Figures 3-10. Examples of Advanced Competencies in the Treatment of Clients With COD

• Use the current edition of criteria from the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (American Psychiatric Association 2000) to assess substance-related disorders and Axis I and Axis II mental disorders.
• Comprehend the effects of level of functioning and degree of disability related to both substance-related and mental disorders, separately and combined.
• Recognize the classes of psychotropic medications, their actions, medical risks, side effects, and possible interactions with other substances.
• Use integrated models of assessment, intervention, and recovery for persons having both substance-related and mental disorders, as opposed to parallel treatment efforts that resist integration.
• Apply knowledge that relapse is not considered a client failure but an opportunity for additional learning for all. Treat relapses seriously and explore ways of improving treatment to decrease relapse frequency and duration.
• Display patience, persistence, and optimism.
• Collaboratively develop and implement an integrated treatment plan based on thorough assessment that addresses both/all disorders and establishes sequenced goals based on urgent needs, considering the stage of recovery and level of engagement.
• Involve the person, family members, and other supports and service providers (including peer supports and those in the natural support system) in establishing, monitoring, and refining the current treatment plan.
• Support quality improvement efforts, including, but not limited to consumer and family satisfaction surveys, accurate reporting and use of outcome data, participation in the selection and use of quality monitoring instruments, and attention to the need for all staff to behave respectfully and collaboratively at all times.

Source: Adapted from Minkoff 1999.

From: 3 Keys to Successful Programming

Cover of Substance Abuse Treatment for Persons With Co-Occurring Disorders
Substance Abuse Treatment for Persons With Co-Occurring Disorders.
Treatment Improvement Protocol (TIP) Series, No. 42.
Center for Substance Abuse Treatment.

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