Department of Psychiatry
Penn Behavioral Health

Center on the Continuum of Care

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Collaborative Projects

Treatment Organizations

Caron Treatment Centers

The Center is working with Caron to help it develop, implement, improve, and evaluate continuing care interventions for patients after they complete residential treatment. Caron has implemented telephone-based continuing care protocols that monitor patient status and progress, provide brief counseling, and facilitate involvement with local service providers and self-help. Caron has also developed a more intensive multi-modal protocol that includes a mix of in-person case management and telephone contacts.


Drs. McKay and Oslin are providing assistance in the development and evaluation of a highly innovative, web-based continuing care protocol that this residential treatment center in Minnesota will use to provide ongoing support to graduates of the program. Dr. McKay is also on the Scientific Advisory board for this addiction treatment organization.

Cities and States


Dr. McKay and one of the Center's senior therapists, Tyrone Thomas, provided technical assistance and training to Arkansas around the implementation of our Telephone Monitoring and Adaptive Counseling continuing care protocol. The state implemented the protocol in approximately 10 sites in 2008, with funding provided by a Robert Wood Johnson Advancing Recovery grant.


Drs. McKay and Drapkin have provided technical assistance to the State of California, a SAMHSA Access to Recovery grantee to disseminate our Telephone Monitoring and Adaptive Counseling (TMAC) continuing care protocol to over 60 California clinics providing substance abuse treatment to adolescents. This project was done in late 2008 and 2009. The TMAC protocol currently is being used for clients ready to step down from in-person outpatient treatment to less intensive services. This collaboration was part of California's Access to Recovery Effort (CARE) and materials are available at


The Treatment Research Institute (TRI) has been working with Delaware for a number of years. TRI currently has a grant in collaboration with the state to develop and implement during treatment monitoring of patient progress, along with related interventions to address issues identified through monitoring. TRI has also worked with the state on a performance contracting system for its treatment programs, which has already produced large increases in retention. In second project, the Center on the Continuum of Care is consulting with the state of Delaware to develop, implement, and evaluate telephone-based continuing care.


The Center is consulting with the City of Philadelphia on its efforts to move the system of publicly funded addiction treatment programs toward a more recovery-oriented model of care. This work is focused on the implementation of telephone continuing care protocols that can be delivered both by counselors and peers at new, community-based "recovery centers" that will be placed in several locations in the city.

Rhode Island

The Center is working with Rhode Island to develop, implement, and evaluate telephone-based continuing care protocol at a number of programs, as well as a second protocol designed to follow and re-engage patients who drop out of treatment early on.