Guilford System Of Excellence.Ppt.Revised

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Information about Guilford System Of Excellence.Ppt.Revised

Published on December 5, 2007

Author: chosenfast

Source: slideshare.net

Description

by Paul Nagy

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

How We Got Here: A Perfect Storm of Opportunity Community awareness and concern Commitment by policymakers Guilford LME vision Academic and community partnerships

Community awareness and concern

Commitment by policymakers

Guilford LME vision

Academic and community partnerships

The Need Addiction is hurting the entire community Few people who need treatment are accessing services Professional interventions have limited effectiveness Recovery = restoring the addicted person to wholeness (community)

Addiction is hurting the entire community

Few people who need treatment are accessing services

Professional interventions have limited effectiveness

Recovery = restoring the addicted person to wholeness (community)

Guilford County Substance Abuse System of Excellence (G-SASE) Our Mission: Plan, develop and implement an integrated, system-wide healing response to addressing substance use disorders based on science based perspectives and best practices.

Our Mission:

Plan, develop and implement an integrated, system-wide healing response to addressing substance use disorders based on science based perspectives and best practices.

“ Ideals are like stars… You choose them as your guides, and following them you will reach your destiny.” Carl Schorz, 1859

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

Guilford County Substance Abuse System of Excellence (G-SASE) Objectives Design a prevention, intervention and treatment system consistent with science based perspectives Focus on serving treatment needy vs. only the treatment ready Involve the entire community Ensure efficient and coordinated use of resources Reduce reliance on limited professional services Promote strategies to enhance effectiveness of existing service providers

Objectives

Design a prevention, intervention and treatment system consistent with science based perspectives

Focus on serving treatment needy vs. only the treatment ready

Involve the entire community

Ensure efficient and coordinated use of resources

Reduce reliance on limited professional services

Promote strategies to enhance effectiveness of existing service providers

Guilford Substance Abuse System of Excellence Based on Best Practices Guiding Principles Recognize addiction as a malignant disease vs. moral weakness Adhere to a “no wrong door” and “treatment on demand” standard (SAMHSA Change Plan, 1998) Apply a research based readiness to change model Ensure coordinated, integrated service delivery Use available evidence based practices Evaluate what works Make changes based on what we learn

Guiding Principles

Recognize addiction as a malignant disease vs. moral weakness

Adhere to a “no wrong door” and “treatment on demand” standard (SAMHSA Change Plan, 1998)

Apply a research based readiness to change model

Ensure coordinated, integrated service delivery

Use available evidence based practices

Evaluate what works

Make changes based on what we learn

Best Practices for the Treatment of Addiction Comprehensive assessment strengths, needs, abilities and preferences Person centered recovery model Promote “health literacy” Holistic, disease management approaches Staged and adaptive services Involve family and community

Comprehensive assessment

strengths, needs, abilities and preferences

Person centered recovery model

Promote “health literacy”

Holistic, disease management approaches

Staged and adaptive services

Involve family and community

Proposed Guilford System Change Old Model Serves only treatment ready Missed opportunities for early intervention Episode of care/symptom reduction Acute care vs. disease management Fragmented system of care Providers trying to be all things to all people Limited use of available science informed practices Medication assisted therapies Evidence based practices Lack of outcome based accountability

Old Model

Serves only treatment ready

Missed opportunities for early intervention

Episode of care/symptom reduction

Acute care vs. disease management

Fragmented system of care

Providers trying to be all things to all people

Limited use of available science informed practices

Medication assisted therapies

Evidence based practices

Lack of outcome based accountability

Proposed Guilford System New Model Serve the treatment needy as well treatment ready Universal screening Early identification, intervention and engagement Community advocates Trained first responders Application of chronic disease management approach Services are adaptive to need, readiness and choice Long term care models Integrated system of care Families Community partners Providers use best practices and evidence based treatments Outcome driven Performance based contracting

New Model

Serve the treatment needy as well treatment ready

Universal screening

Early identification, intervention and engagement

Community advocates

Trained first responders

Application of chronic disease management approach

Services are adaptive to need, readiness and choice

Long term care models

Integrated system of care

Families

Community partners

Providers use best practices and evidence based treatments

Outcome driven

Performance based contracting

 

 

 

 

 

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

Rationale Majority of people (80%) needing services do not seek them There are many potential helpers in the community who encounter these suffering individuals and their families First responders and other community partners can be an important part of the solution (or an unintended part of the problem) If better informed and resourced, community healers can make a bigger difference

Majority of people (80%) needing services do not seek them

There are many potential helpers in the community who encounter these suffering individuals and their families

First responders and other community partners can be an important part of the solution (or an unintended part of the problem)

