CANADIAN RESEARCH IN DUAL DIAGNOSIS: TRANSLATING INTO ACTION November 16, 2012
|
|
- Godfrey Mills
- 8 years ago
- Views:
Transcription
1 CANADIAN RESEARCH IN DUAL DIAGNOSIS: TRANSLATING INTO ACTION November 16, 2012 Susan Morris, BSW, MSW, RSW Clinical Director Dual Diagnosis Service Krish Dhir, BComm, BSW, MSW (Candidate)
2 Workshop Objectives To review recent Canadian clinical and system research findings in relation to dual diagnosis To discuss the application of these findings in day to day practice 1 1
3 My story I m a KU = Knowledge User 2 2
4 3 3
5 A review of Canadian research on intellectual and developmental disabilities and mental health issues, Journal of Mental Health Research in Intellectual Disabilities, Lunsky, Y., Lake, J., Balogh, R., Weiss, J., Morris, S. (In press) 4 4
6 Autism and mental illness in young adults Aging family caregivers Paid caregiver burn out Emergency department visits Aging, Depression and Alzheimer s disease Dual Diagnosis policy Topic Areas 5
7 Caveats A statistic can be found to support just about any argument All studies have strengths and limitations e.g. size, tools, where sample is drawn from Today is just a taste 6 6
8 Autism & Mental Ilness in Young Adults 1. Individuals aged with ASD and IDD are more likely to experience anxiety, mood, sleep, organic syndromes and steriotypies/tics than those with IDD without Autism (Bradley et al, 2004) 2. Autism with Severe ID (< 40 IQ) 4 x more likely to experience clinically significant disturbances in relation to anxiety, mood, sleep, organic syndromes and steriotypies/ticks (Bradley et al, 2004) 3. Teenagers with ID and autism have higher rates of episodic psychiatric disorders (mood, psychosis) than those with ID alone (Bradley, 2006) 4. Individuals with autism often present with a complex mix of behavioural and psychiatric problems that require treatment with several drugs (Bradley, 2006) 7 7
9 Knowledge Uses Inquire about adult persons history of mental illness, behaviours, and medication use regardless of functioning level Obtain discharge summaries or assessments from previous services and health care providers to understand history and facilitate information exchange with new providers Understand the purpose of medications and expected impact on symptoms Establish good relationships with specialists Watch for clinical screening tools Advocate for more research on adults!! 8 8
10 Aging Family Caregivers 1. Three most stressful concerns of parents, regardless of parent age: accommodation (84%) formal supports e.g. emotional and social support (64%) opportunities to make friends and participate ( 56%) 2. Living in community or family home did not change these concerns 3. Clinical depression associated with maladaptive behaviour of adult child, self perceptions of aging and service use (Minnes et al, 2004) 4. Complex relationship between social / formal supports, maladaptive behaviour, carer self-appraisal of stress, aging and health e.g. effect of services on the relationship between maladaptive behaviour and caregiver depression (Minnes et al, 2007) 9 9
11 Knowledge uses Awareness that parents continue to worry about the future even after an adult child is placed Learn about family caregivers perception of own aging, health and stress Encourage self-care and provide support for family caregivers to to access services Learning about earlier family experiences with services and funders may help to achieve positive relationship between caregiver and service providers Use clinical screening tools 10 10
12 Paid Caregiver Burn Out 1. Residential/Respite/Day Programs experience more frequent and severe aggression (= injury) 2. Day Program and SIL staff most represented among the highest burn out scores nearly daily aggression and more severe aggression 3. Approximately half of all paid caregivers report experiencing emotional problems. 4. Between 7% and 24% may be burnt out or at risk, and. 5. Only 50% of those with emotional difficulties accessed agency resources (Hensel et al., 2011; 2012) 11
