Integrated Dual Disorder treatment (IDDT)
The Consumer Advocacy Model was the first provider to implement the New Hampshire-Dartmouth Integrated Dual Disorder Treatment (IDDT) model in Dayton, Ohio in 2004 developed by Dr. Robert E. Drake. The Consumer Advocacy Model had the benefit of working along side Dr. Robert E. Drake during the model's implementation process.
Dr. Drake's vision of this model was the need for integrated, not parallel or sequential treatment for individuals with dual disorders. Integrated treatment includes a continuum of services, all of which address mental health and substance use as interacting, concurrent disorders versus separate disorders needing different modes of treatment. An integrated treatment program is defined as a program in which the same care providers deliver treatment for both the mental illness and substance use disorders at the same time. This treatment provider assumes responsibility for integrating mental health and substance abuse treatments so that the interventions are selected, modified, combined and tailored for the specific consumer. This does not mean that agencies merely collaborate, but they actively work to provide simultaneous treatment for both disorders.
The essential components of integrated treatment are:
- Assertive outreach
- Shared decision making
- Long-term commitment
- Cultural sensitivity and competence
- Stage wise treatment
The Consumer Advocacy Model also partners with The Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence (SAMI CCOE). This is a technical-assistance organization that promotes knowledge development and the implementation of evidence-based practices (EBPs) for the treatment and recovery of people with mental and substance use disorders. The Consumer Advocacy Model has completed their most recent fidelity visit in 2006. The program continues to grow and foster the evidence based practice initiative of Dr. Robert Drake. Since 2004, CAM has presented at the last three CCOE state wide conferences to share our experience with the model and our continued efforts to be the leading conforming site in the county.
IDDT Decreases: Symptoms of the Disorder; Hospitalization; Arrests and Incarcerations; Duplication of Services; and Treatment Drop Out.
IDDT Increases: Abstinence; Continuity of Care; Improved Relationships; Stable Housing; Employment
Individual Placement & Support (IPS)
The Consumer Advocacy Model also offers the opportunity to be involved in a supported employment project, which is affiliated with a clinical trial funded by the National Institute on Disability and Rehabilitation Research (NIDRR). CAM's philosophy includes the belief that successful employment is a necessary ingredient in recovery for most people, and several employment-related activities or services have existed at CAM over the years.
The IPS (Individual Placement and Support) intervention project is a rapid job placement model for consumers. These employment services are designed to assist individuals with disabilities and coexisting substance abuse disorder to become gainfully employed in an integrated community work setting. The IPS model is founded on ten research-based principles for successful vocational rehabilitation strategies. These include consumers being placed in paid, competitive jobs according to their career preference, as quickly as possible. The IPS model also provides ongoing follow up support after job placement to ensure job stability. CAM is currently conducting a research project based on this model of service.
Nancy Miller joined the CAM team in April 2006 as the Employment Specialist for the IPS program. Serving in this capacity, Nancy's responsibilities will include assisting consumers in attaining and maintaining employment that is consistent with their vocational goals. Consultation will be arranged for consumer benefit analysis and intensive job search and job development activities are immediately conducted with each consumer. Potential employers are contacted and educated regarding the IPS service. The model provides job coaching, mediation, advocacy, negotiating job accommodations, assisting in securing tax credits and incentives, and providing consistent follow along services. The ultimate goal is long term employment to support consumer self sufficiency.
For more information about CAM, please contact:
Kristen K. Dunn MRC, PCCS, LICDC, Program Director
Melissa R. Jones MRC, PCCS, LICDC, Clinical Director
Consumer Advocacy Model
6 South Patterson Blvd.
Dayton, OH 45402
(937) 222-2400 Phone/TTY
(937) 222-7522 Fax