If better informed and resourced, community healers can make a bigger difference

Who are Academy Members? Community members who encounter those in need Committed to being an active agent of change Supported by their organizations

Community members who encounter those in need

Committed to being an active agent of change

Supported by their organizations

Scope of Participation: 12 – 15 members initially Attend 15 hour training session (Five 3 hour sessions over 1 week period) Develop personal/organization change plan Participate in monthly 1.5 hour team meetings Support Share experiences Ongoing training Technical Assistance Consultation Resource orientation

12 – 15 members initially

Attend 15 hour training session (Five 3 hour sessions over 1 week period)

Develop personal/organization change plan

Participate in monthly 1.5 hour team meetings

Support

Share experiences

Ongoing training

Technical Assistance

Consultation

Resource orientation

Goals Become knowledgeable regarding science based perspectives, best practices, and resources Serve as “in house” resources Target opportunities to reduce stigma Advocate for consumer needs Assist with intervention and referrals Work collaboratively with existing community resources Assist with evaluation and development of the system of excellence

Become knowledgeable regarding science based perspectives, best practices, and resources

Serve as “in house” resources

Target opportunities to reduce stigma

Advocate for consumer needs

Assist with intervention and referrals

Work collaboratively with existing community resources

Assist with evaluation and development of the system of excellence

Guilford County Substance Abuse System of Excellence (G-SASE) Expected Outcomes Raise community awareness Reduce stigma Mobilize the community Earlier identification, intervention and engagement Increase service penetration rates Improve quality of services Enhance outcomes Reduce impact of the problem Demonstrate effectiveness Disseminate findings

Expected Outcomes

Raise community awareness

Reduce stigma

Mobilize the community

Earlier identification, intervention and engagement

Increase service penetration rates

Improve quality of services

Enhance outcomes

Reduce impact of the problem

Demonstrate effectiveness

Disseminate findings

Implementation Plan March,2007 Stakeholder leadership input and “buy in” April, 2007 Finalize implementation plan May, 2007 Community roll out meeting and application distribution June, 2007 Applications due by June 15 Review applications and make selection 12-15 applicants invited to participate July – September, 2007 Project development and 1:1 meetings with team members October, 2007 Training of team members November, 2007 – June,2008 Monthly meetings and ongoing training

March,2007

Stakeholder leadership input and “buy in”

April, 2007

Finalize implementation plan

May, 2007

Community roll out meeting and application distribution

June, 2007

Applications due by June 15

Review applications and make selection

12-15 applicants invited to participate

July – September, 2007

Project development and 1:1 meetings with team members

October, 2007

Training of team members

November, 2007 – June,2008

Monthly meetings and ongoing training

Inaugural Class of Academy Participants District court judge Sickle Cell Association Street outreach workers Congregational Nursing Public Health Maternal group home director Narcotics unit supervisor Hospital case manager Salvation Army Pretrial Service Public Library DSS AIDS Alliance Merchants Association

District court judge

Sickle Cell Association

Street outreach workers

Congregational Nursing

Public Health

Maternal group home director

Narcotics unit supervisor

Hospital case manager

Salvation Army

Pretrial Service

Public Library

DSS

AIDS Alliance

Merchants Association

Training Curriculum Day I (3 hours) Review project goals Overview of the problem Science based perspectives Day II (3 hours) Orientation to principles of recovery Testimonials to recovery Day III (3 hours) Review of treatment best practices Day IV (3 hours) Introduction to motivational interviewing Drug court session (optional) Day V (3 hours) Team development and project planning session

Day I (3 hours)

Review project goals

Overview of the problem

Science based perspectives

Day II (3 hours)

Orientation to principles of recovery

Testimonials to recovery

Day III (3 hours)

Review of treatment best practices

Day IV (3 hours)

Introduction to motivational interviewing

Drug court session (optional)

Day V (3 hours)

Team development and project planning session

Proposed Projects Individual: Hospital based alcohol and drug screening and intervention service Children of Addiction program Recovery literature display at library Internet bog Inservice trainings Group: Daycare vouchers Bus stop near treatment center Recovery shuttle service

Individual:

Hospital based alcohol and drug screening and intervention service

Children of Addiction program

Recovery literature display at library

Internet bog

Inservice trainings

Group:

Daycare vouchers

Bus stop near treatment center

Recovery shuttle service

Continuation Plan Modify model per evaluation and feedback Recruit new Academy members and repeat orientation training (in 1 year) Continue monthly meetings with new and ongoing members Offer periodic update trainings for all Academy members Continue evaluation Disseminate findings

Modify model per evaluation and feedback

Recruit new Academy members and repeat orientation training (in 1 year)

Continue monthly meetings with new and ongoing members

Offer periodic update trainings for all Academy members

Continue evaluation

Disseminate findings

“ 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

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