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Project title: Baltimore City Directorate Training Institute

Leadership Institute Graduation Friday January 19, 2007 Mentor: Dr. Carlo DiClemente Protégé: Adam Brickner. Project title: Baltimore City Directorate Training Institute. Framework. Idea . Started with RP How to enhance the treatment outcomes for people in treatment

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Project title: Baltimore City Directorate Training Institute

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  1. Leadership Institute GraduationFriday January 19, 2007Mentor: Dr. Carlo DiClemente Protégé: Adam Brickner

  2. Project title:Baltimore City Directorate Training Institute Framework

  3. Idea • Started with RP How to enhance the treatment outcomes for people in treatment • Bring research to practice

  4. Personal skills to develop: • Working together rather than getting to far out in front • Focusing on infrastructure rather content • Sensitive to organizational structure

  5. Rationale and Purpose • Within the substance abuse field, a well trained workforce directly related to better client outcomes (Kathleen Carroll – Yale) • Identifies and grows talents within the industry • Improves retention within the field • Building a foundation on which to implement evidence based practice • Counselor development

  6. Organization • Training Institute under Baltimore City Directorate • Arranges workforce development and training • Self sustaining • Recognized for CEU’s by the state • Partnering with OETAS, ATTC, Trainers

  7. Framework

  8. Support Staff • Education: • Confidentiality • GLBT training • Basic drug and alcohol • Basic interpersonal skills • How to keep people engaged in treatment

  9. Core Skills • Addiction Counseling skills • Client records management • Pharmacology / Drug Alcohol Education

  10. Substance abuse Counselor Board of Counselor • Certified Supervised Counselor – Alcohol/Drug • CSC – AD requires AA – two year institution • Certified Addictions Counselor – Alcohol/Drug • CSC – AD requires BA- four year institution • Masters level clinicians • Removing the gap between counselor and Masters level clinician

  11. Counselors • Knowledge • Training on: Assessments (substance abuse / psycho social) , Core skills, EBP, Dual Diagnosis • Skills Development • Application of the knowledge, Training plus booster sessions, quality supervision, feedback, Resistive client • Demonstrate Abilities • Advanced training and training of trainers

  12. Clinical Supervisors • Knowledge • Training on: EBP, Understanding the population being served, Assessments (substance abuse / psycho social) , Core skills, EBP, Dual Diagnosis • Skills Development • Advanced training plus booster sessions, taped critiques of supervision, counselor empowerment, feedback, advanced counseling skills • Demonstrate Abilities • Advanced training and training of trainers

  13. Program Directors • Knowledge • Training on: Non-profit and for-profit management • Financial management • Strategic planning / Vision setting • Grant writing • Outcome management

  14. Training Topic: core counseling skills • Specific ethnic sensitivity (Peter Bell) • Cultural competency • Client records management • Basic counseling skills

  15. Training Topic: co-occurring • SA/MH co-occurring EBP • Core knowledge on dual diagnosis / Assessment OETAS

  16. Training Topic: Drug and Alcohol • Psychopharmacology • Effects of drugs and alcohol • Methamphetamine • Opiate maintenance therapy • Methadone • Buprenorphine

  17. Training Topic: Evidence Based Treatment(EBT) Trainings • Relapse Prevention (RP) • Motivational Interviewing (MI) • Cognitive Behavioral Treatment (CBT) • 12-step Facilitation (TSF)

  18. Progress • Meeting monthly • Approved as a committee of the Baltimore City Directorate • Established trainings • Working with OETAS, ATTC, and Trainers • Cost structure to create a self sustaining organization

  19. Lessons learned • Worked within existing structures/organizations • Reaching out to potential partners and letting them bring their expertise to the table • Not only counselor focused in terms of certification, but systems focused in terms of establishing and institutionalizing EBP at all levels of the system

  20. Barriers • Fitting into the current training environment • Learning from past training experiences in Baltimore • Project Boost • Staff turnover • Developing trainings and trainers • Lack of infrastructure within the Baltimore City Directorate

  21. Future directions • Provide trainings • Evaluate outcomes of providers that focus on training • Evaluate the trainings for content and participant satisfaction • Modify the trainings as indicated

  22. Thank you

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