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State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
State Efforts to Enhance Treatment Systems for Adolescents ...
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State Efforts to Enhance Treatment Systems for Adolescents ...

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  • The focus groups were undertaken to better understand the service needs of adolescents from the perspective of the clinicians delivering the services and the adolescents and their families who receive the services. Major themes explored were: How serious is adolescent substance abuse in Arizona? What forms of treatment models are currently being utilized and what forms of treatment models would clinicians like to learn about? What are the families’ views of what is currently being practiced? How are treatment plans being developed and implemented? Specifically, are Child and Family Teams being used effectively? What resources are available to the providers and the adolescents and their families? Finally, what would the optimal treatment system look like?
  • Talk about the substance abuse modifier code
  • Creation of Adolescent Substance Abuse Subcommittee was another change instituted as a result of the SAC grant initiative. Mission of the subcommittees is Participate in interagency meetings and workgroups
  • Transcript

    • 1. State Efforts to Enhance Treatment Systems for Adolescents with Substance Use/Co-occurring Mental Health Disorders 2009 NIATx Summit and SAAS National Conference July 30, 2009 Tucson, Arizona Nitika Singh, PhD Department of Health Services Division of Behavioral Health Services
    • 2. Substance Abuse Coordination (SAC) Grant Projects in Arizona
    • 3. Impact of SAC Grant on Adolescent Substance Abuse System of Care in Arizona
      • Three pronged:
      • Better understand the strengths and needs of adolescent substance abuse system of care in Arizona;
      • Strengthening and improving infrastructure for adolescent SA treatment;
      • Sustaining the progress made in strengthening the system.
    • 4. Better Understand Strengths and Needs of the Adolescent Substance Abuse System of Care in Arizona
      • Statewide Focus Groups
      • Financial Mapping
      • Statewide Adolescent SA Treatment Provider/Program Evaluations
    • 5. Statewide Focus Groups
      • Major themes explored were:
      • How serious is adolescent substance abuse in Arizona?
      • What EBP’s are currently being practiced?
      • How are treatment plans being developed and implemented? Specifically, are Child and Family Teams being used effectively?
      • What resources are available to the providers and the adolescents and their families ?
    • 6. Financial Mapping
      • To more fully understand what is a complex picture of multiple funding streams in order to better inform policy decision making
      • To get a better sense of areas of strength, as well as areas of duplication, inefficiency, and gaps
      • To support services that have better outcomes for children and families
        • Discrepancy b/w behavioral health and substance abuse services
        • High levels of funds utilized for out of home placements/services
    • 7. Statewide Adolescent SA Treatment Provider/Program Evaluations
      • Quality assessment criteria included Nine Key Elements of Effective Treatment for Adolescent Substance Abuse:
        • Comprehensive standardized screening and assessment
        • Comprehensive, integrated treatment approaches
        • Family involvement in treatment
        • Developmentally appropriate programming
        • Gender and cultural competency
        • Engaging and retaining teens in treatment
        • Continuing care
        • Treatment outcomes
        • Qualified staff
    • 8. Strengthening and Improving Infrastructure for Adolescent SA Treatment
      • Interagency Collaboration
      • Family Involvement at all levels of SA Treatment
      • Workforce Development
      • Lead Substance Abuse Clinical Advisor Position
      • Family and Youth Collaborator Position
      • Substance Abuse Practice Protocol- Comprehensive Assessment And Treatment For Substance Use Disorders In Children and Adolescents
    • 9. Interagency Collaboration
      • Arizona’s Children’s Executive Council (ACEC)
      • Adolescent Substance Abuse Subcommittee
        • The Adolescent Substance Abuse subcommittee will meet regularly to discuss issues pertaining to research and implementation of substance abuse services for youth and their families. The focus of this committee will be to review any initiatives, practices, and strategies that are identified to help strengthen and increase engagement and participation of these youth and their families in treatment. The committee will have cross system representation to ensure that the impacts of other system efforts are considered when services are offered to youth in behavioral health”.
      • System partners invited to all statewide trainings and conferences supported by the grant
      • Participate and collaborate on projects initiated by the system partners
    • 10. Family and Youth Involvement in all levels of SA Treatment
      • Family Involvement Center (FIC) and Mentally Ill Kids In Distress (MIKID)
      • Required element - family members/caregivers should be involved at all levels of treatment
      • Dare To Be Different” Youth Conference
      • SATISFACTION- Peoria School District Project
      • Currently youth are working protocol on youth involvement in treatment
    • 11. Workforce Development
      • Statewide Trainings in SA EBP
        • Adolescent Community Reinforcement Approach (ACRA)
        • Matrix Model for Adolescent
        • Motivational Enhancement Therapy/Cognitive Behavioral Therapy (MET/CBT)
        • Motivational Interviewing
        • White Bison Wellbriety Programs
        • Circle of Strength
        • CRAFT
        • Seven Challenges
        • Teen Intervene
      • SA Screener CRAFFT
    • 12. Substance Abuse Practice Protocol- Comprehensive Assessment And Treatment For Substance Use Disorders In Children and Adolescents
      • Protocol has the following nine elements that must be incorporated into all adolescent substance abuse treatment programs :
        • Comprehensive Screening and Assessment Process
        • Integrated Treatment Approach
        • Family Involvement in Treatment
        • Developmentally Appropriate Programming
        • Gender and Cultural Competence
        • Engagement and Retention of Adolescents in Treatment
        • Treatment Outcomes
        • Aftercare plans
    • 13. Substance Abuse Practice Protocol- Comprehensive Assessment And Treatment For Substance Use Disorders In Children and Adolescents
      • Providers will be required to implement the identified Service Expectations as clearly identified in this document
    • 14. Sustaining the Progress made
      • SAPT Funding Earmarked for Adolescent Substance Abuse Treatment
      • Lead Substance Abuse Clinical Advisor Position
      • Family and Youth Collaborator position
      • Ongoing SA Treatment Program Evaluations by RBHA’s
      • Substance Abuse Practice Protocol- Comprehensive Assessment And Treatment For Substance Use Disorders In Children and Adolescents
    • 15. Contact Information Nitika Singh (602) 364 - 4383 [email_address]

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