2. AIM Change the state’s treatment approach from an acute-care treatment model to a more comprehensive, recovery-oriented model

3. ARKANSAS OFFICE OF ALCOHOL AND DRUG ABUSE PREVENTION DECISION POINT, INC.QUAPAW HOUSE, INC. RECOVERY CENTERS OF ARKANSAS HEALTH RESOURCES OF ARKANSASMID-AMERICA ATTC DEPARTMENT OF COMMUNITY CORRECTIONS DELTA MINISTERIAL ALLIANCE

4. RECOVERY CENTERS OF ARKANSAS DECISION POINT, INC. HEALTH RESOURCES OF ARKANSAS QUAPAW HOUSE, INC.

5. JENNIFER GLOVER ARKANSAS ALCOHOL AND DRUG ABUSE PREVENTION (ADAP ) MID-AMERICA ATTC

6. Target EBPs – Continuing Care James McKay’s Telephone Continuing Care Model Brief weekly phone follow-up for 8 weeks, then every other week calls for 10 months, then monthly calls for 6 months Face-to-face as needed Database captures client info, tracking, and billing

7. Target EBPs – Case Management Rapp and Goscha’s Strengths-Based Case Management Model Up to 12 weeks of services Brief case management assessment, treatment planning, case management services 4-month pilot to study service caps Spreadsheet to track services provided and billing

9. Began providing Continuing Care services in August 2008 Have served 191 clients As of July 2009, there are 116 active clients

10. SNAPSHOT OF CLIENTS SERVED – CASE MANAGEMENT Began providing Case Management services in April 2009 As of July 2009, there are 64 active clients

12. State Lever: #1 Financial Analysis Determine the pay source No additional funding to pay for these services Reallocated a residential service slot Develop the pay structure Reviewed our past practices and developed a unique pay structure Assist in maintaining program stability The State developed a spreadsheet for billing to ease the burden on the providers

13. Provider Lever: #3 Intra-Organizational Operations Analysis Involve multiple levels of management and front-line staff Secure staff buy-in on the front end Listened to lessons learned from AR Round 1 states Train multiple staff at different levels on the model When problems arise or key operations fail, quickly move into the walk-through and PDSA cycles

14. Future Levers: July-January State #1 Financial Analysis Are the EBPs effective and cost-effective? Plan for sustainability past the end of the grant #5 Purchasing and Contracting Analysis Make decisions about new services Case management – assists in short-term retention Continuing Care program - assists with recovery management, helps providers track long-term client outcomes

15. Future Levers: July-January Providers #2 Regulatory Analysis Work with and adapt to new service demands #3 Intra-Organizational Operations Analysis Fit new services into multiple treatment programs within an agency (e.g., women’s services, outpatient treatment)

16. Future Levers: post-January 2010 State #1 Financial Analysis #5 Purchasing and Contracting Analysis New RFP – planning, buy-in Providers #2 Regulatory Analysis Work with and adapt to new service demands #4 Inter-Organizational Operations Analysis Learn from other agencies’ implementation Share information about clients to better meet their needs

17. Questions?

18. Contact Garland Ferguson, Director of Treatment Services Office of Alcohol and Drug Abuse Prevention 4313 West Markham, DBHS Administration Bldg. Little Rock, AR 72205 501-686-9875 garland.ferguson@arkansas.gov