ARC - Leading the Way in Kentucky• Admitted first Medicaid Residential patient

January 2015• Admitted over 5,000 Medicaid members for

residential treatment• Private Insurance plans provide coverage

RESIDENTIAL CENTERS

OUTPATIENT CENTERS

ADDICTION RECOVERY CARETREATMENT CENTERS

TRANSITIONAL LEARNING CENTERS

Average wait time for a bed for someone who has insurance and

passes phone screen:72 hours

TREATMENT ON DEMAND24/7 Intake Department

Holistic Approach to Care

Medical(Body)

Clinical(Mind)

Vocational(Purpose)

Spiritual(Soul)

MCHC’s Behavioral Health Program

Creation of HEAL

ABOUT THE CONSORTIUM

Objective:

"Reduce the scope of substance abuse and related consequences through education, awareness, prevention, and access to services." -from the SOAR Regional Blueprint (goal 4.3)

Mission:

To integrate treatment and management of substance use disorder into the fabric of community services, creating an environment of support, coordination and improved access to care for all people affected.

How will we do it?

We must work together to create effective change! This consortium works with the ‘collective impact model.’ This model brings together different organizations and individuals around a shared goal. Combining resources and efforts from federal, state, and local levels we are able to build a strong and effective movement in our

community.

Recovering AddictsTreating & Training

ARC - Leading the Way in Kentucky• Admitted first Medicaid Residential patient

January 2015• Admitted over 5,000 Medicaid members for

residential treatment• Private Insurance plans provide coverage

RESIDENTIAL CENTERS

OUTPATIENT CENTERS

ADDICTION RECOVERY CARETREATMENT CENTERS

TRANSITIONAL LEARNING CENTERS

Average wait time for a bed for someone who has insurance and

passes phone screen:72 hours

TREATMENT ON DEMAND24/7 Intake Department

Holistic Approach to Care

Medical(Body)

Clinical(Mind)

Vocational(Purpose)

Spiritual(Soul)

Dr. Michael FletcherChief Medical Officer

• Addictionologist, American Board of Addiction Medicine (ABAM)

• President-Elect of Kentucky Chapter of American Society of Addiction Medicine (ASAM)

• Kentucky Board of Medical Licensure (KBML)

• Supervises Primary Care Physician, NP’s and RN’s

Nationally AccreditedAccredited by Commission on Accreditation of Rehabilitation Facilities (CARF) Drug and Alcohol Treatment Centers

• CARF Standards Compliant• Pastoral Counselors

Spirituality Program• Chaplains• Celebrate Recovery

▪ Women’s center in Lawrence County, KY

▪ Men’s center in Fleming County, KY

Blue Angels

Karen’s Place Maternity Center

Average NICU stay for a drug addicted baby

is over 20 days.

39 of 48 babies born at maternity center

have come back with mother in 5 days or

less.

From Crisis to CareerMulti-Phase Approach

Phase 1

(Avg 30 days)

Clinical

Recovery Skills

Life Skills

Job Skills

Phase 2

(Avg 30 days)

Phase 3(60 days)

Phase 4(6-9 months)

• Louisa• Lexington• Mt. Sterling• Prestonsburg• Crestview Hills• Morehead• Ashland

Outpatient Centers

Model Integrated MAT Program• 8 patient touches per month initially. No less than 4 touches per month.

• Employed physicians taper program• Counseling• Case Management/WRAP• Peer Support• Drug Screens• Medication Counts

Suboxone Diversion RatesNationally:

54%ARC:

3%

Treatment in Prison Drug Court MAT Job Training Residential

Treatment

$4.00

$5.28

$7.00

$1.91

Cost-Benefit byPublic InvestmentAos, Steve. “The Comparative Costs and Benefits of Programs toReduce Crime.” (May, 2001). Washington State Institute for PublicPolicy; Robert Wood Johnson Foundation Study on Benefit and Costsof Substance Abuse Treatment, August 2006; www.drugabuse.govstudy on MAT programs.

$2.83

Comparing Residential Treatment & Job Training

$7.00 ROI for $1: Residential$5.28 ROI for $1: Job Training

What if we combined them?

ARC’s Treatment Center Staff Training Program

Treatment Center Staff Training• Staff Internship Program at ARC• Guaranteed job (1 year clean).• Career Paths:

1. Residential Center Staff2. Residential Center Management3. Office Assistants4. Drug Screen Collectors5. Peer Support Specialists6. Corporate Office

Vanessa Keeton: Karen’s Place GraduateClean since December 2010

From: IV Needle User

Now:• Homeowner• College Graduate• Center Director• Business Owner

Matt Brown: Belle Grove GraduateClean since May 2014

From: HS Valedictorian/Licensed Physical Therapist with Pain Pill Addiction

Now:• Chief of Staff to CEO• Louisa City Council • Community Activist• Pastor

Brandon Leslie: Belle Grove GraduateClean Since January 2014Former IV Opiates UserMilitary Veteran (Iraq and Afghanistan)

From: PTSD, ADDICTED VETERAN

Now• Director of the center that saved his life.

• Associate Director of Residential Services

PEER SUPPORT SPECIALIST- One year clean and sober- 40 hour training course & exam- Medicaid billable service- Behavioral Health Practitioner

Peer Support Specialist Academy

• Sullivan University• EKCEP• College Credit• State Certifications• “Super PSS”

Peer Support Specialist Academy Graduates

May 2017

16 graduates• 14 paying taxes• 14 now employed• 14 helping others recover • 14 transitioning off of Medicaid

41 of 46 PSS Academy graduates are sober and employed.

Peer Support Specialists in Needle Exchanges,

Detoxes, Hospitals

Boyd County Needle Exchange

• 17 people entered treatment in 1st year.• A decision to enter treatment every 13.25 hours

the exchange was open.

Outreach ServicesMeeting people in their time of need

Casey’s LawJail MinistryStreet MinistryCourt SystemsHomeless SheltersHealth DepartmentsDomestic Violence Shelters

EKCEP Teleworks Program

• Digital Literacy Certificate• Work Ethics Certificate• National Career

Readiness Certificate• National Retail

Foundation Certificate

General Maintenance Internship

Automotive ProgramSecond Chance Motors

430 Jobs Created

• 50% are in recovery

• 33% are ARC graduates

Addiction Recovery Care has been selected to be studied as a national best practice for taking those with substance use disorder

from addiction to employment

On the Horizon

• Hospitality and Restaurant Management Certificate

• Intake Specialist• Billing and Coding• Medical Receptionist• Heavy Machinery Operation• Information Technology Certificate

Emerging Leaders Training Program• Six month leadership and culture

training• Raising up future leaders from within

the company• Ensures company culture is passed

down to the new generation of leaders• Classes cover The Serving Leader,

John Maxwell’s Five Levels of Leadership, Stewardship, Organizational Overview, and Taking People with You

ARC’s MissionTo have peace in knowing that we have done all that we can to provide world-class, holistic care to those struggling with addiction by creating opportunities for each person served, employee, and stakeholder to discover their God-given destiny.

Dr. Breeding will discuss the creation of HEAL, its purpose, and successes via video conference.