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Treatment of Substance Abuse and Recovery Support Services
Central Virginia Community Services is a behavioral healthcare provider in the central region of Virginia. Our Mission is to support and promote the health, independence and self-worth of individuals and families in Central Virginia by providing a continuum of community-based prevention, early intervention, aftercare, and psycho-social rehabilitation services for persons affected by mental health, intellectual disabilities, substance abuse, and co-occurring disorders. The Vision of CVCS is to provide behavioral healthcare services that are accessible, consumer-centered, cost-effective, and quality, outcome-based.
The Child and Family Department at Central Virginia Community Services began providing Adolescent Community Reinforcement Approach/Assertive Continuing Care (ACRA/ACC) in January 2008, after receiving a 3 year SAMHSA grant to implement an evidence-based adolescent substance abuse program for youth in Lynchburg City and Amherst County, Virginia.
At three months into ACRA/ACC treatment, the following outcomes have been achieved: an 85% increase in client abstinence from alcohol and/or drugs and an 11.4% increase in client social connectedness. At six months, a 60% increase in client abstinence from alcohol and/or drugs and a 14.3% increase in client social connectedness have been achieved.
Chesterfield Department of
Mental Health Support Services,
Chesterfield SAS is a public
treatment program that provides outpatient substance abuse services
to a diverse urban, suburban and rural population in central Virginia.
Clients are generally working class or impoverished and most present
with physical or psychiatric co-morbidities as well as substance abuse/dependence.
Services are never denied for inability to pay; instead a sliding-scale
is used, with most client fees reduced to 1 percent.
In 1999, Chesterfield SAS, in collaboration with Virginia Commonwealth University, joined the NIDA Clinical Trials Network (CTN). CTN membership fostered an already strong commitment among Chesterfield staff to ongoing program improvement. Implementation of evidence-based practices (EBPs) such as Motivational Interviewing (among others), was of central importance. Community based participatory research (CBPR) provided the infrastructure for the VCU-Chesterfield partnership. To date, Chesterfield staff have successfully participated in two national CTN randomized clinical trials and a third multi-site study is currently underway.
To foster treatment improvement, Chesterfield leadership monitors outcomes; in particular early engagement and treatment retention. As EBPs have been implemented, positive changes in these critical indicators have been observed. Currently, nearly 8 out of 10 clients complete at least 4 treatment sessions post-admission to the program. Length of stay has also increased, with current LOS averaging 318 days (across 618 active clients). When queried about program success, Chesterfield staff attribute positive changes to two primary factors: 1) an unwavering innovative spirit among counseling staff members; and 2) staff willingness to not only accept change, but to embrace it.
Connecticut Renaissance, Inc. has provided quality substance abuse and mental health treatment through programs run by a compassionate, committed, results-oriented team of therapists and administrators, since 1967. Renaissance has earned the reputation as a leader in Evidence-Based Treatment practices, and continues to break new ground in the areas of positive outcomes, quality programming, and bridging the gap between science and community treatment. Our mission is to help people begin the journey toward recovery from mental health and/or substance abuse issues while continuing to expand and diversify behavioral health, criminal justice and research services. Our ultimate goal is to assist clients, their families and significant others to lead happy, healthy and productive lives.
Multi-Dimensional Family Therapy (MDFT) is an evidence-based treatment model designed to provide intensive home and community based programming that focuses on the adolescent’s entire environment to address substance abuse issues and associated mental health and behavioral problems. MDFT provides wrap around services, which address treatment needs, health and wellness, legal concerns, education, and benefits among other issues with family members. A second phase of treatment is also offered which focuses on relapse prevention and assisting families in sustaining the gains made during treatment.
Post Treatment results for 2008 have proved quite favorable. 100% have experienced a decrease or no use of illicit substances, 100% have experienced improvement in mood and/or behavior, 94% improvement in attendance and school functioning, 100% have not experienced any increase in legal problems and 100% have reported overall improvement in family functioning. It has also been found that these families have not been referred back to treatment after discharge.
Heartland Family Service
Founded in 1875, Heartland Family Service (HFS) is a non-profit, non-sectarian social service agency. Our mission is to strengthen individuals and families in our community through education, counseling, and support. Annually we serve more than 35,000 people in twelve different counties. Our Iowa Behavioral Health Substance Abuse Treatment Program continues to see an increasing need for methamphetamine treatment. In 2006, 47.1% of HFS clients reported meth as their primary drug of choice when entering substance abuse treatment versus 22.3% statewide.
Therefore, HFS implemented The Matrix Model, an intensive, outpatient alcohol and drug treatment program that is currently the only evidence-based practice for the treatment of Methamphetamine addiction. Studies show that Matrix clients attend more treatment sessions, stay in treatment longer, and have longer periods of abstinence from methamphetamine than those clients in the treatment as usual group.
