Welcome

John Hogeboom, VP/COO Community Bridges Inc.

Gabriella Guerra, Sr. Director of Clinical Care Magellan Health Services of Arizona

Value Statement

We Value Human Life

The Sustaining of Human Life

And the Recovery of Human Life

Always With Dignity

1982 Incorporated as 501(c)(3)

1993 Established Medical Detox Program

1996 Hired Executive Director

1997 Built Level I Sub-Acute Facility in Mesa

1998 Created Prevention Partnership

1998 Created Transition Management

2002 Created IOP partnership with CASS

2002 Unified County-wide Medical Detoxification

2002 Awarded Contract for CCARC

Grassroots Movement to Statewide Provider

Grassroots Movement to Statewide Provider

2004 Introduced Peer Support Program

2005 Opened Center for Hope

2005 Opened Day Resource Ctr & Steele Commons IOP

2006 Opened Center for Excellence

2007 Opened Arizona Bridge to Recovery

2007 Awarded 4-year SAMHSA Peer Support Grant

2008 Single Provider of Drug Court & Pre-trial Services

2008 Opened CFH's Continuing Care Outpt Program Ctr

2008 Opened Level IV SRU – Payson & Globe

2009 Opened Level IV SRU – Holbrook & Winslow

Executive Committee

Board Members

Board of Directors

Advisory Board of Directors

Management Philosophy

Services Built Upon Partnerships

Community Partnership Model

Strategic Partnership Logic Model

Substance-related

Consequences

Strategies

Intervening Variables

Substance Use Issues

Community Assessment

Goals

Objectives

Activities

Outputs

Long-term Outcomes

Short-term Outcomes

Inputs

Results of Marketing Success

Crisis Care / Emergency Triage Central City 23 beds 13,459 entries

(ALOS – 10.4 Hours)

East Valley 11 beds 5,779 entries (ALOS – 10.2 Hours)

Medical DetoxificationCentral City 16 beds 1,650 entries (ALOS – 4.19 Days)

East Valley 16 beds 1,580 entries (ALOS – 4.11 Days)

ABR 14 beds 625 entries (ALOS – 3.63 Days)

Transition/Peer ServicesCoordinated entry into a safe and secure continuum of care for every patient.

Inpatient Treatment

Staffing and Training

ASAM Physicians, Psychiatric Nurse Practitioners, Registered Nurses, Peer Support, Emergency Medical Technicians, and Behavioral Health Professionals/Specialists

Intensive NEO Program and 90-day On the Job Training Program– ASAM

– Cultural Competency (Certified by DBHS and White Bison)

– Motivational Interviewing (Certified Trainers)

– Crisis Intervention (Certified Trainers)

– CPR and First Aid (Certified Trainers)

– Physiology of Addiction and Withdrawal Monitoring

– Pharmacology

– Co-Occurring Disorders & Treatment

– Discharge Planning

– Peer Support Certification Program

Data Collected and Analyzed

Length of Stay (12 hour threshold in Crisis and 5 day threshold in Detox)

Drug of Choice (used for outpatient and transition development)

Discharge Types (80% completion rate threshold)

Satisfaction Surveys (anything below a 90% requires a corrective action)

Incident Reports/Significant Events

Referral/Placement

Recidivism/Outreach and Re-Engagement

Follow-up within 7 days of Discharge from Detox

Title XIX Conversions

Internal ongoing and live Medical Record Audits

Internal data validation audits

Outpatient Admissions

24/7 referrals and admissions to Outpatient from

Crisis and Detox Services.

Admissions completed within 7 days of referral.

Peer Support Specialists provide continuing care

opportunities, employment assistance, and other

transitional services.

Central Az Shelter Services (CASS)

Day Resource Center (DRC)

Steele Commons• 16 units permanent housing• Matrix Model IOP

Community-Based Treatment

Community-Based Treatment Services

On-site Treatment

Intensive Peer Outreach and Follow-up

Housing & Transition Services

Peer Support Homeless Outreach Teams (2,056 outreach encounters FY09)

Connect to Care Peer Teams Partner with Phoenix Police

SAMHSA Funded Program

Collaboration between Central AZ. Shelter Services & Phoenix Police

Outreach, crisis services, shelter, and supportive housing to traditionally untreated groups

Peer-to-Peer service for greater effectiveness, credibility, and identification of needed services

Linkage to behavioral, mental health crisis, detox, SA treatment, and shelter services

Blueprints to Life: Bridging the gap from

despair to hope

Methamphetamine & Opiate Specific Treatment

Matrix Model, Contingency Management, & Peer Support

Partnership with Drug Court & Probation

Implemented April, 2006

Center for Excellence Programs

Journey: A New BeginningOutpatient Services Center, Gilbert

Evidenced-based Treatment utilizing the Matrix Model Young Adult (18-30) Opioid Specific Treatment Outpatient Medical Detoxification Family Therapy Focus in ALL programs 121 patients transitioned from Crisis/Detox FY09/10

Journey

Outpatient Services Center, Gilbert

Outpatient Outcome Measures

Average length of stay in IOP is 4.4.Months

84% continued with services at a lower level of care

After 16 weeks of treatment:

Symptomatic Improvement• Level of Anxiety – Decreased 39%• Level of Depression – Decreased 36%• Urges and Temptations – Decreased 34%• Quality of Sleep – Increased 45%

Functional Improvement• Employment - Increased 55% (Maintenance or New Hire)• Crisis/Detox Admissions – Accessed by only 13%• Urgent Psychiatric Admissions – Accessed by only 2%

Level IVStabilization & Recovery Units (SRU)

Payson Globe

Agency Expansion

Agency Expansion

Level IVStabilization & Recovery Units (SRU)

Holbrook Winslow

We believe all women and children have value and worth.

We save generations one life at a time

with unique programs designed to empower women,

help them overcome barriers,

and restore their hope for a new life.

Center for Hope

Residential treatment center for Priority Population -24 pregnant women and 32 children

A Best Practice model developed with the support of the Center for Substance Abuse Treatment (CSAT) and Arizona Department of Health Services (ADHS)

Treatment model is gender-specific co-occurring, trauma informed, comprehensive and family-focused.

Relational Model with services delivered within a protective, non-judgmental, and supportive environment

Center for Hope

THANK YOU