ABOUT US
The Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence (Ohio SAMI CCOE) is a technical-assistance organization that promotes knowledge development and the implementation of evidence-based practices (EBPs) for the treatment and recovery of people with mental illness.
Evidence-Based
EBPs are service models that research has demonstrated to generate improved consumer outcomes, program outcomes, and service systems outcomes. Research shows that organizations which maintain fidelity to the original design of IDDT achieve and sustain the best outcomes.
SERVICES
The SAMI CCOE helps service systems, organizations, and treatment providers implement and sustain the Integrated Dual Disorder Treatment (IDDT) model, maintain fidelity to the model, and develop collaborations within local communities that enhance the quality of life for consumers and their families. The SAMI CCOE provides the following services.
Click each for more information:
Training & Consulting
The SAMI CCOE’s consultants and trainers are experienced administrators, service providers, and researchers who offer personal attention and customized training and consulting throughout the implementation process. We understand that every service system and organization exists within a unique cultural, political, and economic context. Therefore, we work closely with you to adapt IDDT to the unique culture of your community and, at the same time, to maintain fidelity to the model.
CUSTOMERS
The SAMI CCOE is providing technical assistance for IDDT to service organizations throughout the State of Ohio, which are located in a variety of communities (e.g., urban, suburban, and rural districts). Many are in different stages of the implementation process. Below is a list of additional characteristics of our customers:
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· 5 service regions in Ohio (see map at top of page)
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· 40 community-based mental health and substance-abuse service organizations
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· 9 Ohio state inpatient psychiatric hospitals
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· County mental health and substance-abuse services boards
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· 55 service teams in Ohio
· Several service teams nationally and internationally
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For a list of Ohio organizations implementing IDDT, click on “Locator” at the top of this page.
PUBLIC-ACADEMIC PARTNERSHIP
The Ohio SAMI CCOE is a program of the Center for Evidence-Based Practices at Case Western Reserve University, which is a partnership between the Mandel School of Applied Social Sciences at Case and the Department of Psychiatry at the Case School of Medicine. The partnership is in collaboration with and supported by the Ohio Department of Mental Health and the Ohio Department of Alcohol and Drug Addiction Services. The Ohio SAMI CCOE works cooperatively with the Ohio Supported Employment CCOE, which is also a program of the Center for EBPs at Case.
Co-Directors
Lenore A. Kola, Ph.D., Associate Professor of Social Work, Mandel School of Applied Social Sciences, Case
Robert J. Ronis, M.D., MPH, L. Douglas Lenkoski Professor and Interim Chair, Department of Psychiatry, Case School of Medicine
Websites of Partners
Center for Evidence-Based Practices (EBPs)
www.centerforebp.case.edu
Mandel School of Applied Social Sciences, Case
msass.case.edu
Department of Psychiatry, Case School of Medicine
www.case.edu/med/psychiatry/index.htm
Ohio Department of Mental Health (ODMH)
www.mh.state.oh.us
Ohio Department of Alcohol and Drug Addiction Services (ODADAS)
www.odadas.oh.us
Ohio SE CCOE
www.ohioseccoe.case.edu
Websites of Other Collaborators
Ohio Association of County Behavioral Health Authorities
www.oacbha.org
NAMI Ohio (National Alliance on Mental Illness)
www.namiohio.org
New Hampshire-Dartmouth Psychiatric Research Center
dms.dartmouth.edu/prc/
National Addiction Technology Transfer Center (ATTC)
www.nattc.org
Great Lakes Addiction Technology Transfer Center (ATTC)
www.glattc.org
Co-Occurring Center for Excellence (COCE), SAMHSA
coce.samhsa.gov
OUR HISTORY
December 2000
The Ohio SAMI CCOE was created with a grant from the Ohio Department of Mental Health (ODMH) to provide technical assistance for the implementation of the IDDT model to service systems, organizations, and providers. The CCOE began serving 9 community-based organizations.
| see SAMI Matters, Spring 2001, p1 |
April 2002
The CCOE began to support the Implementing Evidence-Based Practices Project—a national dissemination effort funded by the Substance Abuse and Mental Health Services Administration and coordinated by the New Hampshire-Dartmouth Psychiatric Research Center of Lebanon, New Hampshire—by providing technical assistance for IDDT to 4 additional community-based organizations.
| see SAMI Matters, Fall 2002, p1 |
January 2003
The CCOE began to receive funding from the Ohio Department of Alcohol and Drug Addiction Services (ODADAS), expanding the public-academic partnership between Case Western Reserve University and ODMH that began in December 2000 with the creation of the Ohio SAMI CCOE.
January 2004
The CCOE began providing technical assistance for the evidence-based Support Employment (SE) model to four community-based organizations with a grant from the Substance Abuse and Mental Health Services Administration (SAMHSA). The grant was awarded to ODMH.
| see SAMI Matters, Summer 2004, p1 |
July 2005
The SAMI CCOE reorganized and created an additional CCOE—the Ohio Supported Employment (SE) Coordinating Center of Excellence—to provide technical assistance for the implementation of the evidence-based SE model. It also created the Center for Evidence-Based Practices at Case Western Reserve University, an umbrella organization to oversee the activities of both the SAMI and SE CCOEs.
| see SAMI Matters, Fall 2005, p13 |
May 2006
The SAMI CCOE is providing consultation, training, and other forms of technical assistance to 49 community-based organizations and public inpatient hospitals in the State of Ohio, as well as to some organizations nationally and internationally.