13 Knowledge Uses Debriefing protocol after incidents to check-in on emotional well-being, trouble shoot and adjust environment and/or protocols Regular discussion and assessment of staff needs through clinical supervision, team meetings, questionnaires Organization level monitoring of frequency and severity of incidents Offer skill training and staff development re self-care 12 12
14 Emergency Department Visits 1. 1 out of 2 adults with dual diagnosis are likely to visit the ED at least once in a 2 year period (medical/psychiatric) (Lunsky et al, 2011) 2. Adults with a dual diagnosis are 3-4 x more likely to be frequent visitors to ED than the general population (Lunsky et al, 2011) 3 Most frequent life events associated with ED visit Move of house or residence Serious problem with family, friend or caregiver Problem with police or other caregiver Unemployed for more than a month Recent trauma or abuse Drug or alcohol problem (Lunsky & Elserafi, 2011) 13 13
15 Knowledge uses Pre-planning for crisis prevention and management of anticipated life events Recognize the first emergency visit is an indictor of possibly more in the future take a step back and review individual needs, access specialized assessment / treatment, and/or better prepare for the next visit, should it need to occur People with DD need crisis prevention and management plans and access to appropriate community support and resources
16 Aging, Depression & Alzheimer's Disease Dementia 5 % prevalence among age group with Dev. Dis (vs 1.3 % Non DD) 4 % prevalence among 55 + age group with Dev. Dis (vs 3.4% Non DD) Depression 42 % prevalence among age group with Dev. Dis (vs. 20% Non DD) 39% prevalence of depression among 55 + age group (vs. 20 % Non DD) (Shooshtari, 2011) 15
17 Knowledge Uses Share this information with health care professionals, including family physicians to encourage early detection, screening and assessment of mental health conditions and problems common among persons with developmental disabilities Engage persons with Dev. Dis. in healthy lifestyles to prevent or deter early onset of mental health conditions e.g. physical activity, mental leisure activities, and social inclusion and participation, job opportunities and good nutrition Learn about indicators of depression and dementia in developmental disabilities e.g. DM-ID adapted criteria Watch for clinical screening tools 16 16
18 Dual Diagnosis Policy Only 4 of 13 Canadian provinces/territories have specific IDD legislation 6 regions have broad disability legislation that may include IDD All regions have mental health legislation and 5 exclude IDD. Only 4 regions have dual diagnosis policies (Gough & Morris, 2012) 17 17
19 Knowledge uses Statutory gap is another example of marginalization Advocate for inclusion in legislation regions with specific IDD legislation may fare better in relation to dual diagnosis services and supports than those with broader legislation or no legislation Consider the benefits of broad disability legislation (provides strict equality across disabilities) in relation to the potential lack of benefits for those with more complex needs 18 18
20 Strengths Epidemiological study (Bradley) Large sample size (Bradley, Shooshtari, Lunsky; Hensel) Administrative data (Shooshtari, Lunsky) Multiple and validated measures used to assess target population (Bradley, Minnes, Hensel) Results that are consistent and/or add to existing evidence (all) 19 19
21 Limitations Small sample sizes (Minnes, Bradley) Administrative data (Lunsky, Shooshtari) Accuracy of diagnosis Excludes those not accessing services Administrative vs. True prevalence Convenience sample or voluntary subjects (Minnes, Hensel, Gough) 20
22 To be an effective knowledge user Read peer reviewed journals Read more than 1 article on a subject Look for opportunities to discuss readings, hear researchers speak Review the bibliography for related articles 21
23 What can you do over the next 3 months to become a more effective knowledge user? 22 22
Goal setting and interventions to improve engagement in self care, productivity (i.e., work) & leisure (e.g., sports, exercise, hobbies) activities.
