Oriana House, Inc. Medication Assisted Treatment Programs Sally Longstreth-Fluck, LISW-S Allyse Adams, PC, LICDC

A Little About Summit County 98 Heroin Overdose Deaths from 1/1/2015-7/26/2015 Last year enough narcotic pain medicines were prescribed to supply 67 pills to every man, woman and child In 2014, in Akron alone, EMS statistics show an average of 1 overdose per day About every three days in 2014, a baby was born with neonatal abstinence syndrome Summit County Opiate Task Force

Oriana House, Inc. MAT Programs Medication Assisted Treatment in the CBCF’s Medication Assisted Treatment Transitional Services Rigel Recovery Services

MAT in CBCF’s Oral Naltrexone Vivitrol Injections Opiate Specific Treatment groups Mental Health Services Cognitive Skills Programming Recovery Coaching Employment Education

While in the CBCF Daily oral naltrexone provided by in house medical staff Summit Psychological Associates (SPA) comes in house to provide mental health services Medicaid is applied for with staff – coordinated with local JFS Begin aftercare in the community at Rigel Recovery Services (RRS)

While in the CBCF Recovery Coaches Connect with Sober Houses in the community in order to help facilitate placement upon release if needed Attend meetings, church, etc. with client to ensure community access is not restricted Provide warm hand-offs whenever needed

In Transition to the Community Warm Hand-Off – clients are transported by Recovery Coaches to SPA for their Vivitrol Injection Continue mental health counseling at SPA Continue aftercare at RRS Secure a sober living environment

MAT Transitional Services (TS) All MACBCF clients referred to TS regardless of risk score Specific Case Workers for clients on MAT Increased office visits Increased cognitive programming Coordination with JFS for Medicaid applications 26 weeks of aftercare Mental health counseling (SPA)

Rigel Recovery Services Partnered with Summit Psychological Associates for mental health counseling, psychiatry, Vivitrol Injections, case management All MA-CBCF and MA-Transitional Services clients engage Coordinate with JFS to ensure Medicaid Coordinate with ADM board for funding

Rigel Recovery Services Coordinate with local residential facilities to provide aftercare treatment services as well as mental health and MAT Coordinate with jail to provide service upon release Coordinate with community sober houses to provide housing for those in the community

Recovery Housing All clients engaged in our MAT programming will have the opportunity to apply for Recovery Housing All staff are certified Recovery Coaches Offers Recovery Coach Individual and Group Sessions, Employment, Life Skills and Sober Support groups Coordinates with local ADM funded agencies to provide housing to anyone meeting criteria in the community

Our Local ADM Board Provides funding for needed programming in the county (i.e. Vivitrol injections for CBCF clients who cannot get Medicaid) Ensures community agencies are providing aftercare services Provides funding to support Recovery Housing Provides funding to support Recovery Coaches

Benefits of Community Partnership Provide clients with a long-term, holistic approach to recovery Connect clients with resources outside of agency for any future needs Increased referrals Funding (ADM Board) Decrease barriers for clients

Benefits of Community Partnership Several areas for clients to be held accountable Reduce client fears (i.e. no one will help me I’m a felon) Increased services within the facility to better prepare for reintegration into the community

Challenges We Have Faced Communication – several ‘hands in the pot’ Releases of information Referral sources not knowing who to contact Agency Philosophy (non-profit vs. for profit) Schedule coordination Several areas where clients can ‘fall through the cracks’ Time/staff – every partner must devote staff to the program in order to be effective but most have several responsibilities

Challenges We Have Faced Not being able to utilize Vivitrol during CBCF placement Inexperienced staff Clients/staff adjusting to non-punitive approach following completion of supervision Medicaid being approved in a timely manner

Plans for Future Seek funding for Vivitrol in the CBCF Improve relationship with JFS to ensure Medicaid applications are approved and insurance is active on day of release Advocate for more Recovery Coaches to provide more community involvement for those in the CBCF