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Providing People with Co-Occurring Disorders Integrated, Stage-Matched Intervention

Presented by Kenneth Minkoff, MD, Zia Partners

This presentation begins with a review of the evidence-based principles of intervention for integrated service delivery that can be specifically applied to developing competency-based practice in any MH and SUD program, by any person in a helping role, with any level of licensure or training, including peers and front-line staff, and then goes on to focus on the application of Principle 4 (all the issues are primary) and Principle 5 (integrated stage-matched interventions for EACH condition).  The presentation goes into detail on the sentence descriptions that illustrate each of the six stages of change, and then describes concrete examples of stage-matched interventions and stage-matched outcomes for each of the stages.

  1. To learn how to use “sentence prompts” to identify stages of change for multiple issues for people or families with co-occurring conditions.
  2. To know specific interventions to use – including sample scripts – for helping someone to move from pre-contemplation to contemplation, or contemplation to preparation.
  3. To be able to focus on specific steps of “how” to change for individuals in the 4 “action” stages of change, and to know how to adapt those steps for people who are in preparation vs early action vs late action vs maintenance.

Dr. Minkoff is Vice President and Chief Operating Officer Senior at ZiaPartners, Inc., a behavioral health system consultation firm in Tucson, AZ. He is Board-Certified as an addiction psychiatrist and community psychiatrist, Board Member and Products and Services Committee Chair of the American Association for Community Psychiatry, playing a leading role in the development and dissemination of the LOCUS Family of Tools, as well as the Self-assessment for Modification of Anti-Racism Tool (SMART) for which he is co-author. He was one of the original members of the federal Interdepartmental Serious Mental Illness Coordinating Committee (2017-20). He is Co-Chair of the Community Psychiatry Committee of the Group for Advancement of Psychiatry, and one of the lead authors of the 2021 Report: Roadmap to the Ideal Crisis System, published by the National Council for Mental Wellbeing. He is a member of the National Council’s Medical Director Institute and consults to the National Council Centers of Excellence on Integrated Care and CCBHCs.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Hanley Center for Health Leadership and Education and CCSME. The Hanley Center for Health Leadership and Education is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

The Hanley Center for Health Leadership and Education designates this regularly scheduled series for a maximum of 1 AMA PRA Category 1 Credit ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

*Nurses and Nurse Practitioners will be awarded a certificate of participation with a maximum of 1 AMA PRA Category 1 Credit ™.

  • Contact Hours 1 contact hours for social workers, licensed clinical professional counselors, and behavioral health professionals.
  • 1 Category 1 Contact hours for psychologists. CCSME is a pre-approved sponsor and provider of Professional Education Activities for Psychologists.
  • 1 contract hours CHES. CCSME is a designated provider of continuing education contact hours (CECH) in health education by the National Commission of Health Education Credentialing, Inc.
  • 1 contact hours for Alcohol and Drug Counselors pending approval by the Maine Board of Alcohol and Drug Counselors

This course has been approved by Co-Occurring Collaborative Serving Maine (CCSME), as a NAADAC Approved Education Provider, for 1 educational credits. NAADAC Provider #324712, CCSME is responsible for all aspects of the programming.

This activity qualifies for 0 credit of the CME requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine’s legislation to address the opioid drug crisis.

This course is self-paced and the estimated time to complete is approximately 60 minutes. In addition to viewing a 50-minute video presentation, learners must earn a score of 80% or higher on a post-assessment and complete the post evaluation to receive contact hours or CME credits for completing the course. Supplemental course materials (i.e. pdf of slides) are also provided.

The Hanley Center for Health Leadership and Education designates this regularly scheduled series for a maximum of 1 AMA PRA Category 1 Credit ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity qualifies for 0 credit of the CME requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine’s legislation to address the opioid drug crisis.

  • Estimated Time to Complete: 60 minutes (includes viewing recording, and completing both the quiz and evaluation)
  • Registration Fee: FREE for Maine Clinicians
  • CME Credits Offered: 1
  • Computer with Internet connection.
  • Current version of Chrome, Firefox or Safari browser.
  • You must have javascript enabled.
  • The quiz tools thin the online modules are not fully compatible with smartphones or tablets. In order to avoid issues, such as answers not being recorded, we recommend using a computer to complete the pre- and post-tests.

At the end of the course, there is a post-test, and you will have as many attempts as needed to earn a grade of 80% or higher to receive contact hours or CME credit. The survey to evaluate the course at the conclusion is also required to receive credit.

Disclosures

The planners, presenters, and speakers do not have any relevant financial relationships.

Funding Statement

Funding for this online learning module was provided by the Maine Bureau of Licensure in Medicine.

Course Content

Part 1
Part 2
Part 3
Part 4 1 Quiz
Lesson Content
Evaluation and Certificate

The Statewide SUD Learning Community offers an array of education and support modalities for Prescribers and their entire Practice Team through funding from the Maine Office of Behavioral Health coordinated by the Co-Occurring Collaborative Serving Maine (CCSME)  with support from the Catherine Cutler Institute e-learning team.