Professional & Research Topics Overview

Workforce and Training

The effective treatment of co-occurring mental and substance use disorders requires collaboration across disciplines. While evidence shows that the most effective services offer treatment for both disorders, practitioners are usually trained in separate fields, operate under distinct licenses with requirements that may restrict integrated care, and know relatively little about each other's organizational culture and operations.

In order to work together effectively, practitioners need:

  • basic information on co-occurring disorders
  • common terms that are understood by all
  • understanding and respect for each others' roles, responsibilities, and cultures

States working to improve co-occurring disorders treatment have taken multiple steps to build the workforce including:

Individuals with co-occurring mental and substance use disorders often have multiple complex conditions that may lead them to seek services in different systems of care. No matter which service system individuals with co-occurring disorders come to first, practitioners should be trained to recognize their needs and connect them with appropriate and effective treatment.

Training ranges from basic screening and referrals to evidence-based clinical interventions. A basic level of training in co-occurring disorders can benefit all practitioners while staff that work closely with individuals with co-occurring disorders need more advanced training.

Basic training

Basic training in co-occurring disorders typically ranges from a half-day to 2-days. They can be offered to a range of audiences including:

  • Practitioners
  • Administrators
  • General staff
  • Individuals with co-occurring disorders and their families

Training can be delivered in a variety of ways. Some examples include:

  • Partnering with colleges and universities to develop co-occurring disorders coursework
  • Offering Web-based training
  • Conducting sessions at conferences and institutes
  • Offering classroom training
  • Using a train-the-trainer approach
  • Using consumers to deliver portions of trainings

Basic training outlines definitions of common terms, principles underlying effective practice and the need for an integrated approach. It also may provide training on screening, an overview of assessment issues, treatment models or guidelines, and protocols for creating a continuum of care for individuals with co-occurring disorders.

Advanced training

Advanced training provide in-depth information on specific evidence-based practices for co-occurring disorders for practitioners who provide integrated assessments and treatment to individuals with co-occurring disorders. Examples include:

Some states also train supervisors or leaders to promote integration and systems change. For example, Ohio provides leaders with a 2-day training program that covers a range of expectations for guiding change. Follow-up includes a yearlong consultation by phone and in person. Program leaders meet once or twice a year and participate in regional training annually.

Cross-Training

Cross-training or conducting trainings that include both mental health and substance abuse staff, promotes integration. Cross-training can help practitioners develop an understanding of the types of services provided by practitioners in other service systems. It can promote respect and facilitate coordination of care. Programs to train practitioners across disciplines may include exercises for relationship building, role plays, and joint work on representative cases.

Source: SAMHSA
Public Awareness and Support

Increasing understanding of mental and substance use disorders to: achieve the full potential of prevention; help people recognize mental and substance use disorders and seek assistance with the same urgency as any other health condition; and make recovery the expectation.

Source: SAMHSA
Evaluation, Research and Methodology

Evaluation
Evaluation is an activity designed to judge the merits of a government policy or program.

Evaluation Research
Evaluation research is devoted to the systematic collection, analysis, and interpretation of information concerning the need, design, implementation, and impact of public policy.

Evaluation Methodology
The Evaluation Methodology consists of four main steps along with a set of sub-steps. The methodology is as follows: 
1. Define the parameters of the evaluation.
2. Design the methods used for the evaluation.
3. Set standards and collect evidence.
4. Report and make decisions.
Professional and Clinical Practice

Clinical Practice

Clinical practice is defined as a model of practice that involves those activities with and on behalf of clients, especially those activities completed in the client’s presence and with the client’s collaboration. These activities are informed by an ecologically based biopsychosocial assessment. These interventive and change oriented activities are based on a range of theories with the clinical social worker selecting the one most appropriate for the client’s situation. These activities may take place in an individual, family, or group setting. While focusing on those activities done in direct contact with clients, clinical social workers must also be prepared to make indirect contacts on behalf of clients. Those contact functions include advocacy, consultation, referral, and supervision. All social workers, including clinical social workers, must be aware of the impact of social policies upon their clients, and as citizens knowledgeably engage in the democratic process in common struggle for economic and social justice.

