Department of Health and Human Services

Mental Health and Developmental Services

Substance Abuse Prevention and Treatment Agency

11/14/2011 1

Highlights

• Marijuana Registry Funding• Caseload• Waitlist• Synar Program/Retailer Violation

Rate – Tobacco• Funding

MHDS SAPTA 2

Marijuana Registry

• Assembly Bill 528 • To provide alcohol and drug abuse programs

to persons referred by an agency which provides child welfare services

• Budget of $700,000• Pilot Program Began November 01, 2011

MHDS SAPTA 3

Marijuana Registry

• Funded Seven Treatment Providers Statewide• Reimbursement – Fee for Unit of Service • Modified SAPTA NHIPPS Database System to

Track Referrals• When marijuana registry funding runs out

client will move to regular SAPTA funding with that treatment provider

MHDS SAPTA 4

Marijuana Registry Funding

MHDS SAPTA 5

Marijuana Registry• Anticipate serving 335 adults with families• Performance Indicators:

– Increase access to substance abuse treatment services for individuals involved with Nevada Child Welfare Services

– Reduce the time between contact by Child Welfare Services and the appointment scheduling with the treatment program

– Reduce the time between the completion of the substance abuse assessment and admission into the appropriate level of treatment service or other determined services.

– Increase overall admissions to individuals needing treatment services referred through the Child Welfare Services.

MHDS SAPTA 6

Treatment Admissions CaseloadSAPTA

MHDS SAPTA 7

All Treatment Levels of Care by Year

MHDS SAPTA 8

Clients Served includes unduplicated Admissions.

Primary Drug of ChoiceAdmissions to SAPTA Treatment Providers

MHDS SAPTA 9

Substance SFY 07 SFY 08 SFY 09 SFY 10 SFY 11 2007 - 2011 % ChngAlcohol 4,242 4,794 5,249 4,446 4,092 -4%Amphetamines/Methamphetamines 4,402 3,294 2,507 2,276 2,446 -44%Anabolic Steroids 21 3 3 4 2 -90%Barbiturates 17 7 6 4 8 -53%Benzodiazapine 17 28 27 48 75 341%Cocaine (powder) 323 306 305 225 163 -50%Crack 636 743 624 520 375 -41%Ecstacy (XTC), MDMA 24 21 46 39 26 8%Ephedrine/Psuedophedrine 0 2 0 0 0 0%GHB/GBL/1,4 Butanediol 0 2 0 2 0 0%Hallucinogens 6 13 20 23 14 133%Heroin 564 763 1,044 1,024 1,148 104%Inhalants 3 16 6 12 15 400%Ketamine 2 0 0 1 1 -50%Marijuana/Hashish 1,918 1,905 1,880 1,831 2,011 5%Non-Rx Methadone 7 6 4 7 7 0%Other 49 25 24 19 16 -67%Other Opiate/Synthetic Opiate 346 484 609 605 734 112%Other Sedatives/Hypnotics 14 7 22 19 33 136%Other Stimulants 2 1 3 1 6 200%Over-the-Counter Drugs 12 7 11 13 9 -25%PCP 11 15 26 12 8 -27%Tranquilizers 2 2 3 0 1 -50%Rohypnol 0 0 1 0 0 0%Total 12,618 12,444 12420 11,131 11,190 -11%

