Leadership Institute Graduation Friday January 19, 2007 Mentor: Dr. Carlo DiClemente Prot g : Adam Brickner

1. Leadership Institute GraduationFriday January 19, 2007Mentor: Dr. Carlo DiClemente Prot�g�: Adam Brickner

2. Project title:Baltimore City Directorate Training Institute Framework

3. Idea Started with RP How to enhance the treatment outcomes for people in treatment Bring research to practice

4. Personal skills to develop: Working together rather than getting to far out in front Focusing on infrastructure rather content Sensitive to organizational structure

5. Rationale and Purpose Within the substance abuse field, a well trained workforce directly related to better client outcomes (Kathleen Carroll � Yale) Identifies and grows talents within the industry Improves retention within the field Building a foundation on which to implement evidence based practice Counselor development

6. Organization Training Institute under Baltimore City Directorate Arranges workforce development and training Self sustaining Recognized for CEU�s by the state Partnering with OETAS, ATTC, Trainers

7. Framework

9. Support Staff Education: Confidentiality GLBT training Basic drug and alcohol Basic interpersonal skills How to keep people engaged in treatment

10. Core Skills Addiction Counseling skills Client records management Pharmacology / Drug Alcohol Education

11. Substance abuse Counselor Board of Counselor Certified Supervised Counselor � Alcohol/Drug CSC � AD requires AA � two year institution Certified Addictions Counselor � Alcohol/Drug CSC � AD requires BA- four year institution Masters level clinicians Removing the gap between counselor and Masters level clinician

12. Counselors Knowledge Training on: Assessments (substance abuse / psycho social) , Core skills, EBP, Dual Diagnosis Skills Development Application of the knowledge, Training plus booster sessions, quality supervision, feedback, Resistive client Demonstrate Abilities Advanced training and training of trainers

13. Clinical Supervisors Knowledge Training on: EBP, Understanding the population being served, Assessments (substance abuse / psycho social) , Core skills, EBP, Dual Diagnosis Skills Development Advanced training plus booster sessions, taped critiques of supervision, counselor empowerment, feedback, advanced counseling skills Demonstrate Abilities Advanced training and training of trainers

14. Program Directors Knowledge Training on: Non-profit and for-profit management Financial management Strategic planning / Vision setting Grant writing Outcome management

15. Training Topic: core counseling skills Specific ethnic sensitivity (Peter Bell) Cultural competency Client records management Basic counseling skills

16. Training Topic: co-occurring SA/MH co-occurring EBP Core knowledge on dual diagnosis / Assessment OETAS

17. Training Topic: Drug and Alcohol Psychopharmacology Effects of drugs and alcohol Methamphetamine Opiate maintenance therapy Methadone Buprenorphine

18. Training Topic: Evidence Based Treatment(EBT) Trainings Relapse Prevention (RP) Motivational Interviewing (MI) Cognitive Behavioral Treatment (CBT) 12-step Facilitation (TSF)

19. Progress Meeting monthly Approved as a committee of the Baltimore City Directorate Established trainings Working with OETAS, ATTC, and Trainers Cost structure to create a self sustaining organization

20. Lessons learned Worked within existing structures/organizations Reaching out to potential partners and letting them bring their expertise to the table Not only counselor focused in terms of certification, but systems focused in terms of establishing and institutionalizing EBP at all levels of the system

21. Barriers Fitting into the current training environment Learning from past training experiences in Baltimore Project Boost Staff turnover Developing trainings and trainers Lack of infrastructure within the Baltimore City Directorate

22. Future directions Provide trainings Evaluate outcomes of providers that focus on training Evaluate the trainings for content and participant satisfaction Modify the trainings as indicated

23. Thank you