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Transcript of Rx15 treat wed_430_1_alameda-forster_2earle
Treatment Track:Treatment as Part of
the Community
Presenters:• Susan Alameda, MSW, State Coordinator, Arizona Supreme
Court, AOC Adult Probation Services• Krista Forster, MA, Program Specialist, Arizona Supreme Court’s
Adult Probation Supervision Division• Harry Earle, Chief of Police, Gloucester Township, NJ
Moderator: Dan Smoot, Director of Drug Prevention and Education, Appalachia High Intensity Drug Trafficking Area (HIDTA)
Disclosures
• Susan Alameda, MSW, has disclosed no relevant, real, or apparent personal or professional financial relationships with proprietary entities that produce healthcare goods and services.
• Krista Forster, MA, has disclosed no relevant, real, or apparent personal or professional financial relationships with proprietary entities that produce healthcare goods and services.
• Harry Earle has disclosed no relevant, real, or apparent personal or professional financial relationships with proprietary entities that produce healthcare goods and services.
• Dan Smoot has disclosed no relevant, real, or apparent personal or professional financial relationships with proprietary entities that produce healthcare goods and services.
Disclosures
• All planners/managers hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.
• The following planners/managers have the following to disclose:– Kelly Clark – Employment: Publicis Touchpoint Solutions;
Consultant: Grunenthal US– Robert DuPont – Employment: Bensinger, DuPont & Associates-
Prescription Drug Research Center– Carla Saunders – Speaker’s bureau: Abbott Nutrition
Learning Objectives
1. Advocate the use of community-based strategies to increase access to treatment.
2. Explain how Arizona agencies are using evidence-based practices in determining appropriate treatment for probationers with behavioral health issues.
3. Describe a police department program that employs professional counselors to assist those at risk of substance abuse and provides certified drug and alcohol counselors in the municipal court room.
Treatment Mapping: Using Collaboration to Maximize Community Based Treatment for
Offenders
Susan Alameda, TREATMENT SPECIALIST Krista Forster, PROGRAMS SPECIALIST
ARIZONA SUPREME COURT ADMINISTRATIVE OFFICE OF THE COURTS
ADULT PROBATION SERVICES DIVISION
Disclosure Statement
Susan Alameda, MSW and Krista Forster, MA, have disclosed no relevant, real or apparent
personal or professional financial relationships with proprietary entities that
produce health care goods and services.
Rural Healthcare• In many rural areas, low population is combined
with a lack of health services, poverty, underserved areas and geographic isolation.
• Transportation issues such as distance, topography, and lack of mass transit
Urban Healthcare• In many urban areas, there are too many
choices. • Standard of Care • “Favorites”• Difficulty finding the most appropriate
treatment
Common Funding Sources in AZ
• Federal Gov’t• Center for
Medicaid/Medicare Services
• SAMHSA• AHCCCS
• State Funding• County, City, Other
State Agencies• Non-TXIX• Crisis Services• Supportive Housing
ADHS
RBHA
Local Provider Network
Administrative Office of the Courts
18%
16%
18%
49%
AOC Treatment budget for probation departments-FY14TOTAL - $5,402,033
CPP DRUG COURT
CJEF DTEF
$973,435
$854,472
$1,004,525
$2,569,601
Treatment Mapping Purpose
What is the purpose:
• What’s out there?• Are there gaps in service?• Are services being provided that meet the needs of specific
counties?• Are providers using EBP?• What are the Barriers to treatment• How can probation departments find the right provider? • Appropriate funding sources• Assumptions
On the Road Again
Travel to the counties Meet with RHBA & Probation staff
Chiefs, Treatment Coordinators, Line Officers See what the county physically looks like Observe Problem Solving Courts
Meet with Local Providers Those who provide direct services to
probationers and work with probation staff Observe modalities
Life is Like a Box of Chocolates
What We Found Each county is unique Issues with transportation Cultural issues affecting treatment needs
and responses to treatment options (language barriers, family involvement)
Training for staff (emerging drug issues, new technology)
Life is Like a Box of Chocolates
Communication gaps InteragencyCoordination of CareOther agencies (ie. jail, providers, DES) Staffing of problem casesProviding referral information (presentence
