case management to provide wrap around services alabama partnership robert wood johnson foundation...
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Case Management to Provide Wrap Around
Services
Alabama Partnership
Robert Wood Johnson Foundation – Advancing Recovery
Alabama AR Partners Alabama Department of Mental Health– Substance Abuse Service
Division• Sarah HarklessSarah Harkless• Bob WynnBob Wynn• Tammy PeacockTammy Peacock
The Bridge, Inc.• Jeremy BlairJeremy Blair
FORMLL• Mike McLemoreMike McLemore
Northwest Alabama Mental Health Center• Gwen Thomas-LeBlancGwen Thomas-LeBlanc
Nova Center for Youth & Families• Gina KogerGina Koger• Susan SmithSusan Smith
Coaches• Carolyn Castro-DonlanCarolyn Castro-Donlan• Neil KalteneckerNeil Kaltenecker
Greatest Accomplishments Since Tucson
Baseline from year One is 22.4 referrals per month
Referrals to CC & Case Management Referrals
01020304050607080
Referral Made to CC
CM Ref made Res.
Greatest Accomplishments Since Tucson (Cont’d)
START - Total Case Management Referrals
0
5
10
15
20
25
30
35
40
July August September October November
Referrals Made to CC
CM Ref made Res.
Greatest Accomplishments Since Tucson (Cont’d)
Referrals & Admissions to Continuing Care
05
1015202530
Referral Made to CC
Total Admiss
Greatest Accomplishments Since Tucson (Cont’d)
Average Days Between Discharge from Residential & Admission to CC
0.02.04.06.08.0
10.012.0
Avg # Days
Greatest Accomplishments Since Tucson (Cont’d)
Scheduled NIATx Change Leader Academy in Alabama
January 27 & 28, 2010
22 Participants registered
Useful Lessons
The Problem: Assuming staff knew what case management was and
how to do it. Assuming staff knew what a resource manual was or
how to develop one Philosophical shift in approach to treatment with an
emphasis on case management
The Solution: Two day intensive training in case management Weekly Clinical Supervision Including case management in job description and
annual review
Useful Lessons Importance of collaboration with partners,
developing strong relationships Need staff buy in – need to know that they
have a thorough understanding of what they are buying into
Recognize our own disappointments – in home intervention
Broad systemic and philosophical change takes time to implement
State level changes move slow
Sustainability
Development of new certification standards based on ASAM PPC2 criteria
Preparation for statewide training on ASAM PPC2
Development of a standardized adolescent placement assessment to determine appropriate levels of care
Included continuing care as a component in all newly funded programs through the RFP process
Expansion of SASD funded adolescent treatment programs
Support for new adolescent treatment programs that are not state funded (Medicaid, ALL Kids)
Sustainability Sustainability (cont’d.)(cont’d.)
Develop a sense of shared ownership for Develop a sense of shared ownership for adolescent care with other providers through adolescent care with other providers through regular meetings with the Adolescent Treatment regular meetings with the Adolescent Treatment Providers GroupProviders Group
One day workshop on systems change & One day workshop on systems change & collaboration at the Alabama School of Alcohol & collaboration at the Alabama School of Alcohol & Drug StudiesDrug Studies
Change Leadership Academy in AlabamaChange Leadership Academy in Alabama Adolescent Treatment Providers represented on Adolescent Treatment Providers represented on
the Adolescent Advisory Committee – reports back the Adolescent Advisory Committee – reports back to the providers, serves as a voice for the groupto the providers, serves as a voice for the group
Pilot new Case Management training in Feb. 2010Pilot new Case Management training in Feb. 2010
Human Impact
More adolescents receive treatment at the appropriate level of care
Individualized care with a continuum (Outpatient, Intensive Outpatient, Continuing Care)
Juvenile Justice system is better educated about juvenile substance abuse
Increased referrals to treatment – viewed less as a punitive placement
Human Impact
Strong working relationship between Department of Mental Health, Administrative Office of Courts and the Department of Youth Services
Contact Information
Jeremy Blair [email protected]
Gina Koger [email protected]
Gwen Thomas-LeBlanc [email protected]
Tammy [email protected]