| November 17th, 2011 |
| NC PIC Meeting, November 9, 2011 Wrap-up |
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The meeting started with Ms. Brown introducing the most recognized researcher in correctional psychological science in the world, Dr. Paul Gendreau. Dr. Gendreau opened with a comprehensive review of the history of treatment and treatment philosophies in correctional settings. He followed this review with a detailed look at the benchmark studies that have shaped the discipline and the evidence we have to date on “what works and doesn’t work”. He closed with recommendations for the future and addressed questions from NC PIC members and guests. The two key recommendations that Dr. Gendreau proposed is that systems must be committed to employing evidence-based practices and that systems must stop using rehabilitation models that do not work. Steve Jordan, Director of DMH/DD/SAS opened the afternoon session with a discussion on Justice Reinvestment and the importance of continued emphasis on what works in communities across NC. He introduced Representative David Guice who discussed a legislative act he championed, the Justice Reinvestment Act. Of note, Representative Guice was elected to the NC House of Representative in 2008 after a 30-year career in corrections. The Deputy Secretary of NCDOC, Tracy Little, followed Rep. Guice’s general review of HB642 with a detailed assessment of the implications of this new legislation and how it will impact specific domains within the system. Speaker Presentations Paul Gendreau, OC, PhD
Rep. David Guice and Tracy Little
Meeting Agenda
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| Posted in PIC News & Updates |
The working relationship between the NC Department of Corrections and the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (DMH/DD/SA) has been growing in strength and meaning for many years. While the importance of this working relationship was promoted by Flo Stein, Chief, Community Policy Management, DMH/DD/SAS, it has become a promising reality thanks to the efforts of team leader Sonya Brown and her justice systems innovations team. There is an obvious relationship between state correctional systems and public healthcare systems. In every State across the U.S., inmates are released from prison into a given community. Despite this inevitable daily event, links between correctional systems and community behavioral health service systems are often poorly established or ignored altogether. The importance of these relationships has not been ignored by crucial leaders from the two agencies, Steve Jordan and Tracy Little. Moreover, the strengths of these working relationships were further realized last week as key stakeholders from the NC PIC, the Division, and NCDOC met to discuss evidence-based practices in correctional settings and current legislation that promotes positive transitions from one setting to another while simultaneously working to reduce recidivism.
| October 26th, 2011 |
| RSVP for November 9, 2011 NC PIC Meeting |
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| Posted in PIC News & Updates |
| September 29th, 2011 |
| NC PIC Meeting, September 19, 2011 Wrap-up |
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Thank you to all of the NC PIC members and friends of the NC PIC that were able to join us for our September 19, 2011 NC PIC Meeting that featured 4 exceptional speakers. Copies of the meeting agenda and the speaker presentations are available below. Minutes for the afternoon meetings will be posted soon. Speaker Presentations:
Charla Suggs presented on the innovative criminal justice model, Thinking for Change. This is a Cognitive Behavioral Intervention that guides participants toward the change process using cognitive restructuring and reframing.
Dr. Nancy Razza presented on the specific needs and problems that people with mental health problems and intellectual disabilities face. Included is an excellent field study that examined the trials and tribulations of more than 4,000 persons born between 1959 and 1965 at intervals of 1,3,4,7,8, and 30 years.
During the afternoon session of the DD NC PIC meeting, Dr. Nancy Razza examined the relationship between Trauma and Limbic Regulation as this relates to psychotherapy and the treatment of abused populations.
Meeting Agenda:
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| Posted in PIC News & Updates |
Dr. Terri Shelton, a PIC member herself, reviewed the criteria associated with practices identified as evidence based and she reviewed the resources available to NC providers seeking to learn and offer evidence based techniques to the children they work with.
