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AIMChange the state’s treatment approach from
an acute-care treatment model to a more comprehensive, recovery-oriented model
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RECOVERY CENTERS OF ARKANSAS
DECISION POINT, INC.
HEALTH RESOURCES OF ARKANSAS
QUAPAW HOUSE, INC.
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JENNIFER GLOVER
ARKANSAS ALCOHOL AND DRUG ABUSE
PREVENTION (ADAP)
MID-AMERICA ATTC
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Target EBPs – Continuing CareJames McKay’s Telephone Continuing Care
ModelBrief weekly phone follow-up for 8 weeks,
then every other week calls for 10 months, then monthly calls for 6 months
Face-to-face as neededDatabase captures client info, tracking, and
billing
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Target EBPs – Case ManagementRapp and Goscha’s Strengths-Based Case
Management ModelUp to 12 weeks of services
Brief case management assessment, treatment planning, case management services
4-month pilot to study service capsSpreadsheet to track services provided and
billing
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• Began providing Continuing Care
services in August 2008
• Have served 191 clients
• As of July 2009, there are 116
active clients
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SNAPSHOT OF CLIENTS SERVED – CASE MANAGEMENT
Began providing Case Management services in April 2009As of July 2009, there are 64 active clients
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State Lever: #1 Financial AnalysisDetermine the pay source
No additional funding to pay for these servicesReallocated a residential service slot
Develop the pay structureReviewed our past practices and developed a unique
pay structureAssist in maintaining program stability
The State developed a spreadsheet for billing to ease the burden on the providers
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Provider Lever: #3 Intra-Organizational Operations AnalysisInvolve multiple levels of management and front-line
staffSecure staff buy-in on the front end
Listened to lessons learned from AR Round 1 states Train multiple staff at different levels on the model When problems arise or key operations fail, quickly
move into the walk-through and PDSA cycles
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Future Levers: July-JanuaryState
#1 Financial Analysis Are the EBPs effective and cost-effective? Plan for sustainability past the end of the grant
#5 Purchasing and Contracting Analysis Make decisions about new services
Case management – assists in short-term retention Continuing Care program - assists with recovery
management, helps providers track long-term client outcomes
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Future Levers: July-JanuaryProviders
#2 Regulatory Analysis Work with and adapt to new service demands
#3 Intra-Organizational Operations Analysis Fit new services into multiple treatment programs within an
agency (e.g., women’s services, outpatient treatment)
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Future Levers: post-January 2010State
#1 Financial Analysis#5 Purchasing and Contracting Analysis
New RFP – planning, buy-in
Providers#2 Regulatory Analysis
Work with and adapt to new service demands
#4 Inter-Organizational Operations Analysis Learn from other agencies’ implementation Share information about clients to better meet their needs
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Questions?
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ContactGarland Ferguson, Director of Treatment Services Office of Alcohol and Drug Abuse Prevention 4313 West Markham, DBHS Administration Bldg. Little Rock, AR 72205 501-686-9875 [email protected]