Substance Abuse Treatment
Recent scientific research provides overwhelming evidence that not only do drugs (including alcohol) interfere with normal brain functioning creating powerful feelings of pleasure, but they also have long-term effects on brain metabolism and activity. At some point, changes occur in the brain that can turn abuse into addiction, a chronic, relapsing illness. Those addicted to drugs suffer from a compulsive drug craving and usage and cannot quit by themselves. Treatment is necessary to end this compulsive behavior.
Addiction is a chronic, relapsing, and treatable disease. A variety of approaches are used in treatment programs to help clients deal with these cravings and possibly avoid drug relapse. Through treatment that is tailored to individual needs, clients can learn to control their condition and live normal, productive lives. Like people with diabetes or heart disease, people in treatment for drug addiction learn behavioral changes and often take medications as part of their treatment regimen.
In general, the more treatment given, the better the results. Clients who stay in treatment longer than 3 months usually have better outcomes than those who stay less time. Many clients require other services as well, such as medical and/or mental health services and/or HIV prevention or other services.
(Adapted from the website of the National Institute on Drug Abuse: www.nida.nih.gov)
ADAD Treatment Staff
ADAD’s Treatment Field Managers are responsible for overseeing specialized services provided to specific substance abuse treatment populations, for responding to questions from the public, for monitoring programs and responding to complaints about services. In Colorado, ADAD licenses and monitors nearly 400 treatment provider agencies, with over 750 locations throughout the state. Licensed providers must meet or exceed a set of minimum standards of quality. Clicking on “ADAD Treatment Rules and Regulations”, above left will take you to the document containing these standards. The names, specialties and contact information of the Treatment Field Managers are available by clicking on “Staff List” above left, and also follow directly below, immediately proceeding this paragraph. Questions can also be directed to the managers of the Treatment Section.
Division of Behavioral Health
ADAD Treatment Section Staff List
Alcohol and Drug Abuse\Colorado Department of Human Services
3824 W. Princeton Circle, Denver, CO 80236-3120
NAME TITLE
EMAIL ADDRESS PHONE NUMBER
Daria Leslea Controlled Substance Administrator
daria.leslea@state.co.us 303-866-7493
James Martinez Cultural Competency Coordinator james.martinez@state.co.us 719-440-3775Webster Hendricks DUI Intervention Specialist webster.hendricks@state.co.us 303-866-7499
Christine Flavia DUI Treatment Coordinator christine.flavia@state.co.us 303-866-7496Yolanda Gray Involuntary Commitments Coordinator yolanda.gray@state.co.us 303-866-7489
Bennie Lombard Offender Issues Coordinator bennie.lombard@state.co.us 303-866-7519
Karen Mooney Women’s Treatment Coordinator karen.mooney@state.co.us 303-866-7492
Katie Wells Adolescent Services Coordinator katie.wells@state.co.us 303-866-7501
Mary McCann Director of Clinical Services
Mary.mccann@state.co.us 303-866-7400Marc Condojani Associate Director of Clinical Services marc.condojani@state.co.us 303-866-7173
Judy Moor Clinical Training Coordinator judith.moor@state.co.us 303-866-7490
Jim Rowan Outpatient Benefit and Clinical jim.rowan@state.co.us Supervision Coordinator
