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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 [email protected]
