STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. 1. Co-occurring Disorders (MHSA funding)
a. Contractor will continue participation as a Change Agent and will participate in monthly activities to effect the changes necessary to maintain and enhance Co- occurring Disorders (COD) capability.
b. Based on Contractor self-assessment utilizing the COMPASS, (Co-morbidity Program Audit and Self-Survey for Behavioral Health Services) Contractor will continue implementation of COMPASS action plan as recommended by the CCISC. Contractor will provide quarterly progress on implementation.
c. Contractor will work to improve COD outcomes by providing the following:
i. Contractor will focus on increasing the average length of stay of residential clients with co-occurring disorders by 23% annually through a quality improvement process.
ii. Contractor will work with Mental Health to implement joint case conferencing sessions with co-occurring clients as a way to improve treatment
iii. retention/client outcomes.
iv. Contractor program counselors/staff will complete and implement a minimum of two (2) trainings in the areas of co-occurring disorders per fiscal year, during the term of the contract.
v. All program staff/counselors will complete a minimum of one training focusing on eating disorders and will incorporate the skills and knowledge gained as part of the treatment program by June 30, 2010.
vi. Contractor program counselors/intake counselors will implement and consistently use the updated intake screening form as a tool to identify mental health issues in clients early in treatment.
vii. Contractor will provide AOD updates of trainings received and the implementation of trainings received on a quarterly basis.
STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. 1. Co-occurring Disorders
a. Contractor will continue participation as a Change Agent and will participate in monthly activities to effect the changes necessary to maintain and enhance Co-occurring Disorders (COD) capability.
b. Based on Contractor self-assessment utilizing the COMPASS, (Co-morbidity Program Audit and Self-Survey for Behavioral Health Services) Contractor will continue implementation of COMPASS action plan as recommended by the CCISC. Contractor will provide quarterly progress on implementation.
c. Contractor will work to improve COD outcomes by providing the following:
i. Contractor will use a Quality Improvement process to attempt to increase both enrollment and retention of clients with co-occurring disorders by 5% each.
STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. Co-occurring Disorders
STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. 1. Co-occurring Disorders
a. Contractor will continue participation as a Change Agent and will participate in monthly activities to effect the changes necessary to maintain and enhance Co- occurring Disorders (COD) capability.
b. Based on Contractor self-assessment utilizing the COMPASS, (Co-morbidity Program Audit and Self-Survey for Behavioral Health Services) Contractor will continue implementation of COMPASS action plan as recommended by the CCISC. Contractor will provide quarterly progress on implementation.
c. Contractor will work to improve COD outcomes by providing the following: Sitike has increased counselor’s clinical capability and ability to identify and work with clients with co-occurring disorders. Sitike will increase the retention/client outcomes by 10%.
STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. 1. Co-occurring Disorders
a. Contractor will continue participation as a Change Agent and will participate in monthly activities to effect the changes necessary to maintain and enhance Co- occurring Disorders (COD) capability.
b. Based on Contractor self-assessment utilizing the COMPASS, (Co-morbidity Program Audit and Self-Survey for Behavioral Health Services) Contractor will continue implementation of COMPASS action plan as recommended by the CCISC. Contractor will provide quarterly progress on implementation.
c. Contractor will work to improve COD outcomes by providing the following:
i. Contractor’s treatment staff will increase competencies with respect to conducting culturally sensitive assessment and referral to identify and address clients’ mental health issues and concerns.
ii. Contractor will provide and/or access staff training and implement culturally appropriate strategies to reduce stigma and improve outcomes for clients with co-occurring mental health and AOD issues by facilitating three (3) specialized groups: Seeking Safety, Food and Feelings and Dialectical behavioral therapy (DBT).
iii. Additional co-occurring services are medication management and administration and scoring of the Xxxx Depression Inventory (BDI-II)
iv. Improve identification of co-occurring clients. Eighty percent of all clients who remain in treatment for at least 30 days will be assessed against DSM- IV criteria for a co-occurring mental illness. The diagnosis (or absence of a DSM-IV mental health diagnosis) will be recorded in WRA’s database.
v. To improve retention of clients with co-occurring diagnosis, fifty percent of clients diagnosed with a co-occurring disorder will complete their primary/acute treatment episode.
STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. 1. Co-occurring Disorders
a. Contractor will continue participation as a Change Agent and will participate in monthly activities to effect the changes necessary to maintain and enhance Co-occurring Disorders (COD) capability.
b. Based on Contractor self-assessment utilizing the COMPASS, (Co-morbidity Program Audit and Self-Survey for Behavioral Health Services) Contractor will continue implementation of COMPASS action plan as recommended by the CCISC, focusing on the areas of Management Structure and Access. Under the Management Structure, Contractor will develop reporting and tracking mechanisms for mental health, substance disorders and integrated services for clients that are co-occurring. Contractor will provide quarterly progress on implementation.
c. Contractor will work to improve COD outcomes by providing the following:
i. Contractors treatment staff will increase competencies with respect to conducting culturally sensitive assessment and referral to identify and address clients’ mental health issues and concerns.
ii. Contractor will provide and/or access staff training and implement culturally appropriate strategies to reduce stigma and improve outcomes for clients with co-occurring mental health and AOD issues.
iii. Serve seventeen (15) outpatient clients with an additional one half-hour (.5) of case management per week.
STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. 1. Co-occurring Disorders
a. Contractor will continue participation as a Change Agent and will participate in monthly activities to effect the changes necessary to maintain and enhance Co-occurring Disorders (COD) capability.
b. Based on Contractor self-assessment utilizing the COMPASS, (Co-morbidity Program Audit and Self-Survey for Behavioral Health Services) Contractor will continue implementation of COMPASS action plan as recommended by the CCISC. Contractor will provide quarterly progress on implementation.
c. Contractor will work to improve COD outcomes by providing the following:
i. Contractor will utilize the COMPASS to identify and address competency with co- occurring mental health and AOD issues.
2. Standards of Care
a. There is a need for a coordinated system of treatment services within San Mateo County for those with substance abuse problems. The County has identified specific standards of care for treatment services which incorporate scientific research and clinical practice. Contractor will maintain compliance with requirements of the AOD Policy and Procedure Manual including additions and revisions, incorporated by reference herein i. Screening and Assessment Standards
STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. 1. Co-occurring Disorders
a. Contractor will continue participation as a Change Agent and will participate in monthly activities to effect the changes necessary to maintain and enhance Co- occurring Disorders (COD) capability.
b. Based on Contractor self-assessment utilizing the COMPASS, (Co-morbidity Program Audit and Self-Survey for Behavioral Health Services) Contractor will continue implementation of COMPASS action plan as recommended by the CCISC. Contractor will provide quarterly progress on implementation.
c. Contractor will work to improve COD outcomes by providing the following:
i. Contractor’s treatment staff will increase competencies with respect to conducting culturally sensitive assessment and referral to identify and address clients’ mental health issues and concerns.
ii. Contractor will provide and/or access staff training and implement culturally appropriate strategies to reduce stigma and improve outcomes for clients with co-occurring mental health and AOD issues.
iii. Contractor will utilize the COMPASS to identify and address priority areas.
STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. 1. Co-occurring Disorders Contractor goal is to raise awareness and improve treatment of co-occurring clients as identified in the Compass performed January 2009.
a. Problem as identified by Compass:
1. Continue administrative training, welcoming and raise awareness and empathy of Co-occurring Disorders.
2. Compass, supervisors and staff are in agreement assessment, diagnosis and treatment planning can improve. Complicated cases are experienced more as the norm for Contractor now than in the past.
b. Clinical Supervisors will receive regular supervision with the Clinical Director. In this supervision, norms will be established for client care across the all treatment programs. These norms will be translated to individual supervision with all clinical staff and will include:
i. Creation of a new treatment plan that includes strengths and diagnosis
ii. All diagnosis and treatment plans will be signed off on by supervisors.
c. Contractor will use Co-Occurring Contract to pay for increased Clinical supervisor load and duties that are necessary to improve service to Co-occurring Clients.
STRATEGIC DIRECTION 2: SYSTEM-WIDE IMPROVEMENTS. 1. Co-occurring Disorders Contractor goal is to raise awareness and improve treatment of co-occurring clients as identified in the Compass performed January 2009.
a.. Problem as identified by Compass:
1. Continue administrative training, welcoming and raise awareness and empathy of Co-occurring Disorders.
2. Compass, supervisors and staff are in agreement assessment, diagnosis and treatment planning can improve. Complicated cases are experienced more as the norm for Contractor now than in the past.