Dr. Claire Collie presented on Evidence Based Practices that are recognized by the VA. EBPs of note included Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) for PTSD and Cognitive Behavioral Therapy and Acceptance and Commitment Therapy (ACT) for Depression.
| June 30th, 2011 |
| SA8 – Buprenorphine Treatment for Opioid Addiction |
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| Posted in SA EBP |
Buprenorphine, a partial opioid agonist, suppresses opioid withdrawal symptoms and blocks the effects of other opioids. There are 2 preparations: buprenorphine alone and a combination of buprenorphine and naloxone (an opioid antagonist). As with other medication assisted treatment, buprenorphine treatment should be combined with psychosocial treatment.| June 23rd, 2011 |
| MH7 – Evidence Based Identification and Treatment of TBI |
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| Posted in MH EBP |
The presence, degree of severity, and functional implications of brain injuries are one of the most daunting tasks a clinician serving military service members will face. While there are many established relationships between areas of the brain and neuro-function, each person’s cerebral response and recovery to a traumatic brain injury event is unique. Best practices associated with the identification and treatment of TBI is clear: Timely access and provision of services. This bulletin highlights data on TBI and offers readers a guide to key resources.| June 16th, 2011 |
| SA7 – Substance Use Disorders in Military Service Members |
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| Posted in SA EBP |
Data on the prevalence of problematic drug use among military service members is alarming. To combat this trend in an effective and timely manner, the best practice recommendations for this growing problem is the promotion of a more sensitive screening and assessment process capable of identifying “at risk” use behavior before dependence takes root. This Bulletin introduces readers to the use trends of service members and recommended best practices with this population.| June 9th, 2011 |
| MH6 – Assertive Community Treatment |
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| Posted in MH EBP |
Assertive Community Treatment (ACT) was first developed during the early 1970s as large numbers of patients were being discharged from state-operated psychiatric hospitals to a poorly integrated community service system. ACT entails the provision of services delivered by an integrated service team that includes entities such as community-based service centers, mobile assessment and treatment providers, and multi-disciplinary outreach teams. The evidence demonstrating the utility of the ACT model is clear and convincing.| June 2nd, 2011 |
| MH5 – Post Deployment Mental Health |
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| Posted in MH EBP |
Service members that have returned from combat arenas should be screened, formally assessed when necessary, and treated as soon as possible. Combat veterans that screen positive for symptoms of PTSD or other MH problems in primary care settings are referred for assessment and treatment. This Bulletin introduces readers to the service needs of returning veterans and some of the research on the subject of post deployment mental health.| May 26th, 2011 |
| SA6 – Medication Assisted Treatment |
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| Posted in SA EBP |
Medication Assisted Treatment (MAT) is best defined as pharmacotherapy coupled with psychosocial treatment. The evidence in support of the efficacy of MATs is clear: MATs have been shown to reduce mortality, criminal behavior, and serious medical conditions such as hepatitis and HIV. In addition, MATs are clearly linked to improvements in patient treatment retention, employment, and family stability.| May 23rd, 2011 |
| May 19, 2011 NC PIC Meeting Wrap-up |
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For all of you that attended last week’s NC PIC meeting, thank you for your attendance and active participation. Those of you who could not make it were missed and I look forward to seeing you next time. Attached below is the presentation on the Implementation of Evidence Based Practices presented by Dean Fixsen.
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| Posted in PIC News & Updates |
| May 3rd, 2011 |
| Members & Friends of PIC |
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You are invited to attend our next meeting of the North Carolina Practice Improvement Collaborative (NC PIC). This meeting is on May 19, 2011 at the Sheraton Raleigh Hotel from 10:00 am to 12:00 pm. The hotel address is 421 South Salisbury Street, Raleigh, NC 27601 (919/834-9900). Dean Fixsen, Ph.D., is our keynote speaker, and he will discuss the progress of implementing evidence-based behavioral health practices across the nation. He began his career in human services in 1963 as a psychiatric aide in a large state hospital for children with profound developmental delays. After completing his doctoral studies in experimental psychology at the University of Kansas in 1970, Dr. Fixsen has spent his career developing and implementing evidence-based programs. Currently, he works as a Senior Scientist at the Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill. In addition, he serves as co-director of the National Implementation Research Network, co-director of the State Implementation and Scaling up of Evidence-based Practices (SISEP) Center, and co-chair of the Global EBP Implementation Conference. Beth Melcher, Ph.D., Assistant Secretary for Mental Health, Developmental Disabilities, and Substance Abuse Services Development, North Carolina Department of Health and Human Services, will follow his presentation with a commentary on his national perspective from a State point of view. I hope you will join us on May 19, 2011. If you do plan to attend, please contact Ms. Chloe Morgan at the Governor’s Institute on Substance Abuse at 919.990.9559 (or via e-mail at chloe.morgan@governorsinstitute.org). Seating is limited so if you plan to attend, be sure to RSVP as soon as possible.
