Download 2013-2014 Annual Report - Clearfield

Clearfield-Jefferson Drug and Alcohol Commission
2013 - 2014 ANNUAL REPORT
TABLE OF CONTENTS
PAGE
I.
SCA MISSION STATEMENT
2
II.
SCA BACKGROUND
2
ORGANIZATIONAL CHART
5
III.
MEMBERSHIP OF COMMISSION BOARD
6
IV.
MAJOR ACCOMPLISHMENTS OF THE SCA
7
Administration
7
Prevention
9
Intervention
11
Case Management / Treatment
12
Hepatitis C Screening Initiative
15
Drug Free Communities Program
18
Medication Assisted Treatment Program
20
Recovery Support
22
V.
SCA CASE MANAGEMENT SYSTEM
22
VI.
CLIENT DEMOGRAPHICS
24
Total Clients Served by County and Gender
24, 26, 27
Average Age and Level of Care Recommended
24, 25
Primary Choice of Drugs
25, 26, 27
FISCAL INFORMATION
28
Total Revenue and Expenses
28-29
Chart of Total Revenue
30
Chart of Total Expenses
31
Funds Used for Treatment
31
Chart of Treatment Expenses by Funding Stream
1
32
(SCA, Cen-Clear and Community Guidance Center)
(SCA)
(SCA, Cen-Clear and Community Guidance Center)
VII.
Clearfield-Jefferson Drug and Alcohol Commission
I. SCA Mission Statement
With community service for drug, alcohol and tobacco addiction as our foundation, we are driven
by goals determined by a needs assessment of the community to seek solutions, enhance the
quality of life, and foster a sense of well-being in individuals. We are committed to the
development of a comprehensive system of services for the prevention, intervention, and
treatment of alcohol, tobacco and other drug problems.
We believe that alcohol, tobacco and other drug problems affect the entire population and that
an individual community’s involvement is essential to the development of an effective response.
We strive to serve all people within our jurisdiction with respect, fairness and compassion, to
assess the needs of each individual; and provide opportunities for them to become successful to
recover from their addiction.
Funding for substance abuse treatment is targeted toward the indigent or public client and we
ensure that our services are cost-effective. We nurture public trust by holding ourselves to the
highest standard of performance, ethics and confidentiality. Our exceptionally low overhead
means that more money is directed to serving the community by further providing
encouragement, education and the means of prevention.
II. SCA Background
The Clearfield-Jefferson Drug and Alcohol Commission is organized as an Independent
Commission authorized by the Department of Drug and Alcohol Programs (DDAP) as the Local
Authority for the alcohol and other drug systems in Clearfield and Jefferson Counties.
The Commission is a non-profit corporation designated as the Single County Authority (SCA) to
plan, coordinate and implement community alcohol and other drug prevention, gambling
prevention, intervention, and treatment services in Clearfield and Jefferson counties. Clearfield
and Jefferson counties are located in the northwestern portion of PA and covers approximately
1,803 square miles. Clearfield County is the third largest county in PA, in terms of square miles
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Clearfield-Jefferson Drug and Alcohol Commission
and Jefferson is roughly half the size of Clearfield County. The combined population of Clearfield
and Jefferson Counties is 126,140 according to the U.S. Census, 2013. The administrative office
of the Commission is located at 135 Midway Drive, Suite A, DuBois, PA 15801. The office is
operational five days a week between the hours of 8:30 a.m. and 4:30 p.m. The phone number is
(814) 371-9002 or 1-800-9002. The Commission’s website address is www.cjdac.org.
A Board of Directors, made up of no fewer than eleven and no more than fifteen, representative
of the population of the two-county area governs the Commission. Monthly public meetings are
advertised on the Commission website and are held on the fourth Tuesday of each month at 6:30
p.m. The Board of Directors maintained eleven members in the 2013-2014 fiscal year. The
makeup of the Board of Directors includes a Chairperson, 1st Vice-Chair, 2nd Vice-Chair and a
Secretary/Treasurer. Each member serves a term of office for three years and may serve
consecutive terms. The role of the Board of Directors is to manage the business affairs of the
Commission. This includes entering into contracts on behalf of the Commission, to include the
PA Department of Drug and Alcohol Programs.
The Clearfield-Jefferson Drug and Alcohol Commission provides several in-house services.
Services include the following:

Administrative Unit: made up of the Executive Director, Deputy Director, Chief Fiscal
Officer, Fiscal Technician and Administrative Assistant. The Administrative Unit is
responsible for oversight, planning, and management of all day-to-day business affairs,
and overall direction of the Commission.

Prevention Unit: made up of two Prevention Specialists and one Prevention Supervisor.
The Commission maintains a functional Prevention Unit and is responsible for the direct
delivery of all drug and alcohol prevention services within Clearfield and Jefferson
Counties. A third Prevention Specialist is designated as the Student Assistance Program
Liaison. Through a shared partnership with Community Connections (MH/MR), the
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Clearfield-Jefferson Drug and Alcohol Commission
Student Assistance Program (SAP) covers 12 public and 1 parochial school districts. The
Prevention Unit provides SAP maintenance meetings for districts and the Executive
Director was approved as Lead Trainer during the 13-14 Fiscal Year.

