KENTUCKY YOUTH FIRST Grant Period August July

Cabinet for Health and Family Services KY Youth First-Grant A 3 year grant from the Center for Substance Abuse Treatment (CSAT) State infrastructure grant to build capacity to provide effective, accessible and affordable substance abuse treatment for youth and their families $400,000 per year

Cabinet for Health and Family Services Goals & Objectives-Year 2 To continue to enhance linkages among public and private agencies to better identify, refer, intervene, treat and finance services for adolescents who have substance use and co- occurring disorders and their families –Bring public and private agencies together to develop better system-wide coordination of services –Create a statewide strategic plan for increasing the quality and quantity of treatment services

Cabinet for Health and Family Services Goals & Objectives-Year 2 To continue to enhance training and clinical consultation supports and implementation expectations for adolescent treatment providers by encouraging use of best practices –Facilitate at least three statewide and six regional clinical training events –Maintain the KASAC web page as a site for increasing clinical effectiveness of providers (MHMR.ky.gov) –Improve departmental treatment standards –Identify existing credentialing/certification/licensing provider standards

Cabinet for Health and Family Services Goals & Objectives-Year 2 To increase clinicians’ use of the adolescent KTOS baseline data collection system –Examine number of adolescents in treatment including number of services received, diagnoses and retention rate –Examine relationship of additional training with increased proportion of adolescent clients and retention rates –Examine number of project activities and participants addressing adolescent treatment

Cabinet for Health and Family Services Parent Support Promote coordination and collaboration with family support organizations to strengthen services for youth, with or at risk of substance abuse and/or co-occurring problems

Cabinet for Health and Family Services Interagency Collaboration Link and coordinate with other service systems to promote comprehensive, integrated services for youth with substance abuse and/or co-occurring problems. Such service systems include mental health, health, juvenile justice, education, child welfare, and Medicaid.

Cabinet for Health and Family Services Interagency Collaboration Import tools, coordinate training, and support providers in the adoption of screening and assessment protocols that cross-walk to DSM-IV/ICD 10 criteria for substance abuse/dependence, mental health diagnoses, and ASAM Patient Placement Criteria, Version 2 - Revised

Cabinet for Health and Family Services Financing Coordinate the budget formulation and benefit plans (e.g., Medicaid services for adolescent treatment) of all State agencies that have responsibility for funds that may be used to support adolescent substance abuse treatment services, including screening, assessment, early intervention, treatment, family involvement in treatment, case management, and continuing care/aftercare.

Cabinet for Health and Family Services Financing Devise and implement strategies, in concert with all other State-agencies that may fund and/or regulate these services, to improve the access to treatment, increase capacity and quality, and expand the available continuum in communities and throughout the State implementing treatment interventions with a scientific evidence base for the population to be served.

Cabinet for Health and Family Services Evidence-Based Practices Identify barriers (fiscal, regulatory, and policy) that impede the adoption and provision of accessible evidence-based treatment across the full continuum of care recommended by the American Society of Addiction Medicine (ASAM)

Cabinet for Health and Family Services Evidence-Based Practices Identify and provide linkages across the universe of discretionary federal and foundation-funded adolescent substance abuse treatment grant programs for the purpose of supporting and disseminating learning across the State-wide treatment system and to provide assistance to ensure sustainability and adoption of best/evidence based practices identified in these programs.

Cabinet for Health and Family Services Licensing/Credentialing Develop/improve State standards for licensure/certification/accreditation of programs that provide substance abuse treatment services for adolescents and their families.

Cabinet for Health and Family Services Licensing/Credentialing Develop/improve State standards for licensure/certification/credentialing of adolescent substance abuse treatment counselors.

Cabinet for Health and Family Services Training Identify, disseminate, and support training and technical assistance resources that expand the capacity and quality of adolescent substance abuse treatment throughout the State provider system, including cross- training for adolescent mental health and substance abuse treatment providers.

Cabinet for Health and Family Services Training Participate in and actively share learning across the community created by the States funded in this grant program to leverage training, support, dissemination, intervention adoption, and evaluation/research to improve the treatment system for youth and their families both intra-State and inter-State.

Cabinet for Health and Family Services Training Facilitate the development of a State-wide provider association for adolescent substance abuse treatment across programs and for counselors engaged in providing these services, regardless of the State or local system within which they work.

Cabinet for Health and Family Services Training Keep abreast of the research findings related to adolescent substance abuse treatment and disseminate this information State-wide in a form that is easily digested by clinical staff, providing insight on the application of the research to improve clinical practice at the program level.

Cabinet for Health and Family Services System of Care Systems of Care is not a program — it is a philosophy of how care should be delivered. Systems of Care is an approach to services that recognizes –the importance of family, school and community, –seeks to promote the full potential of every child and youth by addressing their physical, emotional, intellectual, cultural and social needs.

Cabinet for Health and Family Services Continuum of Care vs. Systems of Care Continuum of Care Range of actual services/program elements and resources at varying levels of intensity Systems of Care Greater than the continuum, containing the service/program elements and resources and provisions for service coordination and integration.

Cabinet for Health and Family Services System of Care Core Values Guiding Principles

Cabinet for Health and Family Services Reclaiming Futures Model

Cabinet for Health and Family Services Nine Key Elements of Effective Adolescent Treatment* Assessment and Treatment Matching Comprehensive, Integrated Treatment Approach Family Involvement in Treatment Developmentally Appropriate Program Engage and Retain Teens in Treatment Qualified Staff Gender and Cultural Competence Continuing Care Treatment Outcomes * Drug Strategies is a nonprofit research institute that promotes more effective approaches to the nation's drug problems and support private and public efforts to reduce the demand for drugs through prevention, education, treatment, law enforcement and community initiatives.