recovery (WMR) (114.9 KiB)

Posted in MH EBP
December 7th, 2009
Addressing the Needs of our Returning Veterans

ncpic_veterans

North Carolina has the fourth largest population of military personnel in the country. There are currently 120,000 active duty personnel based at the seven North Carolina military bases.

Another 25,000 soldiers, marines, and airmen live in all 100 counties of North Carolina and serve in the National Guard or Reserve Forces. Most of the active duty military, Reserve, and National Guard have served in Operation Iraqi Freedom (OIF) or Operation Enduring Freedom (OEF).

On January 14, 2010, the North Carolina Practice Improvement will look at the programs and services for our Veterans. The meeting will be held at the McKimmon Center in Raleigh
from 9:00am-2:00pm.

There is no charge to attend this event, however, space is limited. Therefore, we do require that you R.S.V.P. by Monday, January 11th to confirm a reservation for this event. Please contact Venus Malloy at venus.malloy@governorsinstitute.org or at (919)256-7415

Posted in PIC Events
November 16th, 2009
CHILDREN: Evidence-based Services & Supports

On November 12th, the NCPIC sponsored Children:  Evidence-Based Services and Supports.  Over one-hundred and fifty people listened to nationally-recognized speakers present on the what research has shown about improving the lives of children and their families.

  CHILDREN: Evidence-based Services & Supports (303.2 KiB)

The program included presentations on evidence-based programs by the following nationally-recognized experts:

nc-pic-congress-11-12-09-6713 Current Research on Early Intervention and how this Research can be Integrated into Community Settings.
(Birth – Early School Years) – IDD

Linda Watson, Ed.D.
Clinical Associate Research Professor of Speech Pathology
Department of Allied Health Sciences
University of North Carolina Chapel Hill

  Current Research on Early Intervention (146.1 KiB)

nc-pic-congress-11-12-09-6759 Evidence-based Practices in Child Mental Health Can Make a Difference – MH
Barbara J. Burns, PhD.
Professor of Medical Psychology
Department of Psychiatry and Behavioral Sciences
Duke University School of Medicine

  Evidence-based Practices in Child Mental Health (3.3 MiB)

nc-pic-congress-11-12-09-5454 Addressing Substance Abuse in Children and Youth:  Identifying and Using Evidence-Based Programs – SA
Doreen Cavanaugh, Ph.D.
Research Associate Professor at the Health Policy Institute
Georgetown Public Policy Institute
Georgetown University.

  Addressing Substance Abuse in Children and Youth (1.9 MiB)

Posted in PIC Events
November 16th, 2009
Evidence-based Practices in Child Mental Health
barbara_burns_slides Evidence-based Practices in Child Mental Health Can Make a Difference by Barbara J. Burns, PhD. was presented at the NC PIC meeting on Children: Evidence-based Services & Supports on November 12, 2009.

  Evidence-based Practices in Child Mental Health (3.3 MiB)

As a follow up to her morning presentation, Dr. Burns met with the members of the Mental Health NCPIC Subcommittee.

  MH PIC Minutes 11-12-09 (15.5 KiB)

Posted in MH Presentations
November 16th, 2009
Current Research on Early Intervention
linda_jwatson_slides Current Research on Early Intervention and how this Research can be Integrated into Community Settings. (Birth – Early School Years) was presented by Linda Watson, Ed.D. at the NC PIC meeting on Children: Evidence-based Services & Supports on November 12, 2009.

  Current Research on Early Intervention (146.1 KiB)

Posted in DD Presentations
November 16th, 2009
Addressing Substance Abuse in Children and Youth
doreen_cavanaugh_slides Doreen Cavanaugh, Ph.D. presented this at the NC PIC meeting on Children: Evidence-based Services & Supports on November 12, 2009.

  Addressing Substance Abuse in Children and Youth (1.9 MiB)

Posted in SA Presentations
November 16th, 2009
Grief in Individuals with Intellectual Disabilities

Dr. Ruth Hurst, from the University of North Carolina at Wilmington presented to the IDD PIC Subcommittee.

  IDD PIC Minutes 11-12-09 (17.7 KiB)

  Grieving and Loss in Individuals with IDD (3.0 MiB)

For more information about the article she references in the presentation, please email mary.powell@governorsinstitute.org

Posted in DD Presentations
November 16th, 2009
The Seven Challenges

7-challenges

The Seven Challenges was presented to the Substance Abuse Subcommittee of the NCPIC on the afternoon of November 12th.   The program has made an application for review to determine its evidence-based status.

