We help build lives of meaning, purpose, and recovery.

A Leader in the Field of substance Abuse and Addiction Recovery

Treatment and Housing Background

• Serving Our Community Since 1958

• Residential Treatment

• Outpatient Treatment

• Substance Abuse and Mental Health

• Transitional Housing

• Housing Case Management

• Serving Low Income and No Income

• Serving the Homeless and at-risk for

Homelessness

UT Division of Substance Abuse &

Mental Health (DSAMH)

Salt Lake VAMedical Center

Utah Legislature

Substance Abuse and Mental Health

Services Administration

(SAMHSA)

Adult Probation & Parole (AP&P)

First StepHouse

Dept. of Veterans Affairs

Criminal Justice Services

Salt Lake County

Behavioral Health

Regional Authority

Road Home

Felony Drug CourtFamily

Dependency Drug Court

VOA DetoxAssessment &

Referral Services

Salt Lake VAMedical Center

Funding Sources

Funding & Regulatory Agencies

Referral Agencies & Community Partners

Dept. of Justice

FSH Transitional

Housing

Residential

First StepHouse

Outpatient

Permanent Housing

Programs

Sober Living Community

Independent Living

Transitional Housing Voucher

Programs

*Housing Case Mgmt. *Chronic Disease Mgmt./Coordination *Housing Denial Appeals *Access to Recovery *Financial Mgmt. *FSH Continuing Care*Tenant Based Rental Assistance *Medication Mgmt. *SSDI and SSI Applications

*Family Counseling *Criminal Justice System Negotiation *Shelter Plus Care*HUD/VASH – Section 8 *Homeless Assistance Rental Program *Critical Time Intervention (CTI) *Mental Health Court *Grant and Per Diem (GPD)

Supportive Services

SLCo. Block Grant; 30.0%

SLCo. DORA; 9.7%

SLCo. Drug Courts; 5.5%

Veterans Admin-istration; 33.2%

ATR; 4.6%

In-Kind Contributions,

3.0%

Client Fees; 3.0%

Contributions; 2.7% Housing Authority of SL County; 1.9%

Rental Revenue; 1.9%

Food Stamps; 1.8%

Bear River; 0.3%

Utah County 0.2%Summit County 0.3%

Wasatch Mental Health, 0.3%

Medicaid; 1.5%First Step House Sources of Revenue: FY 2014

The Problem: Substance Abuse is Causing a Health Epidemic

• Illicit drug use increased from 2.7% in 2002 to 6.3% in 2011

• Drug use in adults 65 + projected to skyrocket from 40 million in 2010 to 73 million in

2030

• The number of adults who need treatment compared to public treatment capacity in

Utah has a ratio of nearly 5:1

• Utah Division of Substance Abuse & Mental Health Annual Report

Estimated 600 billion dollars spent annually

on untreated Alcohol and Drug Abuse

• Utah Violent Crime Driven by Uptick in Heroin Use; Salt Lake Tribune,

September 4, 2014

• 4 major treatment providers in Salt Lake City at nearly 100% occupancy

with a 5-6 month wait

• 8 out of 10 offences at admission to prison correlate to substance use disorder

Effects of Drug Abuse In Utah

A High Price for Veterans

• Male veterans under 30 saw a 44 percent increase in the rate of suicides from 2009-2011

• Of the 22 deaths a day, only 5 are receiving treatment through our health system

• 60%-80% of those with PTSD require substance abuse treatment

• Traumatic brain injury increases vulnerability to substance abuse

• Opioid addiction increases after exposure to opiate medications for the treatment of chronic pain

What’s Working

Addictions Treatment is Effective: Over 600 Scientific Papers conclude that Substance Use Disorder Treatment is Effective (Marwick)

Relapse Rates for treatment for alcohol, opiates and cocaine are less than those for hypertension, asthma, and equivalent to those for diabetes –all chronic conditions (O'Brien & McLellan)

