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Changing the world: the design and implementation of comprehensive continuous integrated systems of care for individuals with co-occurring disorders.
Psychiatr Clin North Am. 2004 Dec; 27(4):727-43.PC

Abstract

This article has described the CCISC model and the process of implementation of systemic implementation of co-occurring disorder services enhancements within the context of existing resources. Four projects were described as illustrations of current implementation activities. Clearly, there is need for improved services for these individuals, and increasing recognition of the need for systemic change models that are effective and efficient. The CCISC model has been recognized by SAMHSA as a consensus best practice for system design, and initial efforts at implementation appear to be promising. The existing toolkit may permit a more formal process of data-driven evaluation of system, program, clinician, and client outcomes, to better measure the effectiveness of this approach. Some projects have begun such formal evaluation processes, but more work is needed, not only with individual projects, but also to develop opportunities for multi-system evaluation, as more projects come on line.

Authors+Show Affiliations

Minkoff K
Department of Psychiatry, Harvard Medical School, Cambridge Hospital, 1493 Cambridge Street, Cambridge, MA 02138, USA. kminkov@aol.com
Cline CA
No affiliation info available

MeSH

ComorbidityComprehensive Health CareConsensusDelivery of Health Care, IntegratedDiagnosis, Dual (Psychiatry)HumansMental DisordersMental Health ServicesModels, OrganizationalProgram DevelopmentSocial SupportSubstance-Related DisordersUnited States

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15550290

Citation

Minkoff, Kenneth, and Christie A. Cline. "Changing the World: the Design and Implementation of Comprehensive Continuous Integrated Systems of Care for Individuals With Co-occurring Disorders." The Psychiatric Clinics of North America, vol. 27, no. 4, 2004, pp. 727-43.
Minkoff K, Cline CA. Changing the world: the design and implementation of comprehensive continuous integrated systems of care for individuals with co-occurring disorders. Psychiatr Clin North Am. 2004;27(4):727-43.
Minkoff, K., & Cline, C. A. (2004). Changing the world: the design and implementation of comprehensive continuous integrated systems of care for individuals with co-occurring disorders. The Psychiatric Clinics of North America, 27(4), 727-43.
Minkoff K, Cline CA. Changing the World: the Design and Implementation of Comprehensive Continuous Integrated Systems of Care for Individuals With Co-occurring Disorders. Psychiatr Clin North Am. 2004;27(4):727-43. PubMed PMID: 15550290.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Changing the world: the design and implementation of comprehensive continuous integrated systems of care for individuals with co-occurring disorders. AU - Minkoff,Kenneth, AU - Cline,Christie A, PY - 2004/11/20/pubmed PY - 2005/2/4/medline PY - 2004/11/20/entrez SP - 727 EP - 43 JF - The Psychiatric clinics of North America JO - Psychiatr Clin North Am VL - 27 IS - 4 N2 - This article has described the CCISC model and the process of implementation of systemic implementation of co-occurring disorder services enhancements within the context of existing resources. Four projects were described as illustrations of current implementation activities. Clearly, there is need for improved services for these individuals, and increasing recognition of the need for systemic change models that are effective and efficient. The CCISC model has been recognized by SAMHSA as a consensus best practice for system design, and initial efforts at implementation appear to be promising. The existing toolkit may permit a more formal process of data-driven evaluation of system, program, clinician, and client outcomes, to better measure the effectiveness of this approach. Some projects have begun such formal evaluation processes, but more work is needed, not only with individual projects, but also to develop opportunities for multi-system evaluation, as more projects come on line. SN - 0193-953X UR - https://www.unboundmedicine.com/medline/citation/15550290/Changing_the_world:_the_design_and_implementation_of_comprehensive_continuous_integrated_systems_of_care_for_individuals_with_co_occurring_disorders_ DB - PRIME DP - Unbound Medicine ER -