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How can CEIC help us increase the co-occurring capability of our programs?

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Links & Resources

1. About Us

   For overview information about CEIC, download the “Backgrounder” document.

   1. Staff

      For information on and biographies of incumbents in key staff positions, download the “CEIC Staff” document.

   2. Press

      Press information includes: Articles and reports relating to CEIC – download “CEIC in the News”;

      The New York State Health Foundation’s press release introducing CEIC and announcing the January 9, 2009 Press Event, download the “NYSHealth Press Release”;

      Also included are “Staff Biographies,” “Backgrounder,” and the “Partners” listing.

   3. Partners

      For a listing of organizations collaborating in partnership with CEIC, their website addresses and brief descriptions of each, download the “CEIC Partners” document.

2. Target Areas

   The Target Areas Overview introduced the Commissioners’ letters (June and July of 2008) that were sent to OASAS- and OMH-licensed outpatient programs describing the statewide initiatives to improve the integration of services for persons with both substance use and mental health problems. Download the “June 20th letter,” the “July 31st letter,” or the entire “OMH-OASAS Co-occurring Disorders (COD) package,” which contains both letters and all guidance documents sent to Clinic Directors on July 30.

   The Target Areas Overview also introduced two CEIC resource documents, “CEIC Building Capability” and the “CEIC Clinical Pathways Resource Guide.”

   4. Program Structure & Milieu

      Download the resource document, “CEIC Program Structure & Program Milieu,” for a description of these two Dimensions (I & II) of the Dual Diagnosis Capability in Addiction [or in Mental Health] Treatment indexes. Other related information can be found in section (k.) “On-Site Surveys.”

   5. Screening

      The Screening section cited several resources, available for download here, including the following documents:

      • The OMH and OASAS COD package – Commissioners’ letters and guidance documents in its entirety– “OMH-OASAS COD package” or a reduced package, “OMH-OASAS Screening Package,” which includes only the letters and the screening guidance documents. The June 20th and July 31st “Commissioners’ Letters” are available separately, as is the “Screening Guidance” document;

      • Both the entire “CEIC Clinical Pathways Resource Guide” and the section that relates only to screening, “Excerpt on Screening”;

      • Frequently asked questions about screening – “Screening FAQs”;

      • Next are three screening instrument packages, the first being the entire package, “CEIC Full Screening Package,” which includes the letters and guidance documents plus all six screening instruments with supporting documentation (instructions, users’ guides, other information as available); this full package has been separated into a package for OASAS (addiction) settings, “CEIC Screening Package for OASAS Clinics,” and the “CEIC Screening Package for OMH Clinics.”

      • Finally, two packets containing only the recommended screening instruments are available – “Instruments for OASAS Clinics” contains the three instruments for substance abuse programs to use in screening for mental health problems, and “Instruments for OMH Clinics” contains the three instruments for mental health programs to use in screening for substance use problems.

   6. Assessment

      The Assessment section cited a few resources that are available for download here, including the following documents:

      • The OMH and OASAS COD package – Commissioners’ letters and guidance documents in its entirety–“OMH-OASAS COD package” or a reduced package, “OMH-OASAS Assessment Domains”;

      • The entire “CEIC Clinical Pathways Resource Guide” as well as the section that relates only to assessment, “Excerpt on Assessment”

   7. Treatment & Continuity of Care

      The section on Treatment and Continuity of Care cited a few resource files listed below.

      • The OMH & OASAS Commissioners’ “June 20th letter” is available again here, as is the entire “CEIC Clinical Pathways Resource Guide” plus the section that relates only to the OASAS- and OMH-recommended evidence-based practices, “Excerpt on Evidence-based Practices.”

   8. Staffing

      Two resource files appearing in the Staffing section can be downloaded here:

      • A CEIC resource that outlines the guidelines for staffing to provide treatment for co-occurring conditions, “CEIC COD Staffing Resource,” which combines information from SAMHSA’s TIP 42 (Substance Abuse Treatment for Persons with Co-occurring Disorders) with descriptive material contained in Dimension VI of the Dual Diagnosis Capability indexes; and

      • “SAMHSA’s TIP 42” Substance Abuse Treatment for Persons with Co-occurring Disorders, in its entirety.

