TREATMENT AND RECOVERY SERVICES UPDATE LEARNING COLLABORATIVE PRESENTATION MARCH 20, 2013

REVIEW PROCESS PURPOSE? Identify system strengths and weaknesses, Identify priority initiatives and activities, Target technical assistance and identify system improvement measures. Improve adherence to conditions of award. Improve fiscal efficiency. Steer system transformation. FACT

REVIEW PROCESS PURPOSE? FICTION To Pluck Your Last Nerve

AND …… MAKE YOU CRY!! FICTION

SYSTEM ASSESSMENT MEASURES Quality Access Integration Quality Access Integration

OUR PROGRESS FY12 Quarter 4 -Data practice run last September FY 13 Quarter 1-Data and Jurisdiction Assessment completed in December Met with 6 counties for TA and corrective action planning FY13 Quarter 2 - Data is now being processed and bundled with performance measures for the FY 14 grant submission

CHANGES o County of Residence + ADAA Funded TX + [Performance Measure] = X o Not posting the assessment data to the Web

CATEGORIES OF MEASUREMENT Six Categories of Measurement 1.Treatment Performance Measures (MFR) 2.Care Coordination 3.Continuum of Care 4.Continuing Care 5.Recovery Support Services 6.Prevention

AVERAGE LOS % > 90 DAYS

CARE COORDINATION – PERCENT OF DISCHARGES ENROLLED (50% TARGET)

% OF LEVEL II.1 ADULTS TO LOWER LEVEL WITHIN 30 DAYS OF DISENROLLMENT

Above State Average Scores MFR Care CoorContinuum Cont CareRSSPrev Total Score # Above Av. Allegany x 1 Anne Arundel x x x3 Baltimore Co.x x 2 Baltimore Cityx x 2 Calvertxx xx x5 Caroline x xx x4 Carroll 0 Cecilxx x x4 Charles x 1 Dorchester x 1 Frederick x x x3 Garrett x xx x4 Harford 0 Howard x 1 Kent x 1 Montgomeryx 1 Prince Georgesxx x x4 Queen Annesxx x3 St. Marys x 1 Somerset 0 Talbot x 1 Washington x 1 Wicomicoxx x3 Worcesterx x 2 # Above Av

PEER INTEGRATED CARE ADVISORY COUNCIL Joined the existing council advising the Mental Health Administration First Joint Meeting in October 2012 Members representing consumers of mental health and/or addictions services Meeting the first Friday of each month Published White Paper “The Integration of Behavioral Health and Somatic Care in Maryland: A consumer Perspective” Currently discussing the issue of stigma as the integration of services moves forward.

HOW ARE WE MEASURING USE OF RECOVERY SUPPORT SERVICES (RSS)? Yes/No Questions on Jurisdictional Assessment -1 st Cut Do you have it or don’t you? Recovery Community Centers Peer Support Specialists Recovery Housing (purchasing or not) Through ATR or Block grant $$ Recovery Housing Association RFP Monthly RSS Progress Reports Began in August assessing how Recovery Community Centers were being utilized? Continued in September by adding questions regarding use of peers to the RSS Report

ADAA SUPPORT OF RECOVERY SUPPORT SERVICES o PRSS – 60 Paid; 140 Volunteer = 200 o Recovery Community Centers – 18 supported; 12 operational o Care Coordinators – 89 trained throughout the State o Adolescent Club Houses – 6 throughout the State

RSS ACTIVITIES MARCH 2013

ATR ENROLLMENTS Total Enrollments (as of 2/13) = 4146

RECOVERYNET RecoveryNet Facility TypeRegionGrand Total 123 Care Coordination Employment Coaching (Job Readiness) Family and Couples Counseling98825 Halfway House Pastoral Counseling94821 Supportive Transitional Drug-Free Housing (Recovery Support Housing) Grand Total

ATR EXPENDITURES BY SERVICE Description of Service$ Spent Care Coordination1,139,087 Family/Couples Counseling5,040 Employment Coaching47,908 Vital Documents31,450 Transportation770,298 Recovery Housing1,371,253 Halfway Housing862,2855 Pastoral Counseling10,730 GAP Services226,050 Total $4,464,100.6

STABILITY IN HOUSING GPRA RATE OF CHANGE (ROC) = 154.5% 10.2% intake; 25.9% Follow-up

EMPLOYMENT STATUS GPRA RATE OF CHANGE (ROC) = 208.7% 11.7% intake; 36.1% 6 months

UPDATE ON BRUCE MEADE Keep up with Bruce’s inspiring recovery Mr. Bruce Meade Room 302, Bed 2 National Rehabilitation Hospital 102 Irving Street, NW Washington, DC