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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.

    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.


    June 30th, 2011
    SA8 – Buprenorphine Treatment for Opioid Addiction

    Buprenorphine, a partial opioid agonist, suppresses opioid withdrawal symptoms and blocks the effects of other opioids. There are 2 preparations: buprenorphine alone and a combination of buprenorphine and naloxone (an opioid antagonist). As with other medication assisted treatment, buprenorphine treatment should be combined with psychosocial treatment.

      SA8 – Buprenorphine Treatment for Opioid Addiction (181.5 KiB)
    Posted in SA EBP
    June 16th, 2011
    SA7 – Substance Use Disorders in Military Service Members

    Data on the prevalence of problematic drug use among military service members is alarming.  To combat this trend in an effective and timely manner, the best practice recommendations for this growing problem is the promotion of a more sensitive screening and assessment  process capable of identifying “at risk” use behavior before dependence takes root.  This Bulletin introduces readers to the use trends of service members and recommended best practices with this population.

      SA7 – Substance Use Disorders in Military Service Members (206.4 KiB)
    Posted in SA EBP
    May 26th, 2011
    SA6 – Medication Assisted Treatment

    Medication Assisted Treatment (MAT) is best defined as pharmacotherapy coupled with psychosocial treatment.  The evidence in support of the efficacy of MATs is clear: MATs have been shown to reduce mortality, criminal behavior, and serious medical conditions such as hepatitis and HIV.  In addition, MATs are clearly linked to improvements in patient treatment retention, employment, and family stability.

      SA6 - Medication Assisted Treatment (201.7 KiB)
    Posted in SA EBP
    July 27th, 2010
    SA5: The Seven Challenges®

    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. The Seven Challenges is a counseling program designed to assist youth with their drug problems as well as co-occurring psychological problems and life skill deficits. This program is used across the nation and helps counselors to work more effectively with adolescents, many of whom are not voluntarily seeking treatment.

      The Seven Challenges (249.3 KiB)
    Posted in SA EBP
    January 15th, 2010
    SA4: Matrix Intensive Outpatient Treatment

    mh-matrixMatrix was developed in the 1980s by researchers at the UCLA (University of California, Los Angeles) and clinicians at the Matrix Institute on Addictions who found that clients addicted to stimulants were challenging the existing treatment system.

    Together, they looked at the specific problems and behavioral needs of clients in treatment for stimulant abuse and collaborated to develop an effective outpatient service.

      Matrix Intensive Outpatient Treatment (330.1 KiB)
    Posted in SA EBP
    October 29th, 2009
    SA#3: Seeking Safety

    sa-ss 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.

    Research has documented a strong association between PTSD and substance abuse. One-third of people requiring substance abuse treatment have experienced significant traumatic events in their lives. For women seeking treatment the prevalence is even higher (up to 59%).

      SA3 - Seeking Safety (172.4 KiB)
    Posted in SA EBP
    September 9th, 2009
    SA#2: Strengthening Families Program (SFP)

    sa-sfpThe 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.

    A nationally recognized program, SFP has been shown effective by numerous independent research studies and has been implemented worldwide. It was developed in the late 1980s by Karol Kumpfer, Ph.D. through a research grant funded by the National Institute on Drug Abuse. There are now several versions of the original program that accommodate the needs of different age groups and at risk populations.

      SA2 - Strengthening Families Program (SFP) (62.4 KiB)

    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.
    A nationally recognized program, SFP
    has been shown effective by
    numerous independent research
    studies and has
    been implemented
    worldwide. It was
    developed in the
    late 1980s by
    Karol Kumpfer,
    Ph.D. through a
    research grant
    funded by the
    National Institute
    on Drug Abuse.
    There are now
    several versions of
    the original
    program that
    accommodate the
    needs of different age groups and atrisk
    populations.
    Posted in SA EBP
    April 16th, 2009
    SA#1: Contingency Management (CM)

    sa-cm.gifContingency 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.

    CM is based on the well-known theory that behaviors that are reinforced or rewarded will increase in frequency. The term CM comes from the concept that the reward is contingent on the successful achievement of the behavior that will be rewarded. It is a model that is used in nonclinical settings in everyday life: parents give rewards for good grades and employers give promotions for performing well on the job.

      SA1 - Contingency management (CM) (114.5 KiB)
    Posted in SA EBP
    PAGE 1 of 11
    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.