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Outpatient Substance Abuse Treatment Programs for Clients with COD: Design, Implementation, and Evaluation

This module explores the essential elements of outpatient substance abuse treatment programs for clients with COD, including screening, assessment, referral, medication management, psychoeducational classes, and self-help groups.

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Outpatient Substance Abuse Treatment Programs for Clients with COD: Design, Implementation, and Evaluation

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  1. Module 6B Introduction Traditional Settings and Models: Outpatient Substance Abuse Treatment Programs for Clients with COD

  2. 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

  3. 7 Essential Elements &General Considerations • Working in groups • Involving clients in treatment and program design • Family education 1. Screening, assessment, & referral for persons with COD 2. Physical & mental health consultation 3. Prescribing onsite psychiatrist 4. Medication & medication monitoring 5. Psychoeducational classes 6. Double trouble groups (onsite) 7. Dual recovery self-help groups (offsite)

  4. In This Module . . . • Outpatient Substance Abuse Treatment Programs for Clients with COD • Designing • Implementing • Evaluating • Sustaining • Examples of programs

  5. Designing Outpatient Programs for Clients with COD • Screening and assessment • Centralized intake • Reassessment • Referral and Placement • Engagement • Discharge Planning • Continuing Care

  6. Quick TIP Exercise Review “Improving Adherence of Clients with COD in Outpatient Settings” (p. 147). 1. Which have been used in your agency? 2. In your experience, what has been most successful in improving engagement in treatment for clients with COD? (3 minutes)

  7. Discharge Planning • Housing • Case management services • Medication management • Relapse prevention • Positive peer networks • Mutual self help groups • Advocacy involvement

  8. 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

  9. Evaluating Outpatient Programs for Clients with COD 1. Define operational goals in terms of the client behaviors 2. Decide on study clients and sampling 3. Locate and/or develop instruments 4. Develop plan for data collection 5. Develop plan for analysis and reporting

  10. Nine Essential Features of ACT 1. Services provided in the community 2. Assertive engagement with active outreach 3. High intensity of services 4. Small caseloads 5. Continuous 24-hour responsibility 6. Team approach 7. Multidisciplinary team, reflecting integration of services 8. Close work with support systems 9. Continuity of staffing Source: Drake et al. 1998a.

  11. 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

  12. 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)

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