WELCOMEWELCOME

Good Good Morning !Morning !

Welcome to Welcome to Screening and Screening and Assessment of Assessment of COD Instructor COD Instructor TrainingTraining

Ben Camp, M.S.Ed.Ben Camp, M.S.Ed.

Faculty Washington Institute for Faculty Washington Institute for Mental Illness Research and Mental Illness Research and Training COD Case Management Training COD Case Management AcademyAcademy

Faculty Eastern Washington Faculty Eastern Washington UniversityUniversity School of Social WorkSchool of Social Work Alcohol/Drug Studies ProgramAlcohol/Drug Studies Program International & Educational OutreachInternational & Educational Outreach

Before we get started I Before we get started I want you to cwant you to check out the heck out the 3 people sitting nearest to 3 people sitting nearest to you. you.

Some thoughts on Parallel Some thoughts on Parallel ProcessProcess

Engaging training participants is like Engaging training participants is like engaging clients… so much depends on engaging clients… so much depends on it!it!

You all come into this training with skills You all come into this training with skills and knowledge that needs to be and knowledge that needs to be validated.validated.

Training, like therapy, is a dance.Training, like therapy, is a dance. Adult educational issues.Adult educational issues. Staff change and dealing with resistance.Staff change and dealing with resistance. Questions and process.Questions and process.

But enough about But enough about meme

What are you hoping What are you hoping toto

gain from today?gain from today?

Knowing what your Knowing what your participants expect participants expect from the training, from the training,

especially if that is not especially if that is not what you expect to what you expect to

present, can help avoid present, can help avoid a car crash later. a car crash later.

The Adult LearnerThe Adult Learner They are less forgiving about poorly They are less forgiving about poorly

prepared instructors, having prepared instructors, having questionable expertise, and not having questionable expertise, and not having suitable supplementary materials.suitable supplementary materials.

They value their own life experience They value their own life experience (for good reason) and want to share (for good reason) and want to share and discuss it in small groups and as a and discuss it in small groups and as a class.class.

As they know the world to be complex, As they know the world to be complex, they expect to learn multiple ways of they expect to learn multiple ways of solving problems and to have discretion solving problems and to have discretion in applying the materialin applying the material..

They need the opportunity for They need the opportunity for reflection after trying out a new reflection after trying out a new application or method.application or method.

Rote learning just won’t work for Rote learning just won’t work for them.them.

They are practical and are usually They are practical and are usually quite disinterested in theory.quite disinterested in theory.

They demand that the materials have They demand that the materials have immediate utility and relevant immediate utility and relevant application.application.

(Wlodkowski, 1993; Vella, 1994)(Wlodkowski, 1993; Vella, 1994)

It is also important to It is also important to recognize that men recognize that men

and women may learn and women may learn differently.differently.

Dealing With Staff Dealing With Staff “Resistance”“Resistance”

Clinical staff, like clients, may be Clinical staff, like clients, may be ambivalent about change.ambivalent about change.

The presenter needs to “role with The presenter needs to “role with resistance” by validating their resistance” by validating their feelings about change.feelings about change.

It is less about change as it is about It is less about change as it is about being changed.being changed.

Change, in this case, might mean Change, in this case, might mean more work.more work.

Training ContentTraining Content

Break into groups of 3Break into groups of 3 Briefly review TIP 42, Chapter 4Briefly review TIP 42, Chapter 4 Develop a list of what you like Develop a list of what you like

and dislikeand dislike Where are the potential conflict Where are the potential conflict

areas with clinicians you might areas with clinicians you might be training?be training?

Training Modules Training Modules DesignedDesigned

In clusters of five 60 to 90 minute sessions In clusters of five 60 to 90 minute sessions that build on one another. that build on one another.

To provide agencies the ability to present To provide agencies the ability to present this information in a series of in-service this information in a series of in-service trainings.trainings.

So that smaller agencies can combine their So that smaller agencies can combine their staff with other agency staff to deliver these staff with other agency staff to deliver these trainings.trainings.

To provide information over a period of time To provide information over a period of time with assignments between sessions to with assignments between sessions to increases the potential for retention and increases the potential for retention and implementation. implementation.

TIP Chapter 4: AssessmentTIP Chapter 4: Assessment Module I

Introduction to Screening and Assessment of Persons with Co-Occurring Disorders: Overview and Focus on GAIN-SS

Module II Screening and Assessment, Step 1 and Step 2

Module III Screening and Assessment Process: Step 3 – Step 7

Module IV Screening and Assessment Process: Step 8 – Step 12

Case studies, review of relevant appendices, and key considerations in treatment matching.

