John R. Kasich, Governor Orman Hall, Director 1. Project Goal Project Elements Project Activities and Achievements PFR/ATTC NETWORK ALI PROJECT.

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John R. Kasich, GovernorOrman Hall, Director

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Introduction

Project Goal Project Elements Project Activities and Achievements

PFR/ATTC NETWORKALI PROJECT

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ALI Project Goal

Develop increasingly more advanced

leadership knowledge, skills and

abilities among graduates from the

PFR/ATTC Network Leadership

Institutes in order to advance

systems improvement.

The ALI Objective

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Project Elements

• The PFR/ATTC Network Advanced Leadership Institute (ALI) provides an opportunity for participants to gain graduate-level knowledge and skills in key leadership topics while completing innovative team projects designed to effect systems change at the local, state and national levels.

Two cohorts of ALI “associates” participated in the program simultaneously between January 2011 and November 2011. Participants in each cohort were involved in an extensive set of development experiences.

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The Core Elements of the Advanced Leadership Institute Experience are:

• Leadership Capacity Assessment • Leadership Instruction - through an intensive Immersion Training

and Booster Session• Coaching and Advising • Personally-Relevant Professional Support Network• Structured Knowledge and Skill Application, along with Reflection• Personal Health, Revitalization and Self-Care• Systems Building -through development of relevant application

team projects supported by a team coach• Resource Support • Recognition and Affirmation for Service and Success

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PFR/ATTC NETWORK ALI PROJECT TEAMS

Kansas City1. Integration with Primary and

Behavioral Health Care

2. Recovery Oriented Systems of Care (ROSC) Framework the Criminal Justice System: A Case for Transformation

3. Real Hope for Adolescent Recovery

4. Addressing Trauma

5. Reduction of Health Disparities in Rural Settings Related to SUDs and Co-Occurring Disorders

DC

1. Rules of Engagement: Addressing the Needs of Service Members, Veterans and Their Families

2. Medication-Assisted Treatment in the World of Health Care Reform: Short and Long Term Solutions

3. SBIRT Toolkit: A Resource Tool for Behavioral Health Providers to begin Conversation with Federally Qualified Healthcare Centers

4. Aligning and Building the Workforce

Link: www.ATTCnetwork.org/ALI

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Today’s Highlighted Projects

• Integration with Primary and Behavioral Health Care (KC- Team 1)

• The Role of Medication-Assisted Therapy in the World of Health Care Reform: Short and Long Term Solutions (DC – Team 2)

• Recovery Oriented Systems of Care (ROSC) Framework the Criminal Justice System: A Case for Transformation (KC – Team 2)

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ALI Project Team MembersKC Team 1

Integration with Primary and Behavioral Health Care

• Karen Mooney - Colorado Department of Human Services

• Kim Brown - State of Kansas, Addiction and Prevention Services

• Diane Bynum - Western Arkansas Counseling & Guidance Center

• Kurt Snyder - Heartview Foundation, Bismarck, ND • Coach: Lynn Madden - APT Foundation, New Haven, CT

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Project Description: Integration with Primary and Behavioral Health Care

The PFR/ATTC Network ALI team chose the following areas of focus:• Counselor access to the Prescription Drug

Monitoring Database• Work with Federally Qualified Health Centers

with focus on Screening, Brief Intervention and Referral to Treatment (SBIRT) and Access to Recovery (ATR)

• Service integration across systems for pregnant women with substance use disorders (SUDs)

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Project Activities & Achievements

Outcomes• SBIRT as rallying point to

partner with FQHCs to integrate primary and behavioral health care

• PDMP data base as a catalyst for integration between SUD treatment and PC

• Integration is the outcome of implementation of SBIRT and counselor access to the PDMP

Next Steps…• One common funding

stream with universal rules to cover both primary and behavioral health case services

• Replication of North Dakota’s PDMP program, in which SUD counselors have access for clinical purposes

