# Presentation: 562939

## Module 6C

**Traditional Settings and Models:**
***Residential ***
***Substance Abuse Treatment Programs ***
***for Clients with COD***

## Chapter 6 Modules

- Module 6A
- Essential Programming and General Considerations for Treatment of Clients with COD
- Module 6B
- Outpatient Substance Abuse Treatment Programs for Clients with COD
**Module 6C **
- Residential Substance Abuse Treatment Programs for Clients with COD

## Mod 6A—General Considerations & 7 Essential Elements

- Working in groups
- Involving clients in treatment and program design
- Family education

- Screening, assessment, and referral
- Physical and mental health consultation
- Prescribing onsite psychiatrist
- Medication and medication monitoring
- Psychoeducational classes
- Double trouble groups (onsite)
- Dual recovery self-help groups (offsite)

## In This Module . . .

**Residential Substance Abuse Treatment for Clients with COD**
- Designing
- Implementing
- Evaluating
- Sustaining
- Examples of programs

## Designing Residential Programs for Clients with COD

- Intake
- Assessment
- Engagement
- Continuing Care
- Discharge Planning

## TIP Exercise—Design 

*In groups or with partners . . .*
- Read recommendations on your topic.
- Think about how these activities are conducted in your programs.
- Describe what could stay the same and what would need to change in your program to meet the recommendations for COD programs.
-     							       *(8 minutes)*

## Intake Steps

- Written referral
- Intake interview
- Program review
- Team meeting

## Assessment Areas

- Substance abuse evaluation
- Mental health evaluation
- Health and medical evaluation
- Entitlements
- Client status

## Continuing Care

**Goals:**
- sustaining abstinence
- continuing recovery
- community living
- vocational skills
- gainful employment
- deeper understanding
- increase responsibility
- family difficulties
- consolidating changes

**Key Services:**
- life skills education
- relapse prevention
- 12-Step or double trouble groups
- case management (especially for housing)
- vocational training and employment

## Discharge Planning

- Housing
- Case management services
- Medication management
- Relapse prevention
- Positive peer networks
- Mutual self help groups
- Advocacy involvement

## Staffing Recommendations

- Program director
- Secretary
- Program supervisor
- 10 line staff
***Clinical coordinator ***
- Nurse practitioner (half-time)
- Entitlements counselor (half-time)
- Vocational rehabilitation counselor (half-time)
- Consultive arrangements for medical, psychiatric, and psychological input or care

## Quick TIP Exercise—Training

- With your partner, look over the questions in Figure 6-3 (pp. 167–168).
- Substitute the treatment model used in your workplace for each “TC” in the questions.
- Which questions can you answer easily?
- Which are you less sure of?*   *
*(2 minutes)*

## Evaluating Residential Programs for Clients with COD

- Define operational goals in terms of client behaviors
- Decide on study clients and sampling
- Locate/develop instruments
- Develop plan for data collection
- Develop plan for analysis and reporting

## Sustaining Residential Programs for Clients with COD

*For quality control, the CQI staff uses:*
- Observation
- Key informant interviews
- Resident focus groups
- Standardized instruments
- Staff review

## Therapeutic Community (TC)

*Goals*
- Promote abstinence
- Decrease antisocial behavior
- Effect a global change in lifestyle, including attitudes and values

*View*
- Drug abuse is a disorder of the whole person, reflecting problems in conduct, attitudes, moods, values, and emotional management
- The community is the healing agent