RecoveryNet

1. ACCESS TO RECOVERY III Maryland RecoveryNet 

2. What is ATR Access to Recovery (ATR) is a �high-priority� federal initiative that provides vouchers to individuals to purchase services and supports linked to their recovery from substance use disorders. ATR is a SAMHSA system transformation grant designed to build recovery support networks within communities. ATR emphasizes the expansion of capacity within systems of care. ATR projects involve clients in directing their own care and give them choices among appropriate providers.

3. ATR Impact on Outcomes According to GPRA results outcome data are promising. At six months post admission to ATR services, 80% were abstinent from substance use, 46% were stably housed, 51% were employed, 87% were connected to support networks, and 96% reported no involvement with the criminal justice system.

4. ATR III in Maryland Four year Access to Recovery (ATR) grant, Maryland RecoveryNet � awarded by to the Maryland Alcohol and Drug Abuse Administration for approximately $3.2 million per year.

5. Numbers to be Served

6. Targeted Population(s) In Maryland in FY 2009 8,000 individuals were diagnosed with substance use disorders severe enough to warrant treatment in publicly funded residential programs Average of cost of $37,704 per residential treatment episode. The percentage that follows through with outpatient treatment is under 26% A revolving door recovery is often the result.

7. Eligibility The RecoveryNet target population is adults (18 years or older) with a diagnosed substance use disorder who are enrolled in residential addiction treatment (ASAM Level III.7, Level III.5, or Level III.3) in a publicly funded bed. Eligible population includes inmates in Department of Public Safety and Correctional Services Residential Substance Abuse Treatment programs, and returning Iraqi or Afghanistan veterans who are enrolled in Department of Veterans Affairs residential addiction treatment programs.

8. Criteria Resident of Maryland and planning to reside in Maryland after discharge from the residential program. Current ASI or TAP bio-psycho-social assessment Documented need for RecoveryNet services Request for RecoveryNet services Income at or below 200% of the Federal Poverty Agree to conditions of RecoveryNet initiative If participating in the Residential Substance Abuse Program, must be scheduled for release from the facility into the community within 60 days of discharge from the treatment program. Agree to work with a Care Coordinator as a RecoveryNet vouchered service Agree to enroll in another level of treatment or in Continuing Care with a Level I Outpatient program Eligibility

9. Portal Programs: ATR Gateway

10. RecoveryNet: Maryland�s Provider Network

11. Maryland�s ATR Process

12. Provider Services

13. ATR Regional Break-out

14. ADAA-Funded Residential Treatment

15. Projected Eligible Participants by Region

16.

17. Manage Regional Resources Develop/Disseminate Reports Maintain regular contact with Jurisdictional Tx Coordinators Recruit Providers Assist Providers with Application Process Provide Technical Assistance to Providers Conduct Provider Site Visits Adjust/Issue Vouchers as requested by Care Coordinator Notify Care Coordinators of pending GPRA (Dx/Follow-up) Coordinate/Deliver Technical Assistance to Care Coordinators Monitor Waste, Fraud and Abuse Submit required reports to State Project Director Regional ATR Coordinator

18. Regional Coordinator Relationship Chart

19. Determine Eligibility and Assess Needs Notify/Communicate with Regional Coordinator Assist Patient with ATR Application Administer Admission GPRA* Assist Patient with Service/Provider Selection Assist Patient with Recovery Planning Generate/Issue Vouchers Contact Care Coordinator Facilitate Patient Care Coordinator Introduction Residential Treatment Program Counselors

20. Care Coordination Coordinate/facilitate delivery of RecoveryNet Services Assist with Recovery Planning  Access resources outside of ATR scope that meet client needs Administer Discharge and follow-up GPRA Communicate with outpatient Tx Referral and access to more intensive level of care if needed. Administer Client Satisfaction Survey

21. ATR Participant Completes ATR Intake with Residential Counselor Identifies ATR services needed Chooses providers Provides collateral contact information Agrees to work with Care Coordinator Agrees to complete Admission, Discharge and Six-month Follow-up GPRA� s Agree to attend OP/Continuing Care

22. Service Definitions: Clinical

23. Service Definitions: Recovery Support

24. ATR Service Rate Table

25. ATR Service �Dose� Table

26. Voucher Management System

27. Who pays for this? It starts as a grant-funded treatment episode Discharge planning/referral is already required and paid for as part of the treatment episode. Training for Residential Counselors (Portal Programs) on the Voucher Management System and GPRA Administration paid for through the ATR Grant Technical Assistance and Help Desk activities are also ATR grant funded. We all contribute, time, effort and patience.

28. What�s in for me? One stop shopping for referral resources Increased capacity for those entering the Treatment System Partnering with Care Coordinators who work to enhance recovery begun in the Treatment episode We all become architects in building Recovery Oriented Communities Better Outcomes! ! For Programs, Counselors, and Recovering Individuals

29. For More Information Maryland�s RecoveryNet; www.dhmh.state.md.us/adaa/ATR Project Director- Debbie Green � 410.402.8592 dgreen@dhmh.state.md.us Access to Recovery at SAMHSA; www.atr.samhsa.gov Questions??????