ABOUT US
The Center for Evidence-Based Practices (EBPs) at Case Western Reserve University is a technical-assistance organization that promotes knowledge development and the implementation of EBPs for the treatment and recovery of people with severe mental illness and co-occurring severe mental and substance use disorders. The Center also implements and studies emerging best practices in an effort to identify innovations that consistently generate improved outcomes and thus, may become an EBP.
EBPs are service models that research has demonstrated to generate improved consumer outcomes, program outcomes, and service systems outcomes. Research shows that organizations which maintain fidelity to the original design of each EBP achieve and sustain the best outcomes.
Multiple EBPs
The Center functions as an umbrella entity for two technical-assistance organizations that disseminate two different yet related EBPs. Both organizations share resources and work cooperatively.
Ohio SAMI CCOE
The Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence (Ohio SAMI CCOE) disseminates the Integrated Dual Disorder Treatment (IDDT) model, which helps people with co-occurring severe mental illness and substance use disorders reduce and eventually eliminate their substance use and manage symptoms of both disorders simultaneously. Consult this web site for more information: www.ohiosamiccoe.case.edu
Ohio SE CCOE
The Ohio Supported Employment Coordinating Center of Excellence (SE CCOE) disseminates the evidence-based Supported Employment (SE) model, which helps people with severe mental illness find competitive jobs in their communities with rapid job-search and placement services, as well as time-unlimited individualized follow-along services. Consult this web site for more information: www.ohioseccoe.case.edu
SERVICES
The Center for EBPs helps service systems, service organizations, and direct-service providers implement and sustain the IDDT and SE models, maintain fidelity to the models, and develop collaborations within local communities that enhance the quality of life for consumers and their families. The services of the Center and its two CCOEs include the following:
- · Service systems consultation
- · Program consultation
- · Clinical consultation
- · Training and education
- · Research and evaluation
Training & Consulting
The Center's consultants and trainers are experienced administrators, service providers, and researchers who offer personal attention and customized training and consulting throughout the process of implementing the service innovations. We understand that every service system and organization exists within a unique cultural, political, and economic context. Therefore, we work closely with you to adapt each EBP to the unique culture of your community, while maintaining fidelity to the model.
STAGES OF CHANGE
The Center's consultants and trainers conduct outreach through its two CCOEs primarily with service systems and organizations that intend to improve outcomes of their services. The Center also conducts outreach with community stakeholders who collaborate to make the innovations possible and sustainable.
The Center recognizes that change often occurs gradually over time. Therefore, it has adapted a clinical model known as stages of change and an organizational model known as stages of implementation to help initiate, facilitate, and maintain successful implementation of IDDT and SE. Outreach with key stakeholders occurs primarily during the consensus-building and motivating stages of implementation (see table below). The stage-wise approach is the hallmark of the Center's consultation process. It sets a realistic, manageable pace for achieving high fidelity to each EBP, as well as improved outcomes.
For more information, consult the "Resource" section below and this page from the Ohio SAMI CCOE web site:
www.ohiosamiccoe.case.edu/program/program.html
| STAGE* |
Stages of change |
Stages of implementation |
| 1 |
Pre-contemplation |
Unaware or uninterested |
| 2 |
Contemplation |
Consensus building |
| 3 |
Preparation |
Motivating |
| 4 |
Action |
Implementing |
| 5 |
Maintenance |
Sustaining |
Resources:
James O. Prochaska, John C. Norcross, Carlo O. DiClemente (1994). Changing for Good: A Revolutionary Six-Stage Program for Overcoming Bad Habits and Moving Your Life Positively Forward. New York: Harper Collins.
| get resource |
Pamela S. Hyde, Kathryn Falls, John A. Morris, Sonja K. Schoenwald (2003). Turning Knowledge into Practice: A Manual for Behavioral Health Administrations and Practitioners about Understanding and Implementing Evidence-Based Practices. Boston: Technical Assistance Collaborative (TAC).
| get resource |
CUSTOMERS
The Center's SAMI CCOE and SE CCOE are providing technical assistance to IDDT programs and SE programs throughout the State of Ohio, which are in different stages of the implementation process. Programs are located in urban, suburban, and rural districts.
Ohio SAMI CCOE
For more information about the SAMI CCOE's customers, consult this web page:
www.ohiosamiccoe.case.edu/about/
Ohio SE CCOE
For more information about the SE CCOE's customers, consult this web page:
www.ohioseccoe.case.edu/about/
PUBLIC-ACADEMIC PARTNERSHIP
The Center for EBPs is a partnership between the Mandel School of Applied Social Sciences at Case Western Reserve University and the Department of Psychiatry at the Case School of Medicine. The partnership is in collaboration with and supported by the Ohio Department of Mental Health and the Ohio Department of Alcohol and Drug Addiction Services.
Co-Directors
Lenore A. Kola, Ph.D., Associate Professor of Social Work, Mandel School of Applied Social Sciences, Case
Robert J. Ronis, M.D., MPH, L. Douglas Lenkoski Professor and Interim Chair, Department of Psychiatry, Case School of Medicine
(For a complete list of staff members, click on "staff" in the header of this page.)
