Professional & Research Topics Overview
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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:
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 in co-occurring disorders typically ranges from a half-day to 2-days. They can be offered to a range of audiences including:
Training can be delivered in a variety of ways. Some examples include:
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 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 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.
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.
Evaluation, Research and 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 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.
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
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.
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:
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.
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|
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|
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.
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.
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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.
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.
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.
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).
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"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.
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"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..."
"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..."
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.
This video series features prevention leaders and researchers discussing their approaches to preventing substance use and related behavioral health problems.
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