1. Recovery Oriented Systems of Care Implementation Plan Maryland Recovery Workgroup October 2008

2. Maryland Recovery Workgroup ADAA Director selected members representing county coordinators, providers, recovery community, recovery advocatesADAA Director selected members representing county coordinators, providers, recovery community, recovery advocates Task: develop an implementation plan for recovery oriented systems of care in MarylandTask: develop an implementation plan for recovery oriented systems of care in Maryland

3. Recovery Workgroup Members Tom Cargiulo– Director, Howard County Substance Abuse ServicesTom Cargiulo– Director, Howard County Substance Abuse Services Dave Ennis – Western Region Manager, ADAADave Ennis – Western Region Manager, ADAA Carlos Hardy – Executive Director, National Council on Alcoholism and Drug Dependence, Maryland ChapterCarlos Hardy – Executive Director, National Council on Alcoholism and Drug Dependence, Maryland Chapter Sue Jenkins – Central Region Manager, ADAASue Jenkins – Central Region Manager, ADAA Yngvild Olsen, MD – Acting Deputy Health Officer, Harford County Health DepartmentYngvild Olsen, MD – Acting Deputy Health Officer, Harford County Health Department Arnold Ross – Director of Administration, Baltimore Substance Abuse SystemsArnold Ross – Director of Administration, Baltimore Substance Abuse Systems Rebecca Ruggles – Open Society InstituteRebecca Ruggles – Open Society Institute Bill Rusinko – Research Director, ADAABill Rusinko – Research Director, ADAA Suzan Swanton – Executive Director, Maryland State Drug and Alcohol Abuse CouncilSuzan Swanton – Executive Director, Maryland State Drug and Alcohol Abuse Council Christina Trenton – Director, Carroll County Long-Term Treatment CenterChristina Trenton – Director, Carroll County Long-Term Treatment Center

4. Workgroup Process Recovery Workgroup established in November 2007Recovery Workgroup established in November 2007 What can Maryland do to establish a more recovery-oriented system of care?What can Maryland do to establish a more recovery-oriented system of care? Obtain stakeholder input from every jurisdiction – focus groupsObtain stakeholder input from every jurisdiction – focus groups Develop an implementation plan by October 2008Develop an implementation plan by October 2008

5. Focus Groups What exists in your community?What exists in your community? What services are absent?What services are absent? What works well?What works well? What doesn’t work?What doesn’t work?

6. Focus Group Members Treatment ProvidersTreatment Providers Members of the Recovery CommunityMembers of the Recovery Community AdvocatesAdvocates Family MembersFamily Members Support Service ProvidersSupport Service Providers

7. Implementation Plan Goals and ObjectivesGoals and Objectives SWOT AnalysisSWOT Analysis Focus Group dataFocus Group data RecommendationsRecommendations

8. Goal: Engage Stakeholder Groups Involve system stakeholders in system planning, implementation, and evaluationInvolve system stakeholders in system planning, implementation, and evaluation Who? Representatives of the recovery community and their families, advocates, treatment and support service providersWho? Representatives of the recovery community and their families, advocates, treatment and support service providers

9. Goal: Engage Stakeholder Groups State Level -State Level - Involve stakeholders in planning, implementing and evaluating ADAA policies and practicesInvolve stakeholders in planning, implementing and evaluating ADAA policies and practices Require stakeholder involvement in planning, implementation and evaluation of local services funded by the StateRequire stakeholder involvement in planning, implementation and evaluation of local services funded by the State Create opportunities for coalitions of traditional and nontraditional providers to obtain funding for combined servicesCreate opportunities for coalitions of traditional and nontraditional providers to obtain funding for combined services

10. Goal: System Education Raise awareness and promote understanding of Recovery Oriented Systems of Care models throughout the prevention and treatment systems, service provider systems, recovery community and broader community.Raise awareness and promote understanding of Recovery Oriented Systems of Care models throughout the prevention and treatment systems, service provider systems, recovery community and broader community.

11. Goal: System Education State Level –State Level – Offer courses and workshops to providersOffer courses and workshops to providers Recruit and train trainersRecruit and train trainers Obtain curricula from other states, develop new curricula as neededObtain curricula from other states, develop new curricula as needed Become a clearinghouse for resource materials, speakersBecome a clearinghouse for resource materials, speakers

12. Goal: Assign Responsibility for Guiding Transformation Multiple step, comprehensive process benefits from cohesive leadership at state and community levelMultiple step, comprehensive process benefits from cohesive leadership at state and community level State Level - ADAA staff designated to coordinate, guided by steering committeeState Level - ADAA staff designated to coordinate, guided by steering committee

13. Goal: Define Standards for Services State Level –State Level – Operationalize characteristics of recovery-friendly services at all levels of treatment, and for all types of recovery support services.Operationalize characteristics of recovery-friendly services at all levels of treatment, and for all types of recovery support services. Provide self-assessment tools that service providers can use to evaluate their programs and develop improvement plansProvide self-assessment tools that service providers can use to evaluate their programs and develop improvement plans Connect program self assessment and development of a change plan to funding opportunitiesConnect program self assessment and development of a change plan to funding opportunities

14. Goal: Change Funding Priorities State Level –State Level – Apply for Access to Recovery grant funds that will enable ADAA to pay for recovery support servicesApply for Access to Recovery grant funds that will enable ADAA to pay for recovery support services Buy services that demonstrate alignment with a recovery oriented system of careBuy services that demonstrate alignment with a recovery oriented system of care

15. Goal: Collaborate with Other Agencies State Level –State Level – Identify and resolve conflicting policies and practices to remove barriers to utilization of servicesIdentify and resolve conflicting policies and practices to remove barriers to utilization of services Collaborate to jointly fund clusters of servicesCollaborate to jointly fund clusters of services

16. Goal: Collect Data that Measure Recovery Outcomes Modify the existing data system (SMART) to enable us to collect and analyze data that measure milestones in the process of recoveryModify the existing data system (SMART) to enable us to collect and analyze data that measure milestones in the process of recovery

17. Goal: Collect Data that Measure Recovery Outcomes State Level –State Level – Redefine what constitutes an episode of treatmentRedefine what constitutes an episode of treatment Measure and reward successful linkages among servicesMeasure and reward successful linkages among services Obtain data from nontraditional and recovery support service providersObtain data from nontraditional and recovery support service providers Define recovery outcomes beyond current measuresDefine recovery outcomes beyond current measures