1. Accessing Substance Use Services

2. Presenters Lisa Tepper Bates Gina Florenzano, Sarah Chess
Connecticut Coalition to End Homelessness Shelly Nolan,
Department of Mental Health and Addiction Services
Gina Florenzano,
Sarah Chess
Connecticut Coalition to End Homelessness

3. Collaboration + Resources + Data = Ending Homelessness
Systems are Working!
Collaboration + Resources + Data = Ending Homelessness
CT was the first state to end chronic homelessness among Veterans in 2015
CT was the second state to end all homelessness amongst all Veterans in February of 2016
As of December 2016, all chronically homeless individuals in CT were matched to housing!

4. House Keeping Because this is a webinar, attendees are muted
Please type any questions you have into the Questions or Chat Box
We are recording this webinar and will send out the link to everyone who registered later today

6. DMHAS funded LOCs Medically Managed Detox (4.2)
Medically Monitored Detox (3.7 D)
Intensive Residential (3.7)
Intensive Residential Co-occurring Enhanced (3.7E)
Intermediate (3.5)
Intermediate (Pregnant and Parenting)
Long term Care (3.3)
Halfway House (3.1)
Recovery Houses

7. Authorization Process
Most SA Residential admissions are authorized via ABH (Advanced Behavioral Health) for Husky D clients
Residential services are not covered by Medicaid but reimbursed through a grant program
Detox admissions, Residential for Husky A clients & MAT services are authorized via Beacon Health Options (formerly Value Options)
LOC is determined based upon clinical presentation and ASAM criteria
It is RARE that there are no open beds, despite what we hear. Clients can access services any where in the state. In some cases a change of scenery may be helpful.

8. Detox LOC Two types: medically managed and medically monitored
Medically Managed- 24 hour medical and nursing supervision on site due to the significant history (HX) of use, psychiatric symptoms (TX), or types of substances used. Only 2 DMHAS operated: Blue Hills and Merritt Hall (CVH) provide this LOC
Medically Monitored- 24 hours nursing supervision is provided with access to on-site medical evaluation by a medical provided (MD not required on-site 24/7)

9. Medically Monitored Detox Providers
RNP-First Step (Bridgeport)
Cornell Scott-Hill Health Center SCRC (New
Haven)
Rushford (Middletown)
SCADD (New London)
Stonington (N. Stonington)
ICRC- formally ADRC (Hartford)
MCCA (Danbury)

10. Overdose Risk
Following an opioid detox a client is at higher risk for overdose as their tolerance has been decreased
Understanding safe use practices and being open to talking about relapse is important and in many cases life saving
Connection to aftercare is essential to continue to enhance support network
Medication Assisted Treatment (MAT) can help with cravings

11. Intensive Residential LOC
Residential program for individuals with
substance abuse or co-occurring disorders
Expectation of 30hrs of treatment per week
Client must be able to actively participate in a variety of psycho-ed and treatment groups
Psychiatric and medical conditions should be stable
Usually post-detox
LOS- 28 days (avg)

12. Intensive Residential Providers
CASA (Bridgeport)
RNP-Horizons (Bridgeport)
CVH (Middletown)
Rushford- ITP (Middletown)
ICRC -formally ADRC (Hartford)
Blue Hills (Hartford)
Farrell (New Britain)
MCCA-McDonough (Danbury)
McCall-Carnes Weeks (Torrington)

13. Co-occurring Enhanced (3.7)
Specialized Mental Health program to treat individuals
with more significant Co-Occurring disorder
On-site psychiatric services
Expectation of 30 hours of treatment per week with a focus on co-occurring disorders
LOS- 28 days (avg)
Three programs:
New Prospects (Recovery Network of Programs)-co-ed - Bridgeport
McAuliffe (CT Renaissance) -males only- Waterbury
Milestone (CHR)- females only - Putnam

14. Intermediate Treatment LOC
Residential program for individuals with substance
abuse or co-occurring disorders
Expectation of 20hrs of treatment per week
Again, client must be able to engage in this level of service
Psychiatric and medical conditions should be
stable
LOS- up to 90 days