IDDT OVERVIEW
The Integrated Dual Disorder Treatment (IDDT) model is an evidence-based practice that improves the quality of life for people with co-occurring mental and substance use disorders by integrating substance abuse services with mental health services. IDDT helps people address both disorders at the same time–in the same service organization with the same team of treatment providers.
The IDDT model utilizes biopsychosocial treatments (which combine pharmacological, psychological, educational, and social interventions) to address the needs of consumers and their family members. It also promotes consumer and family involvement in service delivery, stable housing as a necessary condition for recovery, and employment as an expectation for many. The implementation of IDDT facilitates systems change, organizational change, and clinical change. It includes the following characteristics:
1a. Multidisciplinary Team (SAMI Team)
1b. Substance Abuse Specialist
2. Stage-Wise Interventions
3. Access to Comprehensive Services
4. Time-Unlimited Services
5. Assertive Outreach
6. Motivational Interviewing
7. Substance Abuse Counseling
8. Group Treatment
9. Family Psychoeducation
10. Alcohol and Drug Self-Help Groups
11. Pharmacological Treatment
12. Interventions to Promote Health
13. Secondary Interventions for Treatment of Non-Responders
IDDT Decreases
- · Duration, frequency, and intensity of mental and substance use disorder symptoms
- · Hospitalization
- · Arrest and incarceration
- · Duplication of services
- · Treatment drop-out
- · Utilization of high-cost services
IDDT Increases
- · Abstinence from use of alcohol and other drugs
- · Continuity of care
- · Improved relationships
- · Consumer quality-of-life
- · Stable housing
- · Independent living
More Information
Consult this booklet for a more detailed description of the IDDT model. It may be obtained online for free (this page will remain opened on your computer screen):
Consult this booklet for a detailed description of how to implement IDDT in your organization and community:
Sources for IDDT Overview:
Patrick Boyle, Christina M. Delos Reyes, and Richard A. Kruszynski (2005). Integrated Dual Disorder Treatment. Chapter 15 in Evidence-Based Mental Health Practice: A Textbook. New York: W. W. Norton & Company, Inc., p349-366
| get resource |
Robert E. Drake, Kim T. Mueser, Mary F. Brunette, and Gregory J. McHugo (2004). A Review of Treatments for People with Severe Mental Illnesses and Co-Occurring Substance Use Disorders. Psychiatric Rehabilitation Journal, v27, n4, p360-375.
| get resource |
Robert E. Drake, Susan M. Essock, Andrew Shaner, Kate B. Carey, Kenneth Minkoff, Lenore Kola, David Lynde, Fred C. Osher, Robin E. Clark, and Lawrence Rickards (2001). Implementing Dual Diagnosis Services for Clients with Severe Mental Illness. Psychiatric Services, v52, April, p469-476.
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Kim T. Mueser, Douglas L. Noordsy, Robert E. Drake, and Lindy Fox. (2003). Integrated Treatment for Dual Disorders: A Guide to Effective Practice. New York: The Guilford Press.
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Additional resources may be obtained from our Library database.
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SAMI TEAM
The IDDT model views all activities of life as part of the recovery (treatment) process for individuals with co-occurring substance abuse and mental illness (SAMI). Therefore, IDDT provides each client/consumer with service providers from multiple professional disciplines to help him or her in all aspects of life (see list below). SAMI Team members are service providers who are committed to IDDT’s client-centered stage-wise integrated treatment approach.
The multidisciplinary SAMI Team meets daily to discuss pressing issues and meets regularly to discuss each consumer’s progress in all areas of his or her life. Team members use formal and informal meetings to provide insight and advice to one another. They meet individually and as a group with each consumer and their caregivers (family, friends, and other supporters)—with the consumer’s permission—to discuss treatment goals and progress. Successful IDDT programs coordinate all aspects of recovery to ensure that consumers, caregivers, and service providers are working together toward the same goals in a collaborative manner. When necessary and appropriate, team members may “fill in” for each other to provide clients with services they need in a timely manner. For instance, nurses may provide case management services when delivering medication to clients in community locations.
The ongoing cohesiveness and success of the multidisciplinary SAMI Team depends a lot upon the team leader’s and the program manager’s ability to utilize effective recruitment strategies, to make smart hiring decisions, to execute retention initiatives (such as ongoing training), and to be prepared always for staff turnover.
Click on each name below to read more information about SAMI Team members:
MENTAL ILLNESS & SUBSTANCE ABUSE
A brief description and history of integrated mental health and substance abuse services can be accessed by following the hyperlink below. The description is written primarily for people who are new to the field of mental health and/or chemical-dependency services. Therefore, it provides a general overview in language that is easily understood by multiple audiences. Although the description is written as an introduction to co-occurring mental and substance use disorders (dual disorders), much of the information can be used to understand mental health services for people who do not have co-occurring disorders. We hope you find it helpful.
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