  Minutes from SA PIC Meeting 11-12-09 (32.3 KiB)

  The Seven Challenges - PIC Application (117.9 KiB)

  Composite of Evidence (35.4 KiB)

  The Seven Challenges - Licensing Outline (42.3 KiB)

  The Seven Challenges - Poster (111.7 KiB)

Posted in SA Presentations
October 29th, 2009
SA#3: Seeking Safety

sa-ss Post-Traumatic Stress Disorder (PTSD) is an anxiety disorder that may result from exposure and sometimes multiple exposures to highly traumatic events such as child abuse, accidents, violent personal assaults, military combat, or natural or human caused disasters.

Research has documented a strong association between PTSD and substance abuse. One-third of people requiring substance abuse treatment have experienced significant traumatic events in their lives. For women seeking treatment the prevalence is even higher (up to 59%).

  SA3 - Seeking Safety (172.4 KiB)

Posted in SA EBP
October 8th, 2009
SBIRT & WHAT

Wilmington Health Access for Teens, Inc. (WHAT) began implementing SBIRT in August 2008 and the program continues to make progress. The pilot program has been funded by the Governor’s Institute of Alcohol and Substance Abuse and the NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services. SBIRT was presented to the NC PIC in February 2008.

  An SBIRT Success Story (64.5 KiB)

For more information on Screening, Brief Intervention, Referral and Treatment (SBIRT) click here.

Posted in PIC News & Updates
October 1st, 2009
CHILDREN: Evidence-based Services & Supports

children_ncpic

NCPIC invites the public to a meeting focusing on evidence-based Children’s Services and Supports
Read the rest of this entry »

Posted in PIC Events
September 29th, 2009
Robeson County Bridges for Families Program

Linking NCPIC Practices to Create a Model for a Rural Community
bridges_logoThe research to practice translation gap is not unique to any one field of practice.  Once providers have some awareness of evidence-based practices and understand the value of adding new treatment models to their programs, the key concerns of administrators regarding funding for training and support for clinical supervision in the new models can be addressed through grant funded demonstration programs which are closely evaluated to allow for future replication.

One example of this approach, used to expand services in a rural community through training in and adoption of evidence-based treatment models, is the Robeson County Bridges for Families program (RCBF).  Funded by a Regional Partnership Grant from the United States Department of Health and Human Services, Administration on Children and Families, the primary clients served by the program are substance-involved families referred from the Robeson County Department of Social Services (DSS) or Family Drug Treatment Court (FDTC) and/or from a range of parenting support, mental health, and substance abuse treatment services.

In addition to the necessary legal, substance abuse, and mental health services for client families, the RCBF program provides or arranges for gender-specific and family-focused wrap-around services that address related issues such as parenting skills, safety and domestic violence, poverty, transportation, social support, and child care.

Since its inception in Fall 2008, the program has added a family drug treatment court; has expanded treatment, including enhanced residential care and transitional housing for families; and has put into operation four new evidence-based substance abuse services: Matrix Model, Seeking Safety, Strengthening Families, and Trauma Focused–Cognitive Behavioral Therapy.  These evidence-based treatment/prevention models were recommended for full adoption by the NCPIC in 2006-2007.  For more information about the evidence-based practices being used by Bridges click below.

  Evidence Based Practices Being Used in Robeson Bridges for Families (13.4 KiB)

Read the rest of this entry »

Posted in SA News & Updates
September 24th, 2009
Wellness Management and Recovery (WMR) – Mueser

In June 2009, Dr. Kim Mueser, Dartmouth Psychiatric Research Center, a co-developer of the Wellness Management and Recovery (WMR), was one of the speakers in a webinar series on planning for implementation of WMR.  In his presentation, he presented the model, identifying key components and the role of recovery in the model.  He also discussed goal setting, homework assignments, involvement of significant others, and resources.

  Why Offer Wellness Management and Recovery (WMR) for your consumers? (3.4 MiB)

Posted in MH EBP
September 24th, 2009
Wellness Management and Recovery (WMR) – Oshel

In June 2009, Ann Oshel, the Durham Center, participated in a webinar series on planning for implementation of a wellness management approach, Wellness Management and Recovery (WMR).  In her presentation, she discusses why the Durham Center selected WMR and how they made decisions in identifying a provider.  Using Dr. Dean Fixsen’s stages of implementation, she reviews aspects for LMEs and providers to consider.  She ends with a discussion of lessons learned.
View Recorded Presentation

  How do I set up WMR in my community? (927.0 KiB)

  TCU Survey of Organizational Functioning (258.6 KiB)

Posted in MH EBP
September 9th, 2009
SA#2: Strengthening Families Program (SFP)

sa-sfpThe Strengthening Families Program (SFP) is a parenting and family strengthening program for high risk families. It combines science-based (1) parenting-skill training, (2) child life-skill building, and  (3) family lifeskill education into a program that improves the child’s social/life skills and family functioning and protects the children from the long-term risks of drug abuse.