15. Intermediate LOC Providers
APT (Bridgeport/New Haven)
Liberation Programs- Liberation House (Stamford)
Rushford- Stone Haven (Middletown)
CHR-Thomas Murphy (Willimantic)
Perception- Perception House (Willimantic)
SCADD-Lebanon Pines (Lebanon)
Youth Challenge (Hartford)
CNV Help (Waterbury)
CT Renaissance- East (Waterbury)
ICRC- formally ADRC (Hartford)

16. Pregnant and Parenting (3.5) LOC
Specialized LOC with the purpose of providing support to women during pregnancy or the reunification process
Children can reside with mom in the program
Funded under the Federal Block Grant

17. Women’s Services Providers
Liberation Programs- Families In Recovery Program (Norwalk)
The Connection
Mother’s Retreat (Groton)
Hallie House (Middletown)
CHR- New Life (Putnam)
APT- Amethyst House (New Haven)
ICRC-formerly ADRC- Coventry House (Hartford)
Wellmore (Waterbury)

18. Long-term Care MCCA-Trinity Glen (2 programs)
Men’s Program (Sharon)
Women’s Program (Kent)
Programed is geared towards individuals who have attempted many layers of other treatment in the past and have been unable to maintain recovery
Clients must be able to participate in 20 hours of treatment including a work therapy component
Program length of stay: 6months- 1 year

19. Halfway House LOC Low intensity LOC with focus on re-integration
Expectation of 4 hours of treatment per week
Focus is on building independence skills and promoting personal responsibility
Many individuals work, take classes, volunteer,
etc.
LOS is up to 90 days

20. Half Way House Providers
CASA (Bridgeport)
Connection (Middletown)
SCADD
*Coit St (New London)
* Bank St (New London)
*Main St (Norwich)
ICRC- formerly ADRC- Clayton House (Glastonbury)
McCall- McCall House (Torrington)

21. Recovery Houses This is not a sober house
This LOC differs from Halfway House (3.1) given that the recovery house provides a “safe” place for individuals awaiting beds at a higher/lower LOC
Up to a 90 day LOS
Treatment often occurs in the community- OTP, IOP, or PHP (verify with the program what their expectation is)
Individuals often are working, pursuing education, etc

22. Recovery Houses CASA-Bridgeport The Connection-New Haven
Columbus House-New Haven
CHR- Willimantic
ICRC- formerly ADRC - Hartford
RNP- Tina Klem- Bridgeport
Mercy- Hartford
MCCA-Sobering Center- Danbury
Wellmore- Morris House & Therapeutic Shelter-
Waterbury

24. Medication Assisted Treatment
Naltrexone
(Vivitrol)
Buprenorphine (Suboxone)
Methadone
Opioid Addiction

25. Why MAT? Residential treatment may not be the answer for everyone
Research shows that the mortality rate of untreated individuals using heroin is 15 times higher compared to individuals receiving methadone maintenance treatment (who have a similar mortality rate to the general public).
*Source: Beacon Health Options White Paper on Opioid Crisis

26. CT Methadone Clinics

27. Clinics Offering Suboxone
APT Foundation , New Haven
Bristol Hospital, Bristol
CASA, Bridgeport
CHR, Enfield
Community Health Services, Hartford (FQHC)
Community MH Affiliates (CMHA), New Britain
CT Addiction Medicine; Rocky Hill
Cornell Scott/Hill Health, New Haven (FQHC)
Middlesex Hospital /Behavioral Health IOP, Middletown
McCall Center for Behavioral Health, Torrington
Natchaug OP/ “Care Plus”, Groton
New Era, New Haven & Bridgeport
Norwalk Community Health Center (FQHC)
Perception Programs, Willimantic/ Danielson
Recovery Network of Programs, Bridgeport
Rushford
Waterbury Hospital OP
Wellmore /Staywell, Waterbury
Wheeler Clinic, Hartford

28. Connection to care Access Line Beacon Health Options Resources
Information on walk-in assessment centers throughout the state at or
Warm hand off to detox services
Beacon Health Options Resources
treatment.html
Includes Interactive Map of all MAT providers

29. DMHAS CSD Contacts Lauren Siembab, LADC,Division Director
Phone:
Shelly Nolan, MS, LPC, Regional Manager
Phone:
Gina Florenzano, MS, LPC, Regional Manager
Phone:
Rhonda Kincaid, M.Ed, Regional Manager
Phone:
Linda Jordan, Behavioral Health Specialist
Phone:

30. Questions?