1. Reduce Waiting & No-Shows  Increase Admissions & Continuation www.NIATx.net SASC S UBSTANCE A BUSE S ERVICES C ENTER We can adjust our sails. AIM  Increase admission rates in the SASC Gambling Treatment Program by 25%

2. Reduce Waiting & No-Shows  Increase Admissions & Continuation www.NIATx.net CHANGE - #1 Improved our response to gambling crisis call clients by initiating follow-up calls within 24 hours and scheduling follow-up appointments. 62% of the crisis call clients agreed to follow- up contact initiated by the counselor compared to 39% previously. 28% of the crisis call clients kept a follow-up appointment as compared to 24% previously. RESULTS (study)

3. Reduce Waiting & No-Shows  Increase Admissions & Continuation www.NIATx.net CHANGE - #2 Decreased the # of sessions needed to complete an assessment by decreasing the required paperwork from 8 pages to 4 pages via a waiver from the Iowa Department of Public Health. 67% of the assessments occurred in 1 session as compared to 33% previously. 93% of the client assessments resulted in a treatment admission compared to 73% previously. RESULTS

4. Reduce Waiting & No-Shows  Increase Admissions & Continuation www.NIATx.net Total Gambling Program Admissions

5. Reduce Waiting & No-Shows  Increase Admissions & Continuation www.NIATx.net IMPACT Even veteran counselors can improve their skills with new techniques and ongoing coaching. In a fee-for-service contract, billable client contact is key to program sustainability. Admission rates at the end of the 3 rd quarter FY2010 are 18 clients ahead of FY2009 total year – a 25% increase. At $137.50/assessment = $2,475 and an estimated 82% have at least 4 treatment sessions at $105/session = $6,200. Total new revenue-to-date = $8,675 with 3 months remaining in FY2010. We can adjust our sails.