A nationally recognized program, SFP has been shown effective by numerous independent research studies and has been implemented worldwide. It was developed in the late 1980s by Karol Kumpfer, Ph.D. through a research grant funded by the National Institute on Drug Abuse. There are now several versions of the original program that accommodate the needs of different age groups and at risk populations.

  SA2 - Strengthening Families Program (SFP) (62.4 KiB)

The Strengthening Families Program
(SFP) is a parenting and family
strengthening program for high risk
families. It combines science-based
(1) parenting-skill training, (2) child
life-skill building, and (3) family lifeskill
education into a program that
improves the child’s social/life skills
and family functioning and protects
the children from the long-term risks
of drug abuse.
A nationally recognized program, SFP
has been shown effective by
numerous independent research
studies and has
been implemented
worldwide. It was
developed in the
late 1980s by
Karol Kumpfer,
Ph.D. through a
research grant
funded by the
National Institute
on Drug Abuse.
There are now
several versions of
the original
program that
accommodate the
needs of different age groups and atrisk
populations.
Posted in SA EBP
September 1st, 2009
Kana Enomoto Challenges North Carolina

to Join SAMHSA in Promoting Trauma-Informed Care

nc-pic-august-2009-3335On August 13, 2009, Kana Enomoto, Acting Deputy Administrator and Acting Associate Administrator for Women’s Services, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services, presented the keynote address at the North Carolina Practice Improvement Collaborative meeting on Trauma.  Ms. Enomoto stated that the SAMHSA  Acting Administrator, Dr. Eric Broderick has stressed that trauma can affect any citizen at any time and can negatively impact  people’s mental and physical health, resulting in serious life consequences when left untreated.

To address this critical issue, the federal agency supports the development of trauma-informed systems of care for every community.  To illustrate how a trauma-informed system would operate, Ms. Enomoto presented a fictitious case study of services in two cities.  She noted that the most effective outcomes for people are achieved when the operating principles for the services are trauma-focused, person-centered, and recovery-oriented.

SAMHSA is committed to elevating the visibility of the issue and providing helpful tools for states and communities to promote recovery and healing for trauma survivors.  It is working hard to disseminate information about delivering trauma services and setting up demonstration projects that seek new ways to create trauma-informed systems.

In the afternoon, the Acting Deputy Director spent time one-on-one with the members of the NCPIC Mental Health and Substance Abuse Subcommittees.  The members in attendance discussed with Ms. Enomoto their experiences with the implementation of evidence-based practices.

Ms. Enomoto congratulated the members for being leaders that embrace and value evidence-based practices to improve consumer services.  She noted that North Carolina was indeed a national leader in working to advance the use of best practices and programs. She encouraged the NCPIC members to focus on the concept that the best research evidence is also backed by clinical expertise, patient value, and cultural considerations.  The NCPIC members were challenged and invigorated by the encouragement provided by Ms. Enomoto and look forward to new SAMHSA initiatives in this area.

  Trauma-Informed Care A Call to Action - Part 1 (400.2 KiB)

  Trauma-Informed Care A Call to Action - Part 2 (195.4 KiB)

Posted in PIC Events, PIC News & Updates
August 20th, 2009
MH#2: Integrated Dual Disorders Treatment (IDDT)

mh-iddtPeople with serious mental illness often struggle with substance abuse. As reported in 2006, the National Epidemiologic Survey on Alcohol and Related Conditions indicated that individuals with mental illness diagnoses have a greater prevalence of alcohol and drug disorders than the general public.

The co-occurrence of these disorders makes it more difficult for mentally ill clients to maintain stable recovery from their mental illness. They often have trouble managing family relationships, obtaining stable employment, and are more likely than people with mental illness only to become involved in the criminal justice system. Unfortunately, only 12% of people with co-existing disorders receive interventions for both disorders.

  MH2 - Integrated Dual Disorders Treatment (IDDT) (56.5 KiB)

Posted in MH EBP
August 20th, 2009
SA/MH PIC Meeting Minutes – 8-13-2009

These are the minutes from the sub-committee meeting held after the PIC meeting on 8-13-2009.

  SA/MH PIC Minutes - 08-13-2009 (26.6 KiB)

Posted in MH Presentations, SA Presentations
August 20th, 2009
DD PIC Meeting Minutes – 8-13-2009

These are the minutes from the sub-committee meeting held after the PIC meeting on 8-13-2009.

