Alcohol and Drug Abuse Administration (ADAA) Overview

1. Alcohol and Drug Abuse Administration (ADAA) Overview September 23, 2009 Thomas P. Cargiulo, PharmD, BCCP Director

2. Treatment Services • Levels of Care • Ambulatory Treatment • Level 0.5 Early Intervention • Level I Outpatient • Level II.1 Intensive Outpatient • Residential Treatment • Level III.1 Halfway House • Level III.3 Long Term Residential • Level III.5 Long Term Residential – Therapeutic Community • Level III.7 Medically Monitored Short Term Residential

3. State Tobacco and Drug Prevention and Treatment Funding The (Almost) Big Picture* ADAA: Alcohol and Drug Abuse Administration DPSCS: Department of Public Safety and Correctional Services DHMH: Department of Health and Mental Hygiene GOCCP: Governor’s Office of Crime Control and Prevention DHR: Department of Human Resources MDOT: Maryland Department of Transportation DJS: Department of Juvenile Services MSDE: Maryland State Department of Education * Taken from presentation by Dr. Simon Powell, Principal Analyst, Maryland General Assembly

4. Funding Sources for Substance Abuse Prevention and Treatment

5. FY 2009 Prevention and Treatment Services Allocation

6. Funding by Jurisdiction

7. Treatment Effectiveness • Alcohol and Drug dependent people who participate in drug treatment • Decrease substance use • Decrease criminal activity • Increase employment • Improve their social and intrapersonal functioning • Improve their physical health • Drug use and criminal activity ⇓⇓ for virtually all who enter treatment results the longer they stay in treatment.

8. ADAA-Funded Adult Level I Outpatient Treatment Outcomes FY 2004 - FY 2009

11. Expand Access to Substance Abuse Services Goal 1:Expand Buprenorphine Treatment Access GOAL STRATEGIES MEASURES OUTCOMES • Support online and face to face buprenorphine trainings for every interested physician in the State • Enhance buprenorphine services in every jurisdiction in the State Increase # of physicians trained Expand Buprenorphine Treatment Access Increase number of patients served to 2000 # of jurisdictions provided technical assistance/ training

12. Expand Access to Substance Abuse Services Goal 2:Redirect Payment for Outpatient Care from State-funded Grants to Medicaid Payments GOAL STRATEGIES MEASURES OUTCOMES # of addiction treatment providers capable of providing reimbursable services • Improve addiction treatment providers’ capacity to bill Medicaid for outpatient treatment services • Transfer funds from jurisdictional grants to Medicaid to fund substance abuse treatment benefit through MA and Primary Adult Care programs Redirect payment for outpatient care from State-funded grants to Medicaid payments Increase number of individuals receiving treatment services by 5000 by 2012 # of enrollees served in MA per fiscal year

13. Expand Access to Substance Abuse Services Goal 3:Develop Recovery Oriented System of Care Model in Maryland GOAL STRATEGIES MEASURES OUTCOMES • Create ROSC Workgroup to coordinate implementation • Pilot recovery support model in one jurisdiction • Expand to all jurisdictions as funding allows 2000 Patients In Continuing Care Develop Recovery Oriented System of Care Model in Maryland Number of jurisdictions with recovery support services

14. Expand Access to Substance Abuse ServicesGoal 4: Re-Engineer Existing System of Care GOAL STRATEGIES MEASURES OUTCOMES • Change requirements to increase slot capacity for Level I adult treatment • Decrease length of stay in high cost residential services; add low level residential and outpatient services • ADAA Stat Increase number of patients admitted to treatment in FY 10 to 1100 above baseline Increase 4400 patients above baseline in FY 2011 Re-Engineer Existing System of Care

15. ALCOHOL AND DRUG ABUSE ADMINISTRATION (ADAA) www.maryland-adaa.org 55 Wade Avenue Catonsville, MD 21228 410-402-8600