1. Mobile Engagement Services (M.E.S.)
A Penn Foundation Model Presented By: Gordon Hornig, LSW

2. Learning Objectives:
Define Mobile Engagement Service (MES) and Identify the Four (4) points of intervention.
Understand the effectiveness of Mobile Engagement Services within the target population of Heavy treatment utilizers, MAT recipients, and Children and Youth Intake referrals.
Demonstrate effective integration of the MES model with Drug and Alcohol facilities , Criminal Justice system, and local internal medicine practices.

3. Instilling Hope. Inspiring Change. Building Community
General Overview
1998
General Outreach
Revolving Door Clientele
2003
Interventions and Prevention
High Risk Population Identified
2016
Instilling Hope. Inspiring Change. Building Community

4. Mobile Engagement Strategy “4 Point Intervention”
System
Level
Engagement
Motivate
Stabilize
Monitor

5. The Interventions
Engagement
Motivate
Stabilize
Monitor

6. The Interventions Engagement Level Engagement Motivate Stabilize
Draw the “SYSTEM” into open and honest dialogue
Stage of Change = Pre-contemplation/Contemplation
Key Tasks:
Foster a working relationship
Identify the need
Phone or face to face interventions
Engagement
Motivate
Stabilize
Monitor

7. The Interventions Motivation Level Engagement Motivate Stabilize
A vision for change is developed for the “movers’ of the system.
Stage of Change = Contemplation/Preparation
Key Tasks:
Motivational Interviewing
A “Client Centered Approach”
Explore and resolve ambivalence
“A LIFETIME ACHIEVEMENT”
Engagement
Motivate
Stabilize
Monitor

8. The Interventions Stabilization Engagement Motivate Stabilize Monitor
A service plan is created/developed
Movement from Chaos to healthy change
Stage of Change = Preparation/Action
Key Tasks:
Becoming involved in 12 step and community help
Family Education programs
Church support
Harm reduction participation
Regular attendance at either MH or AOD treatment
Traditional Levels of care
Engagement
Motivate
Stabilize
Monitor

9. The Interventions Monitoring Engagement Motivate Stabilize Monitor
Promote Permanency in healthy change
Quick intervention when regression occurs
Stage of Change = Maintenance
Key Tasks:
Check ins
Relapse prevention reminders
Updating of coping skills
Engagement
Motivate
Stabilize
Monitor

10. Service Delivery Phone Contact Face-to-face Contact
Limited Transportation Contacts
Team Consult Contacts

11. Staffing: Level I worker Level II worker
Provides engagement and related services. The MES I worker is generally not mobile, but provides site-based pre-screen assessments, client triage, handles phone engagement responsibilities, and may coordinates admissions into the program. However, at the discretion of the MES Coordinator, the MES I Worker may perform mobile services under close supervision
Meets BDAP criteria for position of Counselor Assistant (704.8 section (a)-degree/license qualifications)
Level II worker
Meets BDAP criteria for position of Counselor (704.7 section (a)-degree/license qualifications)

12. Continuing Education:
Partnership with the Bucks County Drug and Alcohol Commission
1. Motivational Interviewing
2. Trauma Informed care
3. Boundary Setting & Confidentiality
4. Paraphernalia & Drug Identification

13. Target Population Heavy Treatment Utilizer’s
Previous Failures in Treatment
AMA, AFA, Therapeutic Discharges
Multi-Disadvantaged & Co-Occurring
MAT Recipients
Multi Service Individuals
Adolescents
Homeless
C&Y Intakes

14. Agency Integration Penn Foundation Aldie Foundation Today Inc.
Children & Youth
Probation/Parole/Corrections
Medical Assistance
½ houses and Recovery Houses
Internal Medicine/MAT sites/Hospitals

15. Case Examples: Heroin Epidemic
Pregnant Female
69 year old
Transitional Age/Young Adult