Clearfield-Jefferson Drug Free Communities Coalition: made up of one Prevention
Supervisor (Coalition Coordinator) and one Prevention Specialist (Coalition Specialist).
This unit is responsible for the Drug Free Communities grant and the Sober Truth on
Preventing Underage Drinking Act grant, received by the Commission from the Substance
Abuse and Mental Health Services Administration.

Treatment: The Clearfield-Jefferson Drug and Alcohol Commission contracts with twentyfour providers for all level of care treatment services within the two-county area. This
includes three in-county out-patient providers, of which two are drug free and one is
methadone maintenance.

Case Management Unit: made up of two Case Managers and one Case Management
Supervisor. This unit is responsible for all client related services in the SCA including
Level of Care Assessments and Case Coordination services.

Medication Assisted Treatment: made up of one Drug and Alcohol Program Specialist.
This program is responsible for all client related services in the SCA that are related to
medication (i.e. Methadone, Buprenorphine). This position is funded by Health Choices
reinvestment funds.

Hepatitis C Screening Program: made up of one Drug and Alcohol Prevention Program
Specialist. This program is responsible for direct implementation of the Hepatitis C
Screening Program maintained by the Commission.
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Clearfield-Jefferson Drug and Alcohol Commission

Recovery Support: The SCA continues to promote a Recovery Oriented System of Care
(ROSC) philosophy in all aspects of SCA programming, both in-house and with contracted
providers. A ROSC is a coordinated network of community-based services and supports
that are person-centered and builds on the strengths and resilience of individuals,
families and communities to achieve abstinence and improved health, wellness and
quality of life for those with or at risk of alcohol and drug problems.
Organizational Chart
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Clearfield-Jefferson Drug and Alcohol Commission
III. Membership of the Commission Board
2013-2014 Board of Directors
Leanne G. Peters, Chair..............................................................................Clearfield County
Debra Thomas, First Vice-Chair..............................................................Clearfield County
Joseph Molitierno, Second Vice-Chair...................................................Jefferson County
Rose Buterbaugh, Secretary-Treasurer...............................................Jefferson County
Ruthanne Barbazzeni................................................................................ Clearfield County
Sean Bresnahan............................................................................................Clearfield County
Janice Foster...................................................................................................Jefferson County
Jody Kulakowski...........................................................................................Jefferson County
Cathy Sokloski...............................................................................................Clearfield County
Tuesdae Stainbrook....................................................................................Clearfield County
John Welsh......................................................................................................Jefferson County
2013-2014 Retired Board Members
Rose Buterbaugh.........................................................................................................10 Years
2013-2014 Retired Staff
Eileen McIntyre................... 25 Years...................................................................Clerk Typist
Joseph Zbieg.........................32 Years........................................Student Assistance Liaison
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Clearfield-Jefferson Drug and Alcohol Commission
IV. Major Accomplishments
Administration
The Clearfield-Jefferson Drug and Alcohol Commission is the Single County Authority (SCA) for
Clearfield and Jefferson Counties, located in northwestern Pennsylvania. The Administrative
Unit of the SCA is responsible for the assessment of needs, planning, capacity building and
implementation of all drug and alcohol prevention, intervention, treatment, case management
and other specialized initiatives within the service area.
There were several noteworthy accomplishments during the 2013 -2014 fiscal year:

The Monitoring visit by the Department of Drug and Alcohol Services very well. The Case
Management Unit was commended on its excellent charting and disposition of cases.

The Commission received continued funding for the Restrictive Intermediate Punishment
Grant through Jefferson County Probation and the PA Commission on Crime and
Delinquency. In addition, the Commission continued to participate in the Right Turn
grant through the Clearfield-Jefferson MH/MR program for incarcerated offenders.
Finally, the Commission received continued funding for its Hepatitis C Screening Program.

The Commission received Year 8 Funding for the Drug Free Communities Grant and Year
2 Funding for the STOP Act Grant.

The Commission completed a Strengthening Families (10-14) grant for Clearfield County
and was also able to provide another 7 week program with DDAP funds throughout the
Fiscal Year.

Administration collected one full year of information from the Case Management Unit and
our Out-Patient Providers regarding all services delivered for individuals in Clearfield and
Jefferson Counties.
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Clearfield-Jefferson Drug and Alcohol Commission

Administration participated in the County Plan requested by the Department of Public
Welfare during the 13-14 year. Administration was able to work closely with County
Commissioners to develop a plan to provide for substance abuse treatment services.

The Commission, working with its partner, the Clearfield-Jefferson Heroin Task Force, Inc.
was able to raise $8,150 for the Opioid Overdose Resuscitation Card. Funding was raised
through the Small Games of Chance Act and local service and social clubs.

