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

A message from Flo...

    Upcoming Meetings / Events
    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
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    What is the NC PIC?

    Mission
    The mission for the NC PIC is to ensure that each time any North Carolinian—whether a child or an adult, a member of a majority or minority, from an urban or rural area—comes into contact with the DMHDDSAS system will receive excellent care that is consistent with our scientific understanding of what works (New Freedom Commission on Mental Health, 2003).

    The Need
    To improve the lives of clients during the current era of system transformation, North Carolina must focus on the content and quality of services and supports that are offered. Growing evidence finds that even some of the most popular and well disseminated programs are not evidence based and in fact can be counterproductive (Goldman, et al., 2001). The provision of quality services and supports involve the adherence to proven models and fidelity to those specific programs.

    To provide guidance in determining the future evidence based services and supports that will be provided through our public system, the Director of the Division of Mental Health, Developmental Disabilities and Substance Abuse Services has developed the North Carolina Practice Improvement Collaborative.

    Who We Are
    Comprised of representatives of all three disabilities, the NC PIC meets quarterly to review and discuss relevant programs. Annually, the group presents a report of prioritized program recommendations to the Division Director at a public forum. This forum, defined as the North Carolina Practice Improvement Congress, features brief educational descriptions of the practices being recommended by the NC PIC in its report.

    Conducting the Evaluations
    The work of the NC PIC is primarily achieved during quarterly subcommittee meetings. At each meeting, the members review and discuss applications that have been submitted for evaluation. Members will be looking to confirm the completeness of the evidence base. Most importantly, each participant brings a unique perspective to the analysis as they examine the issues that affect the readiness for adoption in our state.