303-866-7487
Resources for Treatment Programs and MSOs
1. Principles for ADAD contractors and subcontractors
A. IAC Principles, 2005 Rev.
B. NIDA's Principles of Drug Addiction Treatment
C. SAMHSA's Women, Co-occuring Disorders and Violence Study Principles2. Forms
A. Out of State Offender Questionnaire
B. Infectious Disease Screening1. Infectious Disease Screening instrument
2. Trauma Informed Infectious Diseases Screening instrument
3. Infectious Disease Screening instrument (Spanish version)3. Counselor Certification
A. Addiction Counselor Certification and Licensure Standards
B. Counselor Certification Training Requirements
C. Training facilities
D. College Equivalency for Counselor Certification Required Courses4. CAC Trainer Information
A. DBH Approved Trainer Application
B. Training-of-Trainer Application for Core Curriculum Courses
C. CAC Course Report Form
D. CAC Evaluation FormE. CAC Certificate Form
1. Certificate Form for Required Classes
2. Certificate Form for Elective ClassesF. Core Competencies for CAC Required Training Classes
1. Ethical Issues in the Alcohol & Drug Clinical Setting
2. Diversity in Treatment Populations
3. Infectious Diseases in the Alcohol & Drug Treatment Setting
4. Cognitive Behavioral Therapy
5. Motivational Interviewing
6. Group Counseling Skills
7. Pharmacology I & II
8. Differential Assessment & Treatment Planning
9. Clinical Supervision
10. Therapeutic Resistance
5. PoliciesA. Disulfiram
B. Critical incident
C. Drug screening
D. Complaints
E. Level II Treatment Credit for Specialized Services
F. Staff Competency6. Licensing
A. Treatment agency license application
B. How to write policies
C. ADAD Approved Evaluation Instrumentation
D. Licensing packet
E. ADAD Substance Use Disorder Treatment Rules
F. ADAD Controlled Substance License Rules
G. ADAD Approved Education and Treatment Curricula7. Confidentiality
A. 42 CFR rules
B. HIPAA (link to ADAD HIPAA Homepage)
C. Releases8. Quality Improvement
A. Reports
B. Documents (related to process/audits, etc.)9. Other Resources
Counselor Certification
On July 1, 1998, H.B. 1072 transferred part of the counselor certification responsibilities to the Department of Regulatory Agencies (DORA). The application process and disciplinary actions for addiction counselors are now handled by DORA. For information and/or application regarding alcohol-drug counselor certification, please contact DORA, Mental Health Section, CAC Program, 1560 Broadway, Suite 1370, Denver Colorado, 80202. Their phone number is (303).894.7766 and their FAX number is (303).894.7747. If you would prefer, they can be immediately contacted at their website by clicking http://www.dora.state.co.us/mental-health/index.htm , or at their email address by clicking MentalHealth@dora.state.co.us. Their website has a wealth of information and allows for easy download and printing of counselor applications.ADAD retains authority for setting competency standards for the work force. You can view the current Addiction Counselor Rules for Certification and Licensure here. Certification and licensure requires a combination of specialized training and clinically supervised work experience in the addiction field. You can view a list of the required training here. As part of ADAD’s responsibility for setting the competency standards for the workforce we will continue to review and approve the training and trainers required for certification. ADAD does not certify or license training facilities, but there are a number of companies that offer CAC training. You can view a list of training facilities here. Many of the required courses and all of the elective courses for certification may be met through either graduate or undergraduate course work. The list here allows you to see which courses may be met through college equivalency.
With the transfer of the application process and disciplinary actions to the Department of Regulatory Agencies, ADAD focuses on improving the training for substance abuse counselors in Colorado. New approaches to improve access to training and inclusion of the most current research and treatment techniques are priorities in developing new training. Additionally, ADAD continues to review the counselor regulations and revises them when needed to reflect current research, treatment methods, and competency needed for the workforce. Those interested in becoming a trainer for either CAC required or elective training may contact the Clinical Training Coordinator, Judy Moor by email at judith.moor@state.co.us or by phone at 303 866-7490. You may also find trainer applications here. Those interested in becoming trainers for the Core Curriculum, which includes Addiction Counseling Skills, Client Record Management, and Principles of Addiction Treatment go through a different process. These courses utilize a standardized training curriculum and trainers must attend a training of trainers, offered at least one time each year. The application requirements for Core Curriculum trainers is available here.
Lastly, those interested in becoming addiction counselors may need some help navigating the application process. Through ADAD’s relationship with the Mountain West Addiction Technology Transfer Center (MWATTC), they have established a contact person to assist people in Colorado with becoming a certified or licensed addiction counselor. Call toll free 1 877 WST REGN (1 877 978-7346) or email thamblin@casat.org . You can also visit their website at http://casat.unr.edu/mwattc/ .
Offender Services
1. Information and Resources
A. Principles of Drug Abuse Treatment for Criminal Justice Populations
B. IACAJCT Juvenile Screening and Assessment Instruments
C. STIRRT Overview Document
D. STIRRT Residential Contact Information
E. STIRRT Residential Admission Criteria
F. STIRRT Residential Application Document
G. STIRRT Continuing Care Referral FormH. STIRRT Continuing Care Billing Form
Women's Gender Specific Treatment
1. About Women’s Gender-Specific Treatment For Substance Use Disorders.
2. Women's Services Contact List.
3. Women's Gender-Specific Treatment Checklist.
4. Colorado’s Protocol: Improving Services to Families:
Strategies for Substance Abuse Treatment, Child Welfare, and Dependency Court: A Guide for Counties, Service Providers and Judicial Districts in Colorado.