   9. Training

      Three resource files appearing in the Training section can be downloaded here:

      • A CEIC resource that describes staff training related to the treatment of co-occurring conditions, “CEIC COD Training,” which combines a brief discussion of the attitudes and values to be cultivated, described in Dimension VII of the Dual Diagnosis Capability in Addiction (or in Mental Health) Treatment assessments, along with an outline of the online training available from the Center for Practice Innovations (CPI).

      • SAMHSA’s “Substance Abuse Treatment for Persons with Co-occurring Disorders: Inservice Training,” a training curriculum manual based on TIP42 and formulated for adult learning, was created to transfer the evidence-based knowledge in TIP 42 to frontline clinicians, thereby initiating application of the state-of-the-art information and approaches to the treatment of persons with co-occurring substance use and mental disorders.

      • The companion to the Inservice Training Manual, “SAMHSA’s TIP 42” is again made available in its entirety.

3. Services
10. Leadership Forums

    This section includes three resource files:

    • Access to “SAMHSA’s TIP 42” is again provided;

    • Each Regional Leadership Forum follows a standard format with a standard sequence of agenda items. A typical “Leadership Forum Agenda” is available for download;

    • The “Leadership Forum Presentation” slide set from the Long Island Regional Leadership Forum has been included as an example.

11. On-site Surveys

    The DDCAT/DDCMHT On-site Survey section contains a number of resource documents as follows:

    • “Site Visit FAQs” provides a set of questions often asked about the site visits;

    • An “Overview” document (prepared by Dr. Mark McGovern and colleagues at Dartmouth University’s Addiction Treatment Research Services) provides information on the two indexes, the “Dual Diagnosis Capability in Addiction Treatment” (DDCAT) and the “Dual Diagnosis Capability in Mental Health Treatment” (DDCMHT);

    • The survey indexes (or instruments) and related documents are also provided. The first three documents apply to the DDCAT for use in substance abuse treatment settings, the “DDCAT index version 3.2,” the “DDCAT Introductory Manual version 2.4,” and the “DDCAT Toolkit version 3.2”;

    • Both the addiction and mental health indexes use the next document, the “DDCAT & DDCMHT Program Description Form version 3.2”;

    • The DDCMHT index, for use in mental health treatment settings, has two associated files, the “DDCMHT Rating Scale version 3.2,” and the “DDCMHT Introductory Manual version 2.4”;

    • The final file is the “DDCAT & DDCMHT Workbook,” which also applies to both indexes and treatment settings.

12. Building Capability

    This section includes five unique resource files, and again provides access to “SAMHSA’s TIP 42.” The unique files are:

    • A typical “Agenda” (or program) for a Building Capability Forum, which follows a fairly standard format;

    • A sample “Building Capability Forum Presentation” can be downloaded;

    • The next two files are program guidelines, a “Dual Diagnosis Capable Program Guide” for a co-occurring capable program; and

    • a “Dual Diagnosis Enhanced Program Guide” for a co-occurring enhanced program;

    • The fifth resource file in this section contains guidelines for implementing a co-occurring capable program, a “Dual Diagnosis Capable Implementation Guide.”

13. Sustainability Supports

    One resource document has been included in this section:

    • A sample presentation from a “Building Recovery Workshop” titled “Building Integrated, Recovery-Oriented Outpatient Services” is available.

4. Tools & Links
   14. Glossary

       The “Glossary of Terms & Acronyms” that can be viewed online is also available in pdf format for download.

5. OMH / OASAS
   15. Co-occurring Disorders and the NYS COD Task Force

       Information on “co-occurring disorders” (COD), including a table of questions and a press release, Improving Care For Co-Occurring Disorder Patients in NY, is available in pdf from OASAS and in html from OMH. OMH announced the “OASAS / OMH Task Force on COD.” The December 2007 report from the COD Task Force is available in html from OMH and in pdf from OASAS.

