LITS - Families and Consumers

Principle #7:

There is no single correct intervention for ICOPSD; for each individual interventions must be individualized according to quadrant, diagnoses, level of functioning, external constraints or supports, phase of recovery/stage of change, and (in a managed care system) multidimensional assessment of level of care requirements. (Focus on development of clinical practice guidelines and training for CODC).

Strategy 1:

Through our clinical protocol committee, develop clinical practice guidelines based on the disease and recovery model to direct appropriate treatment interventions. for which there is consistent scientific evidence showing that these interventions/ practices improve client outcomes that are person centered and culturally sensitive.

	Action A Identify processes to ensure information is obtained regarding each client’s quadrant, diagnoses, level of functioning, external constraints or supports, phase of recovery/stage of change.
	Action B Identify range of published Evidence Based Practices across cultural, ethnic, racial, developmental stage and socio-rural status.
	Action C Develop a decision tree to guide appropriate treatment intervention.
	Action D Recommend practices across specific disciplines (i.e., nurses, psychiatrists, social workers, etc.) and across specific clinical treatment interventions (screening and assessment, crisis intervention, treatment planning, family therapy, discharge planning, etc.)

Strategy 2:

Development of organized system of care which supports continuity of care in that all services are dual programs, but all programs are not the same – programs are designed to meet the varying needs of the co-occurring client.

	Action A Define continuity of care guidelines for determining need of referral to specialized programs, other agencies, or external supports.
	Action B Develop clear policies and procedures for referral process.
	Action C Develop clear policies and procedures for referral follow-up.

Strategy 3:

Develop an informed, well-trained and competent staff in regards to knowledge base and skills and practice patterns consistent with evidence-based practices.

	Action A Require all workforce staff to be trained on core competencies, clinical practice guidelines, and continuity of care guidelines to ensure fidelity to adopted model of treatment.
	Action B Develop advanced curriculum for specific disciplines (i.e., nurses, psychiatrists, social workers, etc.) consistent with licensing / professional ethics standards, or accreditation in coordination with academic institutions.
	Action C Develop a method of disseminating information (e.g., workshops, web based training, etc.) to expand knowledge base among staff.
	Action D Develop a certification program that utilizes testing as a means to ensure skills development to practice at specified level of competency utilizing a person centered approach; raise professional standards & resolve licensure and credentialing conflicts.
	Action E Develop mechanism for follow-up ’refresher’ trainings.
	Action F Develop program of organized clinical supervision and quality improvement to ensure sustainability of skill levels.
	Action G Ensure information flow to direct care staff from regional, district and state leadership.