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ALI Project Team Members DC Team 2:

Medication-Assisted Treatment in the World of Health Care Reform: Short and Long Term Solutions

• Kristina Monti-Beth Israel Medical Center • Kami Anderson Armstrong-Indiana Drug and

Alcohol Commission • Coach: Angel Gonzelez, MD,

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Project Description: The Role of Medication Assisted Treatment in the World of Health Care Reform

This team project would focus on two areas: 1. Reduction of the stigma attached to the

medications used to treat and maintain persons in recovery from SUDs; and

2. Acceptance of and incorporation of these medications and psychotropic medications used in the treatment of co-occurring disorders.

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Project Description: The Role of Medication Assisted Treatment in the World of Health Care Reform

Possible areas to be addressed:• How the other systems view the use of SUD medications;• How SUD providers view medications;• How SUD providers incorporate mental health

medications;• How the physical health care world uses and

incorporates both SUD and mental health medications;and

• How educational and promotional messages are used to overcome stigma associated with MAT.

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Project Activities & Achievements

• Tool Kit– Policies and Procedures– Job Descriptions– Sample Forms

• Recommendations/Solutions– Revision of Medical School Curriculum and

Establishment of Residencies

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ALI Project Team Members KC Team 2:

• Teri Gardner - Ohio Department of Alcohol & Drug Addiction Services, Columbus, OH

• Tadd Whallon - Adagio Counseling and Intervention, Indianapolis, IN

• Alex Gonzalez - Valley Mental Health, Tooele, UT • Coach: Ray Martinez - Mi Casa Residential

Services (Maap.Inc.), Elk Grove, CA

Recovery Oriented Systems of Care (ROSC) Framework and the Criminal Justice System: A Case for Transformation

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Project Description - Recovery Oriented Systems of Care (ROSC) Framework and the Criminal Justice System: A Case for Transformation

As part of the PFR/ATTC Network ALI Team's project, the current substance use disorders treatment system was compared with a Recovery Oriented System of Care (ROSC). The team discusses implementation activities, project achievements, evaluation, follow-up and next steps in their presentation.

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Project Activities & Achievements

What are the Implications for Transformation?

Manage the growth of the prison population and reduce spending on corrections

Improve the cost-effectiveness of existing criminal justice system resources

Reinvest in strategies that can increase public safety Grow towards a Public Health approach of a Recovery Oriented System

of Care and Wellness for the CJ client, their families and communities Partner Together: Utilize an approach for transformation; additive,

selective or transformational Imagine

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Project Activities & Achievements

What will we do differently? Recommend to start by addressing the following concerns:

Denial – Already doing recovery-focused treatment

Recovery management is a “new” name for work that has been going on for years

Projection of Blame – we can’t do any of this Recovery Management because no one

will pay for it

Fiscal & regulatory barriers

Integrated care in a categorically segregated service world

Technology deficits

Stigma/Hope

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Resources:

• Sheedy C. K., and Whitter M., Guiding Principles and Elements of Recovery-Oriented Systems of Care: What Do We Know From the Research? HHS Publication No. (SMA) 09-4439. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, 2009.

• Achara, I., Thriving in an Era of Change: Developing Recovery-Oriented Systems of Care, Achara Consulting, Inc. Great Lakes ATTC Webinar Series, September 29, 2011.

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Web Site Resources:

• www.ATTCnetwork.org/ALI• www.samhsa.gov• http://partnersforrecovery.samhsa.gov/• http://www.attcnetwork.org/index.asp

Tell me, I will forgetShow me, I may rememberInvolve me, I will understand.

-Chinese Proverb

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Contact Information:

Teri Gardner, Training Officer Ohio Department of Alcohol and Drug Addiction Services Division of Communications and Workforce Development 30 W. Spring Street, 6th Floor Columbus, Ohio 43215 (614) 466-7585 direct line (614) 752-8645 fax teri.gardner@ada.ohio.gov www.odadas.ohio.gov