1. Welcome John Hogeboom, VP/COO Community Bridges Inc. Gabriella Guerra, Sr. Director of Clinical Care Magellan Health Services of Arizona

2. Value Statement We Value Human Life The Sustaining of Human Life And the Recovery of Human Life Always With Dignity

3. 1982 Incorporated as 501(c)(3) 1993 Established Medical Detox Program 1996 Hired Executive Director 1997 Built Level I Sub-Acute Facility in Mesa 1998 Created Prevention Partnership 1998 Created Transition Management 2002 Created IOP partnership with CASS 2002Unified County-wide Medical Detoxification 2002Awarded Contract for CCARC Grassroots Movement to Statewide Provider

4. 2004Introduced Peer Support Program 2005Opened Center for Hope 2005Opened Day Resource Ctr & Steele Commons IOP 2006Opened Center for Excellence 2007Opened Arizona Bridge to Recovery 2007Awarded 4-year SAMHSA Peer Support Grant 2008Single Provider of Drug Court & Pre-trial Services 2008Opened CFH's Continuing Care Outpt Program Ctr 2008Opened Level IV SRU – Payson & Globe 2009Opened Level IV SRU – Holbrook & Winslow

5. Executive Committee Board Members Board of Directors

6. Advisory Board of Directors

7. Management Philosophy

8. Services Built Upon Partnerships

9. Community Partnership Model

10. Strategic Partnership Logic Model

11. Results of Marketing Success

12. Crisis Care / Emergency Triage Central City 23 beds 13,459 entries (ALOS – 10.4 Hours) East Valley 11 beds 5,779 entries (ALOS – 10.2 Hours) Medical Detoxification Central City 16 beds 1,650 entries (ALOS – 4.19 Days) East Valley 16 beds 1,580 entries (ALOS – 4.11 Days) ABR 14 beds 625 entries (ALOS – 3.63 Days) Transition/Peer Services Coordinated entry into a safe and secure continuum of care for every patient. Inpatient Treatment

13. Staffing and Training  ASAM Physicians, Psychiatric Nurse Practitioners, Registered Nurses, Peer Support, Emergency Medical Technicians, and Behavioral Health Professionals/Specialists  Intensive NEO Program and 90-day On the Job Training Program –ASAM –Cultural Competency (Certified by DBHS and White Bison) –Motivational Interviewing (Certified Trainers) –Crisis Intervention (Certified Trainers) –CPR and First Aid (Certified Trainers) –Physiology of Addiction and Withdrawal Monitoring –Pharmacology –Co-Occurring Disorders & Treatment –Discharge Planning –Peer Support Certification Program

14. Data Collected and Analyzed Length of Stay (12 hour threshold in Crisis and 5 day threshold in Detox) Drug of Choice (used for outpatient and transition development) Discharge Types (80% completion rate threshold) Satisfaction Surveys (anything below a 90% requires a corrective action) Incident Reports/Significant Events Referral/Placement Recidivism/Outreach and Re-Engagement Follow-up within 7 days of Discharge from Detox Title XIX Conversions Internal ongoing and live Medical Record Audits Internal data validation audits

15. Outpatient Admissions 24/7 referrals and admissions to Outpatient from Crisis and Detox Services. Admissions completed within 7 days of referral. Peer Support Specialists provide continuing care opportunities, employment assistance, and other transitional services.

16.  Central Az Shelter Services (CASS)  Day Resource Center (DRC)  Steele Commons 16 units permanent housing Matrix Model IOP Community-Based Treatment

17. Community-Based Treatment Services On-site Treatment Intensive Peer Outreach and Follow-up Housing & Transition Services Peer Support Homeless Outreach Teams (2,056 outreach encounters FY09) Connect to Care Peer Teams Partner with Phoenix Police

18.  SAMHSA Funded Program  Collaboration between Central AZ. Shelter Services & Phoenix Police  Outreach, crisis services, shelter, and supportive housing to traditionally untreated groups  Peer-to-Peer service for greater effectiveness, credibility, and identification of needed services  Linkage to behavioral, mental health crisis, detox, SA treatment, and shelter services Blueprints to Life: Bridging the gap from despair to hope

19.  Methamphetamine & Opiate Specific Treatment  Matrix Model, Contingency Management, & Peer Support  Partnership with Drug Court & Probation  Implemented April, 2006 Center for Excellence Programs

20. Journey: A New Beginning Outpatient Services Center, Gilbert  Evidenced-based Treatment utilizing the Matrix Model  Young Adult (18-30) Opioid Specific Treatment  Outpatient Medical Detoxification  Family Therapy Focus in ALL programs  121 patients transitioned from Crisis/Detox FY09/10 Journey Outpatient Services Center, Gilbert

21. Outpatient Outcome Measures  Average length of stay in IOP is 4.4.Months  84% continued with services at a lower level of care  After 16 weeks of treatment: Symptomatic Improvement Level of Anxiety – Decreased 39% Level of Depression – Decreased 36% Urges and Temptations – Decreased 34% Quality of Sleep – Increased 45% Functional Improvement Employment - Increased 55% (Maintenance or New Hire) Crisis/Detox Admissions – Accessed by only 13% Urgent Psychiatric Admissions – Accessed by only 2%

22. Level IV Stabilization & Recovery Units (SRU) Payson Globe Agency Expansion

23. Level IV Stabilization & Recovery Units (SRU) HolbrookWinslow

24. We believe all women and children have value and worth. We save generations one life at a time with unique programs designed to empower women, help them overcome barriers, and restore their hope for a new life. Center for Hope

25.  Residential treatment center for Priority Population - 24 pregnant women and 32 children  A Best Practice model developed with the support of the Center for Substance Abuse Treatment (CSAT) and Arizona Department of Health Services (ADHS)  Treatment model is gender-specific co-occurring, trauma informed, comprehensive and family-focused.  Relational Model with services delivered within a protective, non-judgmental, and supportive environment Center for Hope

26. THANK YOU