Texas Department of State Health Services - Supporting Evidenced-based Practices for the Advancing Recovery Project

Suboxone outcome measures from Pilot Project started in FY07 Total number received suboxone 52 Total number received suboxone 52 Total number prescribed suboxone at admission 35 Total number prescribed suboxone at admission 35 Total number that requested to be moved from methadone to suboxone 17 Total number that requested to be moved from methadone to suboxone 17 Total number that has remained on suboxone 7 Total number that has remained on suboxone 7

Distribution of those clients no longer on Suboxone Total number that switched to methadone 7 Total number that switched to methadone 7 Left against medical advice 17 Left against medical advice 17 Incarcerated 4 Incarcerated 4 Continued suboxone with private physician: 3 were regarded as successfully withdrawn; 15 discharged for non-compliance and 1 transferred to another SA treatment facility Continued suboxone with private physician: 3 were regarded as successfully withdrawn; 15 discharged for non-compliance and 1 transferred to another SA treatment facility

Demographics Females 36 Males 16 Females 36 Males 16 Ages Ages ; ; ; ; ; ; ; ; and and over 65 1 over 65 1

Ethnicity Black 8 Black 8 Hispanic 13 Hispanic 13 White 30 White 30 Other 1 Other 1

DSHS funded Amubulatory and Residential Detoxification Number of clients served in FY09 Total number served with suboxone in ambulatory detoxification was 140 Total number served with suboxone in ambulatory detoxification was 140 Total number served in Residential detoxification 1100 Total number served in Residential detoxification 1100

Other opportunities to expand on providing Suboxone DSHS will be working with HHSC to rollout a Substance Abuse Medicaid benefit package that will include Suboxone in the following services: DSHS will be working with HHSC to rollout a Substance Abuse Medicaid benefit package that will include Suboxone in the following services: Ambulatory/Residential Detox Ambulatory/Residential Detox Medication Assisted Therapy ie, treating clients with suboxone in other levels of care Medication Assisted Therapy ie, treating clients with suboxone in other levels of care Office based dispensing Office based dispensing All DSHS funded Narcotic Treatment Programs will be required to offer Buprenorphine in FY11 All DSHS funded Narcotic Treatment Programs will be required to offer Buprenorphine in FY11

Motivational Interviewing The MI trainings were conducted in phases. The series of MI trainings incorporated a training plan, coaching and ongoing training services necessary for practitioners to successfully incorporate MI into their routine mode of practice. The MI trainings were conducted in phases. The series of MI trainings incorporated a training plan, coaching and ongoing training services necessary for practitioners to successfully incorporate MI into their routine mode of practice. Each training session consisted of two days of training, three monthly taped sessions’ reviews and expert coaching feedback provided via a web-based coaching application and a one day follow up training or booster sessions to assess progress and provide advanced MI training. Each training session consisted of two days of training, three monthly taped sessions’ reviews and expert coaching feedback provided via a web-based coaching application and a one day follow up training or booster sessions to assess progress and provide advanced MI training.

Motivational Interviewing The first training was held in Austin, Texas on April 28, The training was designed to introduce supervisors and program administrators to MI and encourage their support of program staff that was to participate in the regional trainings. The first training was held in Austin, Texas on April 28, The training was designed to introduce supervisors and program administrators to MI and encourage their support of program staff that was to participate in the regional trainings. Initially, six regional trainings were set up to take place over the course of one year; the training locations were: Houston, Austin, Midland/Odessa, Corpus Christi, Lubbock and El Paso. Initially, six regional trainings were set up to take place over the course of one year; the training locations were: Houston, Austin, Midland/Odessa, Corpus Christi, Lubbock and El Paso. Two more trainings were added the end of May, 2009, both trainings were held in Austin for providers unable to attend one of the first six trainings. Two more trainings were added the end of May, 2009, both trainings were held in Austin for providers unable to attend one of the first six trainings.

Motivational Interviewing In addition to the final MI sessions, DSHS worked with the Gulf Coast Addiction Technology Transfer Center (Gulf Coast ATTC) in offering Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA STEP) to DSHS providers. In addition to the final MI sessions, DSHS worked with the Gulf Coast Addiction Technology Transfer Center (Gulf Coast ATTC) in offering Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA STEP) to DSHS providers.

Questions and Answers: Future follow-up questions: Doug Denton Executive Director Homeward Bound, Inc. (214) ext. 224