Access To Recovery

1
Access To Recovery
Presentation by Darran M. Duchene Project
Director Department of Children and
Families Michele Duckstein Project
Manager Central Florida Behavioral Health
Network Access to Recovery February 27, 2007
The views expressed in written conference
materials or publications and by speakers and
moderators at HHS-sponsored conferences, do not
necessarily reflect the official policies of the
Department of Health and Human Services nor does
mention of trade names, commercial practices, or
organizations imply endorsement by the U.S.
Government.
2
What is Access to Recovery?

• The Access to Recovery Project was developed to
  change the way addiction services are provided.
• ATR focuses on a recovery support approach
  (long-term services).
• Reaches out to faith-based providers.
• Profoundly changes how addiction services are
  provided.

3
Organization
4
Target Districts/Region
MyFlorida Access to Recovery



15
Hillsborough
Manatee
Pinellas
Suncoast Region (Pinellas/Pasco)
Sarasota
9
8
8
8,002 Clients to be Served Over Life of the Grant
5
The 3 Goals of ATR

• Ensure genuine, free, independent consumer choice
  through the use of a voucher for clinical
  treatment and/or recovery support services.
• Improve access and increase capacity.
• Increase engagement of faith-based and other
  community based providers, in addition to current
  network of providers.

6
Populations of Focus

• Child Welfare
• Criminal Justice
• Prescription Drug Abuse
• Older Adults
• Co-occurring Disorders

7
Client Eligibility

• 18 years or older
• 250 Percent or below Federal Poverty Level (FPL)
  family income
• History of substance abuse issues
• Not eligible for TANF or Medicaid funded services
  elsewhere
• Agree to participate for up to 6 months
• Reside in ATR Project areas

8
Service Needs

• Choice of service providers
• Specialized mens/womens treatment and recovery
  support services
• Drug-free Housing
• Family/Parenting Education and Counseling

9
Service Needs

• Relationships Counseling
• Personal Value/Esteem, PTSD
• Prenatal Care and Primary Health Care
• Childcare during Treatment
• Domestic Violence
• Emotional, Physical, Sexual Abuse
• Case Management/Recovery Coaching
• Employment/Vocational Training

10
Available Treatment Services

• Screening Assessment
• Brief Intervention
• Brief Treatment
• Treatment Planning
• Substance Abuse Education Group
• Substance Abuse Education Individual Family
• Outpatient Treatment Group
• Outpatient Treatment Individual
• Intensive Outpatient Treatment
• Day/Night Treatment
• Family/Marriage Counseling
• Employment Coaching

• Medication and Methadone Maintenance
• Co-Occurring Treatment Services
• Co-Occurring Medical Evaluation
• Parenting/Child Development Group
• Parenting/Child Development Individual/Family
• Case Management
• Aftercare
• Alcohol/Drug Testing (Urinalysis)
• Transportation
• Transitional Care/Residential Treatment Level 4
• Incidental Expenses

11
Available Recovery Support Services

• Transitional Living Facility
• Support Groups
• Support Counseling
• Family Support/Parenting
• Supportive Housing/Living Services
• Employment Coaching
• Alcohol/Drug Testing (Urinalysis)
• Recovery Coaching
• Recovery Support Services Coordination
• Transportation
• Daycare
• Incidental Expenses

12
Assessment Process

• The assessment process includes
• Demographic information
• Co-Occurring Screening Tool
• ASI (Addiction Severity Index)
• GPRA Tool (Government Performance Results Act)
• ASAM Placement Criteria
• (American Society of Addiction Medicine)
• The assessment is available to all providers
  selected for review and can be printed for
  participant records.

13
CFBHN (Central Florida Behavioral Health Network)

• Developed a web-based data system for ATR.
• Review results of the screening and assessment of
  participants.
• Perform a clinical review of the assessment and
  individual recovery plan to determine the
  appropriateness of the service recommendations.
• Ensure that eligible participants were screened
  with the ASI, ASAM, and GPRA Tools.
• Verify that the participant was afforded choice
  in providers.
• Issue a voucher for clinically appropriate
  services.
• Process verifiable services for payment.
• Perform reviews of data submission and billing.
• Perform annual reviews of each Network providers
  performance.

14



15
Seven Domains
Increased/Retained Employment and School
Enrollment
Decreased Involvement with Criminal Justice
Increased Social Connectedness
ATR
No Drug Use or Alcohol Abuse
Increased Stability in Family and Living
Conditions
Increased Access to Services
Increased Retention in Treatment Services
16
New Clients Served(9,545 Clients as of January
31, 2007)
Total Clients Served Target 8,002 (3 years)
17
Client Characteristics

• Tend to be older than traditional system of care
• ATR is first point of contact and intervention
  for substance abuse services
• Need stable housing
• Need employment or employment skills enhancement

18
Provider Eligibility

• Treatment
• Licensed under Chapter 397, F.S.
• Licensed under Chapter 490 or 491, F.S.
• Recovery Support
• 501 (c) 3 Non-Profit
• For Profit Corporation
• Sole Practitioner
• Faith-Based or Community-Based

19
Faith Participation(as of November 1, 2006)
Community
Based
Agencies
Faith
Based
Agencies
20
Moving Forward

• Grant ends August 2, 2007
• 4.9 million left to be spent on vouchers
• Average per voucher 2,200 (open vouchers)
• No cost extension 6 months to spend out
• LBR Issue for Recovery Support
• 7 million to expand capacity for transitional
  housing, recovery support counseling, employment
  coaching, life skills development, medical
  liaison activities
• SAMHSA New Grants for ATR
• Still awaiting word on amounts and timeframes

21
ATR Website

• The FADAA ATR website location www.fadaa.org/atr
  
• Provider application
• The directory of approved ATR network providers
  searchable by ATR district/region, and type of
  provider (assessment, treatment or recovery
  support)
• GPRA Information
• Frequently asked Questions and Answers
• Requests for technical assistance or training
• Schedule of trainings, annual conference and
  provider conference calls