Tài liệu Recovery Net Final docx

 The RecoveryNet target population is adults 18 years or older with a diagnosed substance use disorder who are enrolled in residential addiction treatment ASAM Level III.7, Level III.5

ACCESS TO RECOVERY III

MARYLAND

RecoveryNet

What is ATR

 Access to Recovery (ATR) is a “high-priority” federal initiative that provides vouchers to individuals to

purchase services and supports linked to their

recovery from substance use disorders

 ATR is a SAMHSA system transformation grant

designed to build recovery support networks within communities

 ATR emphasizes the expansion of capacity within systems of care

 ATR projects involve clients in directing their own

care and give them choices among appropriate

providers

ATR Impact on Outcomes

According to GPRA results outcome data are

promising At six months post admission to ATR

services,

 80% were abstinent from substance use,

 46% were stably housed,

 51% were employed,

 87% were connected to support networks,

 and 96% reported no involvement with the criminal justice system

ATR III in Maryland

 Four year Access to Recovery (ATR) grant,

Maryland RecoveryNet – awarded by to the

Maryland Alcohol and Drug Abuse Administration for approximately $3.2 million per year

2011 2012 2013 2014

Million

Time

Numbers to be Served

Targeted Population(s)

 In Maryland in FY 2009 8,000 individuals were

diagnosed with substance use disorders severe

enough to warrant treatment in publicly funded

 The RecoveryNet target population is adults (18

years or older) with a diagnosed substance use

disorder who are enrolled in residential addiction

treatment (ASAM Level III.7, Level III.5, or Level

III.3) in a publicly funded bed

 Eligible population includes inmates in Department

of Public Safety and Correctional Services

Residential Substance Abuse Treatment programs, and returning Iraqi or Afghanistan veterans who are enrolled in Department of Veterans Affairs residential addiction treatment programs

 Resident of Maryland and

planning to reside in

Maryland after discharge

from the residential program.

 Current ASI or TAP

 Agree to work with a Care

Coordinator as a RecoveryNet

vouchered service

 Agree to enroll in another level

of treatment or in Continuing Care with a Level I Outpatient program

Eligibility

Portal Programs: ATR Gateway

including programs within the

Department of Corrections and the

Veterans Administration, who are

being discharged into their home

communities

RecoveryNet: Maryland’s Provider Network

RecoveryNet is designed to build networks of treatment and support

services within communities throughout the State, by encouraging

community and faith-based providers to offer services to people in

•Employment Readiness Counseling

•Recovery Housing rent reimbursement

•Childcare

•Transportation

*required for each ATR participant

Maryland’s ATR Process

Provider Services

•Halfway House beds

•Recovery Housing rent reimbursement

•Employment Readiness Counseling •Family Counseling

•Pastoral Counseling

•Childcare

•Transportation

Care Coordinators

ATR Regional Break-out

ATR Region 2

Central and Western

Counties

ATR Region 3 Eastern Shore and Southern Counties

ATR Region 1 Baltimore City

ADAA-Funded Residential Treatment

Outlook and Outcomes: At a Glance FY 2009

2327 2122 2004

Projected Eligible Participants by Region

Based on Data reported in FY 09 to SMART/WITS system by publically funded Residential Treatment Programs (Levels III.3, III.5 and III.7

ATR Administrative Structure

Region 1

Karol Harmon

Region 3 Interviews Pending

Region 2 Dena Trail

Acting Project Director - Deborah Green

•IGSR

•Jurisdictional Addiction and Prevention Coordinators

•Statewide ROSC Coordinator

•Office of Education and Training for Addiction Services

Manage Regional Resources Develop/Disseminate Reports

• Maintain regular contact

• Coordinate/Deliver Technical Assistance to Care Coordinators

• Monitor Waste, Fraud and Abuse

• Submit required reports to State Project Director

Regional ATR Coordinator

Regional Coordinator Relationship Chart

 Determine Eligibility and

 Contact Care Coordinator

 Facilitate Patient Care Coordinator Introduction

Residential Treatment Program Counselors

*Government Performance and Results Act

Care Coordination

• Coordinate/facilitate delivery of RecoveryNet Services

• Assist with Recovery Planning

• Access resources outside of ATR scope that meet client needs

• Administer Discharge and follow-up GPRA

• Communicate with outpatient Tx

• Referral and access to more intensive level of care if needed.

• Administer Client Satisfaction Survey

Comprehensive care coordination is provided to clients to identify their needs, plan services, link the services system with the client, monitor service delivery, and

evaluate the effort.

