Our Initiatives


Peer Recovery Centers (2016–2017)


In 2016, the Maine State Legislature passed LD 1537, “An Act to Combat Drug Addiction through Enforcement, Prevention, Treatment and Recovery” (Public Law 378), which provides funding for the establishment and expansion of peer support recovery centers, among other initiatives. As a result of this legislation, the Maine Office of Substance Abuse and Mental Health Services (SAMHS) asked AdCare Educational Institute of Maine, Inc. (AdCare), who worked with the Co-Occurring Collaborative Serving Maine (CCSME) and the Alliance for Addiction and Mental Health Services, Maine (AAMHS), to conduct a needs assessment of recovery services and supports in each of Maine’s nine public health districts.


Learn more



Project Reentry (2014–2017)


The Cumberland County Sheriff’s Office is partnering through a Bureau of Justice Assistance, Second Change Co-Occurring Reentry grant, Project Reentry, with CCSME, Maine Pretrial Services, Inc., Catholic Charities of Maine, Goodwill Industries of Northern New England, My Sister’s Keeper, University of New England, Department of Corrections Probation and Parole, and Family Crisis Services to prepare 100 inmates who have co-occurring disorders for release and transition into the community with on-going services and monitoring as they put their lives back together.



Maine Behavioral Health Workforce Development Collaborative (MBHWDC)


Working in a broad range of ways to build Maine's capacity, the MBHWDC plans to provide fully integrated behavioral health services across prevention, intervention, treatment and recovery. Our website connects practitioners with training opportunities, certifications and online resources to help them provide first-rate care and advance their careers.



NIMH Outreach Partnership (2011–2016)


The Outreach Partnership Program is a nationwide initiative of the National Institute of Mental Health. As partners in this program, CCSME and NAMI Maine conduct statewide mental health outreach and education programs to deliver up-to-date, science-based information to the public, a broad range of health professionals, and traditionally underserved populations.



The Maine Suicide Prevention Program (2011–2016)


CCSME is developing and delivering the annual MSPP Beyond the Basics Conference for NAMI Maine. During 2011 through 2014, CCSME collaborated with NAMI Maine and the Maine Primary Care Association to deliver the spectrum of training programs offered by MSPP. The program goals are to increase public awareness about suicide prevention, reduce suicide behavior among Maine residents, and improve access to approporiate prevention and intervention services. 


The MSPP recommends a comprehensive approach. Multiple program strategies reach the general public and people who are at risk. Community and school-based program components will be conducted in coordination with existing prevention efforts. 


The program is housed at the NAMI Maine office in Augusta and is led by the Maine CDC in the Department of Health and Human Services with partners from the Departments of Education, Public Safety, Corrections and Labor.



 Quality Counts Substance Abuse Technical Assistance Consultant (2014–2016)


CCSME is providing technical assistance to Quality Counts to support the adoption of the SBIRT (Screening, Brief Intervention, Referral to Treatment) in Health Homes in Maine through a Learning Community. SBIRT is an evidence based set of clinical guidelines used to screen, reduce substance use risk and to referral to specialty addiction treatment as needed. This work is made possible with funding from the Maine State Innovation Model Initiative.



Adult Drug Treatment Courts (2011–2015)


CCSME is assisting Maine’s Adult Drug Treatment Courts with training and implementation of three specific evidence-based models applicable to the court population: Seeking Safety, Thinking for a Change and Moral Reconation Therapy. Seeking Safety is an integrated treatment intervention program for trauma and substance abuse to reduce trauma symptoms, substance use, program retention and psychopathology. Thinking for a Change and Moral Reconation Therapy are cognitive behavioral curricula which address interpersonal communication skills and thought patterns that lead to problem behaviors.



Moving Integration Forward (2013)


CCSME assisted an initiative of the Maine Primary Care Association funded by the Jesse B. Cox Foundation to advance behavioral health and physical health integration in FQHC in Maine. As part of this initiative, CCSME with MPCA held three regional networking forums anchored by FQHC(s). These forums brought together key leadership from the FQHCs and their community behavioral health partners to enhance the patient-centered medical home environment through the on-going development of community partnerships and began the process of defining guidelines and standards to guide interactions.



Office of Substance Abuse (OSA) Training (2012–2013)


CCSME is providing professional education and technical assistance to improve the Maine behavioral health workforce’s understanding of co-occurring mental health and substance abuse, health issues, and trauma.


