1. Crossroads for Women Mission: Crossroads for Women addresses substance abuse and other behavioral health issues so that women and their families can live healthy and independent lives. }Outpatient, Intensive Outpatient, Short- and Long- Term Residential Treatment, Children and Mothers Programs, DEEP evaluations and treatment, and services for affected others. }Crossroads offers gender-specific treatment services to women eighteen years and older in the State of Maine. }Funding FY06: 55% MaineCare, 37% OSA, 8% Other. 66 Pearl Street Suite 326  Portland, ME 04101  207.773.9931  www.crossroadsforwomen.org

2. 66 Pearl Street Portland, ME Administrative Offices Outpatient Services Intake & Admissions 575 Forest Avenue Portland, ME Long-Term Residential Facility Long-Term Children & Mothers Program 114 Main Street Windham, ME Short-Term Residential Facility Children & Mothers Program (CAMP) 120 Main Street Windham, ME Day Care Facility 138 Varney Mill Rd. Windham, ME Transitional Housing Independent Living Transitional Apartments

3. Performance Improvement Goal }Goal: Decrease time between initial contact and assessment for Outpatient and Intensive Outpatient clients. }Implementation: Instead of scheduled appointments, walk-in appointments between 8:00 and 10:00 a.m. and 1:00 and 3:00 p.m. for all clients from catchment area (1 to 1.5 hour drive to Portland). }Result: Decreased time between phone screen and assessment from 4 to 2 days.

4. Ramifications for Clients  Increase in admissions to IOP by 3  Decrease between phone screen and assessment for scheduled appointments from 5 to 3 days  Increased size of OSA waitlist (across all programs) from 23 to 30 clients  Increase in number of phone screens from catchment area from 20 to 40  Increase in number of assessments from catchment area from 4 to 18

5. Immediate Ramifications for Crossroads for Women  Greater acuity of clients  Increased revenues  Increased diversification of staff responsibilities  Increased need for case management, medical and psychiatric consultations

6. Changes Incorporated  Walk-in assessments for catchment area  Limited double booking by staff  Scheduled staff availability for walk-in assessments Changes Anticipated  Need for increased demand for IOP/OP services requiring more space and more clinicians  Need for improved tools to provide more services more efficiently