The Commission received $89,651 for Gambling Prevention for 2013 - 2014 Fiscal Year.

The Commission’s Executive Director continued the year as past Chair of the Greater
DuBois Chamber of Commerce, the Secretary of the DuFAST Transit (local municipal
transit agency), the Treasurer of the Behavioral Health Alliance of Rural Pennsylvania
(BHARP is the executive board of the 23 county managed care region in north-central PA)
and served as an alternate Regional Representative for PACDAA (PA County Drug and
Alcohol Administrators Association).

RAC (Rural Assistance Center) notified the Commission that the Hepatitis C Program was
one of the programs featured in its Mental Health Toolkit that came out this year.

Long time Student Assistance Program Liaison, Joseph Zbieg, retired in July 2013 after 32
years with the Commission.

Long time Secretary, Eileen McIntyre retired after 25 years of service to the Commission
at the end of June 2014.

The SCA replaced the position of Fiscal Officer, after the resignation of the previous officer
in February 2014. This is a key position in the agency.

The Executive Director received the Lead Trainer designation for the Student Assistance
Training Program during the 2013 - 2014 Fiscal Year. Four trainings were provided for
64 individuals. The PA Department of Education monitored the second training and the
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Clearfield-Jefferson Drug and Alcohol Commission
SCA received full re-credentialing with no findings. In addition the Executive Director
condensed the SAP manual which has helped with printing costs.

The Commission's new website, www.cjdac.org, became operational in March of 2014.

The Commission hired a Solicitor, Patrick Lavelle, Esquire as it's very first attorney.

The Director and Deputy Director worked throughout the year to better define their roles
and separation of duties in an effort to increase efficiency in the agency.

