Biomedical subjects

Joseph J Cocozza

Publications and source records attributed to Joseph J Cocozza.

3 recordsLinked to original sources

PubMed2005

Outcomes for women with co-occurring disorders and trauma: program-level effects.

Program-level effects at 6 months are reported from meta-analysis of a nine-site quasi-experimental study of comprehensive, integrated, trauma-informed, and consumer-involved services for women who have mental health problems, substance use disorders, and who have experienced interpersonal violence. The average weighted effect size is significant for the treatment condition for improved post-traumatic symptoms (p < 0.02), drug use problem severity (p < 0.02), and nearly significant for mental health symptoms (p < 0.06). There is significant heterogeneity in effect sizes across sites. Program-level variables were examined in an effort to explain this heterogeneity. The findings indicate that sites which provided significantly more integrated counseling produced more favorable results in mental health symptoms (p < 0.01) and both alcohol (p < 0.001) and drug use problem severity (p < 0.001). The same trend is observable for reductions in post-traumatic stress symptoms, although the difference does not attain statistical significance.

Adult↗

PubMed2005

Diversion from the juvenile justice system: the Miami-Dade Juvenile Assessment Center Post-Arrest Diversion Program.

Many arrested youth present with multiple problems, including substance use and mental health problems, poor academic performance, and often come from violent homes and neighborhoods. These problems are directly associated with delinquent behavior and status offenses, presenting challenges to justice agencies, which must respond to these factors to support youths' resources and resiliencies and to reduce the probability of recidivism. The Miami-Dade Juvenile Assessment Center implemented a diversion program for first-time, nonviolent youth. The Post-Arrest Diversion (PAD) program provides systematic, standardized screening and assessment, individualized case planning, an extensive referral service, and case management and follow-up.

Adolescent↗

PubMed2002

Successful program maintenance when federal demonstration dollars stop: the ACCESS program for homeless mentally ill persons.

A major issue that has long dogged federal human services demonstration programs is the perception that when federal dollars end, the programs end-regardless of any proven successes. Access to Community Care and Effective Services and Supports (ACCESS) was a 5-year federal demonstration project to foster partnerships between service providers for homeless people with serious mental illness and co-occurring substance abuse disorders; and to identify effective, replicable systems integration strategies. After federal funding ended, research teams visited the ACCESS sites to determine which project elements remained and which strategies were used by the sites to continue ACCESS. This article describes ACCESS services and systems integration activities retained by the sites, new funding streams, and strategies used to obtain continued funding.

Community Mental Health Services↗