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Leadership Institute Central East ATTC Leadership Development Project Overview

Leadership Institute Central East ATTC Leadership Development Project Overview. Kimberly Thomas 19 January 2007. Project Goals. To assist in the development and implementation of a new treatment modality in the continuum of care at Psychiatric Institute of Washington (PIW)

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Leadership Institute Central East ATTC Leadership Development Project Overview

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  1. Leadership InstituteCentral East ATTCLeadership DevelopmentProject Overview Kimberly Thomas 19 January 2007

  2. Project Goals • To assist in the development and implementation of a new treatment modality in the continuum of care at Psychiatric Institute of Washington (PIW) • To develop a culturally sensitive program • Integrates evidence based approaches to treating substance use disorders • Enhance community presence and visibility for New Directions Intensive Outpatient Services

  3. Inception of Program Response to a growing trend for increased capacity for outpatient treatment for individuals that are impaired with substance use disorder

  4. Target Population • Adults who are employed and insured • Adults who meet intensive outpatient substance criteria

  5. Key Collaborations • Metro Employee Assistance Program (EAP) • Arlington County EAP • United States Postal System EAP • Fannie Mae EAP • Fairfax County EAP • AMTRAK EAP

  6. Outreach Activities • Conducted weekly meetings with PIW outreach team • Discussed contacts made with referral sources to enhance census. • Compiled list of all Employee Assistance Programs (EAP) public and private sector providers • In collaboration with PIW team designed, developed, developed and disseminated brochure about New Direction Programs • Conducted weekly meetings with EAP’s referral sources, therapists, physicians, other treatment agencies • Team participated in quarterly EAP conference • Web Link established on PIW website – highlighting New Direction Activities • On 29 September 2006 – Conducted a open house showcasing program – 30 people attended

  7. Overview of New Directions • New direction is a unique intensive outpatient program operating under the auspices of PIW • The program utilizes traditional interventions and evidence methodologies • The intensive outpatient program is one component of an array of services in PIW’s continuum of care

  8. Clinical Criteria • A maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related to the repeated use of substances. • Sometimes used interchangeably with the term substance dependence • Diagnosis indicated in a DSM-V

  9. Interventions Used • Motivational Interviewing, Stages of Change ~Precontemplation ~Contemplation ~Preparation ~Action ~Maintanence ~Recurrence • Psychosocial Assesment • Group Therapy • Cognitive Behavioral Therapy • Individual Therapy • Urinanalysis Testing

  10. Benefits of Motivational Interviewing • Easily applied in a managed care setting, where cost containment issues are of great concern.

  11. Challenges of Program Implementation • Changing philosophies of employers • Program staff recruitment and retention issues • Poor utilization of services • Patient noncompliance, no-shows, postive UA’s, etc,

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