Oriana House Inc Medication Assisted Treatment Programs Sally

Oriana House, Inc. Medication Assisted Treatment Programs Sally Longstreth-Fluck, LISW-S Allyse Adams, PC, LICDC

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

Oriana House, Inc. MAT Programs O Medication Assisted Treatment in the CBCF’s O Medication Assisted Treatment Transitional Services O Rigel Recovery Services

MAT in CBCF’s O Oral Naltrexone O Vivitrol Injections O Opiate Specific Treatment groups O Mental Health Services O Cognitive Skills Programming O Recovery Coaching O Employment O Education

While in the CBCF O Daily oral naltrexone provided by in house medical staff O 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)

While in the CBCF O 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

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 RRS O Secure a sober living environment

MAT Transitional Services (TS) O All MACBCF clients referred to TS regardless of risk score O Specific Case Workers for clients on MAT O Increased office visits O Increased cognitive programming O Coordination with JFS for Medicaid applications O 26 weeks of aftercare O Mental health counseling (SPA)

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

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

Recovery Housing O All clients engaged in our MAT programming will have the opportunity to apply for Recovery Housing O All staff are certified Recovery Coaches O 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

Our Local ADM Board O 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

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 referrals O Funding (ADM Board) O Decrease barriers for clients

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

Challenges We Have Faced O Communication – several ‘hands in the pot’ O Releases of information O Referral sources not knowing who to contact O Agency Philosophy (non-profit vs. for profit) O Schedule coordination O 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

Challenges We Have Faced O Not being able to utilize Vivitrol during CBCF placement O Inexperienced staff O Clients/staff adjusting to non-punitive approach following completion of supervision O Medicaid being approved in a timely manner

Plans for Future O 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