Evaluation Projects: How They Began

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Last Updated on April 15, 2021 by

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Individuals with Co-occurring Disorders: An Evaluation of Integrated Care Programs

In regards to co-occurring disorders, Foundations Associates and DDM have consistently provided good clinical results for individuals with co-occurring disorders and drug use problems in a series of assessment studies performed over the last ten years. A growing body of research has consistently reported the effect and effectiveness of comprehensive treatment programs for co-occurring disorders. Furthermore, our evaluation studies have consistently shown that integrated treatment services have a positive impact on important results such as; substance abuse, psychological disorders, functioning, earnings and employment, housing stability, involvement in criminal justice, high-risk behaviors, and utilization of service measures (reduced overnight inpatient and emergency room while increasing participation in less costly community-based treatment services). Similar success has been recorded in our assessment studies across a number of co-occurring subgroups and special populations. The importance of integrated treatment services and the efficacy of Foundations Associates’ services, which were built based on integrated treatment concepts as outlined by Robert Drake and Kim Mueser, are reflected in this series of evaluation studies.

Integrated Residential Care Facilities Extension

FROM 1998 TO 2001, HHS/SAMHSA/CSAT FUNDED THE PROJECT. TENNESSEE DEPARTMENT OF MENTAL HEALTH AND INTELLECTUAL DISABILITIES PARTNERSHIP

The aim of this project was to expand Foundations Associates’ residential services by adding facilities for men and women. Men’s programs were extended to create a comparable comprehensive residential model tailored to women’s unique needs with dual diagnoses.

An Integrated Community-Based Service Model Being Established.

FROM 2001 TO 2004, HHS/SAMHSA/CSAT FUNDED THE PROJECT. IN COLLABORATION WITH THE NASHVILLE METROPOLITAN HEALTH DEPARTMENT.

The project increases the potential for front-end delivery of comprehensive dual diagnosis outpatient care for indigent communities while also providing community-based persons with longer-term continuous follow-up. The program aimed to include the least restrictive and resource-intensive model of community-based dual diagnosis care while producing outcomes comparable to the field-tested residential program by replicating a highly effective local residential program.

Homeless People with Co-occurring Disorders: An Evaluation of a Modified Assertive Community Treatment (ACT) Model

FROM 2001 TO 2004, HHS/SAMHSA/CSAT FUNDED THE PROJECT.

The project adopts the Assertive Community Team (ACT) model, which has been shown to be beneficial for people with severe and chronic mental illness, to include key practices that have been empirically shown to be effective in active comprehensive treatment programs (Drake et al., 2001). It aims to create a replicable model for treating a community of customers who are unable to access and sustain stable housing due to co-morbid drug abuse/dependency and mental issues.

An Integrated Drug Court Model Being Evaluated.

FROM 2001 TO 2004, HHS/SAMHSA/CSAT FUNDED THE PROJECT.  PARTNERSHIP WITH DAVIDSON COUNTY COMMUNITY CORRECTIONS PROGRAM. 

The program offers non-violent dually diagnosed felony offenders diversionary residential care. It is based on current integrated clinical practices and incorporates drug court principles’ main treatment. The initiative, which builds on the experience of a highly effective integrated services agency, brings together the resources of two leading organizations to provide a recovery choice for an increasingly increasing and underserved population of people who would otherwise be incarcerated.

Criminal Offenders with Co-occurring Disorders and Drug Use Disorders: A Diversionary Model

FROM 2003 TO 2007, HHS/SAMHSA/CMHS FUNDED THE PROJECT. COLLABORATION WITH THE GOVERNMENT OF SHELBY COUNTY.

This initiative builds on Shelby County’s recent efforts to solve the county’s most pressing infrastructure need: jail diversion for people who have co-occurring disorders and drug use disorders. For prison diversion and dual diagnosis programs, our model incorporates evidence-based approaches from the Council of State Governments and Robert Drake.

