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The Business Case for Incorporating Peer Advocacy Services in an Outpatient Program

This article explores the benefits and effectiveness of incorporating certified peer advocates into outpatient treatment programs. It discusses the impact on retention, fiscal viability, and the outcomes achieved by several grant-funded programs at Odyssey House Inc.

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The Business Case for Incorporating Peer Advocacy Services in an Outpatient Program

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  1. The Business Case for Incorporating Peer Advocacy Services in an Outpatient Program Sherrifa Bailey, L.M. S.W Adolescent and TAY Supervisor, Odyssey House Inc. Mary Callahan, L.C.S.W-R Senior Manager, Director of Outpatient Services, Odyssey House Inc.

  2. House Keeping • Introductions • Bathroom Locations • Cell Phones • Questions??

  3. Points to Consider • Does it makes sense for an 822 program to integrate Certified Peer Advocates into their Treatment Program? • Does it assist with retention? • Is it fiscally viable?

  4. Overview of Odyssey House Grant Funded Programs using Recovery Coaching • OH ROCS • NY SAINT • BYRN • BIP SOARS • BRSS 2015/2016

  5. OH ROCS • Population Served:Individuals in early recovery recently completing residential substance abuse treatment • Numbers Served:330 individuals in early recovery over the three years of the grant (2010-2013) • Primary Project Objectives: • To implement a peer based mentoring program structured using the CCAR Recovery Coaching Model and Recovery Plan; • To implement Contingency Management to support the delivery of recovery-oriented services • To improve the quality and intensity of community based recovery for the individuals served • To achieve outcomes of abstinence, to reduce recidivism, increase retention, maintain employment/education and housing • To achieve improved self-esteem and quality of life

  6. Table 1: Treatment retention and completion for OHROCS participants vs. non- participants enrolled at the Odyssey House Outpatient Program • Includes clients that have been discharged, clients still in treatment are included • ** Comparison Group includes all adult BOP clients that did not enroll in the OH ROCS program

  7. Table 2: Select GPRA Outcomes for OHROCS participants at 6 month follow up (N=144)

  8. Table 3: Change in Self-Esteem and Quality of Life for OHROCS participants at 6-month follow up.

  9. NY SAINT Program • Population Served:Adolescents 12-18 years old who are at risk for abusing drugs and/or alcohol • Numbers Served: 95 Adolescents over 27 months • Primary Project Objectives: • To implement the Evidence Based Practice of Seven Challenges • To implement Recovery Coaching Model and Wellness Planning • To implement contingency management to support delivery of recovery oriented services and family participation • To improve the quality of community based recovery for the adolescent population • To achieve the outcome of healthy decision making and enhancing positive choices in the realm of education, employment, and other quality of life decisions

  10. NY SAINT Program

  11. NY- SAINT Outcomes Year to Date

  12. New York Community Trust Bronx Youth Recovery Network • Population Served:Young adults 18-27 years old, who are abusing drugs and/or alcohol • Numbers Served: 82 young adults over 1 year • Primary Project Objectives: • To create a learning collaborative where young adults work with counselors and recovery coaches to identify why they are abusing drugs and/or alcohol and to implement healthy decision making practices • To implement contingency management to support the youth’s engagement with recovery oriented community services • To achieve the outcome of eliminating or reducing drug use, and enhancing positive lifestyle changes in the realm of education, employment and quality of life decisions • To provide prevention education in the community to the at risk adolescent population

  13. NYCT BYRN

  14. Analysis of BYRN Data • Data Analyzed using URICA (University of Rhode Island Change Assessment) Scale

  15. Bringing Recovery Support to Scale (BRSS 2014-2015) • Population Served: Individuals interested in being in and entering early recovery • Numbers Served:approximately 120 individuals over 12 months • Primary Project Objectives: • To guide the OH ROCS peer council in researching evidence based or other recovery models to build engagement and peer support • To provide for travel to other recovery communities to aid in the understanding of various recovery tools • To provide funding for activities that enhance recovery

  16. Bringing Recovery Support to Scale (BRSS 2015-2016) • Certified Peer Advocate partnered with a Certified Peer Specialist • Tasked with educating OMH and OASAS licensed programs throughout NYS regarding the benefits of Peers in promoting and sustaining community based recovery • Utilizing a power point presentation to educate Senior Management and line staff about Peer Support services

  17. Serving Older Adults Recovery System (SOARS) • Population Served:Individuals 50 years old and over in early recovery and/or engaged in substance abuse treatment • Target Number of Clients:90 adults 50 or older over 14 months (Current enrollment =85) • Primary Project Objectives: • To deliver 6 months of intensive case management in the participants’ homes and communities • Connect or enhance participants’ access to community based long term support services (LTSS) • To provide 6 months of coordinated peer delivered recovery coaching in the community • To strengthen the continuum of care

  18. Analysis of BIP SOARS Data(N= 85)

  19. Where Are We Now?

  20. HARP Substance Use Eligibility Criteria • 1 inpatient rehab stay with SUD as primary diagnosis in the past year • 2 + detox admissions within the past year • 2 + inpatient hospital admissions with primary SUD diagnosis or SUD DRG and secondary SUD diagnosis in the past year • 2+ ER visit with primary SUD diagnosis or SUD related secondary substance use diagnosis in the past year

  21. Peer Services Side by Side

  22. More Things to Consider • Integration of Certified Peer Advocates and/or Recovery Coaches into the multi-disciplinary team • Is it “Different” to supervise a Peer versus a Clinical staff person? • Should Peers do toxicology testing on a Mentee? • Considerations in developing systems to assure best practice in matching Peers with Mentees • What does a Certified Peer Advocate job description look like?

  23. Q. E. D quod erat demonstrandum

  24. Odyssey House, Inc. Outpatient Services 953 Southern Blvd. Suite 301 Bronx, NY 10459 Phone: 718-860-2994 www. odysseyhouseinc.org http://odysseyhouse.blogspot.com/2014/08/in-news-recovery-services-for-older.html HCBS Billing Manual http://www.nyaprs.org/e-news-bulletins/2015/007016.cfm Contact for becoming a Certified Peer Advocate www.asapnys.org

  25. Contact Information Sherrifa Bailey sbailey2@odysseyhouseinc.org Mary Callahan mcallahan@odysseyhouseinc.org

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