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| Posted in PIC Events |
| February 14th, 2011 |
| February 10, 2011 NC PIC Meeting |
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The collection of links below are best described as the “February 10 2011 NC PIC Meeting Resource Box”. As you can tell from the titles, the “box” includes our keynote speaker’s biography, the agenda, and his two presentations. The minutes to this meeting will be added to this resource box as soon as they are available.
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| Posted in MH EBP |
| January 12th, 2011 |
| Next NC PIC Meeting |
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As per capita budgets shrink to historic lows, it is essential that our efforts to provide help to those in need include improving decision-making mechanisms associated with government supported healthcare provision. Our current economic reality demands that we become skilled at identifying, using, and tracking science-based interventions: services that, through research, are known to work. On February 10, 2011 the North Carolina Practice Improvement Collaborative is pleased to bring John O’Brien, Senior Advisor of Health Financing at SAMHSA and the federally appointed lead on the implementation of healthcare reform, to Raleigh for a speaking engagement. As a key programming and financing strategist for the federal government, he is tasked with broadening available services and reducing service disparity across the nation. The first step in this implementation process is reaching out to the states to build working relationships with key stakeholders. At this meeting, he will be presenting on the topic of Operating in the Modern Addictions and Mental Health Services System. The meeting will be held between 9:30 and 12:00 on February 10 at the McKimmon Center. Since meeting space is limited, we will require advance registration. Please contact Chloe Morgan at 919-990-9559 or me, Roy Etheridge, at 919-256-7415 or via e-mail at roy.etheridge@governorsinstitute.org. If you are not able to attend, you will be able to access Mr. O’Brien’s presentation on our website shortly after the meeting. R.L. Etheridge, Ph.D.
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| Posted in PIC Events |
| January 10th, 2011 |
| Guided by Science, Grounded In Practice |
| Posted in PIC News & Updates |
| November 30th, 2010 |
| 2011 NC PIC Congress |
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| Posted in PIC Events, PIC News & Updates |
Members from all levels of state government, a key official from SAMHSA, clinicians and LMEs across North Carolina, and members of the NCPIC convened for our NCPIC Congress on November 10 2010 to review our progress to date and to discuss the future direction of NCPIC. The minutes to this Congress are available here:| October 20th, 2010 |
| Substance Abuse Subcommittee Minutes |
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The SA Subcommittee of the NCPIC met on October 7th, 2010 to discuss and review new programs for recommendation in the NCPIC Congress Report. The minutes to this meeting are available here.
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| Posted in SA News & Updates |
| October 6th, 2010 |
| Mental Health Subcommittee Minutes |
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The MH Subcommittee of the NCPIC met on September 29th, 2010 to discuss and review new programs veterans that had been presented earlier in the year. The minutes to this meeting are available here.
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| Posted in MH News & Updates |
| September 22nd, 2010 |
| Health Reform Document released at the Summit |
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We released Addiction Recovery Peer Service Roles: Recovery Management in Health Reform at the Summit, building on the comments and thoughts developed at the July 1, 2010 Recovery Roundtable co-sponsored with ONDCP. Thanks to everyone who contributed to this important document. We are using it to weigh in with federal agencies during the implementation of health reform. Please use this information during state-level health reform discussions. |
| Posted in PIC News & Updates |
| August 6th, 2010 |
| HHS Strategic Plan: Submit Your Comments |
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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. |
| Posted in PIC News & Updates |
| July 27th, 2010 |
| SA5: The Seven Challenges® |
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| Posted in SA EBP |
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.| June 7th, 2010 |
| MH4: Family Psychoeducation |
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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.
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| Posted in PIC News & Updates |
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.| April 7th, 2010 |
| Developmental Disability Subcommittee Minutes |
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The Developmental Disability PIC Subcommittee met on March 26, 2010 minutes from the meeting can be found here.
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| Posted in DD News & Updates |
| March 31st, 2010 |
| Mental Health Subcommittee Minutes |
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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.
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| Posted in MH News & Updates |
| March 29th, 2010 |
| SAMHSA Science and Service Awards |
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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 There are 5 categories that individuals can apply for. These categories are:
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 |
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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.
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| Posted in SA News & Updates |
| February 12th, 2010 |
| Differences in MI & MET Explained |
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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.