Care Cluster: 2 Non-psychotic (Low Severity with greater need) self engage in & interaction engage in Work Assessment Work Work readiness productivity (work) & engage in & interaction within engagement
More informationPennsylvania Dual Diagnosis Direct Support Curriculum Training Summaries
Pennsylvania Dual Diagnosis Direct Support Curriculum Training Summaries The PA Dual Diagnosis Direct Support Curriculum Initiative The commonwealth of Pennsylvania, Office of Mental Health and Substance
More informationSocial and Emotional Wellbeing
Social and Emotional Wellbeing A Guide for Children s Services Educators Social and emotional wellbeing may also be called mental health, which is different from mental illness. Mental health is our capacity
More informationHertfordshire s Access to Social Care Support for Disabled Children and Children with Additional Needs. May 2014
Hertfordshire s Access to Social Care Support for Disabled Children and Children with Additional Needs. May 2014 1 Introduction As a parent or professional it is useful to know: How disabled children and
More informationPatricia Beldotti, Psy.D. Email: drbeldotti@aol.com Tel: 520-404-7553 Web: www.drbeldotti.com
Patricia Beldotti, Psy.D. Email: drbeldotti@aol.com Tel: 520-404-7553 Web: www.drbeldotti.com Assessment Costs I understand that assessment needs differ and that these assessments can be costly, especially
More informationMental Health Policy for Students. 1. Purpose
Mental Health Policy for Students 1. Purpose The purpose of this policy is to outline the University s position on mental health support to students and the action that the University will take to respond
More informationAn overview of Intellectual Developmental Disability Functioning levels of Mental Retardation/Intellectual Disability Autism
An overview of Intellectual Developmental Disability Functioning levels of Mental Retardation/Intellectual Disability Autism Intellectual/Developmental Disability (IDD) - indicates an overall intellectual
More informationAntisocial personality disorder
Understanding NICE guidance Information for people who use NHS services Antisocial personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases
More informationGREY BRUCE DUAL DIAGNOSIS PROGRAM. A Successful Community Collaboration Model
GREY BRUCE DUAL DIAGNOSIS PROGRAM A Successful Community Collaboration Model DEFINITION OF DUAL DIAGNOSIS People with a dual diagnosis have 2 specific diagnoses: 1) a developmental disability and 2) mental
More informationAddiction Billing. Kimber Debelak, CMC, CMOM, CMIS Director, Recovery Pathways
Addiction Billing Kimber Debelak, CMC, CMOM, CMIS Director, Recovery Pathways Objectives Provide overview of addiction billing contrasting E&M vs. behavioral health codes Present system changes in ICD-9
More informationNeeds Identification and Development of Specialized Services for Persons with a Dual Diagnosis within the Province of Ontario
Needs Identification and Development of Specialized Services for Persons with a Dual Diagnosis within the Province of Ontario Tony Vipond Marnie McDermott Canadian Statistics There are more than 300,000
More informationDual Diagnosis or Dual Confusion: Limitations When Utilizing Non-specialist Clinical Data. Abstract
JOURNAL ON DEVELOPMENTAL DISABILITIES, VOLUME 13 NUMBER 1, 2007 Dual Diagnosis or Dual Confusion: Limitations When Utilizing Non-specialist Clinical Data Yona Lunsky and Elspeth Bradley Abstract In this
More informationTier 3/4 Social Work Services
Children s Services key guidelines 2010 Information from Southampton City Council The threshold criteria for accessing Tier 3/4 Social Work Services Introduction Information sharing is as important as
More information3.5 Guidelines, Monitoring and Surveillance of At Risk Groups
3.5 Guidelines, Monitoring and Surveillance of At Risk Groups 3.5.6 Children of Parents who are Affected by Drug and Alcohol Misuse Background There is overwhelming evidence that the misuse of drugs and
More informationCommunity and Social Services
Developing a path to employment for New Yorkers with disabilities Community and Social Services Mental Health and Substance Abuse Social Workers... 1 Health Educators... 4 Substance Abuse and Behavioral
More informationComparison of Two Dual Diagnosis Tracks: Enhanced Dual Diagnosis versus Standard Dual Diagnosis Treatment Report Date: July 17, 2003
Comparison of Two Dual Diagnosis Tracks: Enhanced Dual Diagnosis versus Standard Dual Diagnosis Treatment Report Date: July 17, 2003 Objective: To compare treatment outcomes and treatment costs for four
More informationADHD and Autism (and everything else in between) Dr Ankit Mathur Consultant Community Paediatrician
ADHD and Autism (and everything else in between) Dr Ankit Mathur Consultant Community Paediatrician Objectives Community Paediatric service pathways Importance of these conditions Case studies Differential
More informationBackground: Previous Research
OUTCOME TRAJECTORIES FOR YOUTH SERVED IN RESIDENTIAL TREATMENT FACILITY SETTINGS OR THE COMMUNITY THROUGH THE HOME AND COMMUNITY BASED SERVICES MEDICAID WAIVER Office of Performance Measurement & Evaluation
More informationadaptations whenever possible, to prevent or reduce the occurrence of challenging behaviours.