reports, monthly progress reports)Adherence to Best Practices/Evidence Based
Practices
Life is Like a Box of Chocolates
Service gaps Consistency (staff, funding, participants) Limited funding Lack of treatment programs (IOP, residential, detox, in-
patient acute care facility) Access to treatment/Geographical challenges Specialty services (ie. DV, DUI, Sex Offender)
oStatutorily mandated services Emergency Housing/Homeless Shelters Sober Living, Transitional Housing Sober Support/12 step meetings
Life is Like a Box of Chocolates
Service Gaps (con’t)
CBT/Aftercare/Relapse Prevention Veteran’s Services Automation for data tracking and reporting Mental Health (medication, transitional
services, transportation) Dental Care
The Administrative Office of the Courts and Regional Behavioral Health Authorities have partnered to:
Bridge gaps in treatment services Define roles and responsibilities of each agency Improve communication and information sharing Maximize limited resources Increase resource sharing Improve quality of care to our shared populations Improve lives in our communities
Solution: Partnerships
Communication is Key
Solution Outcomes
Better Communication All parties engage in cross-system education/training All parties communicate concerns regarding providers
and/or services to each other Unified commitment to provide real time solutions
o Point of contacto Probation Protocols
Clarification on funding protocols and limitationso Share the wealtho Funding agreements/expectations
Contracts, MOUs, Agreements
Solution Outcomes
Better Communication (con’t)
Probation and providers understand why they should be talking
Administration works to bridge gaps in services Administration understands need for further
training Administration gets a “big picture” understanding
of the challenges faced in each community Administration works to educate the Court
Solutions Outcomes
Assessment Driven (ASUS-R, OST/FROST) “Guts” are not evidence based
Partnerships Problem Solving Teams Non-traditional resources Community based alliances Sister agencies
Law Enforcement/Probation
Treatment
Social Services
Family Therapy
Government Agencies/Officials
Mentoring Programs Faith CommunityArts
Health
Housing
LiteracyPrograms
Service Organizations
Schools/Colleges/Universities
Recreational/Libraries
Employment/Job Training
Mental Health Services
Community BasedOrganizations
CommunityFoundations
Businesses
Community Map
Where Do We Go From HereProbation Departments Responsibilities:
Participate in training regarding assessments Provide complete referral packets (PSI, assessments) Attend staffings and/or invite providers to department staff
meetings Follow statute, ACJA and policies regarding placement of
probationers in treatment Explore and foster non-traditional resources (sober groups,
churches, non-profits, reentry sites, employment agencies) Complete Program Plans outlining existing and needed
resources for treatment.
Where Do We Go From Here
RBHA’s (funding authority)Responsibilities: Make sure provider agencies follow protocols for
member choices Ensure providers balance need with resources Foster meetings with providers and probation
department Ensure providers are utilizing funding as needed for
treatment clients (ie. SAPT funds) Develop and train on protocols Ensure providers are utilizing current evidence based
modalities
Where Do We Go From HereProvider Responsibilities:
Collaborate with other providers Communicate with RBHA (advise of treatment
needs, funding concerns, oversaturation of providers/programs, need for training)
Communicate with probation departmentsoProvide monthly progress reportsoNotify probation of violations oRequest more information from departments (PSI,
assessments, any information related to offense and reason for being referred to treatment)
Where Do We Go From Here
AOC’s Responsibilities: Report licensing/certification issues Gather data regarding assessments related to treatment needs Foster collaboration with other departments/providers Ensure providers following ACJA code and EBP Provide general support to counties Advocate for resources Provide training opportunities Evaluate need for and use of problem solving courts
Where Do We/You Go From HereGet Out of Your Cubicle
Know your partners Communicate Collaborate Explore Develop Relationships Know the Affordable Care Act (ACA) and its impact on your
community
System Partners
• Think about your system partners
• Ask: Who is part of your system now?• Ask: What do your partnerships look like now?
