Cherry Hill:

At the vanguard of coordinated care.

Cherry Hill grew out of the needs of the community and was revolutionary in its integration of multiple models of treatment to address physical, mental, and substance use disorder concerns.

History: How these new innovative services came to our community:

Tobacco Master Settlement Hearings in 2000

Substance Abuse & Crime Prevention Act (Prop 36) July 2001

Passage of Measure A in early 2004

Detoxification Advisory Board (DAB) convened in summer of 2004

Investigation and Recommendation for services were made to the

DAB spring 2005

Detoxification Services begin on the Fairmont Campus in early 2008

Cherry Hill offers intoxicated consumers a safe, healthy, and less-costly

alternative in which to withdrawal, as opposed to jails, emergency

rooms, or the streets of our communities. Cherry Hill engages

consumers in empathic, hopeful relationships that facilitate

comprehensive treatment options designed through a stage-matched

lens.

Our non-judgmental approach embraces diverse perspectives and

leverages a proactive coordination with area resources into a short-

stay sanctuary from which consumers can begin the conversations

that describe their long-term treatment goals.

In addition to SUD-specific trainings and seminars,

our staff undergoes regular and escalating training,

including:

EMT Training

Suicide Prevention and Counseling

De-Escalation Training

Insyst and CalOMS data capture

With our expanding data entry

efforts, we are proactively

aligning to the 2014 healthcare

mandates; additionally, the

growing use of electronic data

collection and sharing allows

for the development of more

timely, targeted, and systematic

treatment plans.

Cherry Hill currently coordinates

with John George Psychiatric

Hospital, the Highland Hospital ER,

AMR / 911 Emergency

Responders, ACCESS Mental

Health, the Police of Oakland,

Hayward, CHP, Bart, Fremont, and

San Leandro, the Alameda Co.

Sheriff’s Office, and area CBOs

and SUDs treatment and housing

programs of all scope and practice.

Cherry Hill Health Center:

designed to decrease emergency services calls and provide immediate

client care for non-emergency presentations; the Health Center has seen 2079 consumers to date.

– There have been no instances of morbidity or mortality at Cherry Hill.

– To date we have performed 186 TB tests.

– Health Center consumers are most often seen for:

- Wounds and Wound Care / Abrasions / Contusions

- Type 1 / Type 2 Diabetes / Blood Sugar Check

- Alcohol Withdrawal Symptoms / Seizures / Tremors / Disorientation / Sweats

- High Blood Pressure / Uncontrolled due to diet and lack of medication

The Nurse Coordinators also provide medication

monitoring, vital-sign checks, medical triage and

referral, and monitoring of pre-existing conditions,

such as:

Pancreatitis

Neuropathy

COPD

Liver Disease

Heart Disease secondary to ETOH.

How

about

some

nice

soup?

Telephone Screening and Assessment

1-866-866-7496

Client Arrival and Welcoming

Client Intake/Admission,

Orientation Process

Case Management and Discharge Planning

Client Referral and/or

Client Placement Transport

Client Discharge Follow Through and

Follow Up on Referral

Client Enters Sobering Station

Client is asked: ‘”Do you need to see a nurse?”

Staff assesses client’s need for assessment by nurse Client is given Request for Health Assessment form

Staff will complete Request for Health Assessment form

Client is assessed by nurse.

Treatment is provided

Client is referred to outside medical services.

Client is discharged.

Follow-up

needed?Follow-up

needed?

Y

Y

N

N N

Y

0

1000

2000

3000

2/08 -

2/09

2/09 -

2/10

2/10 -

2/11

2/11 -

2/12

Projected Detox Consumer Count

Detox consumer totals to date are 7342

Sobering consumer totals to date are 9385.

5100

5150

5200

5250

5300

5350

5400

5450

5500

5550

8/9 - 8/10

8/10 - 8/11

Projected Sobering Consumer Totals

Cherry Hill Client Success Stories:

Cherry Hill client who presented with several major medical

concerns.

Cherry Hill client who presented with SMI and multiple

mental health concerns.

Alcoholism – effects on Health

• Liver Disease

• Heart Disease

• Communicable Disease

– Tuberculosis, Skin and Soft Tissue Infections

• Trauma

• Nervous System

• Psychiatric Disease

• Withdrawal

Cherry Hill Training

• Hypertension

• Asthma

• Diabetes

• Wound Care

• Skin and Soft Tissue Infections

• Tuberculosis

• Obtaining Vitals

• Triage

• Alcohol Withdrawal

Effects on local Hospitals

CASE- ACMC

• Volume at Alameda County Medical Center

– Decreased 52% for diagnosis off alcohol intoxication

• Length of Stay

– Decreased by 4 hours on average

• Referral System

– Clients can be referred to sobering and detox from ACMC

– Clients at Cherry Hill receive medical clearance and acute treatment from

local facilities

Medical Oversight

• On call coverage

– 24 hours a day, 7 days a week

• Training of staff

• Consultation with nursing staff

• Medical Protocols for triage

• Comprehensive approach

– Reduced morbidity and mortality