Adolescent Services
Substance Abuse Services for Adolescents in Colorado
Research in the field of Substance Abuse Services for youth has exploded over the past 8 to 10 years. Colorado is one of only a few states that has treatment standards specific to the treatment of minors. Vermont and California have guidelines, which are difficult to enforce. For well over the last 10 to 12 years, Colorado has focused on the specific needs of adolescents in treatment settings. Annually the Division of Behavioral Health (DBH) serves over 5,000 adolescents in every modality through their licensed treatment programs. Colorado has over 325 program sites, licensed to treat Minors. There is an estimated 28,990 substance abusers 10-18 years of age in Colorado. Of these at least 50-60% were diagnosed with a mental health issue in addition to their substance abuse. With approximately 5,000 youth completing treatment in our licensed programs, that leaves 23,586 young people that do not receive services. The primary drug of choice continues to be marijuana followed by alcohol. Colorado continues to see significant pockets of methamphetamine use across the state, with the majority of users being 18 and older. CO is also seeing a slight increase in prescription drug abuse.
The DBH will continue to focus on providing the most effective services for adolescents. The purpose of this link is to offer providers and consumers a place to go to see what is available for adolescents and to keep current on what the latest research reports on adolescent treatment.
What’s New!
Youth DUI Adjunct Providers Guide
In fiscal year 2008 there were 2,237 DUI citations issued to 10-20 year old youth. Out of that number, 503 youth already had prior DUIs. For the 21-25 year old age range, 6,725 young adults received a DUI and 1,853 had prior DUIs. Also in 2008, 9,513 young people 20 and under received a Minor In Possession (MIP) citation. If you look only at the DUIs and MIP’s for those 20 and under in Colorado for 2008, 11,750 young people received an alcohol citation. With startling statistics like this regarding our young people, DBH has confronted this issue and responded with additional resources for DUI providers.
In an attempt to continue to provide the most effective services to Youth in Colorado at the right time, in the right setting, efforts have been underway to develop, train and implement a supplement for current DUI providers to use for the youth 20 and under that have received a DUI. “Driving With Care, Education and Treatment of the Underage Impaired Driving Offender; An Adjunct Provider’s Guide”, has been developed. This supplement will be delivered in conjunction with “Driving With Care”, however, it includes operational guidelines and enhancements for the delivery of Underage Impaired Driving Offenders, how modifications and enhancements are presented, underage-specific groups vs. mixed age groups, interventions that are youth focused, and getting parents involved. DBH is currently training DWC providers on the implementation of this supplement and will inform the provider community of further training opportunities.
COMING SOON!
Minor in Possession (MIP) Services
MIP is not focused on drinking and driving; rather it is focused on the possession of alcohol by a minor. Statistics sited above reflect the need to develop consistent services to this population across the state to decrease repeat offenses and increase positive decision making skills for this population. Early onset drinking has been shown to significantly increase the risk of future alcohol-related problems. In an attempt to bring consistency across the state for those providers working with this population, the 2009 Alcohol and Drug Abuse Division Substance Use Disorder Treatment Rules Revision, will include a new level of care that will address education and treatment services specific to MIP clients.
Practice Guidelines for Adolescents with Co-Occurring Substance Use and Psychiatric Disorders
Addressing Co-Occurring issues with adolescents can be changeling and often times frustrating. Very few curriculums address this issue with clarity and many clinicians face barriers when confronting the often complex issues young people bring to the therapy arena. The Division of Behavioral Health has contracted with several local consultants with national expertise to develop guidelines for the care and treatment of youth with co-occurring disorders. These guidelines will define minimum competencies for staff and programs working with this population and set minimum or “best practice” standards for assessing and providing treatment services to youth. These guidelines will be available in the fall of 2009.
For further information, feel free to contact Katie Wells, Manager of Adolescent Substance Use Disorder Programs for the Division of Behavioral Health, Substance Use Disorders Section, at 303-866-7501 or by e-mail at katie.wells@state.co.us.
Related Information and Resources
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and Drug Abuse Division 3824 W. Princeton Cir.,
Denver, CO 80236 Tel: 303.866.7400 Fax:
303.866.7481 |
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