Therapeutic Justice Courts Chronic Disease Management Approach vs. Acute Condition Approach

Case Management, Housing, Recovery Management Addictions Treatment: Knowing the Facts CCJJ, Justice Reinvestment Report, November 2014

First Step House Programs• Serve over 350 clients per year with treatment and housing programs

• In 2014, 64% of our clients were diagnosed with a co-occurring mental health disorder

• Embracing chronic disease management and best practices in healthcare

• Delivery of over six evidence-based practices and programs proven effective for treating substance abuse

• Higher than state rates in employment, increased stable housing, and decreased arrests

• Cost savings in UT range from 4:1 to 24:1 for treatment programs depending on type of program (includes criminal justice and victim costs (Fowles, Byrnes, & Hickert, 2005)

• Research shows that every dollar spent on treatment saves $4 in healthcare costs and $7 in criminal justice costs (Etner et al., 2006)

Evidence-Based and Research-Based Practices and Programs

• Rational Emotive Behavioral Therapy – REBT

• Moral Reconation Therapy – MRT

• Dialectic Behavior Therapy – DBT

• Shame Resiliency

• Motivational Interviewing

• Cognitive Behavioral Therapy

Our TeamQualified, Capable, and Ready

Jared Ferguson, LCSW Clinical Director

Sarah Bauman, SSWDevelopment Director

Shawn McMillen, M.P.A., ASUDC Executive Director

Austin DavisAssociate Director

Matt Warthen Program Director

Rodney SymesOperations Director

Our Solution: More Accessible and Effective TreatmentSalt Lake’s First Recovery Campus

A comprehensive, evidence-based treatment center and addiction recovery campus to meet the urgent substance abuse treatment needs in our community.

Together we can make the dream a reality.

• 50 new treatment beds and 18 new transitional housing units

• 146 Additional residents served annually with treatment and housing

• Located adjacent to SLC public transit and community agencies

• Specialized treatment and housing programs for the veteran population

• State-of-the-art urinalysis testing

• Vocational kitchen for job training

First Step House Veterans Services Project: Phase I of the First Step House Recovery Campus

Recovery Campus Phase II

• Relocation of Outpatient Treatment

• Expanded Residential Treatment Facility with an estimated 50 additional

treatment beds

• 60 Additional Housing Units (transitional and permanent, affordable housing)

• Detox Capacity

• Social Enterprise (bakery, coffee shop, or dental lab)

• Primary Healthcare Integration

Our Vision Gains Widespread Support• $1,329,147 in retained earnings used to purchase new building

• $98,800 in grant funding from American Express

• 60 new donors and $8,000 raised through Love Utah, Give Utah

• $500,000 loan unanimously approved by the Olene Walker Housing Loan Fund Board

• $700,000 loan unanimously approved by the Salt Lake City Council

• $25,000 grant from the George S. and Dolores Dore Eccles Foundation

• $10,000 grant from the Sorenson Legacy Foundation

• $158,000 Salt Lake City Community Development Block Grant

Your Investment in First Step House

Matters.

Thank You!

ContactShawn McMillen, Executive DirectorCell: 801-518-3257Email: smcmillen@firststephouse.org

First Step House411 Grant St.Salt Lake City, UT 84116Phone: 801-359-8862 Fax: 801-532-2280

References• Utah Division of Substance Abuse and Mental Health: 2013 Annual Report• State of Utah: 2012 Comprehensive Report on Homelessness• National Coalition for the Homeless: http://www.nationalhomeless.org/factsheets/addiction.html (2009)• National Institute on Drug Abuse: www.drugabuse.gov• Substance Abuse and Mental Health Services Administration Center for Substance Abuse Prevention / Substance Abuse Prevention Dollars and Cents: A Cost-Benefit Analysis: www.samhsa.gov• Office of National Drug Control Policy/ The Economic Costs of Drug Abuse in the United States:

www.ncjrs.gov