1. BRANCHES OF HOPE DETOX CENTER
… A place for restoration and spiritual uplifting
Founded by: Calvin Ramlachan, RN
Ekanma Madumeye, RN
Cathy Gonzaga, RN
Roger Forte, RN,
Amalia Beckett, RN
Report date: May 10, 2016

2. Mission
Branches of Hope is a detox facility in Spanish (East)Harlem that provides a multitude of care for individuals seeking help to stay away from drugs. We offer treatment via medication, group therapy, counseling, and personalized needs of the patient.

3. Vision
Our vision is to be the leading detox center in all of Spanish (East) Harlem and to ultimately see our rate of substance abuse decline in the area.

4. Philosophy
We recognize that people of different races, ethnicity, religion, gender, and sexual orientation deserve an equal opportunity to change their lives for the better.

5. Three Clinical Objectives
Ensuring that our patients safely withdraw from drugs without complications within a period of 6 days.
Keeping our patients off drugs and related substances after discharge through incentives.
Protecting the mental well-being of our patients so that we can bring them back into the community where they can resume a safe and functioning lifestyle.

6. Services offered Detox Medication Regimen Methadone Ativan, Librium
6 day regimen
Group Therapy
Pet Therapy
Music Therapy
Follow up appointments

7. Spanish (East) Harlem
Population of 123,579

8. Population by Race

9. Population By Age*
**NYC Health Community Health Profile 2015

10. Drug-related hospitalizations in New York City per year
Morrisania / Crotona ,130
Spanish (East) Harlem 2,822
Belmont East Tremont 2,760
Brownsville 2,682
Mott Haven/Melrose 2,669
** Rate of drug-related Hospitalizations per 100,000 adults

11. Alcohol-related hospitalizations in New York City per year
Morrisania /Crotona 3,130
Mott Haven/Melrose 2,333
Spanish (East) Harlem 2,333
Brownsville 2,285
Belmont/East Tremont 2,163
**Rate of alcohol-related Hospitalizations per 100,000 adults

12. Quality Indicators
The following screening and assessment instruments that will be utilized for substance abuse:
CAGE Questionnaire Assessment for Alcohol
CIWA Clinical Institute Withdrawal Assessment Scale for Alcohol
CINA Clinical Institute Narcotic Assessment Withdrawal Scale for Narcotic/Opioid

13. Quality Indicators CAGE (Questionnaire for Alcohol Abuse)
Cutting Down
Annoyed
Guilty
Eye Opener

14. Quality Indicators CIWA (Clinical Institute Withdrawal Assessment for Alcohol)
10 item scale
Clinician gives score for each response
Overall score gives severity of withdrawal and treatment and follow-up as desired

15. Quality Indicators CIWA (Clinical Institute Withdrawal Assessment for Alcohol)
0-8 Absent or minimal withdrawal
9-15 mild to moderate withdrawal
>15 severe withdrawal

16. Quality Indicators CINA (Clinical Institute Narcotic Assessment)
11 Item Scale
Clinician give score for each response
Overall Score gives severity of withdrawal and treatment and follow-up as desired

17. Quality Indicators CINA (Clinical Institute Narcotic Assessment)
1- 6 Mild withdrawal
7-10 Moderate withdrawal
≥ 11 Severe withdrawal

18. PROVIDERS Physicians Registered Nurses Nurse Aides Unit Clerks
Social Services
Counselors
Therapists

19. MARKETING AND DATA COLLECTION
Hospital Affiliation
Pamphlets
Seminars
Gather Data: Surveys
Social Media
Magazines & Newspapers
Place of worship

20. Marketing Branches of Hope detox center: Specific Needs
Mentally:
Self empowerment
Coping skills
Physical
Detoxification
Socially:
Function effectively in the community
Jobs
Housing
Culturally:
Culturally sensitive towards any culture, race or sexual orientation

21. Communication of care providers at Branches of Hope detox center
Quadramed EHR system - an electronic health record system that secures and enhances transmission of information between care providers.

22. Communication of care providers at Branches of Hope detox center
Electronic devices – smartphones and tablets

23. Communication of care providers at Branches of Hope detox center
Daily multidisciplinary meetings.
Video conferences

24. BRANCHES OF HOPE DETOX CENTER ORGANIZATIONAL CHART
Primary Care Physician
Psychiatrist
2 Nurse managers
Occupational therapist
Social Worker
Nursing staff
Counselors
Interpreters
Unit clerk
Nurse Aides
Creative art therapists
Nutritionists

25. Example 1 A patient comes to our facility, seeking treatment. Patient
Social Workers
Nutritionists
Unit Clerk
Creative Arts Therapists
Primary Care Providers
Guidance Counselors
Registered Nurse
Psychiatrists

26. Example 2
Another hospital refers a patient to our facility and we provide treatment.
ANOTHER HOSPITAL
Social Workers
Nutritionists
Creative Arts Therapists
Patient
Guidance Counselors
Psychiatrists
Unit Clerk
RNs
Primary Care Providers

27. Example 3
A patient comes to our facility. The patient has a court order.
RNs
Psychiatrists
Guidance Counselors
Primary Care Providers
Patient
Nutritionists
Creative Arts Therapists
Unit Clerk
Social Workers

28. Budget Analysis for Branches of Hope Detox Center
RNs
NAs
Clerks
Salary
80 K
39 K
32 K
ADC 24 -
Ratio
1:6
1:8
Shift 12
12 hours
Staff per Shift 4 3 1
Staff per Day 8 6 2
Staff per Year
20.8
15.6
5.2
Year Salary
$1,664,000
$608,400
$166,400
Total
$1,831, / Y

29. The End