OHIO SAMI CCOE

December 2008

THE WINDS OF CHANGE

Hundreds endure hurricane-force gales and state-wide blackouts to attend SAMI conference, learn more about IDDT

—by Matthew K. Weiland and Paul M. Kubek

Listen to ODMH Director Sandra Stephenson tell about the day she became an advocate for integrated treatment.

Columbus, OH--Despite Hurricane Ike’s devastation across the Buckeye State, knocking out power to hundreds of thousands of Ohioans, over 350 of the 400-plus registered participants still made it to the Greater Columbus Convention Center on September 16 and 17 for the Ohio SAMI CCOE’s 8th Annual IDDT Conference, titled "IDDT & Recovery: Consumers, Communities & Providers".

The event featured two keynote plenary sessions, introduced by Ohio Department of Mental Health Director Sandra Stephenson and Ohio Department of Alcohol and Drug Addiction Services Director Angela Cornelius. Especially moving was Stephenson’s own personal account of how she came to IDDT through a consumer who was being mistreated under the system as it was (listen above.)

The plenary on Tuesday was presented by Robert Drake, MD, PhD, Andrew Thomson Professor of Psychiatry and Community and Family Medicine at Dartmouth Medical School and co-creator of IDDT. Dr. Drake reviewed current research, reporting that among the most important services to assist consumer recovery are treatment groups, peer support groups, and evidence-based Supported Employment (SE) services (listen to sidecast #1).

At Wednesday’s plenary, Carlo DiClemente, PhD, professor of clinical psychology at the University of Maryland–Baltimore County and co-creator of the Transtheoretical Model of Change (stages of change), highlighted current research on the model and described nuances of the approach that make it among the most useful tools for helping people make the positive life-changes that they desire. He emphasized that there are particular tasks that must be done in each stage (pre-contemplation, contemplation, preparation, action, maintenance) in order for change to be effective and sustained (listen to sidecast #3).

Overall, there were 52 workshops that offered seasoned veterans of EBPs and newcomers alike insights into effective implementation of IDDT and lessons learned by others, as well as take-home advice for immediate use. The popularity of the conference illustrates the growing interest in integrated treatment, not only in Ohio but throughout the nation. This year’s conference attracted service providers, policy makers, and researchers from throughout Ohio along with 12 other states and The Netherlands. As in years past, participants came away not only with an IDDT education, but a sense of connection, camaraderie, and inspiration as well.

AUDIO INITIATIVE |
WE ALL HAVE A STORY TO TELL

Over the course of the past year, the Center for Evidence-Based Practices (EBPs) at Case Western Reserve University has been adding an audio dimension to its consulting and training products, especially to online articles and profiles. These audio features have come from our colleagues and affiliates—from policy makers and administrators to service providers and consumers—and have focused on challenges faced, lessons learned, and success stories that offer hope and inspiration in the journey toward recovery.

At the annual SAMI/IDDT conference in September, we invited individuals involved in all stages of IDDT implementation to share their experiences, their challenges, and their successes using integrated treatment.

We invite you and those you know to take a listen to some of these stories as a source of connection, inspiration, advocacy, and professional development. These stories might be especially helpful for the following:

• New staff members
• Current staff seeking continuing professional development
• Board members and administrators thinking about implementing IDDT services
• Educators and students of social work, psychiatry, psychology, public health, and public policy, among others.

THE STORY TELLERS

We’d like to thank the people listed below for taking the time at our annual SAMI/IDDT conference to share their stories about IDDT and other evidence-based practices, such as Supported Employment (SE) and Assertive Community Treatment (ACT).

Get “the full story” from each person listed below by clicking on the hyperlink: a separate window will open. We are still in the process of editing some of these stories and will add links and send email announcements once they become available. 

