Transcript Slide 1

Join the Anishnaabek Healing Circle
Prepared by: Cora Gravelle, Client Access & Outreach Coordinator, Eva L. Petoskey, M.S. Director, Terri Tavenner, ATR
Associate Director, Anishnaabek Healing Circle Assess to Recovery
March, 29,2011
Anishnaabek Healing Circle
Access to Recovery
ATR & the Military
Veterans, Active Military, National Guard:
How can we work together to help active duty,
returning servicemen and service-women, and
veterans who are Native American, to access
treatment and recovery resources?
ATR and the Military
Goal: to introduce ATR as a referral source and resource to the
military.
What is ATR?
• Access to Recovery – ATR – is a
nationwide initiative of the Substance
Abuse & Mental Health Services
Administration (SAMHSA) Center for
Substance Abuse Treatment (CSAT).
• The program issues vouchers to clients for
the purchase of clinical treatment and
recovery support services.
What is ATR?
The Anishnaabek Healing Circle ATR is
designed to support healing and recovery
from addiction among the Michigan tribal
population.
The Inter-Tribal Council of Michigan is the
grantee for the program.
ATR Goals
The goals of the program are to:
expand capacity to serve Native Americans,
support client choice,
and increase the array of services.
The Inter-Tribal Council and 12 tribes are
collaborating partners in ATR:
ATR II started 10/2007 and ended 9/2010
ATR III started 10/2010 and will end 9/2014
Who are the Collaborators
Collaborating Tribes and Organizations
 Bay Mills Indian Community
 Hannahville Indian Community
 Lac Vieux Desert Band of Lake Superior Chippewa Indians
 Saginaw Chippewa Indian Tribe
 Grand Traverse Band of Ottawa/Chippewa Indians
 Sault Ste. Marie Tribe of Chippewa Indians
 Keweenaw Bay Indian Community
 Little Traverse Bay Bands of Odawa
 Little River Band of Ottawa Indians
 Pokagon Band of Potawatomi
 Nottawaseppi Huron Potawatomi
 Match-e-be-nash-she-wish Band of Potawatomi
 American Indian Health and Family Services
ATR Provider Network
• Tier 1 Providers are tribal behavioral
programs. Tribes provide access and care
coordination and are the entry point into
ATR for a client.
• Tier 1 Tribal Providers offer an array of
services under the tribal umbrella.
• Tier 2 non-Tribal Providers are clinical
treatment and recovery support
organizations who share vouchers and
provide services.
Clinical Treatment
Program Qualifications
• Organizations will be licensed by the State
of Michigan or under Tribal Codes for the
services they are providing.
• Clinical staff will be licensed, registered or certified in their specialty.
Substance Abuse counselors must meet Tribal, Indian Health
Services, Michigan or the IC & RC certification standards.
Appropriate certifications include CADC I, CAD-II, or CADC-III from
UMICAD (www.umicad.org) or the CAC-M, CAC-R, or CAAC from
MCBAP (www.mcbap.com). For other specialties the appropriate
Tribal or Michigan standards will apply.
Recovery Support
Staff Qualifications
 Cultural resource people must be recognized and sanctioned by their
Tribal communities.
Faith-based resource people/programs will be recognized and sanctioned
by their respective faith communities.
 If required by Tribal or State law or policy, organizations and individuals
will be licensed by the State of Michigan or under Tribal Codes for the
services they are providing.
 If an individual service provider has less than one year of experience
working with ATR Tribal clients, he/she must provide documentation of at
least six hours of cultural competence training dealing specifically with
Michigan Tribal history and culture. This documentation must be submitted
to ITC within 60 days of becoming an approved provider
Target Population
• Eligible clients are enrolled members of the collaborating
tribes and members of other federally recognized, state
recognized, and Canadian tribes residing in the project
service area.
• Non-native family members and descendants are also eligible.
• All clients must have a current or past problem with alcohol
or other drug abuse.
