oriana house, inc. medication assisted treatment programs sally longstreth-fluck, lisw-s allyse...

Oriana House, Inc. Medication Assisted Treatment Programs

Sally Longstreth-Fluck, LISW-SAllyse Adams, PC, LICDC

A Little About Summit County

O 98 Heroin Overdose Deaths from 1/1/2015-7/26/2015

O Last year enough narcotic pain medicines were prescribed to supply 67 pills to every man, woman and child

O In 2014, in Akron alone, EMS statistics show an average of 1 overdose per day

O About every three days in 2014, a baby was born with neonatal abstinence syndrome

Summit County Opiate Task Force

Oriana House, Inc. MAT Programs

O Medication Assisted Treatment in the CBCF’s

O Medication Assisted Treatment Transitional Services

O Rigel Recovery Services

MAT in CBCF’sO Oral NaltrexoneO Vivitrol InjectionsO Opiate Specific Treatment groupsO Mental Health ServicesO Cognitive Skills ProgrammingO Recovery CoachingO EmploymentO Education

While in the CBCFO Daily oral naltrexone provided by in

house medical staffO Summit Psychological Associates

(SPA) comes in house to provide mental health services

O Medicaid is applied for with staff – coordinated with local JFS

O Begin aftercare in the community at Rigel Recovery Services (RRS)

While in the CBCFO Recovery Coaches

O Connect with Sober Houses in the community in order to help facilitate placement upon release if needed

O Attend meetings, church, etc. with client to ensure community access is not restricted

O Provide warm hand-offs whenever needed

In Transition to the Community

O Warm Hand-Off – clients are transported by Recovery Coaches to SPA for their Vivitrol Injection

O Continue mental health counseling at SPA

O Continue aftercare at RRSO Secure a sober living environment

MAT Transitional Services (TS)

O All MACBCF clients referred to TS regardless of risk score

O Specific Case Workers for clients on MATO Increased office visitsO Increased cognitive programming O Coordination with JFS for Medicaid applicationsO 26 weeks of aftercareO Mental health counseling (SPA)

Rigel Recovery Services

O Partnered with Summit Psychological Associates for mental health counseling, psychiatry, Vivitrol Injections, case management

O All MA-CBCF and MA-Transitional Services clients engage

O Coordinate with JFS to ensure Medicaid

O Coordinate with ADM board for funding

Rigel Recovery Services

O Coordinate with local residential facilities to provide aftercare treatment services as well as mental health and MAT

O Coordinate with jail to provide service upon release

O Coordinate with community sober houses to provide housing for those in the community

Recovery HousingO All clients engaged in our MAT

programming will have the opportunity to apply for Recovery Housing

O All staff are certified Recovery CoachesO Offers Recovery Coach Individual and

Group Sessions, Employment, Life Skills and Sober Support groups

O Coordinates with local ADM funded agencies to provide housing to anyone meeting criteria in the community

Our Local ADM BoardO Provides funding for needed

programming in the county (i.e. Vivitrol injections for CBCF clients who cannot get Medicaid)

O Ensures community agencies are providing aftercare services

O Provides funding to support Recovery Housing

O Provides funding to support Recovery Coaches

Benefits of Community Partnership

O Provide clients with a long-term, holistic approach to recovery

O Connect clients with resources outside of agency for any future needs

O Increased referralsO Funding (ADM Board)O Decrease barriers for clients

Benefits of Community Partnership

O Several areas for clients to be held accountable

O Reduce client fears (i.e. no one will help me I’m a felon)

O Increased services within the facility to better prepare for reintegration into the community

Challenges We Have FacedO Communication – several ‘hands in the pot’

O Releases of informationO Referral sources not knowing who to contact

O Agency Philosophy (non-profit vs. for profit)O Schedule coordinationO Several areas where clients can ‘fall through the

cracks’O Time/staff – every partner must devote staff to the

program in order to be effective but most have several responsibilities

Challenges We Have Faced

O Not being able to utilize Vivitrol during CBCF placement

O Inexperienced staffO Clients/staff adjusting to non-

punitive approach following completion of supervision

O Medicaid being approved in a timely manner

Plans for FutureO Seek funding for Vivitrol in the CBCF O Improve relationship with JFS to

ensure Medicaid applications are approved and insurance is active on day of release

O Advocate for more Recovery Coaches to provide more community involvement for those in the CBCF