1. Leadership Institute Graduation Friday January 19, 2007 Mentor: Dr. Carlo DiClemente Protégé: Adam Brickner

2. Project title: Baltimore City Directorate Training Institute Framework

3. Idea Started with RP How to enhance the treatment outcomes for people in treatmentStarted with RP How to enhance the treatment outcomes for people in treatment Bring research to practiceBring research to practice

4. Personal skills to develop: Working together rather than getting to far out in frontWorking together rather than getting to far out in front Focusing on infrastructure rather contentFocusing on infrastructure rather content Sensitive to organizational structureSensitive to organizational structure

5. Rationale and Purpose Within the substance abuse field, a well trained workforce directly related to better client outcomes (Kathleen Carroll – Yale)Within the substance abuse field, a well trained workforce directly related to better client outcomes (Kathleen Carroll – Yale) Identifies and grows talents within the industryIdentifies and grows talents within the industry Improves retention within the fieldImproves retention within the field Building a foundation on which to implement evidence based practiceBuilding a foundation on which to implement evidence based practice Counselor developmentCounselor development

6. Organization Training Institute under Baltimore City DirectorateTraining Institute under Baltimore City Directorate Arranges workforce development and trainingArranges workforce development and training Self sustainingSelf sustaining Recognized for CEU’s by the stateRecognized for CEU’s by the state Partnering with OETAS, ATTC, TrainersPartnering with OETAS, ATTC, Trainers

7. Framework

8. Knowledge Skills development Demonstrated Abilities Support Staff SA/MH Basic engagement skills Interpers onal skills Counselors Working with clients EBPSkills Clinical Supervisors Supervision vs. counseling EBPFeedback ProgramDirectors Organizational structure Support EBP Outcome s

9. Support Staff Education:Education: –Confidentiality –GLBT training –Basic drug and alcohol –Basic interpersonal skills How to keep people engaged in treatmentHow to keep people engaged in treatment

10. Core Skills Addiction Counseling skillsAddiction Counseling skills Client records managementClient records management Pharmacology / Drug Alcohol EducationPharmacology / Drug Alcohol Education

11. Substance abuse Counselor Board of Counselor Certified Supervised Counselor – Alcohol/DrugCertified Supervised Counselor – Alcohol/Drug –CSC – AD requires AA – two year institution Certified Addictions Counselor – Alcohol/DrugCertified Addictions Counselor – Alcohol/Drug –CSC – AD requires BA- four year institution Masters level cliniciansMasters level clinicians Removing the gap between counselor and Masters level clinicianRemoving the gap between counselor and Masters level clinician

12. Counselors KnowledgeKnowledge –Training on: Assessments (substance abuse / psycho social), Core skills, EBP, Dual Diagnosis Skills DevelopmentSkills Development –Application of the knowledge, Training plus booster sessions, quality supervision, feedback, Resistive client Demonstrate AbilitiesDemonstrate Abilities –Advanced training and training of trainers

13. Clinical Supervisors KnowledgeKnowledge –Training on: EBP, Understanding the population being served, Assessments (substance abuse / psycho social), Core skills, EBP, Dual Diagnosis Skills DevelopmentSkills Development –Advanced training plus booster sessions, taped critiques of supervision, counselor empowerment, feedback, advanced counseling skills Demonstrate AbilitiesDemonstrate Abilities –Advanced training and training of trainers

14. Program Directors KnowledgeKnowledge –Training on: Non-profit and for-profit management –Financial management –Strategic planning / Vision setting –Grant writing –Outcome management

15. Training Topic: core counseling skills Specific ethnic sensitivity (Peter Bell)Specific ethnic sensitivity (Peter Bell) Cultural competencyCultural competency Client records managementClient records management Basic counseling skillsBasic counseling skills

16. Training Topic: co-occurring SA/MH co-occurring EBPSA/MH co-occurring EBP Core knowledge on dual diagnosis / Assessment OETASCore knowledge on dual diagnosis / Assessment OETAS

17. Training Topic: Drug and Alcohol PsychopharmacologyPsychopharmacology –Effects of drugs and alcohol MethamphetamineMethamphetamine Opiate maintenance therapyOpiate maintenance therapy –Methadone –Buprenorphine

18. Training Topic: Evidence Based Treatment (EBT) Trainings Relapse Prevention (RP)Relapse Prevention (RP) Motivational Interviewing (MI)Motivational Interviewing (MI) Cognitive Behavioral Treatment (CBT)Cognitive Behavioral Treatment (CBT) 12-step Facilitation (TSF)12-step Facilitation (TSF)

19. Progress Meeting monthlyMeeting monthly Approved as a committee of the Baltimore City DirectorateApproved as a committee of the Baltimore City Directorate Established trainingsEstablished trainings Working with OETAS, ATTC, and TrainersWorking with OETAS, ATTC, and Trainers Cost structure to create a self sustaining organizationCost structure to create a self sustaining organization

20. Lessons learned Worked within existing structures/organizationsWorked within existing structures/organizations Reaching out to potential partners and letting them bring their expertise to the tableReaching out to potential partners and letting them bring their expertise to the table Not only counselor focused in terms of certification, but systems focused in terms of establishing and institutionalizing EBP at all levels of the systemNot only counselor focused in terms of certification, but systems focused in terms of establishing and institutionalizing EBP at all levels of the system

21. Barriers Fitting into the current training environmentFitting into the current training environment Learning from past training experiences in BaltimoreLearning from past training experiences in Baltimore –Project Boost Staff turnoverStaff turnover Developing trainings and trainersDeveloping trainings and trainers Lack of infrastructure within the Baltimore City DirectorateLack of infrastructure within the Baltimore City Directorate

22. Future directions Provide trainingsProvide trainings Evaluate outcomes of providers that focus on trainingEvaluate outcomes of providers that focus on training Evaluate the trainings for content and participant satisfactionEvaluate the trainings for content and participant satisfaction Modify the trainings as indicatedModify the trainings as indicated

23. Thank you