Guilford System Of Excellence.Ppt.Revised


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Guilford System Of Excellence.Ppt.Revised

  1. 1. Guilford County Substance Abuse System of Excellence A Collaboration Of The Guilford Community The Guilford Center The North Carolina Evidence Based Practices Center The Greensboro Area Health Education Center Duke University
  2. 2. How We Got Here: A Perfect Storm of Opportunity <ul><li>Community awareness and concern </li></ul><ul><li>Commitment by policymakers </li></ul><ul><li>Guilford LME vision </li></ul><ul><li>Academic and community partnerships </li></ul>
  3. 3. The Need <ul><li>Addiction is hurting the entire community </li></ul><ul><li>Few people who need treatment are accessing services </li></ul><ul><li>Professional interventions have limited effectiveness </li></ul><ul><li>Recovery = restoring the addicted person to wholeness (community) </li></ul>
  4. 4. Guilford County Substance Abuse System of Excellence (G-SASE) <ul><li>Our Mission: </li></ul><ul><li>Plan, develop and implement an integrated, system-wide healing response to addressing substance use disorders based on science based perspectives and best practices. </li></ul>
  5. 5. “ Ideals are like stars… You choose them as your guides, and following them you will reach your destiny.” Carl Schorz, 1859
  6. 6. Guilford County Substance Abuse System of Excellence Community Partners The Guilford Center N.C. Evidence Based Practices Center Greensboro Area Health Education Center Duke University
  7. 7. Guilford County Substance Abuse System of Excellence (G-SASE) <ul><li>Objectives </li></ul><ul><ul><li>Design a prevention, intervention and treatment system consistent with science based perspectives </li></ul></ul><ul><ul><li>Focus on serving treatment needy vs. only the treatment ready </li></ul></ul><ul><ul><li>Involve the entire community </li></ul></ul><ul><ul><li>Ensure efficient and coordinated use of resources </li></ul></ul><ul><ul><li>Reduce reliance on limited professional services </li></ul></ul><ul><ul><li>Promote strategies to enhance effectiveness of existing service providers </li></ul></ul>
  8. 8. Guilford Substance Abuse System of Excellence Based on Best Practices <ul><li>Guiding Principles </li></ul><ul><li>Recognize addiction as a malignant disease vs. moral weakness </li></ul><ul><li>Adhere to a “no wrong door” and “treatment on demand” standard (SAMHSA Change Plan, 1998) </li></ul><ul><li>Apply a research based readiness to change model </li></ul><ul><li>Ensure coordinated, integrated service delivery </li></ul><ul><li>Use available evidence based practices </li></ul><ul><li>Evaluate what works </li></ul><ul><li>Make changes based on what we learn </li></ul>
  9. 9. Best Practices for the Treatment of Addiction <ul><li>Comprehensive assessment </li></ul><ul><ul><li>strengths, needs, abilities and preferences </li></ul></ul><ul><li>Person centered recovery model </li></ul><ul><li>Promote “health literacy” </li></ul><ul><li>Holistic, disease management approaches </li></ul><ul><li>Staged and adaptive services </li></ul><ul><li>Involve family and community </li></ul>
  10. 10. Proposed Guilford System Change <ul><li>Old Model </li></ul><ul><li>Serves only treatment ready </li></ul><ul><ul><li>Missed opportunities for early intervention </li></ul></ul><ul><li>Episode of care/symptom reduction </li></ul><ul><ul><li>Acute care vs. disease management </li></ul></ul><ul><li>Fragmented system of care </li></ul><ul><ul><li>Providers trying to be all things to all people </li></ul></ul><ul><li>Limited use of available science informed practices </li></ul><ul><ul><li>Medication assisted therapies </li></ul></ul><ul><ul><li>Evidence based practices </li></ul></ul><ul><li>Lack of outcome based accountability </li></ul>
