state of california department of alcohol and drug programs continuum of services system...

State of California

Department of Alcohol and Drug Programs


Continuum of Services System Re-Engineering Taskforce

Phase II

Planning Meeting

December 6, 2006

Michael CunninghamDeputy Director, Program Services Division

State of California


AOD Services Re-Engineering

DESTINATION

START

State of California


A comprehensive and integrated continuum of alcohol and other drug services. The services are effective, high quality, client and community centered, sustainable and culturally competent. They have the capacity and resources to facilitate holistic health and promote wellness.

Destination

State of California


AOD Services Re-Engineering

Gaps & Needs

Principles

Recommendations

Who, What, When, Where & How

Communication Plan

Logic Model

Goals, Objectives, Outcomes

DESTINATION

START

State of California


System Improvement Model

Resources and Policies

Prevention & Recovery Support

System of Services Design

Workforce Development

Mobilize and build State and communitysupport

Develop an organizational culture andinfrastructure that promotes high quality

safe, and effective AOD services

Empower and prepare clients to managetheir AOD risks and recovery

Assure the delivery of comprehensive,integrated, effective and efficient AOD

services

Ensure needed linkages between AOD andother community systems & partners

are in place to promote effectiveoutcomes for clients

Ensure that the workforce is a preparedand proactive team that supports the

continuum

* Adapted from the Chronic Care Model, Improving Chronic Illness Care Program

Leadership & Administrative Support

Community Partnerships

Alcohol &Other Drug

Risk, Abuse &

Dependency

State of California


System Improvement Model for the Continuum of Services

COMMUNITYCOMMUNITY-Resources & Policy

- Community Partnerships

AOD SYSTEMAOD SYSTEM- Service System Design- Leadership/Administrative Support

PRINCIPLESPRINCIPLES- Client/community centered

- Evidence based- Comprehensive, integrated,

efficient & effective

Prevention and Recovery Support

Workforce Development

IMPROVED OUTCOMES FOR CLIENTS AND COMMUNITIESIMPROVED OUTCOMES FOR CLIENTS AND COMMUNITIES

State of California


Overarching Goal of Continuum of Services System Re-Engineering

Through the use of the System Improvement Model (SIM), develop and implement a comprehensive and integrated continuum of services (COS) system that delivers high quality and effective alcohol and other drug (AOD) services.

State of California


Desired Outcome

Ensure that individuals and communities receive high quality, effective, and efficient services along a service continuum that addresses the potential risk, and the acute and chronic nature of alcohol and other drug problems.

State of California


Continuum of Services System Re-Engineering Goals

• Develop a comprehensive, integrated, effective, and efficient AOD services system

• Develop an organizational culture and infrastructure, including information systems that promote comprehensive, integrated, effective, and efficient AOD services

• Develop and implement policies and resources that support system- wide effective outcomes

• Insure linkages between AOD and other community systems and partners to promote effective outcomes for communities and individuals

• Empower and prepare individuals and communities to prevent, reduce, or manage their AOD risks and recovery

• Ensure that the AOD workforce is prepared to deliver effective services to support the prevention, treatment, and recovery needs of communities and individuals

State of California


Theory of Change

Theory of Change Articulates the Logic at the Big Picture Level

State of California


Logic at the Big Picture Level

What Action With what people(Target Population)

In what setting or context

Using what strategies

Results in what long range outcomes

State of California


What Action

Re-engineering the System from an

acute to chronic condition model

State of California


With What People (Target Population)

With ADP, Counties, AOD providers and

Other Stakeholders, including those in

recovery and family members

State of California


In What Setting or Context

In incremental but meaningful ways with

leadership and support for an organizational culture and infrastructure, including information systems to assist a data-driven effective and efficient service system

State of California


Using What Strategies

• Developing a system of services design that is comprehensive, integrated, effective and efficient

• Developing, recruiting and retaining a prepared workforce

• Removing funding barriers, developing resources and establishing policies for system and between systems

• Developing and maintaining a diverse set of community partnerships to ensure critical linkages

State of California


Results in What Long Range Outcomes

• Empowered and prepared individuals, families and communities as active partners to prevent, reduce and manage AOD risks & recovery

• Individuals and communities routinely receive high quality, effective and efficient services along a service continuum that addresses the potential risk, acute and chronic nature of alcohol and other drug problems

State of California


COSSR Phase II Subcommittees

• System of Services DesignSystem of Services Design

• Leadership & Administrative SupportLeadership & Administrative Support

• Resources and PolicyResources and Policy

• Community PartnershipsCommunity Partnerships

• Prevention and Recovery SupportPrevention and Recovery Support

• Workforce DevelopmentWorkforce Development

state of california department of alcohol and drug programs continuum of services system...

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