  IDD PIC Minutes - 08-13-2009 (13.7 KiB)

Posted in DD Presentations
August 18th, 2009
TRAUMA: An Evidence Based Perspective

Trauma:  An Evidence Based Perspective was held on August 13th.  Over 70 NCPIC members and guests attended this meeting.  Here are presentations from Flo Stein and special guest speaker Kana Enomoto, M.A., Acting Deputy Administrator, Acting Associate Administrator for Women’s Services that were presented at the event.

  Trauma-Informed Care A Call to Action - Part 1 (400.2 KiB)

  Trauma-Informed Care A Call to Action - Part 2 (195.4 KiB)

  Trauma - An Evidence Based Perspective (142.2 KiB)

  The Relationship Between Stress and Substance Use Disorders (574.3 KiB)

Posted in MH Presentations, PIC Events, SA Presentations
July 29th, 2009
TRAUMA: An Evidence Based Perspective

trauma_ncpic Read the rest of this entry »

Posted in PIC Events
July 21st, 2009
DD PIC Makes Recommendations on Resource Allocation

This document is based on information gathered by members of the DD-PIC including two presentations on allocating resources in state DD systems. Nancy Thaler, Executive Director of National Association of State Developmental Disabilities Directors (NASDDDS) and Dr. Marc Tasse, AssociateProfessor/Director of Florida Center for Inclusive Communities – UCEDD at the University of South Florida each provided extensive information on the topic. The DD-PIC supports the concept of resource allocation and recommends that the state consider this information as it makes decisions about implementation of a resource allocation model in NC for people with ID/DD.

  Resource Allocation (44.0 KiB)

Posted in DD News & Updates, DD Presentations
June 11th, 2009
Next NCPIC Meeting to focus on Trauma

Effective July 1, the NCPIC will switch to a new format for its meeting schedule.  The full PIC membership will meet quarterly.   These meetings will have a general topic area that is applicable across all three disabilities.  Following plenary speakers on the topic, NCPIC Subcommittees will have presentations and discussion about disability-specific programs to address the topic areas.

The topic for August 13th will be Trauma.  Trauma has many sources  – natural disasters, violence and war, physical and sexual abuse or personal health problems or the loss or illness of people we love.  This NCPIC meeting will look at programs to address trauma and its consequences across North Carolina.  Speakers will be announced in July.

All meetings will be held in Raleigh. The agenda and meeting details for the August 13 meeting will be sent in July. Please mark your calendars!

Posted in PIC Events
June 8th, 2009
Dean Fixsen, Ph.D. – WMR Presentation

Dean Fixsen, Ph.D., Co-Director, National Implementation Research Network, University of North Carolina at Chapel Hill, presented on the Science and Practice of Implementation to Transformation Transfer Initiative to participants on June 4, 2009.  Because effective innovations do not fit well in existing organizational structures and systems, it is essential to expect and plan for changes.  Dr. Fixsen discusses how to develop, improve, and sustain innovations and stages of implementation.  Critical to implementation is the designation of an implementation team to develop the infrastructure and to promote and sustain the system change.

To view the presentation from June 4th please click below:
Read the rest of this entry »

Posted in MH EBP
June 1st, 2009
Critical Time Intervention (CTI)

The NC PIC Mental Health Subcommittee met on May 29, 2009 and heard a presentation on Critical Time Intervention (CTI) by Daniel Herman, DSW, MS of Columbia University.

CTI is designed to prevent recurrent homelessness and other adverse outcomes among persons with severe mental illness. It aims to enhance continuity of care during the transition from institutional to community living.

  MH PIC May 2009 (31.2 KiB)

  Critical Time Intervention (CTI) (471.3 KiB)

Posted in MH Presentations
May 14th, 2009
2009-2010 PIC Dates Announced – Save the Date

The PIC dates for FY 2010 are as follows: August 13, 2009, November 12, 2009, January 14, 2010 and the Annual PIC Congress May 13, 2010. The format for the PIC meetings has changed with all three disability subcommittees meeting on each of the above dates. The morning session will host plenary speakers to the full group and during the afternoon the subcommittees will meet separately for disability specific presentations and discussion. Locations and speakers TBA.

Posted in PIC News & Updates
May 8th, 2009
Resource Allocation

Dr. Marc Tasse presented to the DD PIC on May 8th, 2009. His presentation featured information about Resource Allocation. He also presented the national research on the Supports Intensity Scale.

