Regional Network of Programs

Medication Assisted Treatment Residential Treatment Adolescent Treatment Prevention Services Psychosocial Outpatient Supervised Apartments Homeless Shelter HIV Services Drug Court

• • •

Regional Network of Programs

NIDA Clinical Trials Network New England Association of Drug Court Professionals • • • Bridgeport Association of Non-Profits Ryan White Consortium Regional Youth and Adolescent Substance Abuse Partnership • • CommuniCare Connecticut Methadone Providers

Think of us as an extension of your team.

We help Connecticut nonprofits help Connecticut.

Connecticut Association of Nonprofits…to serve, strengthen and support Connecticut's nonprofit community. • CT Nonprofits is the largest membership organization in the state dedicated exclusively to working with nonprofits.

• We offer members access to networking opportunities; up-to-date-information; cost savings; education; training and legislative advocacy.

Information & Education

• Center for Professional Development • Our new website:

http://www.ctnonprofits.org/

• Publications: Nonprofit Advantage Information & Announcements E-Newsletter • Model Employee Handbook • Salary & Employee Benefits Studies • Principles & Practices

Partnerships, Collaborations & Networking Opportunities • Human Resources Forums • Financial • Development • Public Relations & Communications • Division Meetings

The Connecticut Community Providers Association (CCPA)

  To be the recognized, unified and respected voice for community human service providers.

 To achieve positive human service systems change in the public policy arena.

To be a resource to our members to support the delivery of high quality, efficient and effective services.

CCPA Members:

• CCPA represents organizations that provide services and supports for people with disabilities including people with addictions, mental illness, developmental, and physical disabilities.

• CCPA operates three divisions, developmental disabilities, behavioral health, and children's mental health & substance abuse, and is the lead advocate for rehabilitation and behavioral health service providers, supporting services for people with disabilities at the state legislature and with state agencies.

Goals of the Community Provider Initiative: • The initial goal was to create an environment in which community providers were allocated more funds from state government.

• The long-term goal is to develop support for significant structural changes in the way in which government funds and contracts with private providers.

“PART” OF EVERY AGENDA, NOT NECESSARILY “THE AGENDA”

• •

POINTS OF IMPACT

CHILD WELFARE, CORRECTION, PUBLIC HEALTH, PUBLIC SAFETY, EDUCATION, LABOR, HOSPITALS, SOCIAL SERVICES • •

COMMUNICATION

COUCHED IN HEALTHCARE, PUBLIC SAFETY OR ECONOMIC

LANGUAGE

PACKAGE (Tom Kirk)

Advanced Behavioral Health, Inc.

History

• • • • Founded by providers Non-profit and mission driven Alternative to the larger, national MBHO   High performance and growth oriented culture Local management team Committed to collaboration and customer service

ABH®’s Mission

• ABH® Mission statement: To manage and provide a statewide

nonprofit

continuum of behavioral health care and related services in a way that ensures high quality, accessible, cost effective services that

improve the quality of life for those served

.

Who we serve

 Funders – agencies and organizations that fund behavioral health services and initiatives  Providers who deliver care  Individuals and families who need care

ABH®’s Current Major Program Lines

• • • • • Managed behavioral healthcare Behavioral health program management Behavioral health information technology Research Consultation

• • • •

ABH® Progress over the last 15 years

ABH® has grown steadily and significantly Helping more people Operating more programs Growth in revenue

Individuals Served

Working with and supporting providers

• • Continued high performance on key contracts – GA, Project SAFE, NIDA, ECCP, ERSC, ATR Processed provider payments of nearly $18 million plus another $66 million in GABHP

= over $84 MM in FY 2009

ABH® staff and programs

• • • Over 185 employees and 30 subcontracted positions 25 programs Maintaining a culture of excellence, collaboration, and growth

Keys to our success

• • • Unprecedented provider support Leadership by the Board Strong leadership at key state agencies and research institutions • Continued need for our programs and services

Keys to our success

• • • Strong senior leadership Great program managers and staff High performance and growth oriented culture • Committed to excellence, collaboration, non-profit values, and customer service

For more information

• • • Samuel Moy, Ph.D.

President and CEO Email: [email protected]

National Drug Abuse Treatment Clinical Trials Network

17 yrs to turn 14% of original research to the benefit of patient care (Andrew Balas)

Mission of CTN to improve drug abuse treatment throughout the nation… using science as the vehicle

National Drug Abuse Treatment Clinical Trials Network Node RRTC – Regional Research and Training Center CTP – Community-Based Treatment Program

Uniqueness of CTN

• • • • • •

Blending Research and Practice Bi-directional Collaboration Multi-node, Multi-site RCTs Rigorous Scientific Standards Real World Approach Dissemination End-products Targeted

NIDA/SAMHSA Blending Process

National Drug Abuse Treatment Clinical Trials Network And The Addiction Technology Transfer Centers

NIDA-SAMHSA

NIDA-SAMHSA Blending Initiative What do we do with what we know?

