CCBHC ECHO Session: Co-Occurring Disorders - Tuesday, April 23, 2024

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CCBHC ECHO Session: Co-Occurring Disorders

Host: National Council / American Society of Addiction Medicine
Tuesday, April 23, 2024 | 3:30pm - 5:00pm ET
Virtual-Live ECHO Session


According to the Fourth Edition of the ASAM Criteria all programs should be co-occurring capable at a minimum. Making the treatment of co-occurring conditions an expectation, not an exception for all behavioral health and medical professionals. How programs define and discuss co-occurring care, including an overview of how to diagnose complex symptoms and deliver care from an interdisciplinary focus will be explored. In this session we will analyze pharmacotherapy and therapeutic best practices for the treatment of substance use disorders and mental health conditions and decision making strategies. We will take a deep dive into understanding the unique community barriers and successes when integrating care practices and take a look at key elements of co-occurring capabilities. 

CCBHC-E NTTAC has partnered with ASAM to provide a 6-session CCBHC ECHO on substance use. This 1.5-hour, virtual ECHO series offers a comprehensive, in-depth analysis of actual patient cases submitted by attendees. Participants can look forward to receiving guidance and feedback from a diverse panel of expert faculty. This program is tailored for professionals new to the field of addiction treatment, providing them with the means to enhance their knowledge, skills, and confidence. This introductory program is specifically designed for CCBHC grant recipients, including social workers, therapists, and additional clinical team members involved in patient care. Register for each session today!

Each ECHO session includes:

  • A 30-minute presentation focused on a selected topic related to addiction.
  • Two 20-minute interactive case discussions led by a team of interdisciplinary addiction experts.
  • The opportunity to earn up to 1.5 continuing education (CE) credits for each session

This introductory program is specifically designed for CCBHC grant recipients, including social workers, therapists, and additional clinical team members involved in patient care.

Learning Objectives

Upon completion, learners will be able to:

  1. Define and discuss co-occurring care, including an overview of making a diagnosis. 
  2. Analyze evidence and best practices for co-occurring care (pharmacotherapy and therapeutic).
  3. Understand the unique community barriers and successes when integrating care practices. 


Funding for this initiative was made possible (in part) by grant no. 1H79SM085856 from the Substance Abuse and Mental Health Services Administration (SAMHSA). The content presented is solely the responsibility of the authors and does not necessarily represent the official views, opinions, or policies of SAMHSA, or the U.S. Department of Health and Human Services (HHS).

Registration Rates

ASAM Learner TypeRate
ASAM Member$0
Associate Member$0
Resident Member*$0
Student Member*$0

*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.

Membership Question?  Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.

Refunds & Cancellations

All ASAM e-Learning Center refund requests must be made in writing to within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.

Open Registration: 3/19/2024 – 4/23/202

Close Access Date: 08/27/2027


  1. Click on the Contents tab to begin this activity. 
  2. Click Complete Post Test to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 4 out of 5 questions correctly.
  3. Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window. 
  4. Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM e-Learning Center, clicking Dashboard, and clicking Transcript/Achievements.

Need Assistance?

For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please check the FAQ page or e-mail

ASAM is proud to offer eSSENTIAL Accessibility to ensure our website is accessible and functional for all our learners while providing free assistive technology for people with the widest possible range of abilities.

Angela L. Colistra


Dr. Angela Colistra has been working with individuals managing co-occurring disorders, lending her expertise to therapy, medical training, clinical supervision, education, and research. She is the director of Behavioral Sciences and Associate Medical Director of Community and Practice-Based research for the Department of Family Medicine. She is a faculty with the American Society of Addiction Medicine (ASAM). A member of the Pennsylvania Advisory Council for Substance Use, offering guidance to the Governor of Pennsylvania and the Secretary of Drug and Alcohol Programs. Angie is the owner of Aligned Consulting and Coaching LLC where she provides addiction and BH consulting and coaching. Dr. Colistra is working on her first textbook: Equipping the Interdisciplinary Workforce to Treat Addiction and Behavioral Health: Reducing the Stigma with Springer due out in November of 2024. As a mother of two boys, she is dedicated to advancing addiction and behavioral health prevention and education; hailing from West Virginia this work is a personal and professional calling. 

No relevant financial disclosures

Elizabeth M. Salisbury-Afshar


Dr.Salisbury-Afshar is an Associate Professor at the University ofWisconsin-Madison. Her work focuses on improving the health and wellbeing ofpeople who use drugs and alcohol. She is a physician who is board-certified inaddiction medicine, family medicine, and preventive medicine/general publichealth, and her expertise lies at the intersection of these fields. Her workincludes patient care, teaching, public health practice, and research relatedto implementation and evaluation of addiction treatment and harm reductionprograms. Dr. Salisbury-Afshar serves as the Program Director of the PreventiveMedicine Residency and as the Medical Director of Harm Reduction Services forthe Wisconsin Department of Health Services Division of Public Health. She has overfourteen years of experience working clinically in federally qualified healthcenters. Her current clinical work includes  serving as Medical Directorof a low barrier clinic for people who use drugs and as a physician on theaddiction medicine consult team at UW Hospital. She is also core faculty in theUW Addiction Medicine Fellowship Program.

No relevant financial disclosures.

