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

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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)

Early reports from clients enrolled in one or more of these evidence-based models have been positive. Staff also expressed their appreciation for the models and for the changes they see in client families. However, over one-year has passed since the initial training of clinicians in the models. New clinicians have been hired and the need for booster sessions for all clinical and prevention staff has been identified. We have learned that successful implementation of evidence-base treatment models requires ongoing training and clinical supervision to assure fidelity to the models. The ability to support services through grant funding or billable service codes is also critical to success. Over the next three years, evaluators for the program will continue to monitor success and challenges for this small demonstration program and lessons learned will be shared.

As a participant from year one stated “I am doing good, I feel good about myself. I started back considering my needs. As for trying to look for work and going to the doctor when I need too. I am also learning to take my medication as prescribed. They gave me a place to stay and took me in when my own family would not. My children are being taken care of the proper way and last but not least I have people supporting me along the way.”

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