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Oriana House, Inc. Medication Assisted Treatment Programs
Sally Longstreth-Fluck, LISW-SAllyse Adams, PC, LICDC
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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
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Oriana House, Inc. MAT Programs
O Medication Assisted Treatment in the CBCF’s
O Medication Assisted Treatment Transitional Services
O Rigel Recovery Services
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MAT in CBCF’sO Oral NaltrexoneO Vivitrol InjectionsO Opiate Specific Treatment groupsO Mental Health ServicesO Cognitive Skills ProgrammingO Recovery CoachingO EmploymentO Education
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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)
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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
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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
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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)
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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
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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
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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
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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
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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
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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
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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
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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
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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