Transcript Alliance Clinic Mediation Assistant Tx Plus

Alliance Clinic
Mediation
Assistant Tx Plus
A New Program Design for
Dual Diagnosis Patients
Enhanced Treatment Program
HONOR THE CHALLENGE - EMBRACE THE
JOURNEY - LEAD THE WAY
Reducing Recidivism &
Improving Quality
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Provide on-going treatment & monitoring to patients aged 18 and older
who have a diagnosis of opioid dependence and who may also suffer
mental illness. This program will serve individuals who are seeking
recovery from all illicit drug use and require more structure in
programming from the onset of replacement opiate therapy. Clients who
are unsuccessful in abstinence based treatment settings, and do not
responds well to TX institutions who are not methadone friendly and/or
have had bad experiences in those settings.
One stop shop that will reduce treatment cost such as
additional transportation, and CD assessments.
 Structured to fit the needs of clients that need assistance
with other drugs and mental health issues.
 Adapting to a different treatment environment and a new
client/counselor relationship
 Better TX outcomes
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The Story of Clinic Expansion
 The
Executive Sponsor was able to negotiate with
the Board of Directors and the building owners to
proceed with the expansion of the clinic to
accommodate this program.
 The
Goal was to Expand accessibility to
treatment for the opioid addicted individual
This program will increase admission thereby
increasing revenues, add additional staff, provide
a better working environment for staff and clinic
environment for clients..
Client Goals & Expected Outcome
 Goals: Reduce illicit drug use, criminal activity,
increase client’s engagement in active employment or
education, reduce the transmission of infectious
disease processes, develop better parenting skills,
accommodate all learning styles, incorporate active
learning.
 Outcomes: Decrease ASR Tapers, decrease the
number of clients d/c due to funding, increase support
from case managers and enhanced Tx facilitators,
have good knowledge of the recovery process provide
more structure and support to clients who are
transitioning from Tx to aftercare.
Program Redesign & PDSAs
Alliance Clinic as a result of this project took a look at the
programming we now have and made changes to our
clinic……...
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We extended the initial orientation by adding a new
comers group that expands over 6 weeks and made it
mandatory for all new admits.
We expanded our relapse prevention groups to be
offered 3 times per week with 3 different counselors at various
times throughout the day for better attendance.
We developed a Hmong Cultural Specific Group;
one group for men and another for women due to differences
within their society.
We felt that the programs offered as designed were not
meeting the needs of our population and our clients
IMPACT & OUTCOME
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Increased positive outcomes in toxicology screens.
Clients more engaged in the treatment process.
Increased clients take-home medication.
Less congestion in the clinic.
low intensity group attendance increased.
More diversity in our group settings.
Less illegal activity on the premises
Case managers more engaged and focused.