See also: |
| Posted in PIC News & Updates |
Motivational Interviewing (MI)| January 28th, 2010 |
| Why is MI so important? |
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See also: |
| Posted in PIC News & Updates |
Person-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).| January 15th, 2010 |
| SA4: Matrix Intensive Outpatient Treatment |
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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.
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| Posted in SA EBP |
Matrix 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.| January 14th, 2010 | ||||||||||||||||
| Addressing the Needs of Our Returning Veterans | ||||||||||||||||
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| Posted in PIC News & Updates | ||||||||||||||||
| January 12th, 2010 |
| What is Motivational Interviewing? |
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Part 1 of a 3 part release. The next release will cover “Why MI is important in delivering public services in North Carolina”
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| Posted in PIC News & Updates |
Motivational 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.| December 14th, 2009 |
| MH3: Wellness Management and Recovery (WMR) |
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| Posted in MH EBP |
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. 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.| December 7th, 2009 |
| Addressing the Needs of our Returning Veterans |
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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 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 | ||||||
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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.
The program included presentations on evidence-based programs by the following nationally-recognized experts:
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| Posted in PIC Events |
| November 16th, 2009 |
| Evidence-based Practices in Child Mental Health |
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As a follow up to her morning presentation, Dr. Burns met with the members of the Mental Health NCPIC Subcommittee.
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| Posted in MH Presentations |
| November 16th, 2009 |
| Current Research on Early Intervention |
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| Posted in DD Presentations |
| November 16th, 2009 |
| Addressing Substance Abuse in Children and Youth |
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| Posted in SA Presentations |
| November 16th, 2009 |
| Grief in Individuals with Intellectual Disabilities |
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Dr. Ruth Hurst, from the University of North Carolina at Wilmington presented to the IDD PIC Subcommittee.
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 |
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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.
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| Posted in SA Presentations |
| October 29th, 2009 |
| SA#3: Seeking Safety |
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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%).
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| Posted in SA EBP |
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.| October 8th, 2009 |
| SBIRT & WHAT |
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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.
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 |
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NCPIC invites the public to a meeting focusing on evidence-based Children’s Services and Supports |
| Posted in PIC Events |
| September 29th, 2009 |
| Robeson County Bridges for Families Program |
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Linking NCPIC Practices to Create a Model for a Rural Community 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.
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| Posted in SA News & Updates |
The 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.| September 24th, 2009 |
| Wellness Management and Recovery (WMR) – Mueser |
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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.
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| Posted in MH EBP |
| September 24th, 2009 |
| Wellness Management and Recovery (WMR) – Oshel |
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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.
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| Posted in MH EBP |
| September 9th, 2009 |
| SA#2: Strengthening Families Program (SFP) |
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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.
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 |
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.| September 1st, 2009 |
| Kana Enomoto Challenges North Carolina |
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to Join SAMHSA in Promoting Trauma-Informed Care
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.
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| Posted in PIC Events, PIC News & Updates |
On 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.
| August 20th, 2009 |
| MH#2: Integrated Dual Disorders Treatment (IDDT) |
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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. |
| Posted in MH EBP |
People 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.| August 20th, 2009 |
| SA/MH PIC Meeting Minutes – 8-13-2009 |
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These are the minutes from the sub-committee meeting held after the PIC meeting on 8-13-2009.
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| Posted in MH Presentations, SA Presentations |
| August 20th, 2009 |
| DD PIC Meeting Minutes – 8-13-2009 |
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These are the minutes from the sub-committee meeting held after the PIC meeting on 8-13-2009.
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| Posted in DD Presentations |
| August 18th, 2009 |
| TRAUMA: An Evidence Based Perspective |
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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.
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| Posted in MH Presentations, PIC Events, SA Presentations |
| July 29th, 2009 |
| TRAUMA: An Evidence Based Perspective |
| Posted in PIC Events |
| July 21st, 2009 |
| DD PIC Makes Recommendations on Resource Allocation |
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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.
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| Posted in DD News & Updates, DD Presentations |
| June 11th, 2009 |
| Next NCPIC Meeting to focus on Trauma |
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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 |
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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: |
| Posted in MH EBP |
| June 1st, 2009 |
| Critical Time Intervention (CTI) |
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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.
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| Posted in MH Presentations |
| May 14th, 2009 |
| 2009-2010 PIC Dates Announced – Save the Date |
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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 |
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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.