Professional Practice

A common definition of professional practice or professionalism is a decision to acquire and exude knowledge and skills in a chosen field. Knowledge and skills in professional practice are reinforced by other attributes including: accountability, workplace etiquette, communication, performance excellence, leadership and respect.

Health Insurance, Policy and Reform

Health Insurance

A type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Health insurance can either reimburse the insured for expenses incurred from illness or injury or pay the care provider directly. Health insurance is often included in employer benefit packages as a means of enticing quality employees.

Health Reform

Federal health reform uses a "building blocks" approach that starts with the health insurance system we currently have in place in the United States. Health reform builds upon our current health insurance system to provide more people with access to health insurance coverage, establish legal protections for consumers, and set up mechanisms for consumers to shop knowledgeably for insurance.

Health reform includes the following key steps:

  • Expand Medicaid to allow more people at the lowest income levels to qualify for coverage.
  • Encourage employers to offer health insurance.
  • Provide credits to purchase private health insurance coverage to moderate income Americans who do not qualify for Medicaid.
  • Streamline the purchase of health insurance through the establishment of the Health Insurance Exchange.
  • Strengthen consumer protections and require transparency.
  • Impose protections to guard against unreasonable rate increases.
  • Encourage primary and preventive care.
  • Require most Americans to purchase health insurance.
Evidence-Based Practices

Evidence-based prevention refers to a set of prevention activities that evaluation research has shown to be effective. Some of these prevention activities help individuals develop the intentions and skills to act in a healthy manner. Others focus on creating an environment that supports healthy behavior. This section introduces SAMHSA's criteria for defining "evidence-based" (for SAMHSA’s Strategic Prevention Framework State/Tribal Incentive Grantees) and encourages practitioners to consider "fit" when choosing an intervention.

In addition, SAMHSA's Service to Science Initiative is dedicated to enhancing the evaluation capacity of innovative programs and practices.that address critical substance abuse prevention and related behavioral health needs. It assists local program developers, implementers, and evaluators in applying more rigorous evaluation methodologies to their work. 

Source: SAMHSA
Disaster Preparation and Recovery

Preparing for a disaster can reduce the fear, anxiety and losses that disasters cause. A disaster can be a natural disaster, like a hurricane, tornado, flood or earthquake. It might also be man-made, like a bioterrorist attack or chemical spill. You should know the risks and danger signs of different types of disasters. You should also have a disaster plan. Be ready to evacuate your home, and know how to treat basic medical problems. Make sure you have the insurance you need, including special types, like flood insurance.

No matter what kind of disaster you experience, it causes emotional distress. After a disaster, recovery can take time. Stay connected to your family and friends during this period.

Federal Emergency Management Agency

Source: NIH: MedlinePlus
Health Statistics

You see them all the time, in newspapers and on TV – the number of people who were in the hospital last year, the percentage of kids who are overweight, the rate at which people are catching the flu, the average cost of a medical procedure. These are all types of health statistics.

Health statistics are numbers about some aspect of health. Statistics relating to births, deaths, marriages and divorces are sometimes called "vital statistics." Researchers use statistics to see patterns of diseases in groups of people. This can help in figuring out who is at risk for certain diseases, finding ways to control diseases and deciding which diseases should be studied.

Source: NIH: MedlinePlus
Your search returned 7 results.
Kaiser Permanente Provider’s Handbook on LGBT Population
Links
24363

Description: 

This handbook is designed to address the importance of “cultural competency” in health care delivery. This handbook will address issues in culturally competent care relevant to lesbians, gays, bisexuals and transgendered (LGBT) individuals.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
CIRRIE: Monograph Series-The Rehabilitation Provider's Guide to Cultures of the Foreign-Born
Links
21289

Description: 

CIRRIE has developed a thirteen-volume monograph series, The Rehabilitation Provider's Guide to Cultures of the Foreign-Born, which provides specific information on cultural perspectives of foreign-born persons in the U.S., especially recent immigrants. The monographs contain specific information about culture that rehabilitation service providers can use to more effectively meet the needs of foreign-born recipients of rehabilitation services.

