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

A message from Flo...

  • Events Calendar

    • Events are coming soon, stay tuned!
  • 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.
    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.

    PIC Application
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    Free Online Courses
    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.


    May 3rd, 2011
    Members & Friends of PIC

    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.

      NC PIC Meeting Agenda - May 19, 2011 (133.5 KiB)

    Posted in PIC Events
    January 12th, 2011
    Next NC PIC Meeting

    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.

      John O'Brien Bio (87.4 KiB)

      Meeting Agenda - February 10, 2011 (135.1 KiB)

      Description of a Good and Modern Addictions and Mental Health Service System (48.5 KiB)

    Posted in PIC Events
    November 30th, 2010
    2011 NC PIC Congress

    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:

      2010 NC PIC Congress Meeting Minutes (74.5 KiB)

      Behavioral Health 2010 - Eric Broderick, D.D.S (1,024.0 KiB)

      The Affordable Care Act - Marty Ford (2.4 MiB)

    Posted in PIC Events, PIC News & Updates
    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
    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 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 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
    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

    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.