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Care Coordination in the State of Maryland

Care Coordination in the State of Maryland. Care Coordination. Improve recovery outcomes for individuals identified as high risk Minimize recovery obstacles Improve efficiency Reduce re-admission rates Increase linkage to treatment and/or other supports

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Care Coordination in the State of Maryland

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  1. Care Coordination in the State of Maryland

  2. Care Coordination • Improve recovery outcomes for individuals identified as high risk • Minimize recovery obstacles • Improve efficiency • Reduce re-admission rates • Increase linkage to treatment and/or other supports • Increase length of engagement with recovery • Save money

  3. Breakdown of Services • First jurisdiction rolled out January 2012 • 23 Jurisdictions with State Care Coordination • 20 Jurisdictions with SCC & ATR • 4 Jurisdictions with ATR-only (three of which also have SCC) • Anne Arundel County • Baltimore City • Dorchester County • Prince George’s County • 70 SCC’s • 6-10 ATR-only CC’s

  4. Care Coordination State ATR Began October 2010 Fee for service model SAMHSA-funded 4 year program Over 3,700 enrollments to date National effort Standardization More Prescriptive • Began January 2012 • Grant-funded • Investment in sustainability • Tailored for local systems • Any and all coming out of residential treatment expected to be offered CC + additional populations identified • Opportunity to shape policies and protocols • Standardization

  5. State Data • 1,119 enrolled in first quarter of FY13 • 3 private agencies serving 5 jurisdictions • Enrollments range from 1 to 323

  6. ATR Data • Total Enrollment and Expenditures Target enrollments for FY13 = 2438 Veteran Enrollments: 242 Criminal Justice Enrollments: 1,396

  7. GRPA Rate FFY 11: 72.9% FFY 12: 89.4% Cumulative: 85.2% GFA Grantees Cumulative: 74.3%

  8. GPRA Data: Employment Rates • Employed at Intake: 11.9% v Employed at 6 months:36.9% • Rate of change 211.1%

  9. GPRA Data: Housed • Housed at Intake: 9.8% v Housed at 6 months: 25.8% • Rate of change: 162.7%

  10. GPRA Data: Abstinence • Abstinence at Intake: 56% v Abstinence at 6 months: 84.6% • Rate of change: 51%

  11. GPRA Data: Behavior & MH Outcomes • Injected illegal drugs rate of change: -79.1% • Had unprotected sexual contact rate of change: -25.1% • Had unprotected sexual contact with injection drug user: -25% • Had unprotected sexual contact with an individual high on some substance: -65.2% • Experienced depression: -28.1% • Experienced anxiety: -35% • Attempted suicide: -63.3% • Had trouble controlling violent behavior: -39.2%

  12. Numbers to Date • Family/ Couples Counseling • Pastoral Counseling • Employment Coaching • Vital Documents • Housing • Gap Services • Transportation • GPRA’s completed 19 71 244 463 2027 2039 2543 2084

  13. Next Steps • Breakout Sessions • How Care Coordination fits into the ROSC Model • How Care Coordination will be impacted by Health Care Reform • Regional Meetings • ADAA long-term investment in care coordination • Integration of care • Network

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