The monographs focus on the top ten countries of origin of the foreign-born population in the United States, according to the U.S. Census Bureau: Mexico, China, Philippines, India, Vietnam, Dominican Republic, Korea, El Salvador, Jamaica, and Cuba. There are additional monographs on the culture of Haiti and the Muslim perspective. Each monograph contains general information about the culture, its values and recommended ways to interact with persons from that culture. There is also specific information about how disability and rehabilitation are viewed in each culture. The monographs are concise and written in non-technical language, to insure that they are user-friendly for busy rehabilitation service providers.

The series also contains an initial introductory monograph, Culture Brokering: Providing Culturally Competent Rehabilitation Services to Foreign-Born Persons. This monograph explains the role of the rehabilitation provider as a "culture broker." Practical information, such as general outreach strategies, actions needed to become familiar and trusted by other cultures, the importance of understanding our own culture, and how to use translators effectively, are also included.

Flag as: Log in to Bookmark or Flag Content
Your search returned 26 results.
Data Visualization RPS Fact Sheet, May 2014
Links
27999

Resource Types:

Flag as: Log in to Bookmark or Flag Content
National Survey of Substance Abuse Treatment Services (N-SSATS): 2011 Data on Substance Abuse Treatment Facilities
Links
26006

Description: 

 

N-SSATS is a point-prevalence survey that provides data on substance abuse treatment facilities (both public and private) and their clients throughout the 50 states, District of Columbia, and other U.S. jurisdictions. N-SSATS contains information on facility ownership, services offered, primary treatment focus, methadone/buprenorphine dispensing, number of clients (total and under age 18), number receiving methadone and buprenorphine, and number of beds.

Geographic data included in N-SSATS are Federal Information Processing Standards state and county codes, metropolitan statistical area, core-based statistical area, Census region, and Census division.

Flag as: Log in to Bookmark or Flag Content
New Approaches to Understanding and Regulating Primary and Secondary Illegal Firearms
Links
25960

Description: 

The purpose of this study is to examine the usefulness and importance of certain characteristics involved with firearms transactions and regulations as related to illicit firearms markets nationally, and in the State of California. Data from requests to the Bureau of Alcohol, Tobacco, and Firearms by local law enforcement agencies for tracing the origin of firearms were analyzed for the years 2003-2006 along with purchase and other available information in effort to explain time-to-crime, the time from original purchase of the weapon to when it was recovered by law enforcement and submitted for tracing. Requests for tracing were analyzed for categories of state-level regulation and characteristics of legal context, dealer characteristics, purchaser characteristics, purchaser-possessor relationship, and characteristics of possessor-gun (age category and pistol). Results suggest that regulations regarding purchase and registration of firearms may serve to assist law enforcement in limiting the diffusion of illicit firearms to some extent.

 

Flag as: Log in to Bookmark or Flag Content
Tobacco Control State Highlights 2012 Released
Links
25853

Description: 

CDC released the Tobacco Control State Highlights 2012 report which provides an overview of the implementation of strategies that reduce tobacco use in each of the 50 states and the District of Columbia. While states have made progress, the reduction of tobacco use nationwide has slowed. The report shows that more work needs to be done to end the epidemic of tobacco-related death and disease.

Flag as: Log in to Bookmark or Flag Content
NISVS: Special Report 2010 Findings on Victimization by Sexual Orientation
Links
25851

Description: 

The National Intimate Partner and Sexual Violence Survey (NISVS) is an ongoing, nationally representative telephone survey from the Centers for Disease Control and Prevention (CDC) that collects detailed information on intimate partner violence (IPV), sexual violence (SV), and stalking victimization. The survey collects data on past year experiences of violence as well as lifetime experiences of violence among adult women and men in the United States. In 2010, data were collected from 16,507 adults aged 18 and older (9,086 women and 7,421 men).

