California Department of Alcohol & Drug Programs

1. California Department of Alcohol & Drug Programs Improving the Quality, and Effectiveness of Addiction Treatment Through Re-Engineering Our System of Services ADP/CADPAAC Quarterly Meeting Hilton Hotel Sacramento, California January 27, 2010 State of California Department of Alcohol and Drug Programs

2. Background • COSSR Phase I – Core principles and conceptual framework • COSSR Phase II – Application of System Improvement Model and Implementation Plan • COSSR Phase III – Mobilization and Capacity State of California Department of Alcohol and Drug Programs

3. Continuum of Services • Pv-Tx Bridge • SBIRT • SAP/EAP (Pv screening) • Post Tx Assessment return non-DSM IV to indicated Pv SUSTAINABLE INTERVENTION EVIDENCE BASED • Prevention Ops • Co. SPF Pv Plans • IOM risk levels • 6 strategies & services • 250 Co Pv providers • Pv Core competencies • EBP • SAPT 20% • Local creations INTEGRATED SERVICE COORDINATION CULTURALLY COMPETENT State of California Department of Alcohol and Drug Programs P:COSSR/COSSR/Graphics/COSSR/bridge 2009-09-24-CADPAAC

4. Continuum of Services • Treatment Ops • Tx modalities/substances • Tx – counselor certification • OARA – UCLA pilots • Performance mgt • Follow-on plans • NIATx SUSTAINABLE INTERVENTION EVIDENCE BASED INTEGRATED • Tx-Rec Bridge • Recovery plan • Affirmative handoff • Possible recycle to Tx • Periodic calls from Tx SERVICE COORDINATION CULTURALLY COMPETENT State of California Department of Alcohol and Drug Programs P:COSSR/COSSR/Graphics/COSSR/bridge 2009-09-24-CADPAAC

5. Continuum of Services SUSTAINABLE INTERVENTION EVIDENCE BASED INTEGRATED • Rec-Pv Bridge • Community/environ conditions • Wellness • Issues of ATOD Rx marketing, sale, distribution • Drug free workplace – business, civic • Law and code enforcement • Recovery Ops • Recovery plans • Relapse prevention • Support affiliations • Community health • Transitional living • Outreach non-Tx • program in • recovery SERVICE COORDINATION CULTURALLY COMPETENT State of California Department of Alcohol and Drug Programs P:COSSR/COSSR/Graphics/COSSR/bridge 2009-09-24-CADPAAC

6. AOD Services Re-Engineering Design • Gaps & Needs Prevention • Principles Plan • Recommendations • Logic Model • Goals, Objectives, Outcomes Treatment Mobilize • Who, What, When, Where & How • Communication Plan • Assess Readiness • Establish Relationships • Pilots & Demonstrations • TA & Training Implement • Revise Policies & Procedures • Institute Changes • Monitor & Refine Recovery State of California Department of Alcohol and Drug Programs

7. COSSR Core Team • Re-organized recommendations and objectives to: • Identify high-level goals • Develop guiding principles applicable to COSSR goals • Create a plan that reflects the system of services we are creating • Incorporated DUI and problem gambling as objectives under prevention, treatment, and recovery • Identify status of recommendations and objectives • Identify all necessary tasks and objectives to prioritize and track progress • Allow for incorporation of additional actions and new information State of California Department of Alcohol and Drug Programs

8. EnCAL Contract with UCLA • Evaluation Services to Enhance the Data Management System in California (EnCAL) • Evaluating CalOMS-Tx with respect to treatment outcomes and service improvement, performance measurement, and to identify data supportive and descriptive of a continuum of care • Increase capacity of stakeholders to apply data in treatment service quality improvement State of California Department of Alcohol and Drug Programs

9. Goal 1 • Establish performance management infrastructure to identify and support effective programs within ADP’s system of care • Relevant County Pilot Projects: • Sonoma • Orange • Lassen • Los Angeles State of California Department of Alcohol and Drug Programs

10. Goal 2 • Develop and implement a secure and stable information technology infrastructure. • Activities at the local level that inform accomplishing this goal include CalOMS-Tx data evaluation. • Nine pilot counties are involved in CalOMS-Tx evaluation/audit activities • UCLA performing evaluation of CalOMS-Tx for application to COSSR State of California Department of Alcohol and Drug Programs

11. Goal 3 • Continue development of specialized substance use disorder (SUD) counselors, clinicians and administrators for employment in the State of California. • No relevant county pilot projects State of California Department of Alcohol and Drug Programs

12. Goal 4 • Develop, implement and revise as necessary treatment standards that are based on effective programs. • The work of the pilot counties, as well as other tasks/activities will inform development of treatment standards and ongoing revisions and additions State of California Department of Alcohol and Drug Programs

13. Goal 5 • Assist counties to implement the strategic prevention framework process for local planning and prevention operations: • Effective July 1, 2007 counties entered SPF-based prevention plans into CalOMS Pv, showing problem statements, goals and objectives • On-going TA through the Community Prevention Initiative (CPI)   • Each county has an assigned ADP Pv analyst to consult with on CalOMS Pv data relationship with - Pv plan, TA, NNA Pv budgeted strategies, final cost reports   • Currently there are not any pilot projects focused on primary prevention State of California Department of Alcohol and Drug Programs

14. Goal 6 • Strengthen the capacity and ability of counties and local communities to reverse the harmful effects of substance use and problem gambling by developing and implementing effective treatment strategies. • Relevant pilot counties: • Riverside • Marin • Alameda • Ventura • Fresno • Solano • San Mateo State of California Department of Alcohol and Drug Programs

15. Goal 7 • Develop and implement a recovery support services system as part of the continuum of services. • Relevant pilot counties: • Mariposa • San Bernardino • Ventura • Santa Clara • San Mateo State of California Department of Alcohol and Drug Programs

16. Contact Information THANK YOU!!! Materials Available at: www.adp.ca.gov/COSSR/index.shtml Department of Alcohol and Drug Programs 1700 K Street Sacramento, CA 95814 800-879-2772 www.adp.ca.gov State of California Department of Alcohol and Drug Programs