Expansion of a Multi-Diagnosis Treatment Program: An Integrated Rehabilitation Intervention Model for Ex-Offenders with Mental Illness, Addictive Disorders, and HIV Seropositive or High-Risk Status

FROM 2004 TO 2009, HHS/SAMHSA/CSAT FUNDED THE PROJECT.

The project brings together leading co-occurring disorders, and HIV/AIDS providers in Memphis to solve the city’s most urgent infrastructure need: care for ex-offenders with complex co-occurring disorders SA/MI and seropositive or high-risk status. It combines NIDA, Drake, CDC, and SAMHSA evidence-based approaches for SA/MI treatment and HIV/AIDS prevention/care to create a robust, integrated recovery management model.

Treatment and Services for Shelby County Detainees with Co-occurring Disorders Being Expanded.

FROM 2004 TO 2007, HHS/SAMHSA/CSAT FUNDED THE PROJECT.

The initiative builds on a previous prison diversion program to provide more comprehensive recovery services, such as residential treatment and long-term case management. Individuals with a more comprehensive drug use history and more serious clinical symptoms will benefit from these more robust care offerings, which are structured to promote diversion and access to evidence-based treatment.

Our research has promoted the development and distribution of appropriate comprehensive treatment services and expanded access to community-based facilities through joint projects with other organizations, in addition to assessment studies concerning Foundations Associates’ treatment services for co-occurring disorders.

Ex-offenders in the Nashville region being provided integrated ACT services.

FROM 2007 TO 2012, HHS/SAMHSA/CSAT FUNDED THE PROJECT. PARTNERSHIP WITH THE PARK CENTER.

The project offers comprehensive ACT services to ex-offenders in the Nashville region who co-occurring disorders which are concurrent addictions, mental illness, and HIV/AIDS or are at high risk of contracting HIV/AIDS. It incorporates Robert Drake and Kim Mueser’s evidence-based approaches, as well as the CDC, NIDA, and SAMHSA’s core clinical intervention principles for HIV/AIDS prevention and treatment, into comprehensive substance abuse and mental health services.

In a Rural Community, an Evaluation of Integrated ACT Services was Conducted.

FROM 2002 TO 2005, HHS/SAMHSA/CSAT SPONSORED THE PROJECT. PARTNERSHIP WITH RIDGEVIEW PSYCHIATRIC HOSPITAL AND CENTER, OAK RIDGE, TENNESSEE

The project adopts the Assertive Community Team (ACT) model, which has been shown to be effective for people with severe and chronic mental illness, to provide adequate comprehensive core care practices for people living in rural areas who have co-occurring disorders (Drake et al., 2001). Its objective is to build a model that can be used to treat underserved homeless people who have co-morbid drug abuse/dependency and mental illness.

The Strengthening Families Model Being Adapted for Families with Co-occurring Disorders.

FROM 1999 TO 2002, HHS/SAMHSA/CSAP Sponsored THE PROJECT. TENNESSEE DEPARTMENT OF MENTAL HEALTH AND INTELLECTUAL DISABILITIES PARTNERSHIP

Centered on the Strengthening Families Initiative, this project is a targeted preventive intervention (SFP). The SFP was being generalized for use with dually diagnosed parents and their children for this project’s purposes. The aim of SFP is to minimize environmental risk factors while increasing protective factors in high-risk youth to avoid drug abuse and behavioral issues.

Housing Within Reach: Designing, enacting, and enforcing long-term and permanent housing options for Tennesseans suffering from mental illness.

Housing Within Reach: Designing, enacting, and enforcing long-term and permanent housing options for Tennesseans suffering from mental illness.

This project would result in a long-term shift in the housing choices available to Tennesseans who have been diagnosed with severe and chronic mental illness. This project has two important objectives: (1) to formulate and build a more efficient, consumer-directed, and accessible housing resource system for Tennesseans with mental illness in order to increase the number of people living in quality, affordable housing, and (2) to significantly reduce the stigma of mental illness in the state and create a more welcoming environment for people who live in Tennessee neighborhoods with co-occurring disorders.