Long is the road from conception to completion.
Moliere
Treatment as Part of the Community
DISCLOSURE
GOALS
Advocate the use of community-based strategies to increase access to treatment.
Describe a police department program thatemploys professional counselors to assist those at risk of substance abuse and providescertified drug and alcohol counselors in the municipal court room.
THE COMMUNITY OF GLOUCESTER TOWNSHIP
PEOPLE ARE DYING – AND NOT JUST FROM CRASHES
Year Deaths
2010 6
2011 9
2012 5
2013 9
2014 14
CAMDEN COUNTY – 2014/37 2013/31
GLOUCESTER TWP – 2014/2 2013/1
AN EPIDEMIC
PROTECT AND SERVE - TRADITIONS IN POLICING
METROPOLITAN POLICE ACT
1829
PEELIAN PRINCIPLES
…..Prevent crime and disorder……
FACING YOUTH TODAY
WHEN I GROW UP…..I WANT TO BE…..
A BROKEN WINDOW THAT MUST BE REPAIRED
LAW ENFORCEMENT’S NEW VISION
COMMUNITY POLICING
Community policing is a philosophy that promotes organizational strategies,
which support the systematic use of
partnerships and problem-solving techniques, to
proactively address the immediate conditions that
give rise to public safety issues such as crime, social
disorder, and fear of crime.
SOCIAL DISORDER
LAW ENFORCEMENTS NEW VISION
INSPIRING CHANGE
SAVING LIVES
SAVING LIVES
950 UnitsMay 2014
80 UnitsApril 2014
200 UnitsSept. 2014
TOTAL UNITS:
1,230
130 12
6
97%
SAVING LIVES
LAW ENFORCEMENT DRUG ADVOCACY
WHEN I GROW UP I WANT TO BE A DRUG FUELED ROBBER
SAVE ADVOCATE
44 Defendants 41 Engaged
13 CLIENTS 8 CLIENTS
47%
REMAINING 20?
SAVE ADVOCATE – CASE STUDY
Admitted 8-31-14
Discharged9/18/14
CLIENT # 8
SAVE INITATIVES
SAVE - DRUG DISPOSAL
SAVE FOLLOW-UP
SAVE - BUILDING PARTNERSHIPS
FAMILY RESOURCE CENTER
IT’S JUST A RUNAWAY
http://archives.drugabuse.gov/NIDA_Notes/NNVol12N3/Runaway.html
71% Involved Drug
Abuse 2
2
SILENCE
THE RETURN OF THE JUVENILE – CASE OVER?
BRING IT ALL TOGETHER
COMPREHENSIVE APPROACH
JU HUDDLE
CommandersIntelligence Unit
Every Missing Person/Juvenile
ContactComprehensive Review
PROJECT CASEY - SUCCESS
2008-201130%
2011-20145%
Substance abuse and delinquency often share the common factors of school and family problems,
negative peer groups, lack of neighborhood social controls, and a history of sexual abuse.
Source: National Criminal Justice Reference Service: https://www.ncjrs.gov/html/ojjdp/jjbul9712-1/substan.html
GTPD AND THE COMMUNITY IN ACTION
REDIFINING PROTECT AND SERVE
QUESTIONS AND CONTACT INFORMATION
Treatment Track:Treatment as Part of
the Community
Presenters:• Susan Alameda, MSW, State Coordinator, Arizona Supreme
Court, AOC Adult Probation Services• Krista Forster, MA, Program Specialist, Arizona Supreme Court’s
Adult Probation Supervision Division• Harry Earle, Chief of Police, Gloucester Township, NJ
Moderator: Dan Smoot, Director of Drug Prevention and Education, Appalachia High Intensity Drug Trafficking Area (HIDTA)