POSITION STATEMENT on Management of Challenging Behaviours in People with Dementia 1. AIM OF THE POSITION STATEMENT This position statement applies to people living in supported accommodation and those
More informationOptum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines
Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Therapeutic group care services are community-based, psychiatric residential treatment
More informationTargeted health interventions for each individual school. Develop health needs assessment for each secondary and primary school
School profiles Aim Targeted health interventions for each individual school Develop health needs assessment for each secondary and primary school Work with school to develop a school action plan based
More informationASD, ABA and Impact on Caregiver Burden. Erin Nolan & Fletcher Wood
ASD, ABA and Impact on Caregiver Burden Erin Nolan & Fletcher Wood Family Match ALEX, 6 Max, 6 Background Family Match Growing numbers of children identified with autism (suggested 1 in 50 by CDC). ABA
More informationImproving the Rehabilitation and Recovery Service Model in Leeds
Improving the Rehabilitation and Recovery Service Model in Leeds Presenters: Emma Brown (Care Coordinator) James Byrne (Recovery Worker Leeds Mind) Nigel Whelan (Care Coordinator) Introduction Provide
More informationWide Bay Respite Services Supporting the caring role of families. Service Management Policy
Service Management Policy Organisation Structure Flowchart Legislation / Industry Standards Department of Communities, Child Safety & Disability Services (Funding Body) Board of Management Other Agencies
More informationBehavioral Health Best Practice Documentation
Behavioral Health Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: DSM-5 and ICD-10 Codes Major Depressive Disorder Bipolar Disorder Eating
More informationWashington State Regional Support Network (RSN)
Access to Care Standards 11/25/03 Eligibility Requirements for Authorization of Services for Medicaid Adults & Medicaid Older Adults Please note: The following standards reflect the most restrictive authorization
More informationDual Diagnosis Treatment Team (DDT T)
Dual Diagnosis Treatment Team (DDT T) Objectives To gain an overall understanding of the structure of the DDTT To understand the dynamics of this team s approach To understand the effectiveness of this
More informationCrosswalk to DSM-IV-TR
Crosswalk to DSM-IV-TR Note: This Crosswalk includes only those codes most frequently found on existing CDERs. It does not include all of the codes listed in the DSM-IV-TR nor does it include all codes
More informationContents. Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started How to Find Us
Lakeside Clinic Contents Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started How to Find Us Overview At some point in their lives, as many as one-in-five
More informationINTRODUCTION...2 GUIDING PRINCIPLES...3 PURPOSE...3 FRAMEWORK FOR THE DELIVERY OF MENTAL HEALTH AND DISABILITY SERVICES IN QUEENSLAND...
