Seminole Center for Co-Occurring Disorders

General Description of Program Services

The Seminole Center for Co-Occurring Disorders provides the opportunity for Individuals with both a serious mental illness and substance abuse disorder, to learn how to effectively cope with and manage psychiatric symptoms while also reducing the frequency and severity of substance abuse. The SCCD goal is and has been to incorporate evidence-based practices in order to provide concurrent and coordinated care to those persons with co-occurring disorders.

Initial Assessment

• All potential admissions to Seminole Behavioral Healthcare for either psychiatric or substance abuse are screened for a co-occurring disorder.
• Assessments use self-reporting instruments, collateral information from family, primary health care providers, friends and when indicated, law enforcement, attorneys, and child protection investigators.
• Assessments are comprehensive in nature and address issues of trauma, past psychiatric history and compliance, family support, medical conditions, psycho-social stressors, safety, legal issues, potential for sexually transmitted diseases and other important factors associated with substance abuse.
• Emphasis is placed on those individuals, which may have special needs or issues such as women/men with children who may be negatively affected by their parents' co-occurring disorder.

Multidisciplinary Treatment Team

• Weekly clinical case staffing meeting assesses each participant's progress and reviews clinical needs and level of care.
• The client-centered goals are primary consideration for treatment team.
• The team in decision-making process utilizes Mueser's Stages of Treatment.
• ASAM Criteria utilized for consideration of level of care.

Clinical Team is comprised of the following:

• Medical Director
• Director of Forensic Services
• Forensic Care manager
• Program Manager for Seminole Center for Co-Occurring Disorders
• Co-Occurring Disorders Counselors
  

Treatment Methods

Evidence-based supported treatment methods and interventions are delivered in a client-centered context. All methods have been demonstrated in multiple and various research studies. Some methods include:

• 12 Step Principles
• Motivational Interviewing
• Harm Reduction
• Cognitive-Behavioral/Skill-based Treatment Interventions
• Trauma Informed Care (Seeking Safety)

Treatment Services

All staff of SCCD/Seminole Behavioral Healthcare assists the clients in achieving goals that they have identified and find meaningful.  Clients are provided with a full continuum of and referrals to recovery services including:

• Intensive residential treatment
• Outreach to families and significant others
• Case management
• Relapse prevention groups
• Enhanced medication management
• Sedona Clubhouse
• Turning Point Day Program
• Other therapeutic groups and classes

Treatment Objectives

• Facilitate client empowerment
• Set and achieve personal treatment / life goals
• Develop personal relapse prevention plan
• Focus on recovery
• Decrease crisis and hospitalizations
• Decrease involvement with criminal justice system
• Learn to manage medications
• Develop skills to maintain mental health
• Harm reduction
• Improve communication skills
• Improve social skills
• Expand understanding of substance abuse and mental health disorders
• Utilize 12 Step Community based support
• Improve coping skills
• Learn to manage anger
• Build skills to reduce stress
• Develop skills to improve parenting and family relationships

Important Program Elements

Individuals with co-Occurring disorders may enter into Seminole Behavioral Healthcare through any "door" or Program.

Recovery is expected to be long-term as clients move through different stages of engagement and harm reduction that eventually lead to long-term abstinence. Discharge/transitional plans include community integrated resources such as relapse prevention groups.

Staff is cross-trained in mental health and substance abuse issues with the emphasis on family education and support.