The Commission, Board of Directors updated by-laws and began the process of creating a
5 year Strategic Plan for the agency.
Prevention
The Commissions alcohol, tobacco, other drugs and gambling prevention efforts focus on
providing awareness and knowledge on the nature and extent of alcohol, tobacco, drug use,
abuse, addiction, and gambling, and its effects on individuals, families, and the overall
community. The Commission’s prevention program plan seeks to reduce risk, and enhance
protective factors associated with substance use within our local area.
The Drug and Alcohol Commission’s staff provides information, education, and prevention
services in a variety of settings throughout the two county area. The Commission works
collaboratively with our area schools and local community groups in providing effective,
evidence-based and state approved prevention programming with the goal of reducing the
prevalence of substance abuse.
Agency prevention programming, strategies, policies, practices and procedures are based on
proven methodologies tailored to address the identified needs of the community and the risk
and protective factors associated with substance use/abuse. Prevention programming is guided
by six federal strategies: Information Dissemination, Education, Alternative Activities, Problem
Identification and Referral, Community-Based Process, and Environmental. The Commission’s
prevention plan includes evidence based programs which have shown through research and
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Clearfield-Jefferson Drug and Alcohol Commission
evaluation to be effective in the prevention or delay of substance use and abuse. The Commission
is currently offering the Strengthening Families Program for Youth Ages 10-14; Toward No Drug
Abuse, K-12; and the Too Good for Drugs and Violence High School Program for schools and the
community. These programs are approved by the Substance Abuse and Mental Health Services
Administration (SAMHSA)/ National Registry of Evidence Based Programs and practices. The
prevention plan also includes a number of State Approved Programs that have been identified as
being effective in preventing or delaying the use of substance use and abuse.
Prevention services occur as a single service or as a group event. For the 2013-2014 fiscal years
the number of events and the overall percentages across the six federal strategies are as follows:
Strategy
Number of Events
Percentage
155 Single Service Events
31%
77 Group Events
25%
Alternative Activities
17 Single Service Events
3%
Problem ID and Referral
156 Single Service Events
32%
Community-Based Process
38 Single Service Events
8%
Environmental
3 Single Service Events
1%
Information Dissemination
Education
The prevention staff continues to work toward a balanced approach in the delivery of services
across all six of the federal strategies. Goals include the delivery of services according to best
practice providing as much evidence based programming first, followed by state approved
programming. Staff will continue the ongoing effort to assess the community needs, risk factors,
and protective factors and adjust the prevention program plan accordingly. This past year staff
has been heavily focused on the marketing of all prevention programs and services. We have
targeted, and are providing more prevention programming to our elementary level students. We
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Clearfield-Jefferson Drug and Alcohol Commission
have continued to offer the Strengthening Families 10-14 Programs though the use of DDAP
funds and other community supports.
The Commission has continued with its Problem Gambling Initiative. Prevention staff continues
to provide education and information to promote awareness of problem gambling at the
community level. Prevention programming has targeted both problem youth gambling and
problem senior gambling across the two county areas. Services include state approved
prevention programs, consultation and technical support for youth, adult, and community
groups regarding compulsive gambling.
Intervention/Student Assistance Program
The Student Assistance Program (SAP) entered its 29th year during the 2013-2014 fiscal year.
Although much of the focus remained on core team meetings, maintenance meetings and
assessments, the main focus of the year was acquainting a new SAP Liaison to replace long-time
SAP Liaison, Joe Zbieg, with the process of SAP in the schools. In order to accomplish this goal,
special meetings, including SAP Coordination, SAP Updates and Superintendent Breakfasts were
attended during 2013-2014, in addition to providing SAP Screens for student referrals. Several
school districts formed Elementary SAP (ESAP) Teams this year, and the SAP Liaison attempted
to attend at least one meeting per month of the ESAP teams, in addition to the two meetings of
the Secondary SAP Teams.
The Commission continues to do a thorough job in meeting the maintenance obligations for each
district. They are a top priority in our schools and the planning for those meetings ran smoothly
this year. There were 52 assessments completed this year, with 32 of those assessments
resulting in a recommendation for further services.
The Executive Director was approved as a Lead Trainer for the SAP Program by the
Commonwealth of PA Department of Education for the Clearfield-Jefferson Drug and Alcohol
Commission. In addition, the SAP manual was revised with many outdated materials updated or
removed. The size of the manual was also greatly reduced to make it more manageable and user
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Clearfield-Jefferson Drug and Alcohol Commission
friendly. Four SAP trainings were held during 2013-2014 School Year with 64 new SAP team
members trained.
Case Management
The 2013-2014 fiscal year was one of consistency and growth in the Case Management Unit. For
the first time in 3 years, the Case Management Unit retained the same staff for the entire fiscal
year. Staff spent much of the year fine tuning the specific programs they work with and
continuing to learn through trainings and experience.
Collaboration with Jefferson County Probation continues through the Restrictive Intermediate
Punishment Grant. Candidates for the program are at risk of being sentenced to state prison, and
are diverted through a level of care assessment and court recommendations and sentencing that
requires individuals to follow through with all the recommendations. Most participants attend
inpatient, halfway house, intensive outpatient and outpatient. However, individuals also receive
case coordination services from staff and attendance to treatment is monitored on a regular
basis. The Case Management staff has developed a successful system for communicating with
the probation officer and counselors as well as tracking the client’s needs to assist in success.
The Right Turn/Second Chance grant experienced an influx of referrals in the 2013 – 2014 Fiscal
Year and saw an increase in participation from probation officers and the court system. The goal
of this program is to reduce the recidivism rate for clients with co-occurring disorders who are
considered to be high risk for returning to jail. Participants of the Right Turn program are always
