| September 1st, 2009 |
| Kana Enomoto Challenges North Carolina |
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 |
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Flo A. Stein, MPH NC PIC Project Manager Chief, Community Policy Management Division of MH/DD/SAS |
Events Calendar
- Events are coming soon, stay tuned!
| EBP Quick Links |
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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. |
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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. |
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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. |
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MH#4: Family Psychoeducation Mental Health Bulletin #4 - Persons with severe mental illness (SMI) often rely on family members for the majority of their needed support, and it is estimated that 35-60% of adults with SMI live with family members. |
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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. |
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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. |
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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. |
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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. |
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SA#5: The Seven Challenges Substance Abuse Bulletin #5 - The Seven Challenges program was developed in the early 1990s by Dr. Robert Schwebel who recognized the lack of age appropriate substance abuse treatment models for adolescents. |
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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. |
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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. |
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| The Medical University of South Carolina (MUSC) offers free training and resources on a variety of topics, including cognitive processing therapy and trauma-focused cognitive based therapy (TF-CBT) (http://tfcbt.musc.edu/). Developed by Patricia Resick, Ph.D., in 1991, Cognitive Processing Therapy (CPT) is a manualized cognitive based therapy offered in 12 sessions. Clients complete worksheets and homework assignments to gain further understanding and insight about past traumatic events. In addition to the MUSC website, more detail about CPT can be found here. Developed in the early 1980s by Cohen, Deblinger, and associates, TF-CBT is a psychosocial treatment model designed to treat posttraumatic stress and related emotional and behavioral problems in children and adolescents. The treatment model is designed to be delivered by trained therapists in 12-16 sessions of individual and parent-child therapy. Click here for more information. |
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.
