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JulieRevaz,MSWManagerofProgramsandServices
CTJudicialBranch,CourtSupportServicesDivision
NEW ENGLAND
CT POLICY AND ECONOMIC COUNCIL
DECEMBER 2002
www.cpec.org
Ge#ngtoMST….� Existingcontractsweren’tworkingandtheir
fundingwasinjeopardy
� Literaturereview
� Endorsementsandaccolades
� WashingtonStateInstituteforPublicPolicy� CostBenefitAnalysis
� TerminationofoldcontractsandinitiationofMST
LessonsLearning…� Focusonbidders’organizationalreadiness� Implementnewmodelsatareasonablepace� Listenatthesitevisits� Promisesmallanddeliverbig� Detailsmatter.Anticipateandplanfornuances.� Habituatecase-specificandsystemlevel
communications� Trackandmonitoroutcomesfromthestart
Lessons(con%nued)� Traintherapistsinjuvenilejusticeissuesandculture� Payattentiontofunder,providerandreferralsource
characteristicsandpatterns� EmpowerNetworkPartners� Attendtoworkforcedevelopmentissues� Developaplanfortransferofknowledge� Offertune-ups� Celebratesuccesses!
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MSTClientOutcomes(atDischarge)in2015 Current Period
1/1/2015 - 12/31/2015
Item (click on an item to view a comparison chart) Score Total cases discharged 303 Total cases with opportunity for full course treatment 281
Ultimate Outcomes Review Percent of Youth Living at Home (Target: 80%) 93% Percent of Youth in School/Working (Target: 80%) 83% Percent of Youth With No New Arrests (Target: 72%) 80%
Case Closure Data Average length of stay in days for youth receiving MST (Target: 120-150) 135
Percent of youth completing treatment (Target: 85%) 85% Percent of youth discharged due to lack of engagement (Target: <5%) 7% Percent of youth placed (Target: <10%) 8%
Adherence Data Overall Average Adherence Score (Target: .61) 0.794
CourtIntakeReducEon
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The number of juveniles referred to the court is down 9% since 2008, despite full implementation of Raise the Age.
JuvenilesCommittedtoDCF,1999-2014 Deten&onMetrics2006 2009 2012 2015
DetentionAdmissions
2,880 1,806 2,178 1,959
JuvenilesAdmitted
2,036 1,314 1,446 1,261
AverageDailyPopulation
132 77 79 67
LengthofStay(inDays)
0-13:1,82614-27:64228-59:28960+:120
0-13:1,03914-27:48528-59:21360+:69
0-13:1,49314-27:42928-59:17460+:36
0-13:1,40114-27:38528-59:13960+:34
AvgLOS(inDays)
14 14 11 10
24-MonthRearrestRate,2008-2014
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Insum…
� HowwasMSTbroughttoCT?Ø Opportunism!
� Whatweretheimplementationchallenges?Ø VeryrapidadoptionofMSTstatewideØ OversellingØ Workforceissues
Insum(conEnued)…
� WhatfactorscontributedtothesuccessfulimplementationofMSTwhentakentoscale?Ø ReadinessforchangeØ Cost–benefitanalysis(WSIPP)
― AndMSTisthirdpartyreimbursableØ MSTS/NPshaveclinicalandstructuralknow-howØ EagerchampionshipofthemodelØ DatafocusØ Adherence/qualityassurance
Ifyouremembernothingelse…
1. Detailsmatter!
2. Adherencewon’tbeeasy,butshouldbeprioritized…evenwhenit’sinconvenient.
3. Promisesmall,butdeliverbig
Julie Revaz, MSW Manager of Programs and Services CT Judicial Branch, CSSD 936 Silas Deane Highway Wethersfield, CT 06109 860-721-2198
Working with Local Champions The Network Partner Perspective
ABH’s Mission
"Toadvancetherecovery,healthandwell
beingofindividuals,familiesand
communitiesthroughanarrayof
innovativeandresults-basedintegrated
healthprogramsandtechnology
solutions.”
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ABHFastFacts
� ABHincorporatedin1995
� Non-profitbehavioralhealthcompanylocatedinMiddletown,Connecticut
� 150+Employees
� 13membervoluntaryBoardofDirectors
� LicensedUtilizationReviewCompanyinConnecticutandRhodeIsland
� Servingover60,000unduplicatedusersannually
ABHProductsandServices� BehavioralHealthManagementØ ProjectManagement,CareManagement,CaseManagement
� InformationTechnologyØ CustomizeddatacollectionandreportingØ CustomizedElectronicHealthRecords(EHR)Ø MSTAdherenceCallCenter
� ResearchØ Partneringwithmajoracademicinstitutionstobring
evidencebasedtreatmentstocommunities� ConsultingØ Qualityimprovementinitiativesandtechnology
Formoreinformationpleasevisit:ABHCT.com
MSTinConnecEcut28Teams(ABHprovidesconsultationforthe18standardMSTteams;Modeldeveloperscurrentlyprovideconsultationfortheadaptations)
6ProviderAgencies:� NorthAmericanFamilyInstitute(NAFI)� BoysandGirlsVillage� WheelerClinic� ConnecticutJuniorRepublic(CJR)� ConnecticutRenaissance� ChildandFamilyGuidanceCenter
2FundingStreams:� DepartmentofChildren&Families(DCF)� CourtSupportServicesDivision(CSSD)
Maintaining/BuildingRelaEonshipswithChampions� Makeyourselfavailable� Regularlyscheduledmeetings/communication
Ø NetworkPartnerDirectorroleØ ExpertroleØ MNProle
� Networkwideprovidermeetings� PIRmeetings–preferablydoneinpersonbutcanbe
donebyphone� Openinvitationstotrainings(5day,boosters)
Maintaining/BuildingRelaEonshipswithChampions
� Celebrateyourchampions
� Understandtheirneeds
� Regularsharingofoutcomes
� Makeyouoryourorganizationtheoutletfordesiredinformation.
NavigaEngPotenEalThreats
� Stayingontopoflocalpoliticaltrendsorpotentialchanges
� Managingstakeholderdissatisfaction
� Dealingwiththelossofachampion� Managingchampionsfrommultiple
agencies
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Questions
