2. Cherry Hill:
At the vanguard of coordinated care.
Cherry Hill grew out of the needs of the community and was revolutionary
in its integration of multiple models of treatment to address physical,
mental, and substance use disorder concerns.

3. History: How these new innovative services came to our community:
Tobacco Master Settlement Hearings in 2000
Substance Abuse & Crime Prevention Act (Prop 36) July 2001
Passage of Measure A in early 2004
Detoxification Advisory Board (DAB) convened in summer of 2004
Investigation and Recommendation for services were made to the
DAB spring 2005
Detoxification Services begin on the Fairmont Campus in early 2008

4. Cherry Hill offers intoxicated consumers a safe, healthy, and less-costly
alternative in which to withdrawal, as opposed to jails, emergency
rooms, or the streets of our communities. Cherry Hill engages
consumers in empathic, hopeful relationships that facilitate
comprehensive treatment options designed through a stage-matched
lens.
Our non-judgmental approach embraces diverse perspectives and
leverages a proactive coordination with area resources into a short-
stay sanctuary from which consumers can begin the conversations
that describe their long-term treatment goals.

5. In addition to SUD-specific trainings and seminars,
our staff undergoes regular and escalating training,
including:
EMT Training
Suicide Prevention and Counseling
De-Escalation Training
Insyst and CalOMS data capture

6. With our expanding data entry
efforts, we are proactively
aligning to the 2014 healthcare
mandates; additionally, the
growing use of electronic data
collection and sharing allows
for the development of more
timely, targeted, and systematic
treatment plans.

7. Cherry Hill currently coordinates
with John George Psychiatric
Hospital, the Highland Hospital ER,
AMR / 911 Emergency
Responders, ACCESS Mental
Health, the Police of Oakland,
Hayward, CHP, Bart, Fremont, and
San Leandro, the Alameda Co.
Sheriff’s Office, and area CBOs
and SUDs treatment and housing
programs of all scope and practice.

8. Cherry Hill Health Center:
designed to decrease emergency services calls and provide immediate
client care for non-emergency presentations; the Health Center has
seen 2079 consumers to date.
– There have been no instances of morbidity or mortality at Cherry
Hill.
– To date we have performed 186 TB tests.
– Health Center consumers are most often seen for:
- Wounds and Wound Care / Abrasions / Contusions
- Type 1 / Type 2 Diabetes / Blood Sugar Check
- Alcohol Withdrawal Symptoms / Seizures / Tremors /
Disorientation / Sweats
- High Blood Pressure / Uncontrolled due to diet and lack of
medication

9. The Nurse Coordinators also provide medication
monitoring, vital-sign checks, medical triage and
referral, and monitoring of pre-existing conditions,
such as:
Pancreatitis
Neuropathy
COPD
Liver Disease
Heart Disease secondary to ETOH.
How
about
some
nice
soup?

10. Telephone Screening and Assessment
1-866-866-7496
Client Arrival and Welcoming
Client Intake/Admission,
Orientation Process
Case Management and Discharge Planning
Client Referral and/or
Client Placement Transport
Client Discharge Follow Through and
Follow Up on Referral

11. Client Enters Sobering Station
Client is asked: ‘”Do you need to see a nurse?”
Staff assesses client’s need for assessment by nurse Client is given Request for Health Assessment form
Staff will complete Request for Health Assessment form
Client is assessed by nurse.
Treatment is provided
Client is referred to outside medical services.
Client is discharged.
Follow-up
needed?Follow-up
needed?
Y
Y
N
N N
Y

12. 0
1000
2000
3000
2/08 -
2/09
2/09 -
2/10
2/10 -
2/11
2/11 -
2/12
Projected Detox Consumer Count
Detox consumer totals to date are 7342

13. Sobering consumer totals to date are 9385.
5100
5150
5200
5250
5300
5350
5400
5450
5500
5550
8/9 - 8/10
8/10 - 8/11
Projected Sobering Consumer Totals

14. Cherry Hill Client Success Stories:
Cherry Hill client who presented with several major medical
concerns.
Cherry Hill client who presented with SMI and multiple
mental health concerns.

15. Alcoholism – effects on Health
• Liver Disease
• Heart Disease
• Communicable Disease
– Tuberculosis, Skin and Soft Tissue Infections
• Trauma
• Nervous System
• Psychiatric Disease
• Withdrawal

16. Cherry Hill Training
• Hypertension
• Asthma
• Diabetes
• Wound Care
• Skin and Soft Tissue Infections
• Tuberculosis
• Obtaining Vitals
• Triage
• Alcohol Withdrawal

17. Effects on local Hospitals
CASE- ACMC
• Volume at Alameda County Medical Center
– Decreased 52% for diagnosis off alcohol intoxication
• Length of Stay
– Decreased by 4 hours on average
• Referral System
– Clients can be referred to sobering and detox from ACMC
– Clients at Cherry Hill receive medical clearance and acute treatment from
local facilities

18. Medical Oversight
• On call coverage
– 24 hours a day, 7 days a week
• Training of staff
• Consultation with nursing staff
• Medical Protocols for triage
• Comprehensive approach
– Reduced morbidity and mortality