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.
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.
Motivational Interviewing (MI) is a therapeutic style that addresses client ambivalence and enhances motivation for positive change. MI is a particularly effective strategy for enhancing and maintaining client engagement in treatment.
Motivational Enhancement Therapy (MET) is a specific application of MI developed by Dr. Miller for use in the treatment of substance use disorders. Numerous studies have shown that MET reduces the intensity of drinking behavior in a number of diverse populations.
Person-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).
From the Battlefront to the Home Front and Back Again
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
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
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.
An Integrated Approach to Working with People with Traumatic Brain Injury
Jim Hardiman MSW, LCSW, CSAC, Clinical Director at Virginia NeuroCare and the Regional Care Coordinator for the Defense and Veterans Brain Injury Center
Motivational 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”
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.
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.
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.
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.
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
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.