• The project will serve clients age 12 and older.
• 8752 clients over four years.
• 2188 clients/year.
12
ATR III Enhancements
• Expand age range to include 12-13 year olds.
• Enhance care coordination for ATR.
• Enhance cultural interventions/grassroots
community engagement.
• Enhance provider recruitment and selection.
• Expand services to urban Indian population in
Michigan.
ATR III Enhancements
• Expand outreach to under-served Native
American populations, such as the Active
Military Service, Veterans, Prison re-entry,
homeless and hard to reach populations.
ATR III Resource Allocation
• ATR III funding is a payor of last resort.
Insurances or Veterans benefits will be
used first.
• ATR is a supplement and can add/
enhance what VA already has to offer.
• ATR III can be a new Referral Source for
the VA.
ATR III Resource Allocation
• ATR III has a new approach to placement
of client (Phases) that encourages clients
to progress toward full engagement in
treatment and/or recovery.
• ATR III vouchers have been restructured
to create a match with the recovery
support assessment and service options.
ATR Client Registration and
Placement Process
– Client is registered at one of the Tribal Access
centers.
– Client is screened (AUDIT/DAST/CRAFFT)
and if eligible, is assigned a unique Client ID #
that never changes.
– GPRA is completed.
– Client is assigned to an Anishnaabek Healing
Circle Phase.
– Clinical and/or recovery support assessment
is completed if the client is in Phase II or III.
Client Choice
– It is the client’s choice of what provider they
will use as long as the provider is in the ATR
Network, is accessible, and provides the level
of care the client needs, based on assessment.
– The Tribal Access Center provides Care
Coordination and will stay with the Client
throughout the ATR process.
– The Care Coordinator helps the client navigate
the system and find providers that match the
client’s treatment and recovery plan.
Anishnaabek Healing Circle Phases
ATR Screening,
Intake, GPRA
Phase III –
Aftercare
Full array of
recovery support
services
Readiness to
Change and
Recovery
Tasks
Phase II – Clinical
Treatment
Full array of clinical
and recovery
support services
Phase I PreTreatment Readiness
Limited to
motivational
development and
recovery coaching
ATR III Phases
Phase I (New for ATR
III)
Phase II
Phase III
Criteria=Positive Screen
and willingness to
participate in education or
coaching.
Criteria=Positive screen
and willingness to
complete a clinical
assessment and enter
treatment.
Criteria= Willingness to
continue to work on
recovery tasks appropriate
for the level of recovery.
•Motivational Services
•Educational services
•Recovery coaching
•Clinical treatment
services
•Recovery Support
Services
•Motivational services
•Recovery Support
Services
•Motivational services
•Community outreach
•Engagement of clients
Very early recovery
Early, Middle, Late
Recovery
Thinking about Recovery
Maybe Engaged in
Recovery
Engaged in Recovery
20
Voucher Structure
Vouchers
Phase I Vouchers
Client GPRA Follow-up**
Client GPRA Discharge**
Access Center**
Motivational Development and Readiness
Brief Intervention
Outpatient
Intensive Outpatient
Residential Treatment (Max 30 days)
Sub-acute Detox (Max 3 days)
Medical Services
Housing Support Services
Transitional Living Facilities
Employment and Education
Financial/Basic Needs
Legal Support
Health & Global Wellness
Spiritual / Cultural Support
Auto
Auto
Auto
Auto
Auto
Auto
Available
Available
Auto
Auto
Not Available
Available
Not Available
Not Available
Available
Not Available
Not Available
Available
Not Available
Not Available
Available
Not Available
Not Available
Available
Not Available
Not Available
Available
Available
Not Available
Available
Available
Not Available
Available
Available
Not Available
Available
Available
Available
Available
Not Available
Available
Available
Not Available
Available
Available
Not Available
Available
Available
Not Available
Available
Available
Not Available
Available
Available
Available
Available
Available
Available
21
Available
Available
Transportation
Mental Health Services / Co-Occurring
Auto
Auto
Peer Support & Relapse Prevention
Family & Parenting Support
Phase III
Auto
Available
Care Coordination Voucher**
Phase II
Auto
Not Available
What Makes the Anishnaabek
Healing Circle Unique
• We offer culturally-based recovery support
to Native Americans & their families.