   16. Screening

       Please refer to (e.) Screening above to download information, guidelines, and instruments as a complete screening package recommended for use in substance abuse treatment settings to screen for mental health problems, and for use in mental health treatment settings to screen for substance use problems.

       Besides the complete screening packages linked above and in section (e.), CEIC has compiled two instrument packets; one contains the three instruments for mental health problems, the other contains the three instruments for substance use problems.

       In addition to the screening packages that CEIC has compiled, each of the six recommended instruments, often translated into several languages, can be obtained online from other organizations:

       for mental health problems–

       • Modified MINI Screen (MMS) – the screening tool, users guide, and related information is available from the New York City Department of Health and Mental Hygiene (NYC-DHMH).

       • Mental Health Screening Form III (MHS-III)

       • K6 Mental Health Screening Tool– from the OALTC at K University. An alternate source for both the K6 and K10 instruments is the National Comorbidity Study on the Harvard Medical School website maintained by its Department of Health Care Policy.

       for substance use problems–

       • Modified Simple Screening Instrument for Substance Abuse (MSSI-SA) from the New York City Department of Health and Mental Hygiene (NYC-DHMH).

       • CAGE-AID (Concerned, Annoyed, Guilty, Eye-opener Adapted to Include Drugs) – Questionnaire for Alcohol & Illicit Drug Use – is available from many sites, including the Center for Quality Assessment and Improvement in Mental Health (CQAIMH).

       • ASSIST (Version 3) – Alcohol, Smoking and Substance Involvement Screening Test is available from the World Health Organization (WHO), which developed and tested the instrument.

       Another source for all six screening instruments and related materials is the Dartmouth Psychiatric Research Center (DARC) at the University of Dartmouth.

   17. Publications & Forms

       Both agencies offer publications and forms online – OASAS has forms for providers organized in easy-to-navigate categories, often in both html and pdf formats. OMH offers a section with web forms as well as a full print shop catalog with some forms available for download and others that can be ordered.

       OMH maintains an online collection of publications as well as a section of statistics and reports

   18. Other Resources

       Additional OMH and OASAS resources can be found in the links for Agencies & Providers

6. SAMHSA
   19. TIP 42 – Substance Abuse Treatment for Persons with Co-occurring Disorders

       Center for Substance Abuse Treatment. (2005). Treatment Improvement Protocol (TIP) Series, Number 42. S. Sacks, Chair & R. Reis, Co-Chair, Consensus Panel. DHHS Pub. No. (SMA) 05-3992. Rockville, MD: Substance Abuse and Mental Health Services Administration.

       “SAMHSA’s TIP 42” is available from several locations on this site, or directly from SAMHSA. You can also view TIP 42 online.

   20. Inservice Training – based on TIP 42

       Center for Substance Abuse Treatment. (2007). Substance Abuse Treatment for Persons with Co-Occurring Disorders: Inservice Training. DHHS Publication No. (SMA) 07-4262. Rockville, MD: Substance Abuse and Mental Health Services Administration.

   “SAMHSA’s Inservice Training” is a training curriculum manual based on TIP42 and formulated for adult learning. The TIP 42 Inservice Training was created to transfer the evidence-based knowledge in TIP 42 to frontline clinicians, thereby initiating application of the state-of-the-art information and approaches to the treatment of persons with co-occurring substance use and mental disorders. The document available on this site [link to ] has bookmarks for easy navigation. The SAMHSA Knowledge Application Program (KAP) site offers options for downloading and viewing the Inservice Training curriculum.

   21. SAMHSA’s COCE (Co-occurring Center for Excellence)

       The website for SAMHSA’s Co-occurring Center for Excellence (COCE) contains a variety of publications and resources, collected and compiled over the Center’s 5-year term. In 2009, a new cycle of co-occurring disorders work began in 2009 with the inauguration of the Co-Occurring Disorders Innovation & Integration (CODI) initiative. CODI supports the Substance Abuse and Mental Health Services Administration’s (SAMHSA) goal to improve the quality of life for persons with mental health and substance abuse disorders and continues to maintain the COCE website. A new CODI website is planned for a late-2010 launch.