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| Posted in DD Presentations |
| May 1st, 2009 |
| PORT Adolescent |
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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.
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| Posted in SA Presentations |
| May 1st, 2009 |
| Robeson County Bridges |
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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.
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| Posted in SA Presentations |
| April 20th, 2009 |
| DD PIC Meeting |
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Title: DD PIC Meeting |
| Posted in PIC News & Updates |
| April 16th, 2009 |
| SA#1: Contingency Management (CM) |
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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.
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| Posted in SA EBP |
| March 19th, 2009 |
| MH#1: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) |
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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/.
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| Posted in MH EBP |
| March 18th, 2009 |
| MH PIC Meeting |
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Title: MH PIC Meeting 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 |
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Title: SA PIC Meeting Meeting will include the following presentations:
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| Posted in PIC News & Updates |
| January 23rd, 2009 |
| Constructing the New Service Paradigm – Nancy Thaler |
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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.
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| Posted in DD News & Updates |
| January 23rd, 2009 |
| Constructing the New Service Paradigm |
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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 |
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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.
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| Posted in SA News & Updates |
| January 15th, 2009 |
| Reclaiming Futures |
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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.
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| Posted in SA Presentations |
| October 20th, 2008 |
| Understanding Consumer-Run Services – Mark Holter |
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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.
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| Posted in MH News & Updates |
| October 20th, 2008 |
| Understanding Consumer-Run Services |
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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 |
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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.
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| Posted in DD News & Updates |
| August 23rd, 2008 |
| Transitioning From School To Community Services |
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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) |
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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 |
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Media Ready/Media Detective, Janis Kupersmidt, Ph.D., IRT, Durham |
| Posted in SA Presentations |
| February 21st, 2008 |
| Screening, Brief Intervention, Referral and Treatment (SBIRT) |
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Screening, Brief Intervention, Referral and Treatment (SBIRT), Sara McEwen, MD, MPH
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| Posted in SA Presentations |
| February 19th, 2008 |
| Media Ready and Media Detective – Janis Kupersmidt |
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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.
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| Posted in SA News & Updates |
| February 19th, 2008 |
| IMPLEMENTATION PRESENTATION |
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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?”
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| Posted in DD News & Updates, MH News & Updates, SA News & Updates |
| February 19th, 2008 |
| Changing Practice, Changing System |
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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 |
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Screening for substance use problems, providing brief interventions (BIs) for at risk users, referral to treatment.
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| Posted in SA News & Updates |
| February 14th, 2008 |
| Changing Practice, Changing System |
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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 |
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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: |
| Posted in MH News & Updates |
| December 3rd, 2007 |
| Integrating Psychiatric Advance Directives – Eric B. Elbogen |
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Eric B. Elbogen, Ph.D., M.L.S., Department of Psychiatry Forensic Psychiatry Program and Clinic, University of North Carolina School of Medicine
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| Posted in MH News & Updates |
| December 3rd, 2007 |
| Teaching-Family Model – Gary Timbers |
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Gary Timbers, Ph.D. & colleagues, Appalachian Family Innovations and Barium Springs Home for Children
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| Posted in MH News & Updates |
| December 3rd, 2007 |
| Teaching Family Model & Psychiatric Advanced Directives |
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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 |
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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 |
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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 |
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Tools for Transformation: New Opportunities for LME-Provider Partnerships to Improve their Consumer’s Lives |
| Posted in MH Presentations |
| May 14th, 2007 |
| Policies that Enhance the Adoption of New Supports |
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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 |
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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 |
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Karen Lukan and Duncan Munn, Chapel Hill, NC |
| Posted in DD Presentations |
| March 19th, 2007 |
| Medications and Developmental Disabilities |
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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 |
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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 |
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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 |
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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 |
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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 |
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Joan B. Beasley, Ph.D., Consultant and Training, Chestnut Hill, Massachusetts
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| Posted in DD Presentations |
| December 11th, 2006 |
| Pharmacotherapy Treatments for Substance Abuse |
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Ashwin Patkar, M.D., Duke University Medical Center, Durham, NC |
| Posted in SA Presentations |
| December 11th, 2006 |
| North Carolina SFP Implementation Results |
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Sherri Green, Ph.D., Appalachian State University, Boone, NC |
| Posted in SA Presentations |
| December 11th, 2006 |
| Strengthening the Family |
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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 |
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| Posted in MH Presentations |