FOCUS ON INTEGRATED TREATMENT (FIT)
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FOCUS ON INTEGRATED TREATMENT (FIT)
Nancy H. Covell, Ph.D.Center for Practice Innovations at Columbia Psychiatry
April 27, 2011
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The Challenge
• In 2007, 5.4 million adults in the U.S. had a co-occurring mental illness and substance abuse disorder (COD), yet only 10% received treatment for both.
• Failure to treat both disorders increases re-hospitalization, homelessness, incarceration, violence, economic hardship, and infectious diseases, leading to higher treatment costs and family burden.
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• Evidence-based integrated treatment for COD mitigates these risks, reduces treatment costs, and promotes individuals’ recovery, independent living, and employment.
• Nationally, system administrators are faced with the challenge of helping practitioners make use of this evidence-based treatment and helping to assure the competencies of an ever-changing workforce.
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• The Focus on Integrated Treatment (FIT) initiative was funded jointly by the State of New York Offices of Mental Health and Alcoholism and Substance Abuse Services.
• 35 half-hour modules provide training on integrated evidence-based COD treatment including assessment and identification of COD, stage-wise treatment, motivational interviewing, and more.
• First 10 modules were available November 2009, an additional 12 July 2010, and the final 13 December 2010.
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FIT Modules
Video SkillDemonstrations
InteractiveExercises
Recovery Stories
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Award-WinningBrandon Hall Gold and 2 Silver Omni Intermedia
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Nov. 09
Feb. 10
May. 10
Aug. 10
Nov. 10
Mar. 11
0
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9000
Cumulative Number of FIT Modules Completed Through 3/31/11, Active Programs
OMH and OASAS
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Practitioners Like the Modules
“I love the trainings. They are so welcome because it is difficult to get out of the office. I enjoy learning more about substance abuse and value the melding of the two disciplines.”
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“I like the way you showed a real person in a real situation... the steps of each module were broken down to make them easy to learn, manageable and much in the same way I would hope I treat my clients.”
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“I like the mix of video and text. The information about stages of treatment and stages of change gives one some very concrete information which I can directly utilize when working with an individual”
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FIT Implementation Support Goals
• Help support programs to build capacity in providing integrated treatment for persons with a co-occurring psychiatric and substance use disorder.
• Help support high fidelity implementation.
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FIT Distance Implementation Supports
1. Monthly Interactive Webinars for Practitioners2. Monthly Interactive Webinar for Supervisors3. Monthly Practice Improvement Networks4. Individual program consultations as needed5. Printable/linkable resources via the FIT
Learning Community (e.g. copies of forms, recommended group treatment manuals)
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