TABLE OF CONTENTS INTRODUCTION...2 GUIDING PRINCIPLES...3 PURPOSE...3 FRAMEWORK FOR THE DELIVERY OF MENTAL HEALTH AND DISABILITY SERVICES IN QUEENSLAND...4 WHO SHOULD USE THE GUIDELINES...6 COMMUNICATION
More informationHow To Treat A Mental Illness At Riveredge Hospital
ABOUT US n Riveredge Hospital maintains the treatment philosophy of Trauma Informed Care. n Our commitment to providing the highest quality of care includes offering Animal Assisted Therapy, and Expressive
More informationCommonwealth of Massachusetts Executive Office of Health and Human Services
Commonwealth of Massachusetts Executive Office of Health and Human Services Assisting Individuals with Autism and other Intellectual or Developmental Disabilities DEPARTMENT OF DEVELOPMENTAL SERVICES Victor
More informationREFERRAL INFORMATION CHILD, YOUTH AND FAMILY PROGRAM
Please Note the following information: WE DO NOT OFFER EMERGENCY OR CRISIS SERVICE Please print clearly and ensure contact information is correct. Complete all forms. We will contact the family to set
More informationHow To Help A Family With Dementia
NHS Highland area: Specialist dementia support for families, carers & communities Research Project Executive Summary Supported by Argyll & Bute Council, the Highland Council and NHS Highland 1. Introduction
More informationSOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working
More informationU.S. Bureau of Labor Statistics
U.S. Bureau of Labor Statistics Social Workers Summary Social workers help people in every stage of life cope with challenges, such as being diagnosed with depression. 2012 Median Pay Entry-Level Education
More informationCHC52015 Diploma of Community Services
CHC52015 Diploma of Community Services Release 1 CHC52015 Diploma of Community Services Modification History Release Release 1 Comments This version was released in CHC Community Services Training Package
More informationPlanning Services for Persons with Developmental Disabilities and Mental Health Diagnoses
Planning Services for Persons with Developmental Disabilities and Mental Health Diagnoses Persons with Intellectual Disabilities (ID) have mental disorders three to four times more frequently than do persons
More informationCrisis prevention and management tool
Crisis prevention and management tool INTRODUCTION In September 2005, the Dual Diagnosis Resource Service (DDRS) at the Centre for Addiction and Mental Health (CAMH), the Griffin Community Support Network
More information[KQ 804] FEBRUARY 2007 Sub. Code: 9105
[KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A
More informationDrugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia
Drugs Stress Medical Illness PSYCHOSIS Depression Schizophrenia Mania Disorders In preschool children imaginary friends and belief in monsters under the bed is normal (it may be normal in older developmentally
More informationIMPROVING YOUR EXPERIENCE
Comments trom the Aberdeen City Joint Futures Brain Injury Group The Aberdeen City Joint Futures Brain Injury Group is made up of representatives from health (acute services, rehabilitation and community),
More informationBackground. Provincial Teacher Resource List 2015-2016. Please Note:
Provincial Teacher Resource List 2015-2016 Background The purpose of this list is to help teachers and schools promote a Comprehensive School Health (CSH) approach in a classroom setting. CSH is an internationally
More informationThursday September 23 rd 11:30 AM to 12.45 PM Kerhonkson, New York.
NYAPRS 28 TH Annual Conference Integrating Mental Health and Addiction Recovery into our Lives and Systems Presenter: John Challis B.A., B.S.W., Dip Teach. Director of Technical Assistance Thursday September
More informationDefinition of Terms. nn Mental Illness Facts and Statistics
nn Mental Illness Facts and Statistics This section contains a brief overview of facts and statistics about mental illness in Australia as well as information that may be useful in countering common myths.
More informationHow To Be An Fht Nurse Practitioner
JOB DESCRIPTION Position Title: Program: Service: Accountable to: FHT NURSE PRACTITIONER Family Health Team Health Family Health Team Manager Issued By: Date Revised: June 18, 2007 Date Issued: Classification:
More informationAssessments and the Care Act
factsheet Assessments and the Care Act Getting help in England from April 2015 carersuk.org factsheet This factsheet contains information about the new system of care and support that will come into place
More informationRelease: 1. HLTEN515B Implement and monitor nursing care for older clients
Release: 1 HLTEN515B Implement and monitor nursing care for older clients HLTEN515B Implement and monitor nursing care for older clients Modification History Not Applicable Unit Descriptor Descriptor This
More informationDSM-5: A Comprehensive Overview
1) The original DSM was published in a) 1942 b) 1952 c) 1962 d) 1972 DSM-5: A Comprehensive Overview 2) The DSM provides all the following EXCEPT a) Guidelines for the treatment of identified disorders
More informationPresently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1
What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated
More informationPublic Consultation 2009 Submission to the Second Independent Monitoring Group for A Vision for Change
Public Consultation 2009 Submission to the Second Independent Monitoring Group for A Vision for Change Response of the National Council for the Professional Development of Nursing and Midwifery The National
More informationMagistrates Court Diversion Program. Sue King Manager, Intervention Programs April 2011
Magistrates Court Diversion Program Sue King Manager, Intervention Programs April 2011 Program Aims 1) Provide assistance to the court in the identification and management of defendants with mental impairment.
