Milwaukee Co-occurring Competency Cadre 

The Basic Premise

Complex human conditions are seen as an expectation, not an exception. Furthermore, the individuals we are serving will be viewed as recurrently successful, not as chronic relapsers. Our hope is that people in recovery will be greatly satisfied and feel recognized for their recovery achievements.

Our Goal

Every program in the MC3 will become a welcoming, trauma informed, recovery-oriented, co-occurring capable program.

  • Every person providing care in our cadre will become a welcoming, recovery-oriented, co-occurring, trauma informed, competent clinician.
Co-occurring Capability

Every program in the MC3 Cadre will organize itself, within its mission and resources, to deliver integrated, stage-matched, best practice, recovery-oriented, person-centered interventions for the individuals and their families with complex needs coming to our door.

Each agency and every program with the agency will engage in a Continuous Quality Improvement (CQI) process to make step-by-step progress toward being welcoming, recovery-oriented, and co-occurring capable.
  • This will entail programs identifying Change Agents to represent the voice of front line clinicians and customers.
  • Change Agents, along with agency leadership staff, will work to complete assessment of co-occurring capability and identification of CQI projects.
  • In order to recognize our over-arching MC3 goal, we need change at all levels: System, Program, Clinician Practice, and Clinician. 

Standards across our system will be that all programs are" Welcoming, Accessible, Integrated, Continuous, and Comprehensive.

Integrated Services

A mechanism by which established diagnosis-specific and stage-specific interventions, for each disorder or condition, are combined into a person-centered plan and set of interventions. 


 MC3 is dedicated to the Continuous, Comprehensive Integrated System of Care (CCISC) process based on the following eight best practice principles developed by Dr. Ken Minkoff and Dr. Chris Cline:

Co-occurring issues and conditions are an expectation, not an exception.

  1. The foundation of a recovery partnership is an empathetic, hopeful, integrated, strength based relationship.
  2. All people with co-occurring conditions are not the same, so different parts of the system have responsibility to provide co-occurring capable services for different populations.
  3. When co-occurring issues and conditions co-exist, each issue or condition is considered to be primary.
  4. Recovery involves moving through stages of change and phases of recovery for each co-occurring condition or issue.
  5. Progress occurs through adequately supported, adequately rewarded skill-based learning for each co-occurring condition or issue.
  6. Recovery plans, interventions, and outcomes must be individualized.
  7. CCISC is designed so that all policies, procedures, practices, programs, and clinicians become welcoming, recovery or resiliency oriented, and co-occurring capable.

Here is a downloadable pdf version of this information:

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 Milwaukee County Mental Health Redesign

Visit the Milwaukee County Mental Health Redesign website by clicking on the link above. The site is intended to serve as a resource for all persons involved with or interested in the ongoing efforts to redesign the mental health system in Milwaukee County to be increasingly community-based, person-centered, trauma-informed, and recovery-oriented.

 Upcoming MC3 Meetings

January 27 - Stigma in the Culture of Care - 11:30-3:30 (RSVP required- lunch provided)

February 24 - African American Culture - 1:00-3:30

April 27 - Hmong Culture - 1:00-3:30

May 25 - European Culture