Single State Agency responsible for planning, coordination and regulation of the statewide network of prevention, intervention, treatment and recovery support services for individuals with substance use disorders Provides fiscal management and technical assistance to 24 juridictions who either purchase and/or provide services Serves as a resource for information about new trends in substances of abuse as well as provides a resource directory of services for individuals with substance use disorders and their families 2

 Federal Funds ▪ SAPT Block Grant ▪ Tobacco Control ▪ Access to Recovery (ATR) ▪ Maryland’s Strategic Prevention Framework (MSPF)  State General Funds  Special and Reimbursable Funds

 Grants and Contracts to 24 jurisdictions – 86.35%  Administration – 3.31%  MA/PAC – 10.17%  Other – 0.17%

 PAC expanded in January, 2010, to include coverage for some treatment services  MA/PAC reimbursement rates were adjusted  State grant funds shifted to Medicaid to support expansion

 Movement from acute care model of addictions treatment to chronic disease management model of care  Development of recovery support services  Continuing Care  Care Coordination  Recovery Housing  Recovery Community Centers

 Emerging Workforce - Peer Recovery Support Specialists  Outreach and engagement  Recovery Coaching  May also be care coordinators  Involvement of persons in recovery in the processes of planning and evaluating services (state and local levels)

 Provision of recovery support services  Care coordination, recovery housing, pastoral counseling, job readiness counseling, transportation, gap services  Emphasis on patient choice of services  Use of electronic voucher system to pay for services  Recruitment of new community and faith-based providers of services

 Emphasis on community-based outcomes and environmental strategies  Data –based needs assessment (SEOW)  Capacity building  Planning  Implementation  Evaluation

 Assessment and treatment planning  Provider Training  Resources  Quitline  Gambling Center of Excellence

 Create a database of controlled substance prescription information  Make prescription data available to healthcare providers to help them identify individuals with prescription drug-related substance use disorders and promote more effective pain management.  Make prescription data available to law enforcement, health professional licensing boards and regulatory authorities to assist investigations

 Use of a tested software application to allow patients in outpatient services to access care in real time, using an internet based virtual reality gaming application.  120 participants by the end of the first 12 months.  Increase access to treatment by removing barriers including transportation, stigma, or physical handicaps

Alcohol and Drug Abuse Administration (ADAA) 55 Wade Avenue Catonsillve, MD