# Presentation: 562940

## Module 6B

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

## Chapter 6 Modules

- Module 6A
- Essential Programming & 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—7 Essential Elements &General Considerations

- 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 . . .

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

## Designing Outpatient Programs for Clients with COD

- Screening and assessment
- Centralized intake
- Reassessment
- Referral and Placement
- Engagement
- Discharge Planning
- Continuing Care

## Quick TIP Exercise

*Review “Improving Adherence of Clients with COD in Outpatient Settings” (p. 147).*
- Which have been used in your agency?
- In your experience, what has been most successful in improving engagement in treatment for clients with COD?
*	**	**	**	**	**	**(3 minutes)*

## Discharge Planning

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

## Continuing Care

*Clients with COD often require long-term continuity of care that:*
- Supports their progress
- Monitors their condition
- Responds to a return to substance use or return to symptoms of mental disorder
- Describes steps for when & how to reconnect with services

## Evaluating Outpatient Programs for Clients with COD

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

## Nine Essential Features of ACT

- Services provided in the community
- Assertive engagement with active outreach
- High intensity of services
- Small caseloads
- Continuous 24-hour responsibility
- Team approach
- Multidisciplinary team, reflecting integration of services
- Close work with support systems
- Continuity of staffing

*Source:* Drake et al. 1998a.

## ICM Activities and Interventions

- Engage client to facilitate process & connect with community-based treatment programs
- Assess needs, identify barriers & facilitate access to treatment
- Offer practical assistance & facilitate linkages
- Make referrals
- Advocate for client
- Monitor progress
- Provide counseling & support
- Crisis intervention
- Assist in facilitating communication between service providers

## TIP Exercise—Act / ICM Grid

- In small groups, use the information in your TIP text to complete the handout grid for the model you have been assigned (ACT or ICM).
*	**	**	**	**	**	**(5 minutes) *