AIM Change the state’s treatment approach from an acute-care treatment model to a more...

AIMChange the state’s treatment approach from

an acute-care treatment model to a more comprehensive, recovery-oriented model

RECOVERY CENTERS OF ARKANSAS

DECISION POINT, INC.

HEALTH RESOURCES OF ARKANSAS

QUAPAW HOUSE, INC.

JENNIFER GLOVER

ARKANSAS ALCOHOL AND DRUG ABUSE

PREVENTION (ADAP)

MID-AMERICA ATTC

Target EBPs – Continuing CareJames McKay’s Telephone Continuing Care

ModelBrief weekly phone follow-up for 8 weeks,

then every other week calls for 10 months, then monthly calls for 6 months

Face-to-face as neededDatabase captures client info, tracking, and

billing

Target EBPs – Case ManagementRapp and Goscha’s Strengths-Based Case

Management ModelUp to 12 weeks of services

Brief case management assessment, treatment planning, case management services

4-month pilot to study service capsSpreadsheet to track services provided and

billing

• Began providing Continuing Care

services in August 2008

• Have served 191 clients

• As of July 2009, there are 116

active clients

SNAPSHOT OF CLIENTS SERVED – CASE MANAGEMENT

Began providing Case Management services in April 2009As of July 2009, there are 64 active clients

State Lever: #1 Financial AnalysisDetermine the pay source

No additional funding to pay for these servicesReallocated a residential service slot

Develop the pay structureReviewed our past practices and developed a unique

pay structureAssist in maintaining program stability

The State developed a spreadsheet for billing to ease the burden on the providers

Provider Lever: #3 Intra-Organizational Operations AnalysisInvolve multiple levels of management and front-line

staffSecure staff buy-in on the front end

Listened to lessons learned from AR Round 1 states Train multiple staff at different levels on the model When problems arise or key operations fail, quickly

move into the walk-through and PDSA cycles

Future Levers: July-JanuaryState

#1 Financial Analysis Are the EBPs effective and cost-effective? Plan for sustainability past the end of the grant

#5 Purchasing and Contracting Analysis Make decisions about new services

Case management – assists in short-term retention Continuing Care program - assists with recovery

management, helps providers track long-term client outcomes

Future Levers: July-JanuaryProviders

#2 Regulatory Analysis Work with and adapt to new service demands

#3 Intra-Organizational Operations Analysis Fit new services into multiple treatment programs within an

agency (e.g., women’s services, outpatient treatment)

Future Levers: post-January 2010State

#1 Financial Analysis#5 Purchasing and Contracting Analysis

New RFP – planning, buy-in

Providers#2 Regulatory Analysis

Work with and adapt to new service demands

#4 Inter-Organizational Operations Analysis Learn from other agencies’ implementation Share information about clients to better meet their needs

Questions?

ContactGarland Ferguson, Director of Treatment Services Office of Alcohol and Drug Abuse Prevention 4313 West Markham, DBHS Administration Bldg. Little Rock, AR 72205 501-686-9875 garland.ferguson@arkansas.gov