  Resource Allocation & SIS - NCPIC Presentation 5-8-09 TASSE (994.0 KiB)

  DD PIC Minutes - 5-28-2009 (73.0 KiB)

Posted in DD Presentations
May 1st, 2009
PORT Adolescent

Tom Savidge applied to and presented at the North Carolina Practice Improvement Collaborative Substance Abuse subcommittee on PORT Human Services adolescent residential substance abuse services for youth who have in the past been unsuccessful with interventions addressing their substance abuse.

  SA PIC Minutes - May 1st, 2009 (16.8 KiB)

  PORT Adolescent Program (106.7 KiB)

Posted in SA Presentations
May 1st, 2009
Robeson County Bridges

Dr. Sherri Green presented at the North Carolina Practice Improvement Collaborative Substance Abuse subcommittee on Robeson County “Bridges” for Families project. Bridges uses a comprehensive approach and assures interagency collaboration and capacity building in order to provide a full continuum of care using evidence-based programs for substance-involved families who are referred to the Robeson County Department of Social Services, a rural county in eastern North Carolina affected by drug traffic on the I-95 corridor.

  SA PIC Minutes - May 1st, 2009 (16.8 KiB)

  Addressing the Child Welfare and Substance Abuse Link (1.6 MiB)

Posted in SA Presentations
April 20th, 2009
DD PIC Meeting

Title: DD PIC Meeting
Location: Center for Learning and Development – Chapel Hill
Description: Dr. Marc Tasse, from the University of South Florida, will provide information about Resource Allocation. There will be time for questions and discussion on this important topic.
Start Time: 10:00AM
Date: 05-08-2009
End Time: 2:00PM

Posted in PIC News & Updates
April 16th, 2009
SA#1: Contingency Management (CM)

sa-cm.gifContingency management (CM) is a motivational incentive intervention in which clients with substance use disorders receive small rewards for attending treatment, taking prescribed medication, providing negative urine samples, or complying with other defined treatment-related goals.

CM is based on the well-known theory that behaviors that are reinforced or rewarded will increase in frequency. The term CM comes from the concept that the reward is contingent on the successful achievement of the behavior that will be rewarded. It is a model that is used in nonclinical settings in everyday life: parents give rewards for good grades and employers give promotions for performing well on the job.

  SA1 - Contingency management (CM) (114.5 KiB)

Posted in SA EBP
March 19th, 2009
MH#1: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

tf-cbt.gifThe cost of untreated trauma is high and has negative implications for children, families, and communities. Left untreated, traumatized children experience health and mental health problems, difficulties in school and problematic social relationships.  The trauma can alter brain chemistry and have a lifelong impact.

The financial costs of untreated trauma are also high – estimated at $104 billion per year in the United States.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) was developed to treat post-traumatic stress and related emotional and behavioral problems in children and adolescents.  Developed in the 1980’s, it has been used successfully and extensively both in the United States and other countries.

In North Carolina, there are 170 licensed clinicians located in 60 counties trained in TF-CBT according to Dana Hagele, MD, MPH and Lisa Amaya-Jackson, MD, MPH, Co-Directors of the NC Child Treatment Program (NC CTP).  Information about service and training resources is available at www.med.unc.edu/ncctp/.

  MH1 - Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) (53.5 KiB)

Posted in MH EBP
March 18th, 2009
MH PIC Meeting

Title: MH PIC Meeting
Location: Monteith Research Center – NCSU
Start Time: 11:00
Date: 2009-05-29
End Time: 15:00

Meeting will include a presentation by Dr. Daniel Herman of Columbia University who will present on Critical Time Intervention, a program designed to prevent recurrent homelessness and other adverse outcomes among persons with severe mental illness. It aims to enhance continuity of care during the transition from institutional to community living.

Posted in PIC News & Updates
March 18th, 2009
SA PIC Meeting

Title: SA PIC Meeting
Location: Monteith Research Center – NCSU
Start Time: 10:00
Date: 2009-05-01
End Time: 14:00

Meeting will include the following presentations:

  • Dr. Sherri Green, PI on Robeson County Bridges for Families Grant
  • Mr. Tom Savidge, CEO Port Human Services, presenting application for the PORT Adolescent Residential Treatment Model
Posted in PIC News & Updates
January 23rd, 2009
Constructing the New Service Paradigm – Nancy Thaler

Nancy Thaler, Executive Director of the National Association of State Directors of Developmental Disabilities Services, discussed the future needs for services for consumers with developmental disabilities at meeting of the DD Subcommittee on January 23rd.