Flag as: Log in to Bookmark or Flag Content
Your search returned 16 results.
PEP Workshop Pivot Table Instructions
Links
27865

Resource Types:

Flag as: Log in to Bookmark or Flag Content
PEP Project: Data Dictionary for Variable Names
Links
27863

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Your search returned 8 results.
Health Insurance - Understanding What it Covers
Links
28427

Resource Types:

Flag as: Log in to Bookmark or Flag Content
National Coalition for LGBT Health
Links
24365

Description: 

"The Coalition is committed to improving the health and well-being of lesbian, gay, bisexual, and transgender individuals through federal advocacy that is focused on research, policy, education, and training." Excellent Source of Fact Sheets and Reports. Click the "Resources" link.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Your search returned 80 results.
Workforce and Training
Links
27828

Description: 

The effective treatment of co-occurring mental and substance use disorders requires collaboration across disciplines. While evidence shows that the most effective services offer treatment for both disorders, practitioners are usually trained in separate fields, operate under distinct licenses with requirements that may restrict integrated care, and know relatively little about each other's organizational culture and operations.

In order to work together effectively, practitioners need:

  • basic information on co-occurring disorders
  • common terms that are understood by all
  • understanding and respect for each others' roles, responsibilities, and cultures

States working to improve co-occurring disorders treatment have taken multiple steps to build the workforce including:

Individuals with co-occurring mental and substance use disorders often have multiple complex conditions that may lead them to seek services in different systems of care. No matter which service system individuals with co-occurring disorders come to first, practitioners should be trained to recognize their needs and connect them with appropriate and effective treatment.

Training ranges from basic screening and referrals to evidence-based clinical interventions. A basic level of training in co-occurring disorders can benefit all practitioners while staff that work closely with individuals with co-occurring disorders need more advanced training.

Basic training

Basic training in co-occurring disorders typically ranges from a half-day to 2-days. They can be offered to a range of audiences including:

  • Practitioners
  • Administrators
  • General staff
  • Individuals with co-occurring disorders and their families

Training can be delivered in a variety of ways. Some examples include:

  • Partnering with colleges and universities to develop co-occurring disorders coursework
  • Offering Web-based training
  • Conducting sessions at conferences and institutes
  • Offering classroom training
  • Using a train-the-trainer approach
  • Using consumers to deliver portions of trainings

Basic training outlines definitions of common terms, principles underlying effective practice and the need for an integrated approach. It also may provide training on screening, an overview of assessment issues, treatment models or guidelines, and protocols for creating a continuum of care for individuals with co-occurring disorders.

Advanced training

Advanced training provide in-depth information on specific evidence-based practices for co-occurring disorders for practitioners who provide integrated assessments and treatment to individuals with co-occurring disorders. Examples include:

Some states also train supervisors or leaders to promote integration and systems change. For example, Ohio provides leaders with a 2-day training program that covers a range of expectations for guiding change. Follow-up includes a yearlong consultation by phone and in person. Program leaders meet once or twice a year and participate in regional training annually.

Cross-Training

Cross-training or conducting trainings that include both mental health and substance abuse staff, promotes integration. Cross-training can help practitioners develop an understanding of the types of services provided by practitioners in other service systems. It can promote respect and facilitate coordination of care. Programs to train practitioners across disciplines may include exercises for relationship building, role plays, and joint work on representative cases.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Public Awareness and Support
Links
27826

Description: 

Increasing understanding of mental and substance use disorders to: achieve the full potential of prevention; help people recognize mental and substance use disorders and seek assistance with the same urgency as any other health condition; and make recovery the expectation.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Evaluation, Research and Methodology
Links
27819

Description: 

Evaluation
Evaluation is an activity designed to judge the merits of a government policy or program.

Evaluation Research
Evaluation research is devoted to the systematic collection, analysis, and interpretation of information concerning the need, design, implementation, and impact of public policy.

Evaluation Methodology
The Evaluation Methodology consists of four main steps along with a set of sub-steps. The methodology is as follows: 
1. Define the parameters of the evaluation.
2. Design the methods used for the evaluation.
3. Set standards and collect evidence.
4. Report and make decisions.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Professional and Clinical Practice
Links
27817

Description: 

Clinical Practice

Clinical practice is defined as a model of practice that involves those activities with and on behalf of clients, especially those activities completed in the client’s presence and with the client’s collaboration. These activities are informed by an ecologically based biopsychosocial assessment. These interventive and change oriented activities are based on a range of theories with the clinical social worker selecting the one most appropriate for the client’s situation. These activities may take place in an individual, family, or group setting. While focusing on those activities done in direct contact with clients, clinical social workers must also be prepared to make indirect contacts on behalf of clients. Those contact functions include advocacy, consultation, referral, and supervision. All social workers, including clinical social workers, must be aware of the impact of social policies upon their clients, and as citizens knowledgeably engage in the democratic process in common struggle for economic and social justice.