CCSME is also helping to improve the Maine behavioral health system. To accomplish this goal, CCSME is participating in multiple initiatives, including but not limited to:


  • The Accelerating Behavioral Health Information Sharing Strategic Action Task Force
  • The Maine Trauma-Informed Expansion Grant “Expand ME” Statewide Leadership Group
  • The OSA Prevention Task Force
  • The Behavioral Health Integration: Steering Committee and Task Force



Health Care Reform Education Project (2012)


Amistad, Inc., in partnership with Co-Occurring Collaborative Serving Maine, NAMI Maine, and the Consumer Council System of Maine, is developing and implementing a Health Care Reform Education program which reaches out to, connects with, and educates peers and individuals in recovery throughout the state of Maine about the impact of the Patient Protection and Affordable Care Act on mental health and substance abuse services.  To do so, we will call upon our network of contacts in the health care, behavioral health, and social service fields.  This project is funded by a small grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) through the end of 2012. For more information, contact the grant contact, Patrick Quinlan, at Amistad, Inc. at (207) 773-1956.


Health Care Reform Information



Maine Health Reform Learning Collaborative Project (2012)


As part of an effort to build state coalitions and educate mental health and substance use stakeholders on health reform implementation, SAMHSA invited state mental health and substance use consumer and peer organizations, recovery community organizations, family member organizations, provider organizations, and other behavioral health stakeholder organizations to participate in CCSME's Health Reform Learning Collaborative project.


CCSME is participating in the coalition together with Maine Parent Federation, Inc., Amistad, Inc., Advocacy Initiative Network of Maine, NAMI Maine, Maine Mental Health Connections, Dirigo Counseling Clinic, LLC., Counseling Services, Inc, Preble Street, Youth MOVE Maine, and Milestone Foundation, Inc..


Resources developed and shared through eight coalitions nationwide will be available to other stakeholder groups and behavioral health coalitions across the country.



Mentor ME (2010–2012)


This grant from the U.S. Department of Justice will expand and enhance My Sister’s Keeper’s mentoring ministry and offer vocational services through Goodwill to female offenders at the Cumberland County Jail in Portland, Maine.


The two-year grant will support the Mentor ME program, serving 40 adult female offenders. The goals of the Mentor ME program are to reduce recidivism rates among female offenders and to increase public safety. By developing healthy relationships with offenders, mentors can provide hope, guidance and support.


CCSME will collaborate with My Sister’s Keeper, Goodwill Industries of Northern New England, the Cumberland County Sheriff’s Office, and Saint Joseph’s College of Maine.


Proceedings of the 2012 Second Chance Act Conference, May 22-24


Bureau of Justice Assistance RSS feed



Recovery Perspectives: A Conversation Between People in Recovery and Service Providers (2011)


CCSME created an educational DVD on recovery from co-occurring disorders with funding from the Co-Occurring State Incentive Grant initiative. The grant was awarded by the Substance Abuse and Mental Health Services Administration (SAMHSA) to the Maine Department of Health and Human Services, Office of Substance Abuse (OSA).



The State of Maine Co-Occurring State Incentive Grant (2005–2010)


CCSME provided statewide training, technical assistance, grant writing, development, and project oversight for this grant and served as a subcontractor to the Office of Substance Abuse in the Maine Department of Health and Human Services. The grant was funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) with an annual budget of $265,000. 


Final Evaluation



Advancing Health Reform: Collaborative Strategies to Strengthen the Understanding, Impact and Value of MaineCare for Its Members (2009)


CCSME developed strategies to support health for MaineCare members during this nine-month planning grant which was carried out in collaboration with the Maine Health Access Foundation.


Improving the Health of Maine People



 Expanding Recovery Medical Homes at Behavioral Health Centers (2008–2009)


CCSME directed and wrote this one-year planning grant which expanded medical and family/peer recovery services at behavioral health centers. Maine Health Access Foundation funded the project; the budget was $47,534.



Project Connect (2008–2009)


The Cumberland County Sheriff’s Office, in collaboration with the Co-Occurring Collaborative Serving Maine, obtained a $48,301 planning grant for the development of a strategic plan to enhance collaboration across the criminal justice and behavioral health systems from the U.S. Department of Justice, Office of Programs, Bureau of Justice Assistance.


Project Connect promoted screening for criminal risk and behavioral health issues throughout the correctional system to guide, collaborate and inform treatment decisions and plans. In addition, the strategic plan developed targeted interventions for criminal risks, programming for mentoring, and peer-to-peer supports for the mental health and co-occurring substance abuse offender population in Cumberland County.


Early identification through screening yields more appropriate assessments and sharing of information. This can be used to match expanded evidence-based interventions to manage offenders with co-occurring mental health and/or co-occurring conditions appropriately by risk and need. This reduces recidivism, increases public safety, and uses resources more effectively. The collaborative process and the protocols developed can guide and inform other jurisdictions.


Final Report


Consumer Focus Group Report



Kennebec Co-Occurring Court (2005–2008)


The Maine Co-Occurring Disorders Court is a specialized court docket for adults with co-occurring disorders who are involved with the criminal justice system. This court provides judicial oversight, strict monitoring, rapid access to specialized treatment, and case management services in lieu of jail - or provides a reduced sentence for successful completion.