  Constructing the New Service Paradigm (806.2 KiB)

Posted in DD News & Updates
January 23rd, 2009
Constructing the New Service Paradigm

Constructing the New Service Paradigm, Nancy Thaler, Executive Director of the National Association of State Directors of Developmental Disabilities Services

Posted in DD Presentations
January 15th, 2009
Reclaiming Futures – Laura Burney Nissen

Reclaiming Futures sites funded by the Kate B. Reynolds Charitable Trust in six North Carolina Communities in collaboration with the Robert Wood Johnson Foundation and Portland State University. Dr. Laura Burney Nissen, the project developer, presented the program to the Substance Abuse Subcommittee of the North Carolina Practice Improvement Collaborative on a webinar held January 15th.

  Reclaiming Futures (932.7 KiB)

  Application for EBP (55.1 KiB)

Posted in SA News & Updates
January 15th, 2009
Reclaiming Futures

Dr. Laura Burney Nissen with Reclaiming Futures presented on their model of coordinating services for youth involved in the criminal justice system who need substance abuse treatment. She was joined by Susan Robinson of The Kate B. Reynolds Charitable Trust which is funding six Reclaiming Futures projects in North Carolina.

  Reclaiming Futures Presentation (932.7 KiB)

  SA PIC Minutes - January 15th, 2009 (16.5 KiB)

Posted in SA Presentations
October 20th, 2008
Understanding Consumer-Run Services – Mark Holter

Dr. Holter discussed his research on drop in centers and other consumer run services.

Speakers from The Durham Center described their Wellness Management and Recovery Program.

  Understanding Consumer Run Services (208.9 KiB)

  Wellness Management and Recovery Program (1.1 MiB)

Posted in MH News & Updates
October 20th, 2008
Understanding Consumer-Run Services

Understanding Consumer-Run Services

Mark Holter, MD, University of Kansas

Beth Melcher, PhD, The Durham Center

Debi Dihoff, National Alliance for Mental Illness – NC

Posted in MH Presentations
August 27th, 2008
Transition from School to Adult Services – Barbara Mazzella
Ms. Mazzella presented the process and plan that was developed in Massachusetts for assisting people with developmental disabilities and their families navigate the transition from school-based services to adult services.

  National Standards& Quality Indicators: Transition Toolkit (1.3 MiB)

  Transition from School to Adult Services (271.7 KiB)

Posted in DD News & Updates
August 23rd, 2008
Transitioning From School To Community Services

Transitioning From School To Community Services, Barbara Mazzella, Governor’s Commission on Mental Retardation

Posted in DD Presentations
July 15th, 2008
START Model (Four Days of Training)

START Model (Systematic, Therapeutic, Assessment, Respite and Treatment), Joan B. Beasley, Ph.D., Consultant and Training, Chestnut Hill, Massachusetts

Posted in DD Presentations
February 21st, 2008
Media Ready/Media Detective

Media Ready/Media Detective, Janis Kupersmidt, Ph.D., IRT, Durham

Posted in SA Presentations
February 21st, 2008
Screening, Brief Intervention, Referral and Treatment (SBIRT)

Screening, Brief Intervention, Referral and Treatment (SBIRT), Sara McEwen, MD, MPH

  Screening, Brief Intervention, and Referral to Treatment (51.1 KiB)

Posted in SA Presentations
February 19th, 2008
Media Ready and Media Detective – Janis Kupersmidt

Media Ready consists of ten 45-minute highly interactive, activity-based lessons that include three major components to the program. The lessons include teaching the building blocks of media literacy skills; applying media literacy skills to deconstruction of alcohol and tobacco advertisements; and creating media in counter-advertisements.

Media Detective consists of ten 45-minute highly interactive, activity-based lessons that include three major components to the program. The lessons include teaching the building blocks of media literacy skills; applying media literacy skills to deconstruction of alcohol and tobacco advertisements; and creating media in counter-advertisements.

  Media Ready - PIC Application (46.7 KiB)

  Media Detective - PIC Application (47.6 KiB)

Posted in SA News & Updates
February 19th, 2008
IMPLEMENTATION PRESENTATION

Changing Practice, Changing Systems

North Carolina PIC sponsors presentation at Clinical Update by Dr. Neal Adams on “Changing Practice, Changing Systems:  Why Does It Seem So Difficult?”

  Changing Practice, Changing Systems: Why Does It Seem So Difficult? (7.0 MiB)

Posted in DD News & Updates, MH News & Updates, SA News & Updates
February 19th, 2008
Changing Practice, Changing System

Changing Practice, Changing System, Neal Adams, MD, MPH, California Institute on Mental Health

Posted in MH Presentations
February 19th, 2008
Screening, Brief Intervention, Referral to Treatment – Sara McEwen

Screening for substance use problems, providing brief interventions (BIs) for at risk users, referral to treatment.