More informationIntensive Customized Care Coordination Transaction
Transaction Code Detail Code Mod 1 Mod 2 Mod 3 Mod 4 Rate Code Communitybased wraparound Community-based wrap-around services H2022 HK services, monthly Unit Value 1 month Maximum Daily Units Initial 12
More informationTraumatic Stress. and Substance Use Problems
Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people
More informationPOLL. Co-occurring Disorders: the chicken or the egg. Objectives
Co-occurring Disorders: the chicken or the egg Christopher W. Shea, MA, CRAT, CAC-AD Clinical Director Father Martin s Ashley Havre de Grace, Maryland chrismd104@yahoo.com Objectives To identify what is
More informationSCHOOL MENTAL HEALTH RESPONSE GUIDELINES
1 SCHOOL MENTAL HEALTH RESPONSE GUIDELINES The School Mental Health Response Staff may consist of a variety of members of the school s SBSLT (School Based Support Learning Team), including but not limited
More informationFebruary 25, 2015. Summary
February 25, 2015 Director Public Service Bodies and Government Division Excise and Gst/Hst Rulings Directorate Canada Revenue Agency 14 th Floor, Place de Ville, Tower A 320 Queen Street Ottawa, ON K1A
More informationEARLY INTERVENTION AND PREVENTION STRATEGY 2012-15 Summary
EARLY INTERVENTION AND PREVENTION STRATEGY 2012-15 Summary Plymouth Children, Young People and Families Partnership INTRODUCTION Why do we need early intervention in Plymouth? We know that effective early
More informationDual Diagnosis Capability
Checklist: Dual Diagnosis Capability Agency / Service Level A tool for any Mental Health or Substance Treatment service to self-assess, reflect on and plan around their service s level of dual diagnosis
More informationAntidepressant Skills @ Work Dealing with Mood Problems in the Workplace
Antidepressant Skills @ Work Dealing with Mood Problems in the Workplace Dr. Joti Samra PhD, R.Psych. Adjunct Professor & Research Scientist CARMHA www.carmha.ca Dr. Merv Gilbert PhD, R.Psych. Principal
More informationOccupational Therapy - Urgent Care Service South Tyneside
Occupational Therapy - Urgent Care Service South Tyneside Profile of Learning Opportunities February 2010 GUIDANCE FOR STUDENTS AND EDUCATORS This profile is a comprehensive document, detailing all the
More informationWelcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders
Welcome New Employees Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders After this presentation, you will be able to: Understand the term Serious
More informationTable of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression
Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 16,000 topics and the volumes in which they are covered. Preface...xv
More informationPostpartum Depression (PPD) Beth Buxton, LCSW Massachusetts Department of Public Health beth.buxton@state.ma.us
Postpartum Depression (PPD) Beth Buxton, LCSW Massachusetts Department of Public Health beth.buxton@state.ma.us Mental Health Disorders An estimated 57.7 million adults (26.2% of adult population) suffer
More informationTexas Resilience and Recovery
Texas Resilience and Recovery Utilization Management Guidelines Child & Adolescent Services Texas Resilience and Recovery Utilization Management Guidelines: Child and Adolescent Services Effective September
More informationSCDLMCB3 Lead and manage the provision of care services that deals effectively with transitions and significant life events
Lead and manage the provision of care services that deals effectively with transitions and significant life events Overview This standard identifies the requirements associated with leading and managing
More informationSHARC would like thank the committee for the opportunity to appear before you today and to contribute to this important Inquiry.