Professional Practice

A common definition of professional practice or professionalism is a decision to acquire and exude knowledge and skills in a chosen field. Knowledge and skills in professional practice are reinforced by other attributes including: accountability, workplace etiquette, communication, performance excellence, leadership and respect.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Health Insurance, Policy and Reform
Links
27815

Description: 

Health Insurance

A type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Health insurance can either reimburse the insured for expenses incurred from illness or injury or pay the care provider directly. Health insurance is often included in employer benefit packages as a means of enticing quality employees.

Health Reform

Federal health reform uses a "building blocks" approach that starts with the health insurance system we currently have in place in the United States. Health reform builds upon our current health insurance system to provide more people with access to health insurance coverage, establish legal protections for consumers, and set up mechanisms for consumers to shop knowledgeably for insurance.

Health reform includes the following key steps:

  • Expand Medicaid to allow more people at the lowest income levels to qualify for coverage.
  • Encourage employers to offer health insurance.
  • Provide credits to purchase private health insurance coverage to moderate income Americans who do not qualify for Medicaid.
  • Streamline the purchase of health insurance through the establishment of the Health Insurance Exchange.
  • Strengthen consumer protections and require transparency.
  • Impose protections to guard against unreasonable rate increases.
  • Encourage primary and preventive care.
  • Require most Americans to purchase health insurance.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Your search returned 33 results.
Breaking The Taboo - Film
Links
25738

Description: 

"Narrated by Oscar winning actor Morgan Freeman, "Breaking the Taboo" is produced by Sam Branson's indie Sundog Pictures and Brazilian co-production partner Spray Filmes and was directed by Cosmo Feilding Mellen and Fernando Grostein Andrade. Featuring interviews with several current or former presidents from around the world, such as Bill Clinton and Jimmy Carter..."

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Breaking The Taboo - Film (Spanish / Español)
Links
25737

Description: 

"Contado por el actor premiado, Gael Garcia Bernal, "Rompiendo el tabú" es un producción de Sam Branson's compañía independiente, Sundog Pictures y su socio Braziliano Spray Filmes, dirijido de Cosmo Feilding Mellen y Fernando Grostein Andrade. Con entrevistas con los presidentes actuales o anteriores por todo el mundo, como Bill Clinton y Jimmy Carter..."

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Ending the stigma of addiction
Links
25072

Description: 

Nora Volkow of the National Institute on Drug Abuse explains why addiction should be considered a disease, not a moral failing. Briefly discusses crucial role of prevention in battling addiction.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Approaches to Prevention: Lessons from the Field
Links
24725

Description: 

This video series features prevention leaders and researchers discussing their approaches to preventing substance use and related behavioral health problems.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Prevention in Colorado: The Impact of the SPF
Links
24631

Description: 

Stan Paprocki, Director of Community Prevention and Early Intervention Programs for Colorado's Department of Human Services, describes how SAMHSA's Strategic Prevention Framework has changed the way the State approaches prevention.

Resource Types:

Flag as: Log in to Bookmark or Flag Content

Free Publications

PHP code
SAMHSA Publications
Links
2056

Description: 

SAMHSA is federal clearinghouse containing free information about substance abuse prevention and addiction treatment, stocking publications, posters, and videocassettes.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Understanding Evidence Part 1: Best Available Research Evidence
Links
21203

Description: 

Enables researchers, practitioners, and policy-makers to determine whether or not a prevention program, practice, or policy is actually achieving the outcomes it aims to and in the way it intends.

Resource Types:

Flag as: Log in to Bookmark or Flag Content
Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition)
Links
21308

Description: 

This 12/2012 reviosion of the National Institute on Drug Abuse’s Principles of Drug Addiction Treatment presents research-based principles of addiction treatment for a variety of drugs, including nicotine, alcohol, and illicit and prescription drugs, that can inform drug treatment programs and services.

Resource Types:

Flag as: Log in to Bookmark or Flag Content

Trainings, Events & Learning Opportunities