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

A message from Flo...

    Upcoming Meetings / Events
    SA PIC Meeting
    March 05, 2010 [Fri]
    MH PIC Meeting
    March 17, 2010 [Wed]
    DD PIC Meeting
    March 26, 2010 [Fri]
    PIC Congress
    May 13, 2010 [Thu]

    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.
    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.
    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
    Download


    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 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.

    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 (330.0 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