Ohio's Coordinating Centers of Excellence (CCOEs) were established by the Ohio Department of Mental Health & Addiction Services (OhioMHAS) to promote the implementation of evidence-based practices and clinical best practices that address critical needs of adults and children affected by serious emotional disturbances and/or mental illness. Each of Ohio’s seven CCOEs are supported by OhioMHAS and comprised of a unique mix of collaborative partners, including Ohio universities, consumer and family advocacy groups, research entities, provider organizations and local mental health boards. Their primary audience is agency-based mental health practitioners. They also work with other systems of care (e.g., substance abuse, criminal justice, education, rehabilitation services and developmental disabilities). Each CCOE promotes a specific practice through training, consultation, fidelity assessment and/or outcomes evaluation.
Assertive Community Treatment (ACT) CCOE
Assertive Community Treatment (ACT) is an evidence-based practice that improves outcomes for people with severe mental illness who are most at-risk of homelessness, psychiatric hospitalization, and institutional recidivism. ACT is one of the oldest and most widely researched evidence-based practices in behavioral healthcare for people with severe mental illness. The multidisciplinary ACT team consists of professionals whose backgrounds and training include social work, rehabilitation, counseling, nursing and psychiatry. The ACT services include case management; initial and ongoing assessments; psychiatric services; employment and housing assistance; family support and education; substance abuse services and other supports critical to an individual's ability to live successfully in the community. People receiving ACT services tend to utilize fewer intensive, high-cost services such as emergency department visits, psychiatric crisis services, and psychiatric hospitalization. They also experience more independent living and higher rates of treatment retention.
The Ohio ACT CCOE provides technical assistance to mental health organizations in Ohio that are providing ACT services, plan to implement ACT services, and wish to integrate ACT with Integrated Dual Disorder Treatment (IDDT), the evidence-based practice. The Ohio ACT CCOE is based at the Center for Evidence-Based Practices at Case Western Reserve University.
Center for Innovative Practices (CIP)
The CIP CCOE is a collaboration with Case Western University to implement evidence-based practices for youth and their families. This CCOE works closely with systems of care in local communities (e.g., mental health, education, juvenile justice) to encourage practices that are proven effective in reducing criminal justice involvement and the need for out-of-home placement among at-risk youth. Practices promoted by this CCOE include multi-systemic therapy, intensive home-based treatment and co-occurring treatment for mental illness and substance abuse. Working with young people and their families, this CCOE recently launched a web site to promote resiliency and support connections among peers.
Criminal Justice (CJ) CCOE
The Criminal Justice CCOE promotes the sequential intercept model, which includes interventions to help individuals with mental illness obtain appropriate treatment and avoid entering or sinking deeper into the criminal justice system. The CCOE provides crisis intervention team training to law enforcement and emergency service providers. The CCOE is a collaborative effort involving the Summit County ADAMH Board, Northeastern Ohio University's Colleges of Medicine and Pharmacy and Ohio’s chapter of the National Alliance on Mental Illness (NAMI Ohio). For more inforamation, visit the website or contact Christopher Nicastro, OhioMHAS Office of Community Support.
Mental Illness/Developmental Disabilities CCOE
The MIDD CCOE promotes clinical best practices for individuals with mental illness and developmental disabilities. It is a collaborate effort involving the OhioMHAS, the Ohio Department of Developmental Disabilities, and the Ohio Developmental Disabilities Council. With the goal of providing appropriate treatment for individuals with co-occurring mental illness and developmental disabilities, the CCOE assists local systems throughout Ohio to increase their service capacity and foster collaboration.
This CCOE is based at the Wright State University Department of Psychiatry, near Dayton, under the leadership of Dr. Julie Gentile. The Ohio MIDD CCOE provides comprehensive psychiatric assessments, educational programs, regional and local team consultation. In 2012, the CCOE also initiated Ohio's Telepsychiatry Project for Intellectual Disability which provides clinical consultation and mental health services to individuals in under-served areas of Ohio with co-occurring mental illness and intellectual disability.
Read the MIDD CCOE white paper on Dual Diagnosis: Overview of Therapeutic Approaches for Individuals with Co-Occurring Intellectual/ Developmental Disabilities and Mental Illness for Direct Support Staff & Professionals working in the Developmental Disability System
Substance Abuse and Mental Illness (SAMI) CCOE
The Ohio SAMI CCOE provides technical assistance for evidence-based practices and other best practices that help improve outcomes for people with addiction, mental illness, and co-occurring disorders. The Ohio SAMI CCOE disseminates Integrated Dual Disorder Treatment (IDDT), the evidence-based practice, which combines substance abuse services with mental health services. IDDT helps people address both disorders at the same time in the same service organization by the same team of treatment providers. Research demonstrates this model to be more effective at helping people achieve abstinence than traditional services which provide separate treatments. The SAMI CCOE also disseminates Dual Diagnosis Capability for Addiction Treatment and Mental Health Treatment. DDCAT and DDCMHT help organizations enhance their ability to provide treatment for dual disorders with increasing capacity over time. The Ohio SAMI CCOE provides technical assistance to behavioral healthcare organizations and state psychiatric hospitals. It is based at the Center for Evidence-Based Practices at Case Western Reserve University.
Supported Employment (SE) CCOE
Supported Employment/Individual Placement and Support (SE/IPS) is an evidence-based practice that helps people with mental illness and other disabilities identify and acquire part-time or full-time jobs of their choice in the community with rapid job-search and placement services. It emphasizes that employment is not the result of treatment and recovery but integral to both. SE/IPS is different from traditional vocational rehabilitation. It emphasizes consumer choice and utilizes rapid job-search and placement services, time-unlimited and individualized follow-along services, and many other important strategies. Research has shown the evidence-based SE/IPS model to be two to three times more effective than other employment models. The Ohio SE CCOE disseminates SE/IPS and other practices that increase competitive employment among people diagnosed with mental illness and other disabilities. The Ohio SE CCOE is based at the Center for Evidence-Based Practices at Case Western Reserve University.