Presentation by the Self Help Addiction Resource Centre (SHARC) to the Law Reform, Drugs & Crime Prevention Committee into the Inquiry into supply and use of methamphetamines, particularly ice. Monday
More informationBeth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com
Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com EDUCATION 1992: M.A in, Art Therapy, Norwich University, Vermont, U.S.A, 1990: B.F.A., with major in art education, Concordia University,
More informationWorking together to improve outcomes for children and families. Needs, thresholds and pathways Guidance for Camden s children s workforce
Working together to improve outcomes for children and families Needs, thresholds and pathways Guidance for Camden s children s workforce Universal, and Specialist Services: responding to the needs of Camden
More informationPROVINCIAL NETWORKS OF SPECIALIZED CARE CENTRAL REGION EDUCATION EVENTS
www.community-networks.ca PROVINCIAL NETWORKS OF SPECIALIZED CARE CENTRAL REGION EDUCATION EVENTS Updated October 03, 2010- Subject to change. Please ensure you are referring to the most recent calendar
More informationIdentifying Individuals with a Dual Diagnosis and Substance Misuse
Identifying Individuals with a Dual Diagnosis and Substance Misuse Presented by the Dual Diagnosis Substance Misuse Committee 1 Goal of Presentation To raise awareness To assist staff to identify individuals
More informationInitial Evaluation for Post-Traumatic Stress Disorder Examination
Initial Evaluation for Post-Traumatic Stress Disorder Examination Name: Date of Exam: SSN: C-number: Place of Exam: The following health care providers can perform initial examinations for PTSD. a board-certified
More informationBorderline personality disorder
Understanding NICE guidance Information for people who use NHS services Borderline personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases
More informationNEW YORK STATE TEACHER CERTIFICATION EXAMINATIONS
NEW YORK STATE TEACHER CERTIFICATION EXAMINATIONS TEST DESIGN AND FRAMEWORK September 2014 Authorized for Distribution by the New York State Education Department This test design and framework document
More informationSocial Worker Overview The Field - Preparation - Day in the Life - Earnings - Employment - Career Path Forecast - Professional Organizations
Social Worker Overview The Field - Preparation - Day in the Life - Earnings - Employment - Career Path Forecast - Professional Organizations The Field Social work is a profession for those with a strong
More informationAuthor: ADPH, SLOUGH June 2014 adapted from RBWM template 1
CHILD AND ADOLESCENT MENTAL HEALTH SERVICES, Tier 1, 2, 3 & 4, available to SLOUGH Children, Young People Schools. Areas of Need* Tier 1 Tier1/2 Tier 2 Tier3/4** *Taken from: Guidance for commissioners
More informationMayor s Round Table on Mental Health and Addictions
Mayor s Round Table on Mental Health and Addictions Addressing serious mental health and addictions and the health of our City October 2, 2013 Media Resource Part 1 Seriously Addicted & Mentally Ill (SAMI)
More informationYouth Mental Health Training
North Dakota Department of Public Instruction Youth Mental Health Training 2015 Senate Bill (SB) 2048, introduced and passed during the 2015 North Dakota legislative session, creates a school-wide response
More informationRESIDENTIAL TREATMENT CENTER (RTC)
RESIDENTIAL TREATMENT CENTER (RTC) Service Description Residential Treatment Center (RTC) IOS provides 24-hour staff supervised all-inclusive clinical services in a community-based therapeutic setting
More informationPsychological outcomes for women following abortion. Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK
Psychological outcomes for women following abortion Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK Abortion Difficult decision Different reasons for abortion Different
More information2. The Aims of a Dual Diagnosis Accommodation Based Support Service
SERVICE SPECIFICATION FOR: Dual Diagnosis Mental Health and Substance Misuse Supported Housing Service The specification describes the Service to be delivered under the Steady State Contract for Provision
More informationDepression in Adults
Depression in Adults A chapter of Croydon s mental health Joint Strategic Needs Assessment 2012/13 Health and Wellbeing Board 5 December 2012 Bernadette Alves, Locum Consultant in Public Health Croydon
More informationMental Health Needs Assessment Personality Disorder Prevalence and models of care
Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual
More informationSpecialist mental health service components
Specialist mental health service components The specialist public mental health system consists of clinical services and psychiatric disability rehabilitation and support services (PDRSS). Clinical mental
More informationThe Field of Counseling
Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration
More informationMartha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor
Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor General uneasiness to panic attacks and phobias Excessive fears and worries, feelings of restlessness Continual
More informationProgram of Study: Bachelor of Science in Counseling with an Emphasis in Addiction, Chemical Dependency, and Substance Abuse
Program of Study: Bachelor of Science in with an Emphasis in Addiction, Dependency, and Substance Abuse Program Description The Bachelor of Science in with an Emphasis in Addiction, Dependency, and Substance
More informationTARGET DATE for completion of this MAPPING is November 30, 2011.
The Behavioral Health Planning Council s Adult and Substance Abuse Subcommittees have undertaken the task of putting together a statewide services directory. The goal of this project is to secure information
More informationThe Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the
Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration
More informationAs the State Mental Health Authority, the office of Mental Health has two main functions:
NYSOMH Mission The mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a particular focus on providing hope and recovery for adults with serious
More informationhttp://www.bls.gov/oco/ocos060.htm Social Workers
http://www.bls.gov/oco/ocos060.htm Social Workers * Nature of the Work * Training, Other Qualifications, and Advancement * Employment * Job Outlook * Projections Data * Earnings * OES Data * Related Occupations
More informationmental health-substance use
mental health-substance use recognition and effective responses from General Practice Gary Croton Eastern Hume Dual Diagnosis Service www.dualdiagnosis.org.au This talk: 25 minutes The territory 5 minutes
More informationMental Disorders (Except initial PTSD and Eating Disorders) Examination
Mental Disorders (Except initial PTSD and Eating Disorders) Examination Name: Date of Exam: SSN: C-number: Place of Exam: The following health care providers can perform initial examinations for Mental
More informationClinical Training Guidelines for Co-occurring Mental Health and Substance Use Disorders
Winnipeg Region Co-occurring Disorders Initiative Clinical Training Guidelines for Co-occurring Mental and Substance Use Disorders September 2003 Clinical Training Guidelines for Co-occurring Mental and
More informationCo-Occurring Disorders: A Basic Overview
Co-Occurring Disorders: A Basic Overview What is meant by Co-Occurring Disorders (COD)? Co-Occurring Disorders (COD) refers to two diagnosable problems that are inter-related and occur simultaneously in
More informationMental Health Ombudsman Training Manual. Advocacy and the Adult Home Resident. Module V: Substance Abuse and Common Mental Health Disorders
Mental Health Ombudsman Training Manual Advocacy and the Adult Home Resident Module V: Substance Abuse and Common Mental Health Disorders S WEHRY 2004 Goals Increase personal comfort and confidence Increase
More informationGuidance to support the Levels of Need poster
Guidance to support the Levels of Need poster V.1 Approved by Cheshire East Safeguarding Children Board 24 th January 2014 1 Introduction This Framework aims to provide all professionals working with children
More informationIntellectual/Developmental Disabilities and the Services Provided by the Alliance Provider Network
Intellectual/Developmental Disabilities and the Services Provided by the Alliance Provider Network How NC Defines I/DD A severe, chronic disability of a person: Attributable to a mental or physical impairment
More informationOptum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines
Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Statewide Inpatient Psychiatric Program Services (SIPP) Statewide Inpatient Psychiatric
More informationRecommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists
Recommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists These recommended competency enhancement statements are not
More information