In February 2007, HFS initially piloted two Matrix Model Tracks and began full implementation of the model into our treatment program in March of 2007. To measure results, HFS looked at retention, which we defined as the percentage of clients who completed the Matrix Track versus the previous education group. The pre-implementation data showed 29% retention for morning treatment groups and 47% retention for evening treatment groups. After our initial pilot, retention jumped to 53% for morning treatment groups and 84% for evening treatment groups. This equates to an average increase of 30.5% in client retention following implementation of Matrix. The Matrix Model has been fully integrated into our treatment program at HFS because we not only believe, but can show, the concepts and materials are making a difference in our clients’ ability to recover successfully.
Operation PAR, Inc.
Operation PAR has been putting Florida’s families first since 1970, offering a full continuum of addiction and mental health services including substance abuse prevention, therapeutic developmental child care centers, information and referral, assessment, intervention, treatment, e-therapy and coalition management. Honored as the 2009 Non-profit of the Year, Health Services, by the Tampa Bay Business Journal, Operation PAR sustains core services through its advocacy efforts with federal, state and local stakeholders to implement best-practice treatment models of care, particularly for women and children, and continues to advocate on the need for expanded, family-centered treatment capacity and comprehensive services.
Family Achievement in Recovery at PAR Village is a SAMHSA funded program for pregnant and postpartum women who are seeking residential treatment and wish to have their young children reside with them in the program. This family-centered, gender-specific treatment model utilizes the evidence-based programs and practices of the Global Appraisal of Individual Needs, Motivational Enhancement Therapy/Cognitive Behavioral Therapy 12, Seeking Safety and Strengthening Families.
Specific results achieved for
the FAIR project include: 1) Length of time between initial contact
and assessment has been reduced on average from 33 days to 4.3 days,
a startling 87% reduction; 2) Percentage of clients engaged in treatment
has been increased from 26% to 98.8%, a 280% increase; 3) Rate of retention
in treatment has increased from 62% to 74.7%, a 20.5% increase; and
4) Rate of treatment completion has increased from 40% to 73.0%, an
82.5% increase. Additionally, fidelity measures show a high rate of
adherence to the Motivational Enhancement Therapy/Cognitive Behavioral
Therapy and Seeking Safety models. As documented on prescribed fidelity measures, fidelity
adherence ranks as high for both models.
Pima Prevention Partnership (PPP) is an 18-year-old, non-profit, community-based organization, whose mission is to build partnerships with young people, families and communities to improve their quality of life. PPP works with communities to address locally-identified needs by initiating and sustaining evidence-based strategies and programs that serve vulnerable, low-income populations. PPP’s programs include: Youth and Family Services; Clinical Services; a Charter High School and Middle School; and Program Evaluation and Technical Assistance services. The PPP is an Arizona state-licensed addiction treatment provider and its high school is accredited by the North Central Association.
PPP’s Clinical Services Department addresses the substance use treatment needs of minority, delinquent youths in Pima County, Arizona, using a recovery-oriented system of care model. PPP integrated MET/CBT-5 into its service continuum in 2003, with a federal Effective Adolescent Treatment grant based on the County’s identified need for effective short-term adolescent substance abuse treatment for justice involved youth. To date, PPP has initiated MET/CBT-5 services with more than 400 youth as a result of individual assessments of need. The success of MET/CBT-5 at PPP is predicated on the model’s focus on connecting, motivating and directing youth toward healthier decision-making.
5 implementation has consistently produced positive outcomes for its
adolescent participants. The percent of clients reporting abstinence
from substance use in the 90 days prior to the interview increased from
19 percent at intake to 48 percent at discharge. In addition, the percent
of youth who reported using substances on 51 or more days in the past
90 days decreased from 22 percent at intake to 11 percent at discharge.
MET/CBT-5 participants have also demonstrated decreases criminal activity
and emotional problems.
State University of New York
Developed, implemented and rigorously evaluated at the University at Albany since 2005, the STEPS Program is a comprehensive Screening and Brief Intervention (SBI) strategy based on the NIAAA Tier I Brief Alcohol Screening and Intervention for College Students (BASICS) model (Dimeff et al., 1999). The program is designed to: 1) reduce alcohol use frequency and quantity, and 2) reduce associated negative consequences by adapting its brief alcohol interventions to meet the very distinct and complex needs of three target populations of college student high-risk drinkers: first-year students, student-athletes, and students seeking primary health and mental health care on campus.
Guided by BASICS program developers Drs. Mary Larimer and Jason Kilmer from the University of Washington’s Addictive Behaviors Research Center, target-population specific, relevant, and responsive interventions tailored to each target group have been systematically and strategically tested and integrated into our broader STEPS model, reaching more than 14,000 students to date. In addition to statistically significant reductions in alcohol use and associated negative consequences across each target population-specific intervention component on a total of more than 25 indices, the STEPS Program has developed, implemented, and tested two groundbreaking strategies: a Web-delivered brief alcohol intervention and a team-delivered student-athlete specific brief alcohol intervention.
The program has also led to significant campus-wide culture change toward reduced alcohol use and increased use of protective behaviors, including making the choice not to drink. Based on evidence of its effectiveness, the STEPS Program has played a national role in moving SBI forward to be recognized in late 2007 as an insurance-reimbursable service for both our 18 million U.S. college students as well as the general public.
Substance Abuse & Mental Health Services Administration • 1 Choke Cherry Road • Rockville, MD 20857