Five Blending Teams

1) Buprenorphine Awareness 2) Buprenorphine Detoxification 3) Addition Severity Index (ASI) 4) Motivational Interviewing (MI) 5) Promoting Awareness of Motivational Incentives (PAMI)

Charge and Product for Each NIDA-SAMHSA Blending Team

4) Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency – (MIA-STEP) Charge: Create Training materials to increase awareness and adoption of Motivational Interviewing utilizing a supervision model.

– Products: Introductory briefing packages, video demonstratinos, talking points and PowerPoint slides of MI protocol results, supervision training manual, audio instruction guide for tape rating, Train-the-trainers to teach one-day training curriculum

Charge and Product for Each NIDA-SAMHSA Blending Team

5) Promoting Awareness of Motivational Incentives (PAMI) – Charge: Create training materials to increase awareness about Motivational Incentives that incorporates examples from the Motivational Incentives for Enhanced Drug Abuse Recovery (MIEDAR) CTN Protocol.

– Products: Brochure, PowerPoint Presentation, Video, Research Fact Sheets and Bibliography

What is Health Services Research?

Simply put, HSR is the study of how to deliver addiction treatment & prevention services

DISSEMINATION NEEDS IN SUBSTANCE ABUSE: Effective Treatments

• • • • • • • • • • • • Relapse Prevention Supportive-Expressive Psychotherapy Individualized Drug Counseling, Motivational Enhancement Therapy, Behavioral Therapy for Adolescents Multidimensional Family Therapy for Adolescents Multisystemic Therapy Combined Behavioral and Nicotine Replacement Therapy for Nicotine Dependence Addiction Community Reinforcement Approach Plus Vouchers Voucher-based Reinforcement Therapy for Patients in Methadone Maintenance Treatment Day Treatment with Abstinence Contingencies and Vouchers Matrix Model of Drug Abuse Treatment 1 Adapted from National Institute on Drug Abuse, 1999. Principles of Drug Addiction Treatment: A Research Based Guide. Available at: http://www.nida.nih.gov/PODAT/PODATIndex.html

RESEARCH-DEVELOPED INTERVENTIONS

• •

Behavioral Treatments

–

Motivational Interviewing

–

Contingency Management Pharmacotherapy:

–

Naltrexone

–

Buprenorphine

• • •

WHAT AFFECTS DISSEMINATION AND IMPLEMENTATION?

The nature of innovations

–

Complex?

–

Compatible?

The organizations (the target of adoption)

–

Organizational slack

– – –

Fit with the clients Organizational climate Champions of change The dissemination process

–

Active and in-person techniques work better

–

Also are more costly

USF Review

http://www.fpg.unc.edu/~nirn/resources/publications/Monograph/

Implementation Science (new journal)

http://www.implementationscience.com

CCAR, a Recovery Community Organization…

bridges the gap

Recovery Support Services (CCAR)

• • • • • • • All-Recovery Groups Recovery Training Series Family Support Groups Recovery Coaching Recovery Social Events Telephone Recovery Support* Recovery Housing Project*

The pursuit of a meaningful life in one’s community must be at the heart of the care and planning process in support of a person pursuing their recovery!

• •

Traditional treatment does not usually emphasize some of these core elements. Find people and groups within communities who can offer or have linkages to these core aspects of community life.

Life Beyond Treatment: Focusing on Recovery •

Benefits of Recovery-Oriented System of Care Promotes client integration within the community

• Peer networks – as a component of integration • Involvement of non-traditional groups • The role of “giving back”

Life Beyond Treatment: Focusing on Recovery •

Benefits of Recovery-Oriented System of Care

–

Stronger networks – Enhanced Recovery Capital

• Reduces relapse risk • • • • Improves early intervention – when necessary Enhanced resiliency Enhanced confidence Reduced stigma

Provider Perspective: Focusing on Recovery Challenges Along The Way • • • • • •

Redesigning in mid air Client Empowerment – Staff Reaction “I’ve been wrong all these years” Too Complicated Project Du Jour. And I’ll Be Out of Business Buy in…Staff – you never asked me

• • • • • Provider Perspective: Focusing on Recovery Challenges/Opportunities New partnerships for employment, economic development, community asset mapping Wellness rather than disease and disability A larger “choir” for the field Our field is truly

RELEVANT People are respected, have hope, recovery, renewed lives

Connecticut Model: Ingredients of Recovery-Oriented, Continuing Care … Recovery Management System

ESSENTIAL LEADERSHIP STRATEGIES FOR SUCCESSFUL TRANSFORMATION

(John Kotter, Harvard Business Review, January 2007)

• • • • • • • • 1.

Establish a Sense of Urgency

2. Form a Powerful Guiding Coalition 3. Develop a Vision 4. Communicating the Vision 5. Empowering Others to Act on the Vision 6. Planning for/Creating Short Term Wins 7. Consolidating Improvements and Producing Still More Change 8. Institutionalize New Approaches