COD TrainTrainer

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    WELCOME

    Good Morning !

    Welcome to

    Screening and

    Assessment of COD

    Instructor Training

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    Ben Camp, M.S.Ed.

    Faculty Washington Institute for Mental

    Illness Research and Training COD Case

    Management Academy

    Faculty Eastern Washington University

    School of Social Work

    Alcohol/Drug Studies Program

    International & Educational Outreach

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    Before we get started I want you

    to check out the 3 people sittingnearest to you.

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    Some thoughts on Parallel Process

    Engaging training participants is like

    engaging clients so much depends on it!

    You all come into this training with skills

    and knowledge that needs to be validated.

    Training, like therapy, is a dance.

    Adult educational issues. Staff change and dealing with resistance.

    Questions and process.

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    But enough about me

    What are you hoping to

    gain from today?

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    Knowing what your participantsexpect from the training,

    especially if that is not what you

    expect to present, can helpavoid a car crash later.

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    The Adult Learner

    They are less forgiving about poorly preparedinstructors, having questionable expertise, and

    not having suitable supplementary materials.

    They value their own life experience (for goodreason) and want to share and discuss it in small

    groups and as a class.

    As they know the world to be complex, theyexpect to learn multiple ways of solving

    problems and to have discretion in applying the

    material.

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    They need the opportunity for reflection after

    trying out a new application or method. Rote learning just wont work for them.

    They are practical and are usually quite

    disinterested in theory.

    They demand that the materials have immediate

    utility and relevant application.

    (Wlodkowski, 1993; Vella, 1994)

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    It is also important to

    recognize that men andwomen may learn differently.

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    Dealing With Staff Resistance

    Clinical staff, like clients, may be ambivalent

    about change.

    The presenter needs to role with resistance by

    validating their feelings about change.

    It is less about change as it is about being

    changed.

    Change, in this case, might mean more work.

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    Training Content

    Break into groups of 3

    Briefly review TIP 42, Chapter 4

    Develop a list of what you like and dislikeWhere are the potential conflict areas with

    clinicians you might be training?

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    Training Modules Designed

    In clusters of five 60 to 90 minute sessions thatbuild on one another.

    To provide agencies the ability to present this

    information in a series of in-service trainings. So that smaller agencies can combine their staff

    with other agency staff to deliver these trainings.

    To provide information over a period of timewith assignments between sessions to increasesthe potential for retention and implementation.

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    TIP Chapter 4: AssessmentTIP Chapter 4: Assessment

    Module I Introduction to Screening and Assessment of Persons with Co-Occurring

    Disorders: Overview and Focus on GAIN-SS

    Module II Screening and Assessment, Step 1 and Step 2

    Module III Screening and Assessment Process: Step 3

    Step 7

    Module IV Screening and Assessment Process: Step 8 Step 12

    Case studies, review of relevant appendices, and key considerations in treatmentmatching.

    Module V Case presentation and completion of the GAIN-SS and the 12 Step process

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    Trainer Resource Disk

    Module Outlines and Trainer Notes

    PowerPoint Presentations for each Module

    RCW 71.05.027: Integrated comprehensivescreening and assessment for chemical

    dependency and mental disorders.

    GAIN-SS 2.0.1: This pdf file contains a copyof the screening tool adopted by the state and

    covered in the training.

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    Trainer Resource Disk

    Perceptions of the Global Appraisal of

    Individual NeedsShort Screener (GAIN-

    SS): A Pilot Study:GAIN-SS Overview

    GAIN Cover and Introduction:This is the

    GAIN Manual that provides a complete

    description of the full range of GAIN

    instruments and additional information forinterested individuals.

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    Trainer Resource Disk

    Adult Decision Tree for Referral to Chemical

    Dependency Focused COD Level of Care:

    Designed to assist clinicians and case managers make

    appropriate referrals to the substance abusing CODpatient into chemical dependency focused COD

    treatment.

    DSM-IV Questions:(Adapted from the Modified

    SADS Interview and Rating Guide; Spitzer &Endicott, 1989;and the PANSS Scale (Kay, Fiszbein

    & Opler, 1987).

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    Trainer Resource Disk

    DSM-IV Diagnostic Worksheet:

    ASAM LOC:This is a brief overview of the 6Dimensions and the Levels of Care of the ASAM

    Patient Placement Criteria along with a morecomplete description of Level I Outpatient Servicesand Level IV Medically-Managed Detox andIntensive Inpatient Treatment.

    Indicators of Medical Attention:This pdf file isintended to assist clinicians to determine when apatient is in need of medical attention to addresspotential withdrawal problems.

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    Trainer Resource Disk

    Screening, Assessment, and Treatment Planning forPersons with Co-Occurring Disorders:This is a companiondocument to TIP 42

    Substance Abuse Screening and Assessment Tools:

    Brief Intervention: Provides information about evidenced-based brief intervention approaches with additional shortscreens for substance abuse problems.

    COD Handouts:This document contains a variety ofinformation designed to assist clinical staff to have a broaderunderstanding of the clinical issues related to the treatment ofCOD.

    PTSD:Provides additional information about this commonCOD.

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    Trainer Resource Disk

    Train The Trainer Presentation

    COD Train The Trainer PowerPoints

    How you staff learn handout

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    Trainer recognition and validation

    How are you feeling about any of the following

    The training material to be covered,

    The use of the GAIN-SS

    Doubts about the training process

    Any aspects of the training

    How do you feel about becoming the expert?