Kristie R. Schmiege, MPH, CCS, CADC, CPC-M Director of Substance Abuse Services Genesee County Community Mental Health May 18,

Transformation: IARC is Closing Currently and for the last 40 years, the Intake Assessment and Referral Center (IARC) has been the substance abuse screening and referral center in Genesee County IARC’s Board of Directors decided to dissolve the organization effective June 30 th, 2011 Effective July 1, GCCMH will assume this screening and referral function through integration into our Access Center 2

Genesee County CMH Access Center Will Become Integrated GCCMH has been operating an Access Center for adults and children with developmental disabilities, adults with serious mental illness and children with serious emotional disturbance for years Estimates are that at least 50% of individuals seeking services have co-occurring mental and substance use disorders 3

Single Phone Number There will be a Single Number for Mental Health and Substance Abuse Access The number for screening and referral for Mental Health and Substance Abuse Services will be: (810) This is also our after hours crisis services number IARC’s number, (810) , will ring in the GCCMH Access Center after 7/1/11, for a while Those that choose to be seen face-to-face can walk-in and continue be screened in person 4

Additional Safety Net Information: CIRT GCCMH developed and funds: Crisis Intervention Recovery Team (CIRT)  Mobile, face-to-face team to assist in diffusing mental health, substance abuse and/or family crises and in accessing medically necessary services and supports  Community providers, agencies & safety net partners can call CIRT 24/7 at (810) This number is for use by community agencies only. Please: this contact info should not be given to individuals seeking service. They can call (810) /7. 5

Direct Access to Substance Use Outpatient Services Individuals seeking outpatient services will call to register in our system, then go straight to the provider of their choice Individuals seeking residential and sub- acute detoxification services will be screened by Access staff on the phone Individuals seeking medication assisted treatment – Methadone & our Block Grant Suboxone Pilot – will be screened in person 6

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Available Addiction Services There are many licensed providers of substance use disorder services in Genesee County They provide an array of services including:  Sub-acute detoxification  Residential  Recovery housing  Intensive outpatient/Day-treatment  Outpatient  Methadone maintenance For adults and adolescents, for women who are pregnant or have minor children with them 8

Publicly Funded Providers Above the Waterhouse - Recovery Housing BioMedical Behavioral Healthcare - Methadone Catholic Charities - Outpatient, drug court Flint Odyssey House - Resid. including women’s, OP Hope Network-Insight - Jail, New Paths & Salvation Army, adolescent day treatment and OP Kairos Healthcare – Adolescent residential New Paths - Recovery Housing Oakland Psychological - Outpatient Sacred Heart -Resid. including women’s, OP, methadone Turning Point - Residential Woodward Counseling – Outpatient, recovery housing 9

Additional Provider Information Many above listed providers also accept private insurance along with having contracts with GCCMH for public funds e.g. Medicaid & federal block grant There are many other licensed, non-publicly funded substance abuse agencies and individual clinicians that accept insurance or private payments, e.g. Auburn Counseling, hospital system clinics Have insured patients contact their benefits manager of their employer’s human resource department or employee assistance program GCCMH Access Center will also verify insurance 10

Additional Service Information: Sobering Facility The “Sober House” at New Paths, Inc., 765 E. Hamilton, Ave., Flint, (810) X-149  23 hour monitored service is a safe drug and alcohol-free place to sober up or come down from alcohol or drugs with peer support  Individuals can be taken there by family, police, etc. or transported by New Paths staff from hospital EDs, although ED clearance is no longer a required part of admission criteria 11

Other Specialty Addiction Services Addictionologists - ASAM certified physicians Physicians certified to prescribe Buprenorphine buprenorphine.samhsa.gov -> locater The SAMHSA-funded Physician Clinical Support System Pain Management specialists Some addiction providers have experienced staff – me for a list – 12

Prevention Services Services that reduce the risk of individuals developing problems that could require entry into the treatment system Parenting Classes, Anger Management/Conflict Resolution Classes, Life Skills Classes, Family Programs Services for all age groups can be conducted throughout Genesee County Current providers: Catholic Charities and Hope Network/Connexion 13

Your Important Role, Use the C’s Communicate with your patients if alcohol, Rx or other drug misuse or dependence is suspected. Try not to personalize, cut off, etc. Use “Carefrontation” and refer as needed Coordinate Care with other professionals – contact them as needed, ask patients how counseling or support group meetings are going, get progress reports, etc. 14

Together We Can Affect Change Contact me as needed: Kristie Schmiege (810) Thank you! 15