Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #116320

Rose M. Urban, MSW, JD¹, Charlene E. Le Fauve, PhD², Fred C. Osher, MD³, Michael Klitzner, PhD¹, and A. J. Ernst, PhD, LMSW-ACP⁴. (1) The CDM Group, Inc., 7500 Old Georgetown Road, Suite 900, Bethesda, MD 20814, 301/654-6740, Ext. 3012, rose.urban@cdmgroup.com, (2) Co-Occurring and Homeless Activities Branch Division of State and Community Assistance, Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment, 1 Choke Cherry Road, Room 5-1043, Rockville, MD 20857, (3) Center for Behavioral Health, Justice, and Public Policy, University of Maryland, 3700 Koppers Street, Suite 402, Baltimore, MD 21227, (4) Texas Department of State Health Services, 1100 West 49th Street, Austin, TX 78756

Co-occurring disorders (COD) have received considerable recent attention from the substance abuse and mental health fields. Fifty to 75 percent of clients in substance abuse treatment have co-occurring mental disorders, while between 20 and 50 percent of mental health clients have a co-occurring substance use disorder. Substantial progress has been made in translating science to service; however, the majority of persons with COD do not have access to evidence based practices. The proposed session reports efforts to fill the gap between what we know works and what people receive. Presenters are staff, consultants, and Federal officials associated with the Substance Abuse and Mental Health Services Administration's Co-Occurring Center for Excellence (COCE). Five papers are proposed that address:

• Federal leadership and the commitment of substantial Federal resources to the development, adoption, and support of Evidence -Based and Consensus-Based Practices (EBPs and CBPs) for COD.

• EBPs and CBPs applicable to a wide range of clinical settings in which persons with COD are identified, assessed, and treated

• Systems infrastructure innovations that address the special clinical, service coordination, regulatory, and reimbursement challenges of providing COD services

• Application of technology from the fields of dissemination science and social marketing to increase the adoption of EBPs in state and local service systems

• The feasibility of implementing COD clinical and infrastructure innovations in real world service settings and service systems

The circular flow of information from the field, through COCE, to the federal government, and back to the field will be described.

Learning Objectives: At the conclusion of the session, the participant in this session will be able to

• List three current federal initiatives supporting the programmatic implementation of evidence-based practices for persons with co-occurring disorders;
• Identify three evidence-based practices and their core elements associated with positive clinical outcomes for persons with co-occurring disorders;
• Describe five mechanisms to facilitate integration between mental health and addiction systems;
• Apply the core elements of knowledge transfer to the adaptation of evidence-based practices for persons with co-occurring disorders; and
• Articulate a process for statewide planning, delivery, and evaluation of evidence and consensus based practices for persons with co-occurring disorders

Keywords: Evidence Based Practice, Federal Initiatives

Related Web page: www.coce.samhsa.gov

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commertial supporters WITH THE EXCEPTION OF SAMHSA/CSAT; The CDM Group, Inc. (CDM); CDM has a contract with SAMHSA/CSAT to operate SAMHSA's Co-Occurring Center for Excellence (COCE). The presenter is employed by CDM as a Vice President and is COCE's Executive Project Director..