Co-Occurring Disorders Training Program & Guidelines

Below are the definitions for the Co-Occurring Informed, Co-Occurring Capable and Co-Occurring Enhanced levels of practice.

Each level of skill builds upon the previous. It is important to note that practitioners must stay within their scope of practice regardless of the level attained.

The Co-Occurring Informed level of practice identifies the core skills needed to support treatment. At this level, the skills needed within the following domains were identified: screening, engagement, readiness and retention, education, advocacy, and collaboration. Trainings at the Co-Occurring Informed level are intended to equip the paraprofessional practitioner to support treatment of all clients/consumers challenged by Co-Occurring Disorders. Positions eligible for the Informed Level include the following: Community Workers, Peer Specialists, Case Managers, MHRS, Waivered and Licensed staff.

The Co-Occurring Capable level of practice identifies the core skills needed to provide an integrated assessment and provide treatment to consumers and their families facing mild to moderate co-occurring disorders. The domains identified for this level are screening, assessment, and diagnosis, co-occurring capable treatment. Positions eligible for the Capable Level include the following: Some Paraprofessional roles (see manual), Waivered and Licensed staff.

The Co-Occurring Enhanced level of practice identifies the expertise needed to provide fully integrated treatment to consumers and their families challenged with moderate to severe co-occurring disorders. In this category the identified domains are assessment, diagnosis and integrated treatment for clients/consumers living with primary mental health and substance use disorders occurring concurrently. Licensed positions are only eligible for the Enhanced Level.  

Possible Grandparenting Scenarios

  Examples of Required Experience Co-Occurring Level
Informed Level

2 years full-time MH experience in the last 4 years &

2 years full-time SUD experience in the last 4 years

Informed Level Eligible.

Not required to take all the Informed Level trainings except for the ASAM criteria training. 

Capable Level 4 years full-time MH experience in the last 6 years as either a MHRS or Waivered/Licensed staff & have one of the approved SUD certifications (see manual). 

Informed Level Eligible & Capable Level Eligible.

Not required to take all Informed & Capable Level trainings, but still required to take the following trainings:

Intermediate COD course, Basic Pharmacology, and ASAM criteria trainings.

Enhanced Level

Licensed Staff with approved SUD certification or working in SUD program for 4 years full-time in the last 6 years

Informed Level Eligible. Capable Level Eligible. Enhanced Level Eligible.

Not required to take all Informed & Capable Level trainings, but still required to take the following trainings:

Intermediate COD course, Basic Pharmacology, and ASAM criteria trainings and all the Enhanced level course work.

 

©2022 County of Santa Clara. All rights reserved.