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Co-Occurring Disorders Treatment Orientation
CSTS
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What are Co-Occurring Disorders?
Two or more disorders occurring at the same time like mental illness, substance use disorders and medical disorders.
Other terms for co-occurring disorders: Dual Diagnosis, Comorbid Disorders,
MICA, MISA, MISU, CAMI, SAMI, MICD, ICOPSD
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“Stages of Change” Prochaska, Norcross and DiClemente
CSTS Co-Occurring Disorders Treatment Services are based on the idea that, to be successful, a person’s plan for change needs to fit with where they are at . . .
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How do people change?
Precontemplation
Contemplation
PreparationAction
Maintenance
Relapse / Recycle
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Am I Precontemplative?
“What Problem?”
“Who, me?”
“I see no reason to change.”
“I wish people would just leave me alone already!”
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Am I Contemplative?
“I might have a problem.”
“I’m not ready to make any decisions yet.”
“Problem? Maybe.”
Considering change, but ambivalent.
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Am I in Preparation?
“I have a problem, but don’t want to commit to doing anything about it yet”
“I’m developing plans to change”
“Problem? Yes… Change? Not yet…”
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Am I at Action stage?
“I have a problem and I’m ready to do something about it.”
“I’m making changes.”
“Problem? Yes… Change? YES!”
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Am I at Maintenance?
“I’m stabilized and doing well. How can I support my ongoing recovery?”
“I’ve made the changes I want; now I want to maintain my gains.”
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Relapse / Recycle
“I’m stabilized but have relapsed. How can I get back into active recovery?”
“How can I learn from my relapse to strengthen my recovery plan?”
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What are my options?
Discovery Services
Individualized services for people in precontemplation, contemplation and preparation stages.
Focus is on education & exploring recovery goals.
Recovery Services
Individualized services for people in action and maintenance stages.
Focus is on obtaining and maintaining sobriety and ongoing recovery.
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What are my options?
Discovery Services at CSTS: Facilitated Co-Occurring Discovery Groups
St. Andrew’s Fresh Start Tuscan Creek Apartment Clubhouse CSTS – 555 Towner CSTS – 2140 E. Ellsworth
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What are my options?
Discovery Services at CSTS (continued): Weekly Education Lecture Series
2140 E. Ellsworth CSTS site Wednesdays at 4:15 p.m. Open to anyone
Medication Therapy Prescribed and monitored by psychiatrist
Case Management, and Crisis Stabilization Services
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What are my options?
Discovery Resources in the community: Dual Recovery Anonymous (12-step)
First Baptist Alano Club MAP
Alcoholics Anonymous “Open Talk” meetings
Narcotics Anonymous “Open Talk” meetings
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What are my options?
Recovery Services at CSTS: Facilitated Co-Occurring Recovery Groups
CSTS – 555 Towner, & 2140 E. Ellsworth Any of the Discovery groups previously listed
Weekly Education Lecture Series 2140 E. Ellsworth site Wednesdays at 4:15 p.m. Open to all members of the public
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What are my options?
Recovery Services at CSTS (continued): Clinical Support
Need for this service will be determined by you and your case manager/therapist.
Will be set up through your Person Centered Plan Medication Therapy Therapeutic Drug Screening Case Management and Crisis
Stabilization Services
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What are my options?
Recovery Resources in the community: Dual Recovery Anonymous (12-step)
First Baptist Alano Club MAP
Alcoholics Anonymous “Dual-Diagnosis” focused AA meeting, 5:30 pm
Wednesdays at 2140 E. Ellsworth See listing for others
Narcotics Anonymous See listing
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What are some other options?
Additional Community Based Resources: Dawn Farm Educational Series SJMH “Teens Using Drugs” series Recovery, Inc. SMART Recovery Women for Sobriety
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What’s next?
Tell your case manager / therapist you are interested.
Complete a Substance Abuse Assessment with designated staff.
Identify with your case manager / therapist what services you feel will work best for you and create an individualized goal in your Person Centered Plan.
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What’s next?
If you have Medicaid only, or no insurance, you will need to call Access (1-800-440-7548) for a screening.
Let someone on your treatment team know if you would like help or support in making this call . . .
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What’s next?
If you are not currently receiving CSTS services, you will need to call Access (1-800-440-7548) for a screening, and referral to services for which you are eligible.
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Any other questions?
THANKS FOR COMING!!