provided with a drug and alcohol case manager as well as a mental health case manager.
Participants are required to follow through with all drug and alcohol and mental health
treatment as well as the case management services. Transportation is provided to assist
individuals with attending treatment and case management appointments as well as physical
health appointments and meetings with the probation officer. Help with housing needs such as
rent and occasionally utility bills is also available to participants. A team consisting of the drug
and alcohol Case Manager and Supervisor, the Right Turn Coordinator, probation and various
mental health professionals meet regularly to discuss and monitor the clients’ progress. The
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Clearfield-Jefferson Drug and Alcohol Commission
team collaborates to make necessary changes to help the client succeed. This program was
designed to work with 20 participants and has often worked with 25 to 30 at a time.
The SCA continues to contract with all levels of care. 231 assessments were completed during the
2013-2014 fiscal year. A breakdown of the drugs of choice is as follows:
Substance
Number of Assessments
Heroin
68
Other Opiates (i.e. pain medications
and non-prescribed methadone,
suboxone etc.)
63
Alcohol
37
THC (Marijuana)
35
None
8
Benzodiazepines
5
Cocaine
4
Other
4
Methamphetamines
2
Bath Salts
2
Other Synthetics
2
Other RX Medications
1
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Clearfield-Jefferson Drug and Alcohol Commission
Recommended Levels of Care
Out-Patient
30
Intensive Out-Patient
32
Detox
29
Non-Hospital Residential
102
Halfway House
9
Hospital-Based Residential
1
Each year there are problems that interfere with clients and their treatment process. Lack of
funding is a barrier to proper treatment. The SCA must manage funding in a manner that allows
as many individuals as possible to attend a recommended level of care. With decreasing or flat
funding and increasing numbers of individuals seeking treatment, it is difficult to offer each
individual the appropriate amount of treatment services. Too often, this leads to relapse.
New trends in Medicated Assisted Treatment (MAT) continue to arise. MAT continues to be
requested by clients who work or have children and cannot attend inpatient treatment for 21 to
28 days. We have limited spots in our MAT program to meet these needs. A new trend in
Medicated Assisted Treatment is non-hospital residential facilities providing Vivitrol and Revia
while in care. These clients are sent home with prescriptions with the intent to continue on these
medications locally. However; case managers have not been successful in finding local doctors to
continue this treatment.
Physical and Mental Health symptoms have served as a barrier to treatment.
Clients
experiencing active physical health and mental health symptoms are often not accepted into a
regular inpatient facility. These services are difficult to provide due to funding issues.
Treatment facilities have been very busy and bed availability is often another barrier to
treatment. Often there is not a bed free for one to two weeks for individuals seeking treatment.
Clients change their minds about inpatient treatment while they are waiting to be admitted.
Individuals continue to use during this time and that can lead to physical health, mental health
and legal problems and fatalities.
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Clearfield-Jefferson Drug and Alcohol Commission
The Clearfield and Jefferson county has been experiencing a lack of insurance certified
counselors. Individuals seeking treatment who have private insurance currently only have one
outpatient facility they can attend and that facility often has only one insurance certified
employee. These individuals also have large deductibles and copayments which interfere with
attending and completing treatment.
The Case Management staff along with the rest of the state of PA has been dealing with its share
of drug overdoses, particularly heroin overdoses.
An Overdose Policy was created and
implemented in the 2013 – 2014 Fiscal Year and staff has been working with local Emergency
Rooms regarding services that the Commission provides.
Hepatitis C Screening Program
Many outreach activities took place during the 2013-2014 reporting period. The prevention unit
worked to provide Hepatitis C materials at local community health fairs, local college campuses,
and social services agencies. The Rural Health Outreach Coordinator distributed flyers to bars
and local businesses, advertising the program, risk factors and how to receive free screenings.
Many businesses displayed the flyers in the restrooms and on cork boards located near the
entrance.
The Rural Health Outreach Coordinator facilitated several Hepatitis Education classes which
were offered to individuals involved with Clearfield County probation. These classes took place
bi-monthly. The Rural Health Outreach Coordinator attempted to expand these classes into
Jefferson County, however was not successful. The Rural Health Outreach Coordinator facilitated
a Hepatitis C education class at the Clearfield County Jail for both the female and male inmates.
Power Point presentations were conducted at the Heroin Task Force meeting and the Annual
Hepatitis C Meeting in Harrisburg.
The Rural Health Outreach Coordinator developed a new venue to advertise the program and
risk factors. The Primitive Addictions Tattoo Shop received fliers, tee shirts, and educational
brochures on Hepatitis C to distribute to their clientele during the fiscal year.
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Clearfield-Jefferson Drug and Alcohol Commission
Throughout the year, various forms of advertising was used to promote the screening project.
Radio advertisements aired targeting those who were born between the years of 1945 and1965
(baby boomers). Other radio commercials targeted those who had already been tested or
treated for the Hepatitis C virus and were still participating in particular high risk activities.
Many patients who called in for testing stated that they were informed of the program through
our radio efforts. In addition, a newspaper advertisement was approved by DDAP and was
placed in the local newspaper also advertising the program. Tee-shirts were also distributed
throughout the year with the QR code linking to one of several educational videos on Hepatitis C.
They were given to contracted providers such as Cen-Clear, Community Guidance Center,
Discovery House, Clearfield CYS, as well as patients who were screened, those who participated
in the probation class, and community members that attended the Health and Provider Fairs.
These shirts were a big hit with the 18-25 year old population. Several businesses were
approved to wear the shirts during their hours of operation.
A Face book page was set up for the HCV program and to date we have received 53 likes. The
Face book page is used to share links regarding new updates on hepatitis c, treatment, and our
screening days/locations. The Rural Health Outreach Coordinator also used godubois.com,
pennswoods.net, and gantdaily.com to advertise the program. These free announcements are
