Transcript San Luis Obispo County Drug and Alcohol Services, CA

Introduction - Who are We?
• County of San Luis Obispo (California) Drug and
Alcohol Services (DAS) is the grant recipient and
treatment provider
• Dependency Drug Court: parents with substance use
disorders resulting in loss of custody of children due
to child abuse/neglect
• Team: Child Welfare Services, Dependency Court,
Outpatient treatment provider (DAS), attorneys,
CASA, and residential treatment
www.NIATx.net
Reduce Waiting & No-Shows  Increase Admissions & Continuation
AIM (plan)
NIATx Aims:
• Increase Admissions into Dependency
Drug Court
• Increase Referrals from Child Welfare
Services
What keeps the CEO up at night?
www.NIATx.net
Reduce Waiting & No-Shows  Increase Admissions & Continuation
CHANGE (do)
Cycle #1
• Data & Drug Court Coordinator
• Drug Court Coordinator staffing change was
coincidental/instrumental to the change
• Drug Court Coordinator would review all CWS
court petitions with drug and alcohol issues
• Drug Court Coordinator would go to the initial
court hearing and make a treatment referral with
the family at the time of the hearing
www.NIATx.net
Reduce Waiting & No-Shows  Increase Admissions & Continuation
CHANGE (do)
Cycle #2
• No Waiting Period
• Sought information from other DDCs
• Decided to increase admissions first and
then worry about retention and failure
rates later
• Removed “waiting period”—wanting clients
to be stable prior to admission
• Admitted residential referrals
www.NIATx.net
Reduce Waiting & No-Shows  Increase Admissions & Continuation
CHANGE (do)
Cycle #3
• Pain Management
Based upon review of the reasons people
were not admitted to DDC
Implemented pilot specialized Pain
Management program
www.NIATx.net
Reduce Waiting & No-Shows  Increase Admissions & Continuation
CHANGE (do)
Cycle #4
• Improving Relations with Referring Partner
(Child Welfare Services
• Coordinator conducted Focus Group Survey with
Social Workers “what’s the problem with DDC?”
• Corrective Action Plan developed
• Presentations to Social Workers
• Answered questions about residential
placements, use of the ASAM-PPC
www.NIATx.net
Reduce Waiting & No-Shows  Increase Admissions & Continuation
RESULTS (study)
Average Admissions per month
14
11.5
12
10
9
9
8
6
7
4.75
4
2
0
Baseline
www.NIATx.net
Cycle 1
Cycle 2
Cycle 3
Cycle 4
Reduce Waiting & No-Shows  Increase Admissions & Continuation
NEXT STEPS (act)
• Change Cycle 1 (Data/Coordinator):
Adopted
• Change Cycle 2 (No Waiting): Adopted
• Change Cycle 3 (Pain Mgmt): Adopted
• Change Cycle 4 (Relations): Adopted
www.NIATx.net
Reduce Waiting & No-Shows  Increase Admissions & Continuation
IMPACT (lessons learned)
• Met admissions numbers in the grant
• Analyze your data—it can tell you what
the problem is—it’s continuous
• First change cycle—consider systems
that you have control over (not across
systems).
• Cross-systems changes come later
www.NIATx.net
Reduce Waiting & No-Shows  Increase Admissions & Continuation