ITCD Terms
Treatments and modalities that have been academically or scientifically researched and have been proven effective and valid by more than one investigation or study.
What are Evidence-Based Practices?
Structured, often peer-led gatherings where individuals with shared, challenging experiences—such as addiction, grief, or chronic illness—meet to exchange, provide emotional support, and reduce isolation.
What are community support meetings?
Helping clients see the gap between their current behaviors (substance use) and their future goals (recovery, health).
What is Developing Discrepancies?
Specific, conversational skills, used by practitioners in ITCD, often remembered by an acronym.
What is OARS?
Statements where the client mentions a desire, ability, or reason to change.
What is "Change Talk"?
Identify improvements and declines in areas that client has shown over the past quarter and present this information to the treatment team.
What are Quarterly Staffing Reports?
Services tailored to the individual's readiness for change, ranging from engagement and persuasion to active treatment and relapse prevention.
What are stage-wise interventions?
Showing understanding of the client's perspective without judgment.
What is Expressing Empathy?
Asking questions that require more than "yes" or "no".
What are open-ended questions?
The urge to immediately "fix" the client's behavior, which can cause defensiveness.
What is the "Righting Reflex"?
Treatment for both substance use and mental health disorders, provided by the same team, avoiding the need for separate, sequential treatment.
What is Integrated Care?
Represents SAMHSA's Dimensions of Wellness to improve quality of life beyond just symptom management.
What is 8?
Validating a client's ambivalence or resistance rather than arguing against it, reducing power struggles.
What is Rolling with Resistance?
Recognizing and reinforcing the client’s strengths and efforts.
What are Affirmations?
Because individuals with co-occurring disorders may have low motivation due to repeated, failed treatment attempts, MI helps move them through this?
What is the Stages of Change?
Involving family members in the recovery process to increase the client's positive support.
What are Family Interventions?
Providers use MI to connect how substance use interferes with mental health treatment, and vice versa, in a non-threatening way.
What is ITCD?
Encouraging the client's belief in their own ability to change and manage their illness.
What is Supporting Self-Efficacy?
Mirroring, paraphrasing, or interpreting what the client has said to show understanding.
What is Reflective Listening?
Because individuals with co-occurring disorders may have low motivation due to repeated, failed treatment attempts, MI helps move them through the stages of change.
What is Handling Ambivalence?
Individuals who help ITCD clients improve their quality of life, reduce symptoms, and build support systems, by sharing their lived experiences and instilling hope for dual recovery.
What is CPS (Peer Support)?
Specialized professionals who provide team-based, in-home, and community-based support for adults (18+) with both a serious mental illness and a serious substance use disorder and function as part of a multidisciplinary team to treat both disorders simultaneously, focusing on holistic recovery rather than just symptom management.
What are ITCD Care Coordinators?
An evidence-based, person-centered communication style designed to help individuals with both serious mental illness and substance use disorders explore and resolve ambivalence about changing their behavior.
What is Motivational Interviewing?
Reviewing key points in the conversation to reinforce motivation and clarify next steps.
What are Summaries?
An approach that centers on collaboration, compassion, and acceptance.
What is the "spirit" of MI?