Primary, Secondary & Tertiary Drug of Choice

Admissions to SAPTA Treatment Providers

MHDS SAPTA 10

Substance SFY 07 SFY 08 SFY 09 SFY 10 SFY 11 2007 - 2011 % ChngAlcohol 7,131 7,530 7,731 6,667 6,345 -11%Amphetamines/Methamphetamines 5,753 4,644 3,657 3,322 3,658 -36%Anabolic Steroids 8 5 3 9 3 -63%Barbiturates 32 21 28 16 16 -50%Benzodiazapine 100 169 187 224 342 242%Cocaine (powder) 1,235 1,335 1,198 977 833 -33%Crack 1,027 1,284 989 822 609 -41%Ecstacy (XTC), MDMA 113 157 219 163 147 30%Ephedrine/Psuedophedrine - 2 1 0 1 0%GHB/GBL/1,4 Butanediol 2 5 7 3 2 0%Hallucinogens 98 91 93 114 85 -13%Heroin 769 1,033 1,297 1,271 1,425 85%Inhalants 15 30 27 25 24 60%Ketamine 6 1 3 1 2 -67%Marijuana/Hashish 4,816 4,679 4,220 4,142 4,338 -10%Non-Rx Methadone 20 10 15 25 23 15%Other 77 47 66 49 66 -14%Other Opiate/Synthetic Opiate 647 985 1,111 1,214 1,357 110%Other Sedatives/Hypnotics 75 44 88 91 127 69%Other Stimulants 12 8 10 11 9 -25%Over-the-Counter Drugs 23 21 35 40 32 39%PCP 25 31 42 22 24 -4%Tranquilizers 8 16 19 5 6 -25%Rohypnol 2 0 1 0 0 0%Total 21,994 22,148 21,205 19,213 19,636 -11%

State Fiscal Year 2011Major category

04/21/23 MHDS SAPTA 11

Number of SAPTA Beds Trend

MHDS SAPTA 12

SAPTA BedsJanuary 2011

04/21/23 MHDS SAPTA 13

Program Name LocationDetox Residential Transitional

Salvation Army Las Vegas 111WestCare - Adults Male (CTC &Harris Springs) and Adolescent -Male* Las Vegas 50* 56WestCare Healthy Families - Pregnant and Parenting Women Las Vegas 85 25

Adolescent Girl Beds ** 20Help of Southern Nevada 8

50 280 25Detox Residential Transitional

Bristlecone Family Resources Adults Reno 38Ridge House - Adults Reno 27

(4 houses)Step 1 - Adults Reno 20Step 2 - Pregnant and Parenting Women Reno 16Lighthouse of the Sierra - Pregnant and Parenting Women Reno 46***

101 46Detox Residential Transitional

Vitality Unliminted - Adults Elko 28 5Teen Discovery Elko 13New Frontier - Adults Fallon 28Community Counseling - Adults Carson City 32Sierra Recovery Center - Adults S. Lake Tahoe, CA 16 2

117 7Statewide Total Beds: 530 498 78

Balance of State Totals

Type of Treatment Bed1

Clark County

Clark County TotalsWashoe County

Washoe County TotalsBalance of State

Wait List Clients - as of last day of quarter

MHDS SAPTA 14

Wait List Service LevelsQuarter 1 SFY 2012

MHDS SAPTA 15

Service Level Count02 - ASAM Level III.2D: Residential Detoxification - Adults 305 - ASAM Level III.3: Medium Intensity Residential - Adults 4305A - ASAM Level III.3: Medium Intensity Residential - Adolescents 905W - ASAM Level III.3: Medium Intensity Residential - Adults/Women's Set Aside 1206 - ASAM Level II.1: Intensive Outpatient - Adults 1106A - ASAM Level II: Intensive Outpatient - Adolescents 206W - ASAM Level II.1: Intensive Outpatient - Adults/Women's Set Aside 207 - ASAM Level I: Outpatient Services for Adults 3407A - ASAM Level I: Outpatient Services for Adolescents 15Total 131

Priority PopulationsSAPTA Clients

1. Pregnant Injecting Drug User2. Pregnant Substance User3. Non Pregnant Injecting Drug User4. All Other Substance Abusers

MHDS SAPTA 16

Tobacco Retailer Violation RateSynar

MHDS SAPTA 17

SAPTA State Funding

MHDS SAPTA 18

State Liquor Tax ReceiptsSAPTA Funded Providers ($)

04/21/23 MHDS SAPTA 19

Provider SFY 2012 FundingBristlecone 94,500Community Counseling Center 135,000New Frontier 37,125Vitality Unlimited 81,000Washoe County Sheriff's Ofice 90,000WestCareNevada, Inc 462,375TOTAL 900,000

Providers receiving funding for Civil Protective Custody and Detoxification Services.