Transcript Regional Network of Programs

Regional Network of Programs
Medication Assisted Treatment
Residential Treatment
Adolescent Treatment
Prevention Services
Psychosocial Outpatient
Supervised Apartments
Homeless Shelter
HIV Services
Drug Court
• Advanced Behavioral Health
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
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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
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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, costeffective 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
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Managed behavioral healthcare
Behavioral health program management
Behavioral health information technology
Research
Consultation
ABH® Progress over
the last 15 years
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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
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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
Blending Initiative
What do we do with what we
know?
Five Blending Teams
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Buprenorphine Awareness
Buprenorphine Detoxification
Addition Severity Index (ASI)
Motivational Interviewing (MI)
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)
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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
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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
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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)
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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
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Reduces relapse risk
Improves early intervention – when necessary
Enhanced resiliency
Enhanced confidence
Reduced stigma
Provider Perspective:
Focusing on Recovery
Challenges Along The Way
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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
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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