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Louisiana Access to Recovery LA-ATR Understanding Addiction & Supporting Recovery Webinar Pastor Pythian Noah June 25, 2009 What is ATR? • ATR was developed as part of the President’s Drug Treatment Initiative • 24 Access to Recovery (ATR) grants were awarded by the Substance Abuse Mental Health Services Administration (SAMHSA) / Center for Substance Abuse Treatment (CSAT) around the nation • OAD received an ATR grant in the amount of $13.2 million, which is to be utilized over the next three (3) years to support recovery to the target population Goals of ATR • Expand capacity • Accessible treatment and recovery support services • Freedom of Choice • Faith and Community based providers How ATR has accomplished these goals? • Outreach to public and private sector • Development of a web-based electronic voucher system – Collect data to measure outcomes – Uniform decision summary for level of care – Recovery Support Services – Best Practices • Allow consumer Freedom of Choice ATR Target Populations • Adult & Juvenile Criminal Justice Population Note: Emphasis on Re-Entry and Probation/Parole Clients ATR-II Target Locations • ADULTS – – – – New Orleans Area Baton Rouge Area Northwest LA Northeast LA • ADOLESCENTS – – – – Acadiana Area Florida Parishes Area Northwest LA Northeast LA Expanding Capacity with ATR • OAD’s goal is to serve 5,999 additional consumers over the next 3 years – Clinical Treatment Services – Recovery Support Services Client Criteria for ATR-II • Target Populations (Priority Admissions) – Criminal Justice Involvement in past 12 months – Methamphetamine use in past 90 days (includes Ecstasy) • *Criteria 1: Client has clinical diagnosis of alcohol and/or drug abuse or dependence • *Criteria 2: Client meets income eligibility criteria *ALL clients must meet clinical and financial eligibility criteria The ATR Process • • • • Screening Assessment Treatment Recovery Support Services • Care Coordination ATR Screening • Criminal Justice Involvement (Priority Admission) • Methamphetamine User (Priority Admission) • Identified substance abuse problem through screening instruments (Required for all admits) • Financial Eligibility Criteria: At or below 200% of the poverty level ATR Assessment • Central Intake Unit within Jails/Prisons and Probation/Parole Offices • Intake within ATR approved Treatment Agencies • ASI (Addiction Severity Index) • CASI (Comprehensive Adolescent Severity Inventory) – Comparison Reports Available – Appropriate Patient Placement – Identify Recovery Support Services Needed ATR-II Treatment Services • The following Treatment Services will be provided by ATR through community, faith, public and private based DHH licensed providers: – Outpatient – Intensive Outpatient ATR Outpatient Treatment Services Intensive Outpatient Treatment (IOP) – Minimum of 9 hrs per week and 3 sessions per week – Voucher will reimburse for 6 weeks of IOP Daytime Intensive Outpatient Treatment 3-Day ($80 per session) 4-Day ($60 per session) 5-Day ($48 per session) Outpatient Treatment Maximum of 3 outpatient sessions will be allowed per week at a rate of $30 per one-hour session Note: Additional treatment services 4 individual therapy sessions and 4 family therapy sessions at $50 per session ATR Recovery Support Services • Job Readiness • Housing (License Reqr’d) • Childcare (DSS Licensed) • Transportation • Life Skills • Family Reunification Services • Spiritual Support Groups • Alcohol & Drug Free Social Activities • Anger Management • Family Education & Reunification Services Note: A maximum of $3,000 will be allowed for recovery support services per each voucher Care Coordinator • Available at each treatment provider • Ensures that consumer is properly linked to recovery support services • Ensures that consumer successfully transitions to the next level of care Freedom of Choice • Consumer will be given a choice amongst a list of providers for recommended level of care • Freedom of Choice verification form will be signed by consumer • It is required that at least one of the options be of no religious affiliation ATR Provider Eligibility Criteria • Must be licensed/accredited to provide service • Must have necessary computer and internet access • Must have EFT capabilities for payment of services rendered • Must complete mandatory OAD trainings and become ATR approved • Must agree to all reporting requirements mandated by Federal government with ATR grant Outcomes Evaluation & Reports (Seven Domains) • • • • • • • Social Connectedness Access/Capacity Family and Living Conditions Employment/Education Crime and Criminal Justice Abstinence from Drug and Alcohol Use Retention LA-ATR II Statewide Outcomes • Average Length of Stay in Treatment – 116 Days • Completion of Treatment – 44% • Over 3,700 individual served since January 2008 95 Total Providers Statewide • 26 Faith-Based Organizations • 16 Community-Based Organizations LA-ATR II Statewide Performance Outcomes at Discharge • Abstinence (No illegal alcohol/drug use in past 30 days) – 87% • Crime & Criminal Justice (No arrests in past 30 days) – 99% • Employment/Education – 56% • Social Connectedness – 92% • Stability in Housing – 41% • Health/Behavioral/Social Consequences (No alcohol or illegal drug related health, behavioral, social consequences) – 98% Access to Recovery (ATR) A collaborative effort to help individuals and families recover from the disease of addiction in Louisiana Pastor Pythian Noah Grace Outreach Center E-Mail: [email protected] Tel: (504) 494-998