Partnership for Advancing Recovery in Kentucky by alicejenny

VIEWS: 2 PAGES: 17

									                                            Will press
                                            lever for
                                             drugs!




Using NIATX Technology for
 Continuing Care: Opening
      the Cage Door


  Partnership for Advancing Recovery in Kentucky
          •PARK AIM: Increase continuation and
          decrease dropouts through a statewide
              system of care that embraces
           community linkages and collaborative
                        planning.


                  Target evidence based
                        categories:
               Continuing Care &Wraparound
                         Supports



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               Partnership for Advancing Recovery in Kentucky
                 More about Treatment
    • The majority of those discharged from
      treatment do not receive the NIDA (1999)
      recommended 90 days of continuous care
          (White, in press).

    • 80% of individuals who relapse after
      treatment do so in the first 90 days (Hubbard et
          al., 2001).
    • The majority of substance dependent
      individuals only achieve stable recovery after
      3-4 treatment episodes over multiple years
          (Anglin et al., 1997; Dennis et al., 2005).

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                       Partnership for Advancing Recovery in Kentucky
               Treatment & Recovery
    • Only 17% of individuals who complete
      treatment in one level of care successfully
      access the next recommended level of care
          (OAS, 2005).

    • Linking treatment to recovery supports
      improves outcomes 20-22% (Dennis, 2007)
    • Only 20% of adults and 36% of adolescents
      receive any professionally-directed post-
      discharge continuing care. (Godley et al., 2001; McKay,
          2001)

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                   Partnership for Advancing Recovery in Kentucky
          NIATX: Five Principles
          • Understand and involve the customer

          • Fix key problems

          • Pick a powerful Change Leader

          • Get ideas from outside the organization

          • Use rapid-cycle testing
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              Partnership for Advancing Recovery in Kentucky
              Why a Walk-through?
          The walk-through…
            – Helps understand the customer and organizational
              processes
            – Provides a new perspective
               • Allows you to feel what it’s like
               • Lets you see the process for what it is
            – Seeks out and identifies real problems
            – Generates ideas for improvement
            – Keeps you asking why?…and why? again


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                 Partnership for Advancing Recovery in Kentucky
             Executive Sponsor
          • Vision
            – Provides a clear link to a strategic plan
            – Sets a clear aim for the Change Project
          • Engagement
            – Supports the change leader
            – Periodically attends change team meetings
            – Personally invites change team participants
          • Leadership
            – Removes barriers to change
            – Connects the dots
            – Communicates clearly, concisely, and constantly


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              Partnership for Advancing Recovery in Kentucky
                    Change Team
                   Responsibilities
          • Meet regularly
          • Ensure accountability
            – Record and distribute minutes
            – Assign tasks and responsibilities
          • Identify potential solutions
            – Quickly test one idea
            – Measure the impact of the change

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                 Partnership for Advancing Recovery in Kentucky
                     Making Changes

          • PDSA Cycles
            –   Plan the change
            –   Do the plan
            –   Study the results
            –   Act on the new knowledge
                 • Adapt
                 • Adopt
                 • Abandon
          • Two-week-long cycles

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                   Partnership for Advancing Recovery in Kentucky
          Strategies to Support Recovery
                                                       (Dennis & Scott, 2007)

           Improve    the continuity of care
             Individualsdischarged from intensive levels of
             addiction treatment should be transferred to
             outpatient treatment before leaving the
             treatment system (APA, 1995; ASAM, 2001)

             Use a recovery plan (as opposed to a
             treatment plan) (White & Kurtz, 2006; Scott, Dennis & Foss, 2005)


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                  Partnership for Advancing Recovery in Kentucky
          Emerging Strategies to Support
              Long-Term Recovery
           Telephone-basedcontinuing care                     (McKay et al., 2004)


           Recovery Management Checkups                       (Dennis et al.,
           2003; Scott et al., 2005)

           Assertive       Continuing Care         (Godley et al., 2004)


           ResourceGuide access and training for
           counselors (Carise et al., 2006)


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                  Partnership for Advancing Recovery in Kentucky
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          Partnership for Advancing Recovery in Kentucky
          Video Introduction to Next
                 Level of Care
                                 • Video created to
                                   demystify first visit to
                                   outpatient offices
                                 • Video re-shot to better
                                   capture desired
                                   messages
                                 • Video given to Hospital
                                   for units
                                 • Case Managers with
                                   portable DVD player
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           Partnership for Advancing Recovery in Kentucky
                 Percentage Substance Abuse Continuing Care from ARH-
                Hospital to KRCC Outpatient from Dual Units Versus Baseline


          70%

          60%

          50%

          40%

          30%

          20%

          10%

          0%
                  Baseline   May          June         July        August   September
                  October

                               Appointments Kept Dual Unit Clients Only



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                 Partnership for Advancing Recovery in Kentucky
                   Video Handoffs
          • Clients at Next Step Recovery Center and
            Bailey Center Crisis Stabilization Units
            have video meetings with next level of
            care counselor
          • Clients in the Hospital Have had video
            handoffs with community counselor-
            currently discontinued


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                Partnership for Advancing Recovery in Kentucky
            Resource Guide




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          Partnership for Advancing Recovery in Kentucky
             Thanks for your attention!
          • For more information contact:

               Louise.howell@krccnet.com
               David Mathews wdmathews@aol.com
               Lou Kurtz louis.kurtz@ky.gov
               Wendy Morris wmorris@arh.org
               Jenniferstamper@chrysalishouse.org
               Pam Combs Pcombs@arh.org
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                  Partnership for Advancing Recovery in Kentucky

								
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