Transcript Marketing for a Special Role in Networks

Welcome
John Hogeboom, VP/COO
Community Bridges Inc.
Gabriella Guerra, Sr. Director of Clinical Care
Magellan Health Services of Arizona
Value Statement
We Value
Human Life
The Sustaining of
Human Life
And the Recovery of
Human Life
Always With Dignity
Grassroots Movement to Statewide Provider
1982
1993
1996
1997
1998
1998
2002
2002
2002
Incorporated as 501(c)(3)
Established Medical Detox Program
Hired Executive Director
Built Level I Sub-Acute Facility in Mesa
Created Prevention Partnership
Created Transition Management
Created IOP partnership with CASS
Unified County-wide Medical Detoxification
Awarded Contract for CCARC
Grassroots Movement to Statewide Provider
2004
2005
2005
2006
2007
2007
2008
2008
2008
2009
Introduced Peer Support Program
Opened Center for Hope
Opened Day Resource Ctr & Steele Commons IOP
Opened Center for Excellence
Opened Arizona Bridge to Recovery
Awarded 4-year SAMHSA Peer Support Grant
Single Provider of Drug Court & Pre-trial Services
Opened CFH's Continuing Care Outpt Program Ctr
Opened Level IV SRU – Payson & Globe
Opened Level IV SRU – Holbrook & Winslow
Board of Directors
Executive Committee
Board Members
Advisory Board of Directors
Management Philosophy
Services Built Upon Partnerships
Community Partnership Model
Strategic Partnership Logic Model
Substancerelated
Consequences
Substance
Use Issues
Intervening
Variables
Inputs
Community Assessment
Strategies
Goals
Objectives
Activities
Outputs
Short-term
Outcomes
Long-term
Outcomes
Results of Marketing Success
Inpatient Treatment
Crisis Care / Emergency Triage
Central City
23 beds 13,459 entries
(ALOS – 10.4 Hours)
East Valley
11 beds 5,779 entries
(ALOS – 10.2 Hours)
Medical Detoxification
Central City 16 beds 1,650 entries (ALOS – 4.19 Days)
East Valley 16 beds 1,580 entries (ALOS – 4.11 Days)
ABR
14 beds 625 entries (ALOS – 3.63 Days)
Transition/Peer Services
Coordinated entry into a safe and secure
continuum of care for every patient.
Staffing and Training
 ASAM Physicians, Psychiatric Nurse Practitioners, Registered Nurses,
Peer Support, Emergency Medical Technicians, and Behavioral Health
Professionals/Specialists
 Intensive NEO Program and 90-day On the Job Training Program
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ASAM
Cultural Competency (Certified by DBHS and White Bison)
Motivational Interviewing (Certified Trainers)
Crisis Intervention (Certified Trainers)
CPR and First Aid (Certified Trainers)
Physiology of Addiction and Withdrawal Monitoring
Pharmacology
Co-Occurring Disorders & Treatment
Discharge Planning
Peer Support Certification Program
Data Collected and Analyzed
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Length of Stay (12 hour threshold in Crisis and 5 day threshold in Detox)
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Drug of Choice (used for outpatient and transition development)
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Discharge Types (80% completion rate threshold)
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Satisfaction Surveys (anything below a 90% requires a corrective action)
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Incident Reports/Significant Events
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Referral/Placement
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Recidivism/Outreach and Re-Engagement
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Follow-up within 7 days of Discharge from Detox
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Title XIX Conversions
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Internal ongoing and live Medical Record Audits
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Internal data validation audits
Outpatient Admissions
 24/7 referrals and admissions to Outpatient from
Crisis and Detox Services.
 Admissions completed within 7 days of referral.
 Peer Support Specialists provide continuing care
opportunities, employment assistance, and other
transitional services.
Community-Based Treatment
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Central Az Shelter Services
(CASS)
Day Resource Center (DRC)
Steele Commons
• 16 units permanent housing
• Matrix Model IOP
Community-Based
Treatment Services
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On-site Treatment
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Intensive Peer Outreach and Follow-up
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Housing & Transition Services
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Peer Support Homeless Outreach Teams
(2,056 outreach encounters FY09)
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Connect to Care Peer Teams Partner with Phoenix Police
Blueprints to Life:
Bridging the gap from
despair to hope
 SAMHSA Funded Program
 Collaboration between Central AZ.
Shelter Services & Phoenix Police
 Outreach, crisis services, shelter,
and supportive housing to
traditionally untreated groups
 Peer-to-Peer service for greater
effectiveness, credibility, and
identification of needed services
 Linkage to behavioral, mental
health crisis, detox, SA treatment,
and shelter services
Center for Excellence Programs
 Methamphetamine & Opiate Specific Treatment
 Matrix Model, Contingency Management, & Peer Support
 Partnership with
Drug Court & Probation
 Implemented April, 2006
Journey
Outpatient Services Center, Gilbert
Journey: A New Beginning
Outpatient Services Center, Gilbert
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Evidenced-based Treatment utilizing the Matrix Model
Young Adult (18-30) Opioid Specific Treatment
Outpatient Medical Detoxification
Family Therapy Focus in ALL programs
121 patients transitioned from Crisis/Detox FY09/10
Outpatient Outcome Measures
 Average length of stay in IOP is 4.4.Months
 84% continued with services at a lower level of care
 After 16 weeks of treatment:
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Symptomatic Improvement
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Level of Anxiety – Decreased 39%
Level of Depression – Decreased 36%
Urges and Temptations – Decreased 34%
Quality of Sleep – Increased 45%
Functional Improvement
• Employment - Increased 55% (Maintenance or New Hire)
• Crisis/Detox Admissions – Accessed by only 13%
• Urgent Psychiatric Admissions – Accessed by only 2%
Agency Expansion
Level IV
Stabilization & Recovery Units (SRU)
Payson
Globe
Agency Expansion
Level IV
Stabilization & Recovery Units (SRU)
Holbrook
Winslow
Center for Hope
We believe all women and children have value and worth.
We save generations one life at a time
with unique programs designed to empower women,
help them overcome barriers,
and restore their hope for a new life.
Center for Hope
 Residential treatment center for Priority Population 24 pregnant women and 32 children
 A Best Practice model developed with the support of
the Center for Substance Abuse Treatment (CSAT)
and Arizona Department of Health Services (ADHS)
 Treatment model is gender-specific co-occurring,
trauma informed, comprehensive and family-focused.
 Relational Model with services delivered within a
protective, non-judgmental, and supportive
environment
THANK YOU