  Screening, Brief Intervention, and Referral to Treatment (47.4 KiB)

Posted in SA News & Updates
February 14th, 2008
Changing Practice, Changing System

Changing Practice, Changing System, Neal Adams, MD, MPH, California Institute on Mental Health

Posted in SA Presentations
January 7th, 2008
Teaching Family Model receives designation from the NCPIC

Submitted by Appalachian Family Innovations, the Mental Health Committee of the NCPIC reviewed the Teaching Family model and has awarded the following designation:

The Teaching Family Model is being recommended at the following levels of evidence specific to the setting in which the intervention is being delivered:
Promising Practice for the Residential Treatment in a Group Home Setting
Emerging Practice for use in Outpatient Settings

Posted in MH News & Updates
December 3rd, 2007
Integrating Psychiatric Advance Directives – Eric B. Elbogen

Eric B. Elbogen, Ph.D., M.L.S., Department of Psychiatry Forensic Psychiatry Program and Clinic, University of North Carolina School of Medicine

  Integrating Psychiatric Advance Directives into Clinical Practice (877.9 KiB)

Posted in MH News & Updates
December 3rd, 2007
Teaching-Family Model – Gary Timbers

Gary Timbers, Ph.D. & colleagues, Appalachian Family Innovations and Barium Springs Home for Children

  Teaching-Family Model: Evidence-Based Practice (992.7 KiB)

Posted in MH News & Updates
December 3rd, 2007
Teaching Family Model & Psychiatric Advanced Directives

Teaching Family Model, Gary Timbers, Ph.D., Appalachian Family Innovations

Psychiatric Advanced Directives, Eric Elbogen, Ph.D.

Posted in MH Presentations
October 20th, 2007
Implementation Updates

Integrated Dual Disorders in Wake County – W. Carlyle Johnson and Ann Oshel

Child Trauma Project in Eastern North Carolina – Lisa M. Amaya Jackson, MD, Duke University

Posted in MH Presentations
October 20th, 2007
Implementation Updates: Creating Person-Centered System

Creating Person-Centered Systems:  Good 2 Great, Christina Carter, Division of Mental Health, Developmental Disabilities and Substance Abuse Services

Posted in DD Presentations
May 14th, 2007
Tools for Transformation

Tools for Transformation: New Opportunities for LME-Provider Partnerships to Improve their Consumer’s Lives
Beth Melcher, Ph.D.
The Durham Center

Posted in MH Presentations
May 14th, 2007
Policies that Enhance the Adoption of New Supports

Policies that Enhance the Adoption of New Supports and Services that Enhance Quality for the Developmentally Disabled, Nancy Thaler, Executive Director of the National Association of State Directors of Developmental Disabilities Services

Posted in DD Presentations
May 14th, 2007
The Science of Implementation

The Science of Implementation:  How to establish Evidence-Based Services in our Communities, Dean Fixsen, Ph.D., University of South Florida

Posted in SA Presentations
March 19th, 2007
Health Services for Individuals with Developmental Disabilities

Karen Lukan and Duncan Munn, Chapel Hill, NC

Posted in DD Presentations
March 19th, 2007
Medications and Developmental Disabilities

Jarrett Barnhill, M.D., University of North Carolina, Chapel Hill, NC

Posted in DD Presentations
February 23rd, 2007
Responding to the Needs of Justice-Involved Persons

Fred Osher, MD, Director, Ctr. for Behavioral Health, Justice & Public Policy, Baltimore, MD

Posted in SA Presentations
February 23rd, 2007
Mental Health and Primary Care Integration

David Pollack, M.D. Oregon Health Sciences University, Portland, OR and Richard Christensen, M.D., University of Florida College of Medicine, Jacksonville, FL

Posted in SA Presentations
February 23rd, 2007
Responding to the Needs of Justice-Involved Persons

Fred Osher, MD, Director, Ctr. for Behavioral Health, Justice & Public Policy, Baltimore, MD

Posted in MH Presentations
February 23rd, 2007
Mental Health and Primary Care Integration

David Pollack, M.D. Oregon Health Sciences University, Portland, OR and Richard Christensen, M.D., University of Florida College of Medicine, Jacksonville, FLResponding to the Needs of Justice-Involved Persons with Mental Illnesses, Fred Osher, MD, Director, Ctr. for Behavioral Health, Justice & Public Policy, Baltimore, MD

Posted in MH Presentations
December 13th, 2006
START Model

Joan B. Beasley, Ph.D., Consultant and Training, Chestnut Hill, Massachusetts

  START Model (43.0 KiB)

Posted in DD Presentations
December 11th, 2006
Pharmacotherapy Treatments for Substance Abuse