• We work with the client before and after
clinical treatment to attain and then to
maintain long-term sobriety.
• We offer care coordination to support a
substance abuse free lifestyle.
• We recognize recovery as a life-long
journey.
ATR II Clients by Age Group
ATR II Unduplicated Clients by Age Group, n=5,288
10 to 12 yrs
0%
65 yrs+
6%
13 to 17 yrs
9%
55 to 64 yrs
9%
18 to 24 yrs
17%
45 to 54 yrs
16%
25 to 34 yrs
23%
35 to 44 yrs
20%
ATR II Gender
ATR II Gender of Unduplicated Clients,
n=5,288
Unduplicated ATR II clients, Age group
by gender, n=5,288
65 yrs+ 125 194
55 to 64 yrs
189
45 to 54 yrs
383
35 to 44 yrs
47%
53%
289
477
493
580
Male
Male
Female
25 to 34 yrs
573
18 to 24 yrs
468
13 to 17 yrs
246
Female
626
416
227
10 to 12 yrs 0
1
0
500
1000
1500
ATR II Outcomes
ATR II Intake, Follow-up, and Change on Key Indicators
Stable housing
3.0%
79.30%
77.00%
17.3%
Social Connect
76.70%
HBS Consequences
Employed/In School
No Arrests
Abstinent
8.0%
90.00%
90.60%
83.90%
Change
At 6 Months
4.2%
At Intake
57.00%
54.70%
4.9%
96.50%
92.00%
29.6%
52.00%
67.40%
0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 100.00%
25
ATR III Targets
ATR III Annual Client Target Numbers
American Indian Health and Family Services
60
MATCH-E-NASH-SHE-WISH POTAWATOMI TRIBE
40
NHBP
160
LITTLE RIVER BAND
60
40
LAC VIEUX DESERT
POKAGON BAND
160
GRAND TRAVERSE BAND
260
HANNAHVILLE INDIAN COMMUNITY
160
BAY MILLS INDIAN COMMUNITY
160
LITTLE TRAVERSE BAY BANDS
Clients
200
SAULT TRIBE OF CHIPPEWA INDIANS
260
SAGINAW CHIPPEWA TRIBE
320
KEWEENAW BAY INDIAN COMMUNITY
320
0
50
100
150
200
250
300
350
ATR & the VA
• We would like to be a referral source to
Native American veterans in Michigan.
• We would like to find ways to work
together and explore options to serve vets.
• Miigwetch (thank you) for your time and
interest.






Access to Recovery
Anishnaabek Healing Circle
2956 Ashmun, Suite A
Sault Ste. Marie MI 49783
(906) 632-6896
www.atrhealingcircle.com
Staff








Eva Petoskey, Director (231-357-4886) [email protected]
Terri Tavenner, Associate Director [email protected]
Donelda Harper, Training & Audit Specialist [email protected]
Lori McDonald, GPRA & Media Specialist [email protected]
Aagii Clement, Provider Liaison Specialist [email protected]
Connie DePlonty, Voucher Coordinator [email protected]
Cora Gravelle, Call In Center Client Access & Outreach [email protected]
Sheila Hammock, Call In Center Client Access & Follow-up [email protected]
Produced by the Inter-Tribal Council of Michigan with Access to Recovery (ATR) Anishnaabek Healing Circle Grant (1
H79 TI023118-01) funds from the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental
Health Administration (SAMHSA), U.S. Department of Health & Human Services (HHS). Content is solely the
responsibility of the authors and does not necessarily represent the official views of the agency.
28