Module V Case presentation and completion of the GAIN-SS and the 12 Step process

Trainer Resource DiskTrainer Resource Disk

Module Outlines and Trainer NotesModule Outlines and Trainer Notes PowerPoint Presentations for each PowerPoint Presentations for each

ModuleModule RCW 71.05.027RCW 71.05.027: : Integrated Integrated

comprehensive screening and comprehensive screening and assessment for chemical dependency assessment for chemical dependency and mental disorders.and mental disorders.

GAIN-SS 2.0.1GAIN-SS 2.0.1: This pdf file contains a : This pdf file contains a copy of the screening tool adopted by the copy of the screening tool adopted by the state and covered in the training.state and covered in the training.

Trainer Resource DiskTrainer Resource Disk

Perceptions of the Global Perceptions of the Global Appraisal of Individual Needs – Appraisal of Individual Needs – Short Screener (GAIN-SS): A Pilot Short Screener (GAIN-SS): A Pilot Study:Study: GAIN-SS OverviewGAIN-SS Overview

GAIN Cover and Introduction:GAIN Cover and Introduction: This This is the GAIN Manual that provides a is the GAIN Manual that provides a complete description of the full range complete description of the full range of GAIN instruments and additional of GAIN instruments and additional information for interested individuals.information for interested individuals.

Trainer Resource DiskTrainer Resource Disk

Adult Decision Tree for Referral to Adult Decision Tree for Referral to Chemical Dependency Focused COD Chemical Dependency Focused COD Level of Care: Level of Care: Designed to assist clinicians Designed to assist clinicians and case managers make appropriate and case managers make appropriate referrals to the substance abusing COD referrals to the substance abusing COD patient into chemical dependency focused patient into chemical dependency focused COD treatment. COD treatment.

DSM-IV Questions:DSM-IV Questions: (Adapted from the (Adapted from the Modified SADS Interview and Rating Guide; Modified SADS Interview and Rating Guide; Spitzer & Endicott, 1989;and the PANSS Spitzer & Endicott, 1989;and the PANSS Scale (Kay, Fiszbein & Opler, 1987). Scale (Kay, Fiszbein & Opler, 1987).

Trainer Resource DiskTrainer Resource Disk DSM-IV Diagnostic Worksheet:DSM-IV Diagnostic Worksheet: ASAM LOC: ASAM LOC: This is a brief overview of the 6 This is a brief overview of the 6

Dimensions and the Levels of Care of the Dimensions and the Levels of Care of the ASAM Patient Placement Criteria along with a ASAM Patient Placement Criteria along with a more complete description of Level I more complete description of Level I Outpatient Services and Level IV Medically-Outpatient Services and Level IV Medically-Managed Detox and Intensive Inpatient Managed Detox and Intensive Inpatient TreatmentTreatment..

Indicators of Medical Attention:Indicators of Medical Attention: This pdf This pdf file is intended to assist clinicians to file is intended to assist clinicians to determine when a patient is in need of determine when a patient is in need of medical attention to address potential medical attention to address potential withdrawal problems.withdrawal problems.

Trainer Resource DiskTrainer Resource Disk Screening, Assessment, and Treatment Screening, Assessment, and Treatment

Planning for Persons with Co-Occurring Planning for Persons with Co-Occurring Disorders:Disorders: This is a companion document to TIP 42 This is a companion document to TIP 42

Substance Abuse Screening and Assessment Substance Abuse Screening and Assessment Tools: Tools:

Brief Intervention: Brief Intervention: Provides information about Provides information about evidenced-based brief intervention approaches with evidenced-based brief intervention approaches with additional short screens for substance abuse additional short screens for substance abuse problems.problems.

COD Handouts:COD Handouts: This document contains a variety This document contains a variety of information designed to assist clinical staff to of information designed to assist clinical staff to have a broader understanding of the clinical issues have a broader understanding of the clinical issues related to the treatment of COD.related to the treatment of COD.

PTSD:PTSD: Provides additional information about this Provides additional information about this common COD.common COD.

Trainer Resource DiskTrainer Resource Disk

Train The Trainer PresentationTrain The Trainer Presentation COD Train The Trainer COD Train The Trainer

PowerPointsPowerPoints How you staff learn handoutHow you staff learn handout

Trainer recognition and Trainer recognition and validationvalidation

How are you feeling about any of the How are you feeling about any of the followingfollowing The training material to be covered, The training material to be covered, The use of the GAIN-SSThe use of the GAIN-SS Doubts about the training process Doubts about the training process Any aspects of the trainingAny aspects of the training

How do you feel about becoming the How do you feel about becoming the expert?expert?