Kristie R. Schmiege, MPH, CCS, CADC, CPC-MKristie R. Schmiege, MPH, CCS, CADC, CPC-MDirector of Substance Abuse ServicesDirector of Substance Abuse Services

Genesee County Community Mental HealthGenesee County Community Mental HealthMay 18, 2011May 18, 2011

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Transformation: IARC is Closing Currently and for the last 40 years, the Intake

Assessment and Referral Center (IARC) has been the substance abuse screening and referral center in Genesee County

IARC’s Board of Directors decided to dissolve the organization effective June 30th, 2011

Effective July 1, GCCMH will assume this screening and referral function through integration into our Access Center

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Genesee County CMH Access Center Will Become Integrated

GCCMH has been operating an Access Center for adults and children with developmental disabilities, adults with serious mental illness and children with serious emotional disturbance for years

Estimates are that at least 50% of individuals seeking services have co-occurring mental and substance use disorders

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Single Phone NumberThere will be a Single Number for Mental Health

and Substance Abuse AccessThe number for screening and referral for Mental

Health and Substance Abuse Services will be: (810)257-3740

This is also our after hours crisis services numberIARC’s number, (810) 235-9555, will ring in the

GCCMH Access Center after 7/1/11, for a whileThose that choose to be seen face-to-face can

walk-in and continue be screened in person

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Additional Safety Net Information: CIRT

GCCMH developed and funds: Crisis Intervention Recovery Team (CIRT)Mobile, face-to-face team to assist in diffusing mental health, substance abuse and/or family crises and in accessing medically necessary services and supports Community providers, agencies & safety net partners can call CIRT 24/7 at (810) 496-4935. This number is for use by community agencies only. Please: this contact info should not be given to individuals seeking service. They can call (810)257-3740 - 24/7.

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Direct Access to Substance UseOutpatient Services

Individuals seeking outpatient services will call to register in our system, then go straight to the provider of their choice

Individuals seeking residential and sub-acute detoxification services will be screened by Access staff on the phone

Individuals seeking medication assisted treatment – Methadone & our Block Grant Suboxone Pilot – will be screened in person

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05-11-11

Genesee County Community Mental Health Access Center Screening & Referral Process for Substance Use Disorder Services

(PUBLICLY FUNDED INDIVIDUALS - MEDICAID, ABW, UNINSURED, UNDERINSURED)

SUD Services MI or DD Services

METHADONE & Suboxone Pilot

*Access Clinicians Complete Face to Face Screen

RESIDENTIAL (Including Sub-acute Detox & Recovery Housing) *Access Clinicians Complete Screen

OUTPATIENT * Register in System *Authorization *CMH Staff Make

Appointment

PRIVATE INSURANCE

(Contact Company)

REFERRAL *Authorize *CMH Staff Make Apt.

WAIT LIST (uninsured & underinsured

only)

REFERRAL *Authorize *CMH Staff Make Apt.

WAIT LIST (uninsured &

underinsured only) *Go to

Provider Site for Assessment *No wait list

Co-occurring Disorders

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Available Addiction ServicesThere are many licensed providers of substance

use disorder services in Genesee CountyThey provide an array of services including:

Sub-acute detoxification Residential Recovery housing Intensive outpatient/Day-treatment Outpatient Methadone maintenance For adults and adolescents, for women who are

pregnant or have minor children with them

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Publicly Funded ProvidersAbove the Waterhouse - Recovery HousingBioMedical Behavioral Healthcare - MethadoneCatholic Charities - Outpatient, drug courtFlint Odyssey House - Resid. including women’s, OPHope Network-Insight - Outpatient @ Jail, New Paths & Salvation Army, adolescent day treatment and OP Kairos Healthcare – Adolescent residential New Paths - Recovery HousingOakland Psychological - OutpatientSacred Heart -Resid. including women’s, OP, methadoneTurning Point - ResidentialWoodward Counseling – Outpatient, recovery housing

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Additional Provider InformationMany above listed providers also accept private

insurance along with having contracts with GCCMH for public funds e.g. Medicaid & federal block grant

There are many other licensed, non-publicly funded substance abuse agencies and individual clinicians that accept insurance or private payments, e.g. Auburn Counseling, hospital system clinics

Have insured patients contact their benefits manager of their employer’s human resource department or employee assistance program

GCCMH Access Center will also verify insurance

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Additional Service Information: Sobering Facility

The “Sober House” at New Paths, Inc., 765 E. Hamilton, Ave., Flint, (810) 233-5340 X-149 23 hour monitored service is a safe drug and alcohol-free place to sober up or come down from alcohol or drugs with peer support

Individuals can be taken there by family, police, etc. or transported by New Paths staff from hospital EDs, although ED clearance is no longer a required part of admission criteria

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Other Specialty Addiction Services

Addictionologists - ASAM certified physiciansPhysicians certified to prescribe Buprenorphine

buprenorphine.samhsa.gov -> locaterwww.suboxone.comwww.pcssmentor.org - The SAMHSA-funded Physician Clinical Support System

Pain Management specialistsSome addiction providers have experienced staff

– e-mail me for a list – kschmiege@gencmh.org

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Prevention ServicesServices that reduce the risk of

individuals developing problems that could require entry into the treatment system

Parenting Classes, Anger Management/Conflict Resolution Classes, Life Skills Classes, Family Programs

Services for all age groups can be conducted throughout Genesee County

Current providers: Catholic Charities and Hope Network/Connexion

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Your Important Role,Use the C’s

Communicate with your patients if alcohol, Rx or other drug misuse or dependence is suspected. Try not to personalize, cut off, etc.

Use “Carefrontation” and refer as neededCoordinate Care with other professionals

– contact them as needed, ask patients how counseling or support group meetings are going, get progress reports, etc.

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Together We Can Affect Change

Contact me as needed:Kristie Schmiege(810) 496-5541

kschmiege@gencmh.org

Thank you!15