1. Case Management to Provide Wrap Around Services Alabama Partnership Robert Wood Johnson Foundation – Advancing Recovery

2. Alabama AR Partners   Alabama Department of Mental Health– Substance Abuse Service Division Sarah HarklessSarah Harkless Bob WynnBob Wynn Tammy PeacockTammy Peacock   The Bridge, Inc. Jeremy BlairJeremy Blair   FORMLL Mike McLemoreMike McLemore   Northwest Alabama Mental Health Center Gwen Thomas-LeBlancGwen Thomas-LeBlanc   Nova Center for Youth & Families Gina KogerGina Koger Susan SmithSusan Smith   Coaches Carolyn Castro-DonlanCarolyn Castro-Donlan Neil KalteneckerNeil Kaltenecker

3. Greatest Accomplishments Since Tucson Baseline from year One is 22.4 referrals per month

4. Greatest Accomplishments Since Tucson (Cont’d)

7. Scheduled NIATx Change Leader Academy in Alabama January 27 & 28, 2010 22 Participants registered

8. Useful Lessons The Problem:   Assuming staff knew what case management was and how to do it.   Assuming staff knew what a resource manual was or how to develop one   Philosophical shift in approach to treatment with an emphasis on case management The Solution:   Two day intensive training in case management   Weekly Clinical Supervision   Including case management in job description and annual review

9. Useful Lessons   Importance of collaboration with partners, developing strong relationships   Need staff buy in – need to know that they have a thorough understanding of what they are buying into   Recognize our own disappointments – in home intervention   Broad systemic and philosophical change takes time to implement   State level changes move slow

10. Sustainability   Development of new certification standards based on ASAM PPC2 criteria   Preparation for statewide training on ASAM PPC2   Development of a standardized adolescent placement assessment to determine appropriate levels of care   Included continuing care as a component in all newly funded programs through the RFP process   Expansion of SASD funded adolescent treatment programs   Support for new adolescent treatment programs that are not state funded (Medicaid, ALL Kids)

11. Sustainability (cont’d.)  Develop a sense of shared ownership for adolescent care with other providers through regular meetings with the Adolescent Treatment Providers Group  One day workshop on systems change & collaboration at the Alabama School of Alcohol & Drug Studies  Change Leadership Academy in Alabama  Adolescent Treatment Providers represented on the Adolescent Advisory Committee – reports back to the providers, serves as a voice for the group  Pilot new Case Management training in Feb. 2010

12. Human Impact   More adolescents receive treatment at the appropriate level of care   Individualized care with a continuum (Outpatient, Intensive Outpatient, Continuing Care)   Juvenile Justice system is better educated about juvenile substance abuse   Increased referrals to treatment – viewed less as a punitive placement

13. Human Impact   Strong working relationship between Department of Mental Health, Administrative Office of Courts and the Department of Youth Services

14. Contact Information   Jeremy Blair jeremyblair@bridgeinc.org   Gina Koger gina.koger@mhcmc.org   Gwen Thomas-LeBlanc gwen@froglevel.net gwen@froglevel.net   Tammy Peacock tammy.peacock@gmail.com