Partner Websites
Mandel School of Applied Social Sciences, Case
msass.case.edu
Department of Psychiatry, Case School of Medicine
www.case.edu/med/psychiatry/index.htm
Ohio Department of Mental Health (ODMH)
www.mh.state.oh.us
Ohio Department of Alcohol and Drug Addiction Services
www.odadas.oh.us
Ohio Rehabilitation Services Commission (ORSC)
www.rsc.state.oh.us
Ohio Department of Health (ODH)
www.odh.ohio.gov
Websites of Other Collaborators
Ohio Association of County Behavioral Health Authorities
www.oacbha.org/Directory/Index2.htm
NAMI Ohio (National Alliance on Mental Illness)
www.namiohio.org
New Hampshire-Dartmouth Psychiatric Research Center
dms.dartmouth.edu/prc/
National Addiction Technology Transfer Center (ATTC)
www.nattc.org
Great Lakes Addiction Technology Transfer Center (ATTC)
www.glattc.org
Co-Occurring Center for Excellence (COCE), SAMHSA
coce.samhsa.gov
MULTIDISCIPLINARY
By design, the Center for EBPs (and its two CCOEs) utilizes comprehensive strategies to inspire and facilitate service systems change, organizational change, and clinical change. Among its staff members are psychiatrists and licensed social workers, mental health counselors, and addictions counselors, as well as experienced administrators and researchers. The Center supports and promotes holistic biopsychosocial interventions like IDDT and SE, because research demonstrates the importance of treating people within their social environments with multidisciplinary service teams.
OUR HISTORY
The Center for EBPs has its roots in the initiative that created the Ohio SAMI CCOE in December 2000. The history is briefly described below. The Center was created in July 2005.
December 2000
The Ohio SAMI CCOE was created with a grant from the Ohio Department of Mental Health (ODMH) to provide technical assistance for the implementation of the IDDT model to service systems, organizations, and providers. The CCOE began serving 9 community-based organizations.
| see SAMI Matters, Spring 2001, p1 |
April 2002
The CCOE began to support the Implementing Evidence-Based Practices Project—a national dissemination effort funded by the Substance Abuse and Mental Health Services Administration and coordinated by the New Hampshire-Dartmouth Psychiatric Research Center of Lebanon, New Hampshire—by providing technical assistance for IDDT to 4 additional community-based organizations.
| see SAMI Matters, Fall 2002, p1 |
January 2003
The CCOE began to receive funding from the Ohio Department of Alcohol and Drug Addiction Services (ODADAS), expanding the public-academic partnership between Case Western Reserve University and ODMH that began in December 2000 with the creation of the Ohio SAMI CCOE.
January 2004
The CCOE began providing technical assistance for the evidence-based Support Employment (SE) model to four community-based organizations with a grant from the Substance Abuse and Mental Health Services Administration (SAMHSA). The grant was awarded to ODMH.
| see SAMI Matters, Summer 2004, p1 |
July 2005
The SAMI CCOE reorganized and created an additional CCOE—the Ohio Supported Employment (SE) Coordinating Center of Excellence—to provide technical assistance for the implementation of the evidence-based SE model. It also created the Center for Evidence-Based Practices at Case Western Reserve University, an umbrella organization to oversee the activities of both the SAMI and SE CCOEs.
| see SAMI Matters, Fall 2005, p13 |
The Ohio SE CCOE was created in July 2005 to respond to a growing demand in the state for technical-assistance services that support SE implementation. The CCOE implemented a grant that ODMH received in 2005 from the Johnson & Johnson-Dartmouth Community Mental Health Program to help three additional service organizations implement the SE model, bringing the total to 13 community-based organizations in Ohio.
September 2005
The Ohio SE CCOE began providing technical assistance to six additional community-based organizations with additional funding that ODMH received from SAMHSA.
January 2007
The Center for EBPs was featured in the Winter 2007 issue of "MSASS Action", the newsletter for alumni, friends, and community partners of the Mandel School of Applied Social Sciences at Case Western Reserve University.
| see MSASS Action, Winter 2007, p6-7 |
April 2007
The SAMI CCOE is providing consultation, training, and other forms of technical assistance to 49 community-based organizations and public inpatient hospitals in the State of Ohio, as well as to numerous organizations nationally and internationally.
The SE CCOE is currently working with 13 community-based organizations in Ohio.
RESOURCES
Below is a short list of resources from the Ohio SAMI CCOE and Ohio SE CCOE to introduce you to Integrated Dual Disorder Treatment (IDDT) and Supported Employment (SE), the evidence-based practices.
For more resources, consult the "publications" and "library" sections of the website of each CCOE.
IDDT Overview: Integrated Dual Disorder Treatment
| get resource |
Implementing IDDT: A step-by-step guide to stages of organizational change
| get resource |
SE | Supported Employment: An Overview
| get resource |
Work is Recovery: True Stories about Real People Who Benefit from Supported Emplyment, the evidence-based practice
| get resource |
ABOUT MENTAL ILLNESS
A brief description of mental health services is posted on the web site of the Center's Ohio SAMI CCOE. The description is written primarily for people who are new to the field of mental health services. Therefore, it provides a general overview in language that is easily understood by multiple audiences. We hope you find it helpful.
| get resource |
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