1. Oriana House, Inc. Medication Assisted Treatment Programs
Sally Longstreth-Fluck, LISW-S
Allyse Adams, PC, LICDC

2. A Little About Summit County
98 Heroin Overdose Deaths from 1/1/2015-7/26/2015
Last year enough narcotic pain medicines were prescribed to supply 67 pills to every man, woman and child
In 2014, in Akron alone, EMS statistics show an average of 1 overdose per day
About every three days in 2014, a baby was born with neonatal abstinence syndrome
Summit County Opiate Task Force

3. Oriana House, Inc. MAT Programs
Medication Assisted Treatment in the CBCF’s
Medication Assisted Treatment Transitional Services
Rigel Recovery Services

4. MAT in CBCF’s Oral Naltrexone Vivitrol Injections
Opiate Specific Treatment groups
Mental Health Services
Cognitive Skills Programming
Recovery Coaching
Employment
Education

5. While in the CBCF
Daily oral naltrexone provided by in house medical staff
Summit Psychological Associates (SPA) comes in house to provide mental health services
Medicaid is applied for with staff – coordinated with local JFS
Begin aftercare in the community at Rigel Recovery Services (RRS)

6. While in the CBCF Recovery Coaches
Connect with Sober Houses in the community in order to help facilitate placement upon release if needed
Attend meetings, church, etc. with client to ensure community access is not restricted
Provide warm hand-offs whenever needed

7. In Transition to the Community
Warm Hand-Off – clients are transported by Recovery Coaches to SPA for their Vivitrol Injection
Continue mental health counseling at SPA
Continue aftercare at RRS
Secure a sober living environment

8. MAT Transitional Services (TS)
All MACBCF clients referred to TS regardless of risk score
Specific Case Workers for clients on MAT
Increased office visits
Increased cognitive programming
Coordination with JFS for Medicaid applications
26 weeks of aftercare
Mental health counseling (SPA)

9. Rigel Recovery Services
Partnered with Summit Psychological Associates for mental health counseling, psychiatry, Vivitrol Injections, case management
All MA-CBCF and MA-Transitional Services clients engage
Coordinate with JFS to ensure Medicaid
Coordinate with ADM board for funding

10. Rigel Recovery Services
Coordinate with local residential facilities to provide aftercare treatment services as well as mental health and MAT
Coordinate with jail to provide service upon release
Coordinate with community sober houses to provide housing for those in the community

11. Recovery Housing
All clients engaged in our MAT programming will have the opportunity to apply for Recovery Housing
All staff are certified Recovery Coaches
Offers Recovery Coach Individual and Group Sessions, Employment, Life Skills and Sober Support groups
Coordinates with local ADM funded agencies to provide housing to anyone meeting criteria in the community

12. Our Local ADM Board
Provides funding for needed programming in the county (i.e. Vivitrol injections for CBCF clients who cannot get Medicaid)
Ensures community agencies are providing aftercare services
Provides funding to support Recovery Housing
Provides funding to support Recovery Coaches

13. Benefits of Community Partnership
Provide clients with a long-term, holistic approach to recovery
Connect clients with resources outside of agency for any future needs
Increased referrals
Funding (ADM Board)
Decrease barriers for clients

14. Benefits of Community Partnership
Several areas for clients to be held accountable
Reduce client fears (i.e. no one will help me I’m a felon)
Increased services within the facility to better prepare for reintegration into the community

15. Challenges We Have Faced
Communication – several ‘hands in the pot’
Releases of information
Referral sources not knowing who to contact
Agency Philosophy (non-profit vs. for profit)
Schedule coordination
Several areas where clients can ‘fall through the cracks’
Time/staff – every partner must devote staff to the program in order to be effective but most have several responsibilities

16. Challenges We Have Faced
Not being able to utilize Vivitrol during CBCF placement
Inexperienced staff
Clients/staff adjusting to non-punitive approach following completion of supervision
Medicaid being approved in a timely manner

17. Plans for Future Seek funding for Vivitrol in the CBCF
Improve relationship with JFS to ensure Medicaid applications are approved and insurance is active on day of release
Advocate for more Recovery Coaches to provide more community involvement for those in the CBCF