Ashwin Patkar, M.D., Duke University Medical Center, Durham, NC

Posted in SA Presentations
December 11th, 2006
North Carolina SFP Implementation Results

Sherri Green, Ph.D., Appalachian State University, Boone, NC

Posted in SA Presentations
December 11th, 2006
Strengthening the Family

Karol Kumpfer, Ph.D., Department of Health Promotion and Education, University of Utah, Salt Lake City, UT

Posted in SA Presentations
November 1st, 2006
Update on Child Trauma Models

  Update on Child Trauma Models (81.9 KiB)

Robert Murphy, Ph.D., Center for Child and Family Health, Duke University

Posted in MH Presentations
November 1st, 2006
Child Mental Health Evidence-Based Practices

  Child Mental Health EBP (84.1 KiB)

Child Mental Health Evidence-Based Practices and the Next Generation of Implementation Resource Kits, Jeanne C. Rivard, Ph.D., National Association of State Mental Health Program Directors, National Research Institute (NRI)Update on Child Trauma Models, Robert Murphy, Ph.D., Center for Child and Family Health, Duke University

Posted in MH Presentations
August 23rd, 2006
Supported Employment

  Supported Employment (189.2 KiB)

Gary R. Bonds, M.D., Ph.D., Indiana University Purdue University, Indianapolis, IN

Posted in MH Presentations
August 18th, 2006
DD and Complex Behaviorial Support Needs

Marc J. Tasse, Ph.D., University of North Carolina, Chapel Hill, NC

  Improving Services to Individuals With Complex Behavioral Needs (109.3 KiB)

Posted in DD Presentations
August 14th, 2006
Contingency Management

Maxine Stitzer, Ph.D., Johns Hopkins Medical School, Baltimore, MD

  Contingency Management (49.0 KiB)

Posted in SA Presentations
April 21st, 2006
Community-Based Crisis Services for DD

Don Kincaid, University of South Florida, Tampa, FL

  Crisis System Principles (31.1 KiB)

Posted in DD Presentations
April 13th, 2006
Cognitive Behavioral Therapy for Relapse Prevention

George Parks, Ph.D., University of Washington, Seattle, WA

  Relapse Prevention Therapy (45.1 KiB)

Posted in SA Presentations
April 13th, 2006
Seeking Safety: Treating PTSD

Lisa M. Najavits, Ph.D., Associate Professor, Department of Psychiatry, Harvard Medical School, Boston, MA

Posted in SA Presentations
March 23rd, 2006
Family Psychoeducation Implementation Resource Kit

  Family Psychoeducation (72.5 KiB)

Family Psychoeducation/Family to Family Education Program/Family Member Provider Outreach, Lisa Dixon, MD, MPH, Professor of Psychiatry, University of Maryland School of Medicine, VA Capitol Health Care Network, MIRECC

  Family Psychoeducation Implementation Resource Kit (52.5 KiB)

Posted in MH Presentations
January 27th, 2006
NIDA Clinical Trails Network TELE Protocol

Robert Hubbard, Ph.D., National Development and Research Institute, Raleigh

Posted in SA Presentations
January 27th, 2006
Matrix Model of Methamphetamine

Sam Minsky, Clinical Trainer, UCLA Integrated Substance Abuse Programs and Matrix Institute on Addictions, Los Angles, California

  Matrix Model (80.7 KiB)

Posted in SA Presentations
January 27th, 2006
Illness Management and Recovery – Kim T. Mueser

  Illness Management and Recovery (61.6 KiB)

Integrated Treatment for Dual Disorders and Illness Management and Recovery, Kim T. Mueser, Ph.D., Professor, Departments of Psychiatry and Community and Family Medicine, NH-Dartmouth Psychiatric Research Center, Dartmouth Medical School

  Illness Management and Recovery Implementation Resource Kit (51.1 KiB)

Posted in MH Presentations
January 27th, 2006
Integrated Dual Disorders Treatment

  Integrated Dual Disorders (153.1 KiB)

Integrated Treatment for Dual Disorders and Illness Management and Recovery, Kim T. Mueser, Ph.D., Professor, Departments of Psychiatry and Community and Family Medicine, NH-Dartmouth Psychiatric Research Center, Dartmouth Medical School

  Integrated Dual Disorders Treatment Implementation Resource Kit (52.3 KiB)

Posted in MH Presentations
January 23rd, 2006
The CMS Quality Framework

Shealey Thompson, Ph.D., NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, Raleigh, NC

Posted in DD Presentations

Funded wholly or in part by the federal Substance Abuse Prevention and Treatment Block Grant Fund (CFDA #93.959) as a project of the NC Division of Mental Health, Developmental Disabilities & Substance Abuse Services.