updated monthly on each site. The Commission has been receiving an average or 58 hits per site
each month.
Many of the patients who seek a free Hepatitis C Screen are referred by contracted providers
(Cen-Clear, Community Guidance, and Discovery House), a primary care physician or an
organization such as Adagio Health. A few patients used google.com to find HCV screening sites
in their area, and was directed to our program. Others are self referrals and call in after hearing
the radio advertisements.
The Rural Health Outreach Coordinator worked in conjunction with the Heroin Task Force and
took part in the development of an Opioid Overdose Resuscitation Campaign. The Rural Health
Outreach Coordinator participated with a committee of the Task Force go create brochures, rack
cards and pocket cards with step by step instructions on what to do in the event that someone is
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Clearfield-Jefferson Drug and Alcohol Commission
in the company of an individual overdosing from an opioid. The instructions were provided by
the American Anesthesiology Association.
Message Board Pavilions will be erected in any
municipality that wishes to have one with the first erected in DuBois on the City Walkway. The
committee also surveyed local ambulance companies, in an effort to determine how many
overdoses are occurring in Clearfield and Jefferson Counties.
The Rural Health Outreach Coordinator also conducted level of care assessments and made
referrals to appropriate rehabs and/or providers as needed throughout the 2013 – 2014 Fiscal
Year.
In addition, the Commission provided 3 locations throughout the year for screenings and once a
month there was a night screening held from 4-6pm. Screenings were provided at Cen-Clear in
Clearfield, Cen-Clear in Punxsutawney, The Community Guidance Center in DuBois and the
Discovery House in Clearfield. The Discovery House was the first Friday of every month and
walk ins were accepted. Extra testing days were also set up in the month of May due to Hepatitis
Awareness month.
Eighty-two patients were screened in 2013 2014 and 59 of those patients were substance
abusers. Twenty-four patients tested positive and of those 21 (87%) were substance abusers.
Nine followed through with the PCR blood test and 5 were confirmed to have Active HCV. Four
of the 5 followed through with a follow up appointment with Dr. Stainbrook and are seeking
treatment.
The largest barrier faced this fiscal year was the inability to have an impact on positive patients
completing their PCR lab work. Of the twenty four positives, 11 did not follow through with the
PCR testing. We had 24 positives and 11 of those positives did not follow through with the PCR
testing. Two of the 11 were incarcerated and do not have the ability to complete the screening
until release. In the new fiscal year the Commission will look at incentivizing the process in the
hopes that more patients will follow through with PCR testing. The vast majority of the patients
that did not complete the PCR were from the Discovery House and transportation was a barrier.
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Clearfield-Jefferson Drug and Alcohol Commission
The Commission began using the OraQuick Rapid HCV Antibody Tests, which are single-use
immunoassay tests that use a finger stick whole blood specimen. Results are complete in 20
minutes and patients receive post counseling and lab orders immediately if warranted.
Screening Period
July 1, 2013 - June 30, 2014
Rate
Number of People Screened
82
N/A
Number of Substance Abusers
59
71%
Number of Positive Screens
23
28%
Risk Factor other than Substance Abuse (SA)
24
29%
Number of Positive Screens (SA)
21
91%
Number of PCR Tests
9
39%
Number Negative/Undetected
4
44%
Number Confirmed Active
5
55%
Number Followed through with HCV TX
4
80%
Drug Free Communities
The Clearfield-Jefferson Drug and Alcohol Commission was awarded the Drug Free Communities
Grant first in August 2006 and was awarded it again in August 2011 by the National Office on
Drug Control Policy and the Substance Abuse and Mental Health Services Administration through
the Office of Health and Human Services. Through this grant, the Clearfield-Jefferson Drug Free
Communities Coalition was funded. The Coalition was created to assess Alcohol, Tobacco, and
Other Drug (ATOD) trends in the bi-county area, build resource capacity in our communities, and
plan, implement and evaluate prevention strategies to address the trends. The Pennsylvania
Youth Survey is a tool utilized by the Coalition and the Commission in helping to determine
priority risk and protective factors.
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Clearfield-Jefferson Drug and Alcohol Commission
A Hot Air Balloon Fundraiser was scheduled for the first time this year. Unfortunately the
weather did not cooperate but a rain date will be scheduled for future plans. The Coalition also
continued to sponsor the bi-annual Superintendents Breakfast. This is an important event for
both the Coalition and the Commission. The breakfast meeting allows the opportunity to foster
relationships with our area school districts as well as highlight the services available to the
schools.
The Drug Free Communities Grant provides the Coalition the ability to offer opportunities to the
community, schools and organizations in addition to what the SCA can provide. The following are
some of those opportunities:
In 2012 the Commission applied for the federal STOP Act grant to allow the Coalition to expand
its work to the 18-20 year old populations at local college campuses. This grant is for $50,000.00
a year for 4 years. At the end of the 2013- 2014 Fiscal Year the Commission was in the second
year of the grant.
The Coalition was able to provide Distracted Driving Simulators to many students over the past
year. It is important that the Coalition encourages neighborhood support for these events so that
they become ingrained in the community for guaranteed sustainability and success in future
years.
Several drug-free alternative youth events were of great success as a result of a coalition’s
collaboration with community officials and school personnel. We provided technical assistance
and support to various school sports tournaments, prom activities and anti-drug celebrations.
In 2013 the PA Youth Survey (PAYS) was conducted by schools in Clearfield and Jefferson
counties. This data was released in a timely fashion and has been reviewed by the Coalition’s
Data Committee and new priority risk and protective factors have been identified. This will
direct the 2014 - 2015 objectives, strategies and action plans.
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Clearfield-Jefferson Drug and Alcohol Commission
Medication Assisted Treatment
During the 2013-2014 Fiscal Year the Single County Authority's (SCA) Medication Assisted
Treatment Program (MAT) has provided ongoing monitoring and Case Management services for
previous patients that have continued to participate in MAT, along with increasing the number of
patients the program could assist. The SCA worked with two primary physicians during the year,
who are certified in prescribing Buprenorphine and are able to serve both Clearfield and
Jefferson Counties. The SCA also works with four pharmacies in close proximity of the