  11. 11. Proposed Guilford System <ul><li>New Model </li></ul><ul><li>Serve the treatment needy as well treatment ready </li></ul><ul><ul><li>Universal screening </li></ul></ul><ul><ul><li>Early identification, intervention and engagement </li></ul></ul><ul><ul><li>Community advocates </li></ul></ul><ul><ul><li>Trained first responders </li></ul></ul><ul><li>Application of chronic disease management approach </li></ul><ul><ul><li>Services are adaptive to need, readiness and choice </li></ul></ul><ul><ul><li>Long term care models </li></ul></ul><ul><li>Integrated system of care </li></ul><ul><ul><li>Families </li></ul></ul><ul><ul><li>Community partners </li></ul></ul><ul><li>Providers use best practices and evidence based treatments </li></ul><ul><li>Outcome driven </li></ul><ul><ul><li>Performance based contracting </li></ul></ul>
  12. 17. A Cornerstone of The Guilford Substance Abuse System of Excellence The Guilford Academy for Substance Abuse Recovery Sponsored by the Duke Endowment Through the North Carolina Evidence Based Practices Center in partnership with The Greensboro Area Health Education Center
  13. 18. Rationale <ul><li>Majority of people (80%) needing services do not seek them </li></ul><ul><li>There are many potential helpers in the community who encounter these suffering individuals and their families </li></ul><ul><li>First responders and other community partners can be an important part of the solution (or an unintended part of the problem) </li></ul><ul><li>If better informed and resourced, community healers can make a bigger difference </li></ul>
  14. 19. Who are Academy Members? <ul><li>Community members who encounter those in need </li></ul><ul><li>Committed to being an active agent of change </li></ul><ul><li>Supported by their organizations </li></ul>
  15. 20. Scope of Participation: <ul><ul><li>12 – 15 members initially </li></ul></ul><ul><ul><li>Attend 15 hour training session (Five 3 hour sessions over 1 week period) </li></ul></ul><ul><ul><li>Develop personal/organization change plan </li></ul></ul><ul><ul><li>Participate in monthly 1.5 hour team meetings </li></ul></ul><ul><ul><ul><li>Support </li></ul></ul></ul><ul><ul><ul><li>Share experiences </li></ul></ul></ul><ul><ul><ul><li>Ongoing training </li></ul></ul></ul><ul><ul><ul><li>Technical Assistance </li></ul></ul></ul><ul><ul><ul><li>Consultation </li></ul></ul></ul><ul><ul><ul><li>Resource orientation </li></ul></ul></ul>
  16. 21. Goals <ul><ul><li>Become knowledgeable regarding science based perspectives, best practices, and resources </li></ul></ul><ul><ul><li>Serve as “in house” resources </li></ul></ul><ul><ul><li>Target opportunities to reduce stigma </li></ul></ul><ul><ul><li>Advocate for consumer needs </li></ul></ul><ul><ul><li>Assist with intervention and referrals </li></ul></ul><ul><ul><li>Work collaboratively with existing community resources </li></ul></ul><ul><ul><li>Assist with evaluation and development of the system of excellence </li></ul></ul>
  17. 22. Guilford County Substance Abuse System of Excellence (G-SASE) <ul><li>Expected Outcomes </li></ul><ul><ul><li>Raise community awareness </li></ul></ul><ul><ul><li>Reduce stigma </li></ul></ul><ul><ul><li>Mobilize the community </li></ul></ul><ul><ul><li>Earlier identification, intervention and engagement </li></ul></ul><ul><ul><li>Increase service penetration rates </li></ul></ul><ul><ul><li>Improve quality of services </li></ul></ul><ul><ul><li>Enhance outcomes </li></ul></ul><ul><ul><li>Reduce impact of the problem </li></ul></ul><ul><ul><li>Demonstrate effectiveness </li></ul></ul><ul><ul><li>Disseminate findings </li></ul></ul>