This type of specialty court preserves public safety by establishing careful monitoring of the person in the community, requiring compliance with the program to remain in the community, and breaking the cycle of repeat offending rooted in untreated mental illness and substance abuse.


CCSME was involved in the initial planning for the CODC, has provided training to the Court’s multidisciplinary team, and continues to be represented on the steering committee.



Institute for Quality Behavioral Health Care (2004–2006)


The Co-Occurring Collaborative of Southern Maine in collaboration with AdCare Maine, the Aroostook Mental Health Center, Day One, Anthem/Blue Cross Blue Shield of Maine, the Maine Primary Care Association, Bureau of Medical Services, and the Department of Behavioral and Developmental Services, established the Institute for Quality Behavioral Health Care to lead and disseminate evidence-based practices (EBPs).


The Institute priorities during the first two years included: (1) fostering the implementation of the EBP- Integrated Treatment for Co-Occurring Disorders through training, networking and creating increased support; (2) critiquing the model; (3) developing four centers of excellence across Maine to serve as models and consultant resources for integrated treatment regionally; (4) supporting and extending a work group of trainers, advocates, families, consumers, physical health-primary care and behavioral healthcare providers, funders and policymakers to remove barriers and create incentives for the implementation of EBP- integrated treatment for co-occurring disorders.


Final Report and Evaluation



Jail Diversion Project, Cumberland County Jail (2002–2006)


CCSME partnered in this jail diversion project and assisted with consulting, writing and grant development as a subcontractor to Cumberland County. The project was funded by the Substance Abuse and Mental Health Services Administration’s Center for Mental Health Services with an annual budget of $289,958.



Two-Year Expansion Project for Skill Development in Motivational Interviewing across the State of Maine (2003–2005)


CCSME conducted a two-year expansion project on motivational interviewing skills together with with Muskie Center for Learning with funds from the Maine Department of Behavioral and Developmental Services.



Partnership for the Transfer of Knowledge into Practice for Co-Occurring Recovery (2001–2004)


CCSME developed curricula, wrote and directed the grant, and implemented a statewide Train the Trainer program. The Mental Health Funding Collaborative funded this partnership with a three-year grant of $112,000.



One-Year Pilot Project for Skill Development in Motivational Interviewing for Case Managers in Region 1 (2001–2002)


CCSME contracted with Muskie Center for Learning to develop case managers’ motivational interviewing skills with funds from the Department of Behavioral and Developmental Services.



Community Action Grant, Creating a System Welcoming to Individuals with Co-Occurring Mental Health and Substance Use Disorders (2001–2002)


CCSME consulted with the Office of Substance Abuse and participated in a grant to create a system which is welcoming to individuals with co-occurring mental health and substance abuse disorders. The Substance Abuse and Mental Health Services Administration funded CCSME’s work with a budget of $70,000.



Recovery Stories (2001)


Together with NAMI Maine, CCSME produced a video documenting five individual stories of co-occurring disorder recovery. The project was funded by Janssen Pharmaceutica Research Foundation and Pharmaceutical Research and Manufacturers of America.



Conference Knowledge Dissemination Grant — Maine Kids: The Way Life Should Be: Treating Adolescents with Co-Occurring Disorders (2000)


CCSME organized a two-day conference on adolescent co-occurring disorders. The conference included on-site technical assistance. CCSME wrote and directed the grant. The Center for Substance Abuse Treatment at the Substance Abuse and Mental Health Service Administration and Region I Children Cabinet funded the grant with a budget of $70,000.



Intensive Training Initiatives on Dialectical Behavior Therapy for Individuals with Substance Abuse and Relapse Prevention for Co-Occurring Disorders (1997)


CCSME worked with nine teams across Maine to train and implement dialectical behavior therapy for individuals with substance abuse (DBT-S). CCSME also developed Relapse Prevention groups, wrote and directed the grant, and produced a monograph on Relapse Prevention for Co-Occurring Disorders. The Maine Office of Substance Abuse funded these projects with a budget of $80,000.



Dual Disorders Service Integration and Reimbursement Demonstration Project (1993–1996)


CCSME directed the Collaborative and Enhanced Community Care Service component of the Dual Disorders Service Integration and Reimbursement Demonstration Project and assisted with writing the grant.


This project served as an umbrella for the implementation of Maine Medical Center's ACCESS (ACT) Team, the first integrated co-occurring ACT team in Maine providing services to individuals with substance use disorders and Axis I and/or Axis II psychiatric disorders. The Maine Office of Substance Abuse, Robert Wood Johnson Foundation, and the Bingham Program funded the project for three years at an annual rate of $500,000.



Integrated Criminal Justice/Human Service Project (1995)


CCSME conducted pre- and post-booking diversion planning for the Maine criminal justice system, cross-trained staff, and wrote and directed the grant. The Maine Sheriff's Association Mental Health Initiative funded the grant with an annual budget of $57,000.