Robert E. Drake, MD, PhD Andrew Thomson Professor of Psychiatry and Community and Family Medicine at Dartmouth Medical School Lebanon, New Hampshire   This internationally known psychiatrist, researcher, and co-creator of IDDT tells stories about direct practice in Boston in the 1970s, the early days of integrated treatment, and the ways in which the evidence continues to prove its effectiveness.   | listen & learn more |
Carlo DiClemente, PhD Professor The University of Maryland—Baltimore County Baltimore, Maryland   This internationally known researcher, consultant, and co-creator of the Transtheoretical Model of Change (stages of change), discusses various aspects of the model, how it originated, its integration with Motivational Interviewing (MI), and why it continues to be practiced throughout the world.   | listen & learn more |
Dianne Asher, LSCSW, CADC-I Project Manager & IDDT Consultant and Trainer The University of Kansas School of Social Welfare Lawrence, Kansas   This Kansas IDDT pioneer reflects upon her days as a case manager and team leader, her experiences providing technical assistance for IDDT, the importance of clinical supervision, and a few methods for meeting the challenges of implementation.   | listen & learn more |
Jonas Thom, MA, PCC Director Ohio Coordinating Center for Assertive Community Treatment (ACT) Cincinnati, Ohio   Two compelling stories about a homeless veteran and a homeless classically trained musician and how ACT and IDDT principles and practices helped service providers connect with these men. Also featuring an explanation of ACT and the importance of ethics in community-based practice.   | listen & learn more |
Darnella Allen, BA, LICDC Case Manager Mental Health Services, Inc. Cleveland, Ohio   This 20-year veteran of substance-abuse counseling has embarked on a professional transformation that aligns her more closely with herself. Discover how IDDT is giving her permission to be true to her naturally compassionate disposition.   | listen & learn more |
COMING SOON   Mark Hurst, MD Chief Clinical Officer Twin Valley Behavioral Healthcare Columbus, Ohio   Robert J. Martin, MA, CAC-II, MAC Seque, Inc. Jackson, Michigan   Angela Thompson, BS, LBSW Supports Coordinator, Assertive Community Treatment (ACT) Muskegon County Community Mental Health Muskegon, Michigan   Albert Dükhuizen, MD Psychiatrist Geestelijke GezondheidsZorg Eindhoven en de Kempen (GGzE) Eindhoven, The Netherlands   Johan Wetering, PhD Clinical Psychologist Geestelijke GezondheidsZorg Eindhoven en de Kempen (GGzE) Eindhoven, The Netherlands   Teresa Baker, AAS, CDCA Nova House Association Dayton, Ohio   Vera Booker Choices Community Social Center Akron, Ohio   Tonnette Ewing-Jones, BS, LCDC III Nova House Association Dayton, Ohio   Shara Finklea Nova House Association Dayton, Ohio   Marlene Hays Choices Community Social Center Akron, Ohio   Laurence Kendrick, MA Moundbuilders Guidance Center Mount Vernon, Ohio   Michele Lewis, MS, LPC, LICDC Nova House Association Dayton, Ohio   Su-Ann Newport, MS, RN, CNS, LICDC ADAMHS Board of Montgomery County Dayton, Ohio   Tison Thomas, MSW, LMSW Michigan Department of Community Health Lansing, Michigan

AT-A-GLANCE | 2008 SAMI/IDDT CONFERNECE

2 Keynote Plenary Sessions:

• Robert E. Drake, MD, PhD, of the Dartmouth Evidence-Based Practices Center | Co-Creator of the IDDT model
• Carlo DiClemente, PhD, Department of Psychology, University of Maryland--Baltimore County (UMBC) | Co-Creator of the Transtheoretical Model of Change (stages of change)

52 Workshops:

The workshops addressed a wide variety of topics, including the following:

• Lessons-learned by Ohio IDDT service teams (rural, urban, small-town communities)
• Organizational implementation issues
• Outcomes development
• Smoking and tobacco cessation for people with SMI
• Fidelity action-planning
• Clinical issues: assessment, addictions, cognitive behavioral therapy (CBT), motivational interviewing
• IDDT and special populations (criminal justice, homeless/housing)
• Overviews of other practices: Supported Employment (SE), Assertive Community Treatment (ACT), Wellness Management and Recovery (WMR)

Special Thanks:

The Ohio SAMI CCOE would like to thank the following Ohio IDDT team presenters for sharing their experiences with implementing integrated treatment:

• Neighboring of Lake County
• Greater Cincinnati Behavioral Health
• Meridian

Partcipants:

Over 350 people from multiple disciplines:

• Social workers
• Addiction counselors
• Mental health counselors
• Psychologists
• Vocational specialists
• Criminal justice professionals
• Psychiatrists
• Policy makers
• Administrators
• Program managers
• Team leaders
• Direct-service providers
• Consumers
• Advocates
• Nurses

From 13 states

CA, CO, IL, IN, KS, MD, MI, MO, NH, NJ, NM, OH, PA

Sponsors:

• Center for Evidence-Based Practices (EBPs) and Ohio SAMI CCOE (a partnership between Case Western Reserve University's Mandel School of Applied Social Sciences and the Department of Psychiatry, Case School of Medicine)
• Ohio Department of Mental Health (ODMH)
• Ohio Department of Alcohol and Drug Addiction Services (ODADAS)
• Cuyahoga County Alcohol and Drug Addiction Services Board
• Center for Substance Abuse and Mental Illness at the Mandel School of Applied Social Sciences, Case Western Reserve University

Matthew K. Weiland, MA, is senior writer, producer, and new-media specialist and Paul M. Kubek, MA, is director of communications at the Center for Evidence-Based Practices at Case Western Reserve University.