physicians' offices. The physicians and the pharmacies continue to work in collaboration with the
SCA to provide individualized care for each patient. In addition two drug and alcohol out-patient
facilities are able to provide treatment services to our MAT patients. Together we have become a
collaborative Treatment Team. As a Treatment Team we are able to collectively provide
information to individualize treatment plans, provide appropriate support, and recovery services
to the patient.
Due to the ongoing efforts of our collaborative Treatment Team, the MAT program is
demonstrating that it is under the national average for illicit and non-prescribed drugs found and
also for prescribed drugs that are not found. According to Ameritox Laboratories, who collected
data for the program, the Commission’s MAT program exhibits an 11% rate of fewer people
using illegal drug, showing medications not prescribed, and taking their medications as
prescribed. Eleven percent is under the national average, and Ameritox contributes our rate to
the tight controls that are required by the CJDAC’s MAT.
During the 13-14 Fiscal Year, the SCA served a total of 24 Buprenorphine clients participating in
the MAT program. Of those twenty-four clients, nine were discharged for noncompliance,
fourteen continued to participate beyond the end of the fiscal year, one left the program against
advice, one was accepted into the program however changed their mind before beginning MAT,
one was discharged in order to seek out pain management, and one was referred to another level
of care due to doctor denial for MAT.
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Clearfield-Jefferson Drug and Alcohol Commission
By utilizing ongoing Case Management Services the CJDAC has been able to engage appropriate
patients into different levels of outpatient services; outpatient and intensive outpatient services.
By combining the two components of treatment, medication and outpatient services, a positive
impact is evidenced and individuals have been able to obtain employment and support
themselves, further their education and build a career, rebuild relationships, resolve legal issues,
lessen medical issues, and maintain a sober lifestyle. The SCA continues to see a decrease in
residential treatment funds used with the availability of MAT for appropriate individuals.
The SCA seeks additional physicians and pharmacies willing to participate in the MAT program
in an effort to assist clients in closer proximity to their place of residence in hopes to decrease
the client’s burden of transportation.
Transportation continues to be a barrier for some clients. Transportation affects their ability to
participate in MAT by attending appointments regularly, responding to medication counts,
random drug screens, and drug and alcohol therapy.
Other barriers are clients who are employed, but do not have medical insurance to remain in
MAT, and clients who are not eligible for medical assistance. The cost of the monthly medical
appointments and prescriptions make it difficult for the client to develop the appropriate tools to
support their recovery efforts. Furthermore, it is becoming difficult to locate service providers
who are able to provide outpatient drug and alcohol therapy to clients who have private
insurance.
Another barrier includes clients who have Mental Health diagnoses and need medication refills
after discharge from detox or rehab programs or those who are in MAT and need to see a
psychiatrist for an evaluation. There are limited options and availability of Psychiatrists who can
see clients within a reasonable amount of time.
Also noted have been clients who have medical issues and are in pain management or their
doctors discontinue prescribing opiates for pain management; examples of this are back and
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Clearfield-Jefferson Drug and Alcohol Commission
neck deterioration or previous injuries that require pain management. The CJDAC is not a pain
management program.
On a final note clients whose employment is through Marcellus Shale are not fully able to
participate in IOP drug and alcohol therapy if needed. This is a hindrance to their treatment in
MAT to gain the appropriate amount of drug and alcohol therapy to assist them in their recovery
efforts and maintain sobriety long term.
Recovery Support
The SCA continued to work on creating an all inclusive Recovery Oriented System of Care during
the 2013 - 2014 Fiscal Year. This included the following:
The SCA continued to work with each Out-Patient County Provider regarding the Certified
Recovery Specialist Program. Cen-Clear was able to begin billing CCBHO for services during the
fiscal year and the Community Guidance Center received a one year extension (June 30, 2015) to
spend reinvestment funds that were allocated in the 2012-2013 Fiscal Year.
The SCA, in conjunction with the Clearfield-Jefferson Heroin Task Force, Inc. raised $8,150.00
towards the printing and distribution of an Opioid Overdose Resuscitation Card developed by the
American Anesthesiology Association.
A male Oxford House was opened in Punxsutawney, PA as the result of Reinvestment funds from
Community Care Behavioral Health. Although the house had a slow start, by the end of the fiscal
year, it began to see more stability. An environmental scan was completed in Clearfield County
regarding the placement of a second female home.
V. SCA Case Management System
Case Management is designed to assist a client with the skills necessary to achieve and maintain
self-sufficiency and recovery from substance abuse disorders. The Case Management Unit
provides the following functions: Level of Care Assessments, Intensive Case Management, Case
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Clearfield-Jefferson Drug and Alcohol Commission
Coordination. All Case Managers are trained to provide all of the functions offered by the Unit.
The following are the essential tasks performed by each Case Manager, drug and alcohol level of
care assessment, recommendation and referral for treatment, documentation of client progress
in treatment and addressing non-treatment needs. All services are free and adhere to all federal
and state confidentiality laws.
Referrals are accepted from any source and can be made in person or by telephone. Once the
referral is initiated, the Case Management Unit completes a screening to identify any emergent
care needs such as Detoxification, Suicidal/Homicidal Ideations, Medical Complications, and/or
Prenatal/Perinatal issues. After emergent care needs have been appropriately addressed, a
Level of Care Assessment is scheduled to determine appropriate treatment and non-treatment
needs. In addition, the SCA does contract with The Clearfield-Jefferson Community Mental Health
Center and Cen-Clear Child Services to complete Level of Care Assessments and Case
Coordination Evaluation. Clients seeking outpatient services primarily utilize this access point.
With the exception of outpatient and detoxification, clients may not access funding for residential
levels of care without a level of care assessment completed by the SCA.
During the 2013-2014 Fiscal Year the following limitations existed for assessments and funding:

Clients who did not complete the recommended levels of care at all levels were not
eligible for funding for a minimum of thirty days following discharge.

The SCA limited the number of Out-Patient assessments that an individual could receive
at the provider level to one at each facility.

Clients were eligible for multiple treatment episodes at the discretion of the SCA and
based on available funding.

Clients were eligible to participate in two detoxification stays without prior approval by a
case manager. Cases that exceed the two detoxification stays were reviewed on an
individual basis, as needed.
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Clearfield-Jefferson Drug and Alcohol Commission

Individuals with private insurance and high deductibles were eligible to apply for SCA
funding provided they met the income eligibility criteria. This was dependent upon the
availability of funds and was only available with SCA authorization.
VI. Client Demographics
Clearfield-Jefferson Drug and Alcohol Commission
County
Clearfield Co = 17
Jefferson Co = 33
Out of County = 0
125
93
12
Male = 1
Female = 2
Transgender = 3
141
89
0
Gender
Month
Average Age
July 2013
31.76
August 2013
27.15
September 2013
28.80
October 2013
33.42
November 2013
30.62
December 2013
28.72
January 2014
29.91
February 2014
30.18
March 2014
30.30
April 2014
27.04
May 2014
31.00
June 2014
30.10
Overall Average Age of Clients
29.91
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Clearfield-Jefferson Drug and Alcohol Commission
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Clearfield-Jefferson Drug and Alcohol Commission
Cen-Clear, Inc.
County
Clearfield Co = 17
Jefferson Co = 33
Out of County = 0
201
167
5
Male = 1
Female = 2
Transgeneder = 3
238
135
0
Gender
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Clearfield-Jefferson Drug and Alcohol Commission
Community Guidance Center
County
Clearfield Co = 17
Jefferson Co = 33
Out of County = 0
160
58
6
Male = 1
Female = 2
Transgeneder = 3
133
90
0
Gender
Age
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Clearfield-Jefferson Drug and Alcohol Commission
VII. Fiscal Information
2013 - 2014 Revenues
SCA State Revenues
478,146
Federal Block Grant Prevention
122,787
Federal Block Grant Treatment
306,689
Race Horse Development (Prevention)
89,651
Gaming Treatment Act 2010-01
22,411
Act 152
168,453
Behavioral Health Special Initiative
143,180
Human Services Development Funds
19,052
DUI Fines
63,491
Strengthening Families
7,711
Drug Free Communities Grant
99,324
PCCD Jefferson County
90,712
Right Turn Federal Grant
100,139
Stop Act Grant
31,806
Reinvestment Buprenorphine
55,234
Reinvestment Recovery Specialist
39,994
Other Income
28,595
TOTAL
$ 1,867,375
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Clearfield-Jefferson Drug and Alcohol Commission
2013-2014 Expenses
Administration
117,858
Prevention
281,478
Drug Free Communities
129,960
Strengthening Families
10,851
Hepatitis C
112,409
Race Horse Development (Prevention)
Case Management
86,032
177,913
Gaming Treatment Act 2010-01
22,411
Human Service Development Funds
19,052
Out-Patient Services
281,184
Intensive Out-Patient Services
6,120
Detox
46,249
Non-Hospital Residential
209,745
Halfway House
6,768
PCCD Jefferson County
90,712
Right Turn Federal Grant
100,139
Stop Act Grant
49,689
Reinvestment Buprenorphine
55,234
Reinvestment Recovery Specialist
39,994
TOTAL
1,868,722
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Clearfield-Jefferson Drug and Alcohol Commission
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Clearfield-Jefferson Drug and Alcohol Commission
Funds used for Treatment 2013-2014
Federal Block Grant
Act 152
BHSI
HSDF
State Act 2010-01
DUI
Other D&A
$300,843.00
$151,608.00
$109,278.00
$ 16,071.00
$ 22,411.00
$
344.00
$ 80,970.00
$681,525.00
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Clearfield-Jefferson Drug and Alcohol Commission
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Clearfield-Jefferson Drug and Alcohol Commission
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Clearfield-Jefferson Drug and Alcohol Commission
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Clearfield-Jefferson Drug and Alcohol Commission
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