1. Alliance Clinic Mediation Assistant Tx Plus A New Program Design for Dual Diagnosis Patients Enhanced Treatment Program HONOR THE CHALLENGE - EMBRACE THE JOURNEY - LEAD THE WAY

2. Reducing Recidivism & Improving Quality Provide on-going treatment & monitoring to patients aged 18 and older who have a diagnosis of opioid dependence and who may also suffer mental illness. This program will serve individuals who are seeking recovery from all illicit drug use and require more structure in programming from the onset of replacement opiate therapy. Clients who are unsuccessful in abstinence based treatment settings, and do not responds well to TX institutions who are not methadone friendly and/or have had bad experiences in those settings. One stop shop that will reduce treatment cost such as additional transportation, and CD assessments. Structured to fit the needs of clients that need assistance with other drugs and mental health issues. Adapting to a different treatment environment and a new client/counselor relationship Better TX outcomes

3. The Story of Clinic Expansion The Executive Sponsor was able to negotiate with the Board of Directors and the building owners to proceed with the expansion of the clinic to accommodate this program. The Goal was to Expand accessibility to treatment for the opioid addicted individual This program will increase admission thereby increasing revenues, add additional staff, provide a better working environment for staff and clinic environment for clients..

4. Client Goals & Expected Outcome Goals: Reduce illicit drug use, criminal activity, increase clients engagement in active employment or education, reduce the transmission of infectious disease processes, develop better parenting skills, accommodate all learning styles, incorporate active learning. Outcomes: Decrease ASR Tapers, decrease the number of clients d/c due to funding, increase support from case managers and enhanced Tx facilitators, have good knowledge of the recovery process provide more structure and support to clients who are transitioning from Tx to aftercare.

5. Alliance Clinic as a result of this project took a look at the programming we now have and made changes to our clinic……... We extended the initial orientation by adding a new comers group that expands over 6 weeks and made it mandatory for all new admits. We expanded our relapse prevention groups to be offered 3 times per week with 3 different counselors at various times throughout the day for better attendance. We developed a Hmong Cultural Specific Group ; one group for men and another for women due to differences within their society. We felt that the programs offered as designed were not meeting the needs of our population and our clients needed more structure. We felt after researching the Enhanced Tx project and developing areas that were weak, that we could also enhance the low intensity program that we now work with. Program Redesign & PDSAs

6. IMPACT & OUTCOME Increased positive outcomes in toxicology screens. Clients more engaged in the treatment process. Increased clients take-home medication. Less congestion in the clinic. low intensity group attendance increased. More diversity in our group settings. Less illegal activity on the premises Case managers more engaged and focused.