1. Louisiana Access to Recovery LA-ATR Understanding Addiction & Supporting Recovery Webinar Pastor Pythian Noah June 25, 2009

2. What is ATR? ATR was developed as part of the President’s Drug Treatment Initiative 24 Access to Recovery (ATR) grants were awarded by the Substance Abuse Mental Health Services Administration (SAMHSA) / Center for Substance Abuse Treatment (CSAT) around the nation OAD received an ATR grant in the amount of $13.2 million, which is to be utilized over the next three (3) years to support recovery to the target population

3. Goals of ATR Expand capacity Accessible treatment and recovery support services Freedom of Choice Faith and Community based providers

4. How ATR has accomplished these goals? Outreach to public and private sector Development of a web-based electronic voucher system –Collect data to measure outcomes –Uniform decision summary for level of care –Recovery Support Services –Best Practices Allow consumer Freedom of Choice

5. ATR Target Populations Adult & Juvenile Criminal Justice Population Note: Emphasis on Re-Entry and Probation/Parole Clients

6. ATR-II Target Locations ADULTS –New Orleans Area –Baton Rouge Area –Northwest LA –Northeast LA ADOLESCENTS –Acadiana Area –Florida Parishes Area –Northwest LA –Northeast LA

7. Expanding Capacity with ATR OAD’s goal is to serve 5,999 additional consumers over the next 3 years –Clinical Treatment Services –Recovery Support Services

8. Client Criteria for ATR-II Target Populations (Priority Admissions) –Criminal Justice Involvement in past 12 months –Methamphetamine use in past 90 days (includes Ecstasy) *Criteria 1: Client has clinical diagnosis of alcohol and/or drug abuse or dependence *Criteria 2: Client meets income eligibility criteria *ALL clients must meet clinical and financial eligibility criteria

9. The ATR Process Screening Assessment Treatment Recovery Support Services Care Coordination

10. ATR Screening Criminal Justice Involvement (Priority Admission) Methamphetamine User (Priority Admission) Identified substance abuse problem through screening instruments (Required for all admits) Financial Eligibility Criteria: At or below 200% of the poverty level

11. ATR Assessment Central Intake Unit within Jails/Prisons and Probation/Parole Offices Intake within ATR approved Treatment Agencies ASI (Addiction Severity Index) CASI (Comprehensive Adolescent Severity Inventory) –Comparison Reports Available –Appropriate Patient Placement –Identify Recovery Support Services Needed

12. ATR-II Treatment Services The following Treatment Services will be provided by ATR through community, faith, public and private based DHH licensed providers: –Outpatient –Intensive Outpatient

13. ATR Outpatient Treatment Services Intensive Outpatient Treatment (IOP) –Minimum of 9 hrs per week and 3 sessions per week –Voucher will reimburse for 6 weeks of IOP Daytime Intensive Outpatient Treatment 3-Day ($80 per session) 4-Day ($60 per session) 5-Day ($48 per session) Outpatient Treatment Maximum of 3 outpatient sessions will be allowed per week at a rate of $30 per one-hour session Note: Additional treatment services 4 individual therapy sessions and 4 family therapy sessions at $50 per session

14. ATR Recovery Support Services Job Readiness Housing (License Reqr’d) Childcare (DSS Licensed) Transportation Life Skills Family Reunification Services Spiritual Support Groups Alcohol & Drug Free Social Activities Anger Management Family Education & Reunification Services Note: A maximum of $3,000 will be allowed for recovery support services per each voucher

15. Care Coordinator Available at each treatment provider Ensures that consumer is properly linked to recovery support services Ensures that consumer successfully transitions to the next level of care

16. Freedom of Choice Consumer will be given a choice amongst a list of providers for recommended level of care Freedom of Choice verification form will be signed by consumer It is required that at least one of the options be of no religious affiliation

17. ATR Provider Eligibility Criteria Must be licensed/accredited to provide service Must have necessary computer and internet access Must have EFT capabilities for payment of services rendered Must complete mandatory OAD trainings and become ATR approved Must agree to all reporting requirements mandated by Federal government with ATR grant

18. Outcomes Evaluation & Reports (Seven Domains) Social Connectedness Access/Capacity Family and Living Conditions Employment/Education Crime and Criminal Justice Abstinence from Drug and Alcohol Use Retention

19. LA-ATR II Statewide Outcomes Average Length of Stay in Treatment – 116 Days Completion of Treatment – 44% Over 3,700 individual served since January 2008 95 Total Providers Statewide 26 Faith-Based Organizations 16 Community-Based Organizations

20. LA-ATR II Statewide Performance Outcomes at Discharge Abstinence (No illegal alcohol/drug use in past 30 days) – 87% Crime & Criminal Justice (No arrests in past 30 days) – 99% Employment/Education – 56% Social Connectedness – 92% Stability in Housing – 41% Health/Behavioral/Social Consequences (No alcohol or illegal drug related health, behavioral, social consequences) – 98%

21. Access to Recovery (ATR) A collaborative effort to help individuals and families recover from the disease of addiction in Louisiana Pastor Pythian Noah Grace Outreach Center E-Mail: noahpythian@netzero.com Tel: (504) 494-998