Louisiana Access to RecoveryLA-ATR

Understanding Addiction & Supporting Recovery Webinar

Pastor Pythian Noah

June 25, 2009

What is ATR?

• ATR was developed as part of the President’s Drug Treatment Initiative

• 24 Access to Recovery (ATR) grants were awarded by the Substance Abuse Mental Health Services Administration (SAMHSA) / Center for Substance Abuse Treatment (CSAT) around the nation

• OAD received an ATR grant in the amount of $13.2 million, which is to be utilized over the next three (3) years to support recovery to the target population

Goals of ATR

• Expand capacity• Accessible treatment

and recovery support services

• Freedom of Choice• Faith and Community

based providers

How ATR has accomplished these goals?• Outreach to public and private

sector• Development of a web-based

electronic voucher system– Collect data to measure outcomes

– Uniform decision summary for level of care

– Recovery Support Services

– Best Practices

• Allow consumer Freedom of Choice

ATR Target Populations

• Adult & Juvenile Criminal Justice Population

Note: Emphasis on Re-Entry and Probation/Parole Clients

ATR-II Target Locations

• ADULTS– New Orleans Area– Baton Rouge Area– Northwest LA– Northeast LA

• ADOLESCENTS– Acadiana Area– Florida Parishes Area– Northwest LA– Northeast LA

Expanding Capacity with ATR

• OAD’s goal is to serve 5,999 additional consumers over the next 3 years– Clinical Treatment

Services

– Recovery Support Services

Client Criteria for ATR-II

• Target Populations (Priority Admissions)– Criminal Justice Involvement in past 12 months– Methamphetamine use in past 90 days (includes

Ecstasy)

• *Criteria 1: Client has clinical diagnosis of alcohol and/or drug abuse or dependence

• *Criteria 2: Client meets income eligibility criteria

*ALL clients must meet clinical and financial eligibility criteria

The ATR Process

• Screening• Assessment• Treatment• Recovery Support

Services• Care Coordination

ATR Screening

• Criminal Justice Involvement (Priority Admission)

• Methamphetamine User (Priority Admission)

• Identified substance abuse problem through screening instruments (Required for all admits)

• Financial Eligibility Criteria: At or below 200% of the poverty level

ATR Assessment

• Central Intake Unit within Jails/Prisons and Probation/Parole Offices

• Intake within ATR approved Treatment Agencies

• ASI (Addiction Severity Index)

• CASI (Comprehensive Adolescent Severity Inventory)– Comparison Reports

Available– Appropriate Patient

Placement– Identify Recovery

Support Services Needed

ATR-II Treatment Services

• The following Treatment Services will be provided by ATR through community, faith, public and private based DHH licensed providers:– Outpatient– Intensive Outpatient

ATR Outpatient Treatment Services

Intensive Outpatient Treatment (IOP) – Minimum of 9 hrs per week and 3 sessions per week

– Voucher will reimburse for 6 weeks of IOPDaytime Intensive Outpatient Treatment3-Day ($80 per session)4-Day ($60 per session)5-Day ($48 per session)

Outpatient TreatmentMaximum of 3 outpatient sessions will be allowed per week at a rate of $30 per one-hour session

Note: Additional treatment services 4 individual therapy sessions and 4 family therapy sessions at $50 per session

ATR Recovery Support Services

• Job Readiness• Housing (License

Reqr’d)• Childcare (DSS

Licensed)• Transportation• Life Skills• Family Reunification

Services• Spiritual Support

Groups• Alcohol & Drug Free

Social Activities

• Anger Management• Family Education &

Reunification Services

Note: A maximum of $3,000 will be allowed for recovery support services per each voucher

Care Coordinator

• Available at each treatment provider • Ensures that consumer is properly

linked to recovery support services• Ensures that consumer successfully

transitions to the next level of care

Freedom of Choice

• Consumer will be given a choice amongst a list of providers for recommended level of care

• Freedom of Choice verification form will be signed by consumer

• It is required that at least one of the options be of no religious affiliation

ATR Provider Eligibility Criteria

• Must be licensed/accredited to provide service

• Must have necessary computer and internet access

• Must have EFT capabilities for payment of services rendered

• Must complete mandatory OAD trainings and become ATR approved

• Must agree to all reporting requirements mandated by Federal government with ATR grant

Outcomes Evaluation& Reports (Seven Domains)

• Social Connectedness• Access/Capacity• Family and Living Conditions• Employment/Education• Crime and Criminal Justice• Abstinence from Drug and Alcohol Use• Retention

LA-ATR II Statewide Outcomes

• Average Length of Stay in Treatment – 116 Days• Completion of Treatment – 44%

• Over 3,700 individual served since January 2008

95 Total Providers Statewide• 26 Faith-Based Organizations• 16 Community-Based Organizations

LA-ATR II Statewide Performance Outcomes at Discharge

• Abstinence (No illegal alcohol/drug use in past 30 days) – 87%

• Crime & Criminal Justice (No arrests in past 30 days) – 99%

• Employment/Education – 56%• Social Connectedness – 92%• Stability in Housing – 41%• Health/Behavioral/Social Consequences (No

alcohol or illegal drug related health, behavioral, social consequences) – 98%

Access to Recovery (ATR)

A collaborative effort to help individuals and families recover from the disease of addiction in Louisiana

Pastor Pythian NoahGrace Outreach Center

E-Mail: noahpythian@netzero.comTel: (504) 494-998