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Who are We ?

Who are We ?. We are: Jefferson County, Alabama, Drug Court Beacon Addiction Treatment Center Both affiliated with: Treatment Alternatives for Safer Communities (TASC) University of Alabama at Birmingham Target: Drug Court clients referred to Beacon Addiction Treatment Center.

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Who are We ?

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  1. Who are We? • We are: • Jefferson County, Alabama, Drug Court • Beacon Addiction Treatment Center • Both affiliated with: • Treatment Alternatives for Safer Communities (TASC) • University of Alabama at Birmingham • Target: Drug Court clients referred to Beacon Addiction Treatment Center

  2. Change #1 (PLAN) To decrease wait time between Orientation for treatment and Intake/Assessment

  3. CHANGE #1 (DO) We changed the process of scheduling admission appointments - • Prior to change: Counselors made appointments at their discretion • Change: “Open clinic” schedule was developed where clients are given an appointment day and time and are assigned a counselor upon arrival

  4. RESULTS (STUDY) • Baseline: Average number of days between orientation and admission = 12.4 • Post Change: Average number of days between orientation and admission = 2.0 84% decrease in time

  5. NEXT STEP (ACT) In addition to favorable results directly related to the change, we had an unintended positive side effect: • Increased client return rate by nine percentage points (from 76% to 85%), saving counselor time and increasing billing • We adopted the change.

  6. IMPACT • By decreasing time between orientation and assessment, we benefit more than $17,000 per year ($11,225 + $6,009) • As a result we have implemented the NIATx method of Plan, Do, Study, and Act in other areas.

  7. Other NIATx Change Studies NIATx Change #2 Telephone Drug Court clients day before Orientation to remind them of appointment in order to increase attendance • Increased “Show Up” rate by 23% (from 59% to 82%)

  8. NIATx Change #3 Add PAMI (Promoting Awareness of Motivational Incentives) to improve IOP treatment attendance • Increased attendance in treatment group by 4%

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