  18. 23. Implementation Plan <ul><li> March,2007 </li></ul><ul><ul><li>Stakeholder leadership input and “buy in” </li></ul></ul><ul><ul><li>April, 2007 </li></ul></ul><ul><ul><li>Finalize implementation plan </li></ul></ul><ul><ul><li>May, 2007 </li></ul></ul><ul><ul><li>Community roll out meeting and application distribution </li></ul></ul><ul><ul><li>June, 2007 </li></ul></ul><ul><ul><li>Applications due by June 15 </li></ul></ul><ul><ul><li>Review applications and make selection </li></ul></ul><ul><ul><li>12-15 applicants invited to participate </li></ul></ul><ul><ul><li>July – September, 2007 </li></ul></ul><ul><ul><li>Project development and 1:1 meetings with team members </li></ul></ul><ul><ul><li>October, 2007 </li></ul></ul><ul><ul><li>Training of team members </li></ul></ul><ul><ul><li>November, 2007 – June,2008 </li></ul></ul><ul><ul><li>Monthly meetings and ongoing training </li></ul></ul>
  19. 24. Inaugural Class of Academy Participants <ul><li>District court judge </li></ul><ul><li>Sickle Cell Association </li></ul><ul><li>Street outreach workers </li></ul><ul><li>Congregational Nursing </li></ul><ul><li>Public Health </li></ul><ul><li>Maternal group home director </li></ul><ul><li>Narcotics unit supervisor </li></ul><ul><li>Hospital case manager </li></ul><ul><li>Salvation Army </li></ul><ul><li>Pretrial Service </li></ul><ul><li>Public Library </li></ul><ul><li>DSS </li></ul><ul><li>AIDS Alliance </li></ul><ul><li>Merchants Association </li></ul>
  20. 25. Training Curriculum <ul><li>Day I (3 hours) </li></ul><ul><ul><li>Review project goals </li></ul></ul><ul><ul><li>Overview of the problem </li></ul></ul><ul><ul><li>Science based perspectives </li></ul></ul><ul><ul><li>Day II (3 hours) </li></ul></ul><ul><ul><li>Orientation to principles of recovery </li></ul></ul><ul><ul><li>Testimonials to recovery </li></ul></ul><ul><ul><li>Day III (3 hours) </li></ul></ul><ul><ul><li>Review of treatment best practices </li></ul></ul><ul><ul><li>Day IV (3 hours) </li></ul></ul><ul><ul><li>Introduction to motivational interviewing </li></ul></ul><ul><ul><li>Drug court session (optional) </li></ul></ul><ul><ul><li>Day V (3 hours) </li></ul></ul><ul><ul><li>Team development and project planning session </li></ul></ul>
  21. 26. Proposed Projects <ul><li>Individual: </li></ul><ul><li>Hospital based alcohol and drug screening and intervention service </li></ul><ul><li>Children of Addiction program </li></ul><ul><li>Recovery literature display at library </li></ul><ul><li>Internet bog </li></ul><ul><li>Inservice trainings </li></ul><ul><li>Group: </li></ul><ul><li>Daycare vouchers </li></ul><ul><li>Bus stop near treatment center </li></ul><ul><li>Recovery shuttle service </li></ul>
  22. 27. Continuation Plan <ul><li>Modify model per evaluation and feedback </li></ul><ul><li>Recruit new Academy members and repeat orientation training (in 1 year) </li></ul><ul><li>Continue monthly meetings with new and ongoing members </li></ul><ul><li>Offer periodic update trainings for all Academy members </li></ul><ul><li>Continue evaluation </li></ul><ul><li>Disseminate findings </li></ul>
  23. 28. “ The world is not in need of a new religion, nor is the world in need of a new philosophy: What the world needs is healing and regeneration. The world needs people who are so filled with spirit that they can be instruments through which healings can take place, because healing is important to everybody.” - Joel S. Goldsmith, The Art of Spiritual Healing