Kathryn M. Basques


Kathryn M. Basques, MSW, MSN, APRN, PMHNP-BC is a psychiatric nurse practitioner specializing in Addiction Medicine and Psychiatry. After completing her education at Yale School of Nursing, she started her career at Yale-New Haven Hospital on the first pro-active psychiatric consult service. From 2015-2020, she worked at Rush University Medical Center as the Co- Director of the Substance Use Intervention Team (SUIT) and dedicated herself to promoting early identification of substance use disorders, implementation of an SBIRT model of care on the inpatient units and improving the management of opioid and alcohol withdrawal syndromes. Since moving to Providence, RI in 2021, Kathryn was first within the Lifespan Hospital System, continuing to work in a combined inpatient and outpatient, co-occurring clinical role. She is currently the Lead Psychiatry Provider for CODAC, an OTP and comprehensive substance use treatment program with locations throughout Rhode Island. Her areas of interest remain advocating for harm reduction policies in the treatment setting, motivational interviewing, and management of co-occurring syndromes. 

No relevant financial disclosures.

Jennifer Leggett


Jennifer has worked as an LPC and LADC for GRAND Mental Health and ARC for 13 years. She is a licensing supervisor for both LPC and LADC. Early in her career she carried a caseload of adults and children in behavioral health, substance abuse and cooccurring settings. Jennifer worked as a program administrator for GRAND in adult & children’s behavioral health, substance abuse and co-occurring services prior to, during transition of and after GRAND became a CCBHC. Jennifer was promoted to Clinical Compliance Director and now currently serves GRAND as the Addiction Recovery Center Director. Before working at GRAND, Jennifer worked at Resonance Center for Women in Tulsa, OK as an addictions counselor. Jennifer graduated from Oklahoma State University with her masters in Community Counseling and holds a bachelor’s in human development with a focus on Children & Family Services.

Accreditation & Credit Designation Statements 

Joint Accreditation Statement


In support of improving patient care, the American Society of Addiction Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team


The American Society of Addiction Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


This activity awards 1.5 Nursing contact hours.


ASAM has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for  1.5 AAPA Category 1 CME credits. 

Social Workers

As a Jointly Accredited Organization, ASAM is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.5 general continuing education credits.

IPCE Credit

This activity was planned by and for the healthcare team, and learners will receive 1.5 Interprofessional Continuing Education (IPCE) credit for learning and change.

National Board for Certified Counselors ACEP

The American Society of Addiction Medicine has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7062. Programs that do not qualify for NBCC credit are clearly identified. The American Society of Addiction Medicine is solely responsible for all aspects of the programs.

California Association for Drug/Alcohol Educators (CAADE)

This educational program is approved by CAADE: #CP40 999 1225.

California Association of DUI Treatment Centers (CADTP)

This educational program is approved by CADTP: #205.

California Consortium of Addiction Programs and Professionals (CCAPP)

This educational program is approved by CCAPP: #OS-20-330-1224.

Continuing Education Credits (CEUs)

Upon completion of the activity and online evaluation, all other participants may request a certificate of participation. Participants may submit this certificate of participation to their professional organization/institute as documentation for completing this accredited continuing activity.

Maintenance of Certification (MOC) or Continuing Certification Programs (CCP)

This activity meets the requirements for MOC/CCP for the following primary physician boards and for state licensing CME requirements. MOC Credit is only reported for ABA, ABP, ABIM, and ABS. By completing the online credit application and evaluation, the learner permits ASAM to report credits to the appropriate Board. Learn more.

  • American Board of Medical Specialties (ABMS)
  • American Board of Preventive Medicine (ABPM)
  • American Board of Internal Medicine (ABIM)
  • American Board of Pediatrics (ABP)
  • American Board of Surgery (ABS)
  • American Board of Psychiatry and Neurology (ABPN)
  • American Board of Addiction Medicine (ABAM)
  • Royal College of Physicians and Surgeons of Canada (RCPSC)
    • Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons in Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Information

In accordance with disclosure policies of ASAM and Joint Accreditation, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all CME/CE activities.

None of the planners or presenters have any relevant financial relationships.


Complete National Council Survey
23 Questions
23 Questions Disclaimer: The demographic information collected for registration is optional to provide and will be used to measure and report aggregate analysis on the racial, ethnic, and gender composition of the TTA Center’s audience to inform understanding of the diversity of participation and improve the reach of our events. This demographic information be held in strict confidence and will not be shared with any third parties and will not be used at an individual level.
Attend Virtual Webinar - Tuesday, April 23, 2024
04/23/2024 at 3:30 PM (EDT)  |  90 minutes
04/23/2024 at 3:30 PM (EDT)  |  90 minutes Learners may join 15 minutes prior to start time. Audio is available via computer or mobile device speakers/headphones.
Co-Occurring Disorders Recording
Open to view video.  |  90 minutes
Open to view video.  |  90 minutes This video is approximately 1.5 hours and was recorded on 04/23/24
Complete Post Test
6 Questions  |  10 attempts  |  3/6 points to pass
6 Questions  |  10 attempts  |  3/6 points to pass This post-test has 5 questions and requires 3 out of 5 questions to pass the test.
Complete Evaluation
14 Questions
14 Questions Scroll down on evaluation, there may be questions that expand past the size of the window.
Complete Presenter Evaluation
6 Questions
6 Questions Scroll down on evaluation, there may be questions that expand past the size of the window.
Claim Credit & Certificate
Up to 1.50 medical credits available  |  Certificate available
Up to 1.50 medical credits available  |  Certificate available Attendees should claim only the credit commensurate with the extent of their participation in the activity.