January 30, 2014
9:00 AM - 4:00 PM

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January 23, 2014 (11:59 PM) EST
January 23, 2014 (11:59 PM) EST is the deadline to cancel your registration for this event and request a refund.

DDCAT: Stage-Wise Application Training

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This training will explore the Dual Diagnosis Capability in Addiction Treatment (DDCAT) index, an organizational assessment and planning tool that helps agencies identify strategies and models to improve their ability to treat people with co-occurring mental illness and substance use disorders disorders. This training will also introduce participants to the Transtheoretical Model of Change (Stages of Change), which is highly useful approach to enhance services for people with co-occurring disorders.

Participants will learn how to evaluate stages of change (readiness to change) among the people they serve and how to plan and utilize interventions that are appropriate for each stage (stage-wise interventions).


The workshop will provide practical skill development through case discussions and practice exercises. Participants will work in small groups to review cases and determine stage of change and appropriate stage-wise interventions. An emphasis will be placed on participants supporting the rationale they used to determine stage of change and treatment interventions. Additional attention will be paid to recognizing and avoiding common staging errors and identifying person-centered, goal-setting strategies.

The Center for Evidence-Based Practices (CEBP) at Case Western Reserve University makes an attempt to incorporate exercises and examples specific to the unique practice settings of participants in its training events, with an emphasis upon skills that advance the recovery of individuals with substance use disorders and/or severe and persistent mental illness.

Learning Objectives:

Participants will be able to ...

  1. Describe the importance and purpose for utilizing the DDCAT instrument to guide integrated-service provision
  2. Identify criteria associated with each of the 5 Stages of Change
  3. Apply stage-wise intervention concepts to case studies to practice determining appropriate stage of change and developing stage-wise treatment plans
  4. Recognize and avoid common staging errors
  5. Describe the person-centered, stage-wise goal setting process



Jeremy Evenden, MSSA, LISW-S , John Scalish, PCC, LICDC-CS, ICCS , Lou LaMarca , Patrick Boyle, PhD, LISW-S, LICDC-CS


Our training events are open to professionals from multiple disciplines, service settings, and systems of care who provide healthcare, behavioral healthcare, and other services to people with mental illness or co-occurring mental illness and substance use disorders. Examples of people who attend our events include the following:

Service roles

  • Program managers
  • Team leaders
  • Clinical supervisors
  • Medical staff
  • Quality assurance professionals
  • Administrators
  • Policymakers
  • Direct-service staff
  • Peer supporters
  • Peer specialists
  • Peer recovery coaches

Service settings

  • Behavioral healthcare organizations (e.g., mental health, addiction services)
  • County boards (e.g., mental health, addiction services)
  • Psychiatric hospitals (state and community)
  • Hospitals
  • Managed Care Organizations
  • Criminal justice (e.g., police, courts, jail, probation, parole)
  • Residential
  • Housing
  • Health clinics (primary health)
  • Health Homes

Professional disciplines

  • Mental-health services
  • Social work
  • Psychology
  • Primary healthcare
  • Psychiatry
  • Nursing
  • Occupational therapy
  • Residential
  • Housing
  • Criminal justice
  • Vocational rehabilitation

Service models and strategies

  • Individuals and service teams from organizations implementing the following practices and service strategies are also encouraged to attend:
  • Integrated Dual Disorder Treatment (IDDT)
  • Assertive Community Treatment (ACT)
  • Dual Diagnosis Capability in Addiction Treatment (DDCAT)
  • Dual Diagnosis Capability in Mental Health Treatment (DDCMHT)
  • Tobacco Recovery Across the Continuum (TRAC)
  • Supported Employment/ Individual Placement and Support (SE/ IPS)
  • Illness Management and Recovery (IMR)
  • Wellness Management and Recovery (WMR)
  • Integrated Primary and Behavioral Healthcare (IPBH)
  • Health Homes







Jeremy Evenden, MSSA, LISW-S, is a consultant and trainer at the Center for Evidence-Based Practices at Case Western Reserve University and its Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence (Ohio SAMI CCOE) initiative. He provides technical assistance (consulting and training) to organizations that are implementing evidence-based practices, emerging best practices, and other strategies that improve services and outcomes for people diagnosed with severe mental illness and substance use disorders. Mr. Evenden is a member of the Motivational Interviewing Network of Trainers (MINT), an international association of trainers in motivational interviewing.

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John Scalish, PCC, LICDC-CS, ICCS, is clinical director of Community Assessment and Treatment Services in Cleveland, Ohio and has served the organization in various capacities throughout his career, including men's residential counselor, forensic program manager, drug court liaison, and outpatient program manager. previously worked as a treatment specialist on the Greater Cleveland Drug Court team for six years. He earned a Bachelor of Arts in Sociology from John Carroll University with a focus in criminal justice and a Master of Education in Community Agency Counseling from Cleveland State University.
Lou LaMarca, MSSA, LSW, is the director of continuous quality improvement at Community Assessment Treatment Services (CATS) in Cleveland, Ohio. He is responsible for overall quality improvement, including compliance with accreditation standards and contract contingencies, outcome management, peer and record reviews, and client rights and grievances. He has twenty-four years of experience in direct practice and administration in community-based mental health and substance abuse services. Mr. LaMarca earned a Master of Social Services Administration from at the Jack, Joseph and Morton Mandel School of Applied Social Sciences at Case Western Reserve University.

Patrick E. Boyle, PhD, LISW-S, LICDC-CS, is director of implementation services at the Center for Evidence-Based Practices at Case Western Reserve University, where he oversees the technical-assistance services of all Center projects, including two Ohio Coordinating Center of Excellence (CCOE) initiatives. The technical assistance includes program consultation, clinical consultation, and training for service systems and organizations that are implementing evidence-based practices, emerging best practices, and other strategies that improve quality of life and other outcomes for people diagnosed with severe mental illness and substance use disorders.

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