ATR Participant

• Provides collateral contact information

Six-month Follow-up GPRA’ s

Service Definitions: Clinical

The RecoveryNet emphasizes client choice and increases the array of available community- and faith-based services, supports, and providers All services are

designed to assist recipients in remaining engaged in their recovery while

promoting independence, employment, self-sufficiency, and stability.

Halfway House Residential Treatment – Clinically managed low intensity

treatment programs offering treatment services at least 5 hours per week directed toward preventing relapse, applying recovery skills, promoting personal

responsibility, and reintegration.

Marital/Family Counseling- Services provided to engage the whole family system

to address interpersonal communication, codependency, conflict, marital issues and concerns, parenting issues, family reunification, and strategies to reduce or

minimize the negative effects of substance abuse use on the relationship.

Pastoral Counseling- Services provided to encourage spiritual growth, resolve

conflict arising from spiritual disconnection, and facilitate progress in recovery

through an integrated faith-based and psychological approach.

Service Definitions: Recovery Support

Care Coordination- Comprehensive medical and social care coordination is

provided to clients to identify their needs, plan services, link the services system with the client, monitor service delivery, and evaluate the effort.

Recovery Housing- These services provide a safe, clean, and sober environment

for adults with substance use disorders Lengths of stay may vary depending on the form of housing.

Job Readiness Counseling- This activity is directed toward improving and

maintaining employment and may include skills assessment, job coaching, career exploration, résumé writing, interviewing skills, and tips for retaining a job

Childcare- These services include care and supervision provided to a client’s

child(ren), less than 14 years of age and for less than 24 hours per day, while the client is participating in treatment and/or recovery support activities

Transportation- Commuting services are provided to clients who are engaged in

treatment- and/or recovery support-related appointments and activities and who have no other means of obtaining transportation

ATR Service Rate Table

Average per person amount: $1620.

Maximum per person amount:

$2000

(over $2500 triggers administrative

review) All vouchers default

to expire within 30 days of issue date unless otherwise approved and indicated

Service Description Unit of Service Payment Rate

*Care Coordination Unit = 15 minutes

**Total units = 24 Unit rate = $12.00

Total amount = $288.00

Recovery Housing Assistance Unit = 1 da.

Total units = 30 Unit rate = $26.66Total available amount =

$800.00

Job Readiness Counseling Unit = 15 min

session Total units = 36

Unit rate = $7.00 Total available amount =

$252.00

Childcare Unit = 1 hour

Total units = 56 Unit rate = $8.00Total available amount =

$448.00

Transportation Unit = one mile

Total units = 400 Unit rate = 50 per mileTotal available amount =

$200.00

Addiction Treatment – Halfway

House Unit = 1 da.Total units = 30 Unit rate = $33.33Total available amount =

$1000.00

Family or Couples Therapy - Unit = 1½ hour session

Total units = 6 Unit rate = $60.00Total available amount =

$360.00

Pastoral Counseling Unit = 15 min session

Total available units

=36

Unit rate = $10.00 Total available amount =

$360.00

*Care Coordination is a function of centralized intake and provider designated regionally thought an agreement with

a local health department

or its designated entity

ATR Service “Dose” Table

Service Average Recommended

Dose to start *Maximum authorization

Housing 4 weeks 8 weeks

Childcare 25 hours 56 hours

Job Readiness

Counseling 6 hours/24 -15 min units *12 hours

Transportation $.50 per mile 200 miles/$100

Care

Coordination 6 hours/24 - 15 min units *Individualized

Average per person amount: $1620.

Maximum per person amount: $2000 (over

$2500 triggers administrative review) All vouchers default to expire within 30 days of issue date unless

otherwise approved

Not yet available

* Adjusted with authorization by Reg Coordinator

Voucher Management System

Who pays for this?

 It starts as a grant-funded treatment episode

 Discharge planning/referral is already required and paid for as part of the treatment episode

 Training for Residential Counselors (Portal

Programs) on the Voucher Management System and GPRA Administration paid for through the ATR Grant

 Technical Assistance and Help Desk activities are

also ATR grant funded

 We all contribute, time, effort and patience

What’s in for me?

 One stop shopping for referral resources

 Increased capacity for those entering the Treatment System

 Partnering with Care Coordinators who work to

enhance recovery begun in the Treatment episode

 We all become architects in building Recovery Oriented Communities

Counselors, and Recovering Individuals

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