Department of State Health Services Mental Health and Substance Abuse Division

1. Department of State Health ServicesMental Health and Substance Abuse Division Specialized Female Services

2. Funded Services DSHS funds specialized services for women who are pregnant, parenting, or attempting to regain custody of their children. Intervention Services Treatment Services

3. A Word About the Data • Statistics derived from analysis of information available in BHIPS. • These figures do not represent contract performance measures; they were not calculated in the same way. • Figures are based on 2009 client data and as a result, may be incomplete figures.

4. Intervention Services • DSHS-funded Pregnant and Postpartum Intervention Programs (PPI) • 13 funded programs across the State. • Provide services to women who are not in need of formal substance abuse treatment, but who are at risk for substance abuse problems. • Women who are pregnant or whose youngest child is less that 18 months old are eligible.

5. Treatment Services • DSHS funds a complete array of substance abuse services specifically designed to meet the needs of pregnant and parenting women. • Detoxification (Ambulatory and Residential) • Outpatient • Residential (Supportive and Intensive) • Women and Children Residential (Supportive and Intensive)

6. Specialized Female Detoxification Services • Ambulatory Detoxification (5 contractors) • $132,000 billed in 2009 • 230 clients served in 2009 • Top 5 referral sources in 2009: • Self referrers (26%) • OSAR (23%) • LMHA (14%) • Other treatment providers (11%) • DFPS (5%)

7. Specialized Female Detoxification Services • Ambulatory Detoxification • 58% of clients admitted successfully completed the service in 2009. • Clients must be also admitted to another treatment service.

8. Specialized Female Detoxification Services • Residential Detoxification (6 contractors) • $654,000 billed in 2009 • 884 clients served in 2009 • Top 5 referral sources in 2009: • Self referrers (44%) • OSAR (17%) • Family or Friend (8%) • LMHA (6%) • DFPS (4%)

9. Specialized Female Detoxification Services • Residential Detoxification • 72% of clients admitted successfully completed the service in 2009. • Of those, 60% were subsequently admitted to treatment services (DSHS-funded).

10. Specialized Female Outpatient Services • $3,261,000 billed in 2009 (22 contractors) • 3973 clients served in 2009 • Top 5 referral sources in 2009: • DFPS (46%) • Probation (12%) • Self Referrers (8%) • OSAR (7%) • Residential Treatment Providers (5%)

11. Specialized Female Outpatient Services • 47% of clients admitted successfully completed the service in 2009. • Completion rates differ among referral sources: • DFPS (52%) • Probation (54%) • Self Referrers (31%) • OSAR (44%) • Residential Treatment Providers (49%)

12. Specialized Female Outpatient Services • 53% of clients served in 2009 reported abstinence at follow-up. • Abstinence rates differ among referral sources: • DFPS (51%) • Probation (53%) • Self Referrers (50%) • OSAR (49%) • Residential Treatment Providers (54%)

13. Specialized Female Residential Services • $5,832,000 billed in 2009 (18 contractors for intensive residential and 10 contractors for supportive residential) • 3028 clients served in 2009 • Top 5 referral sources in 2009: • OSAR (31%) • DFPS (29%) • Self Referrers (13%) • Detoxification Services (5%) • Probation (4%)

14. Specialized Female Residential Services • 69% of clients admitted successfully completed the service in 2009. • Completion rates differ among referral sources: • OSAR (66%) • DFPS (72%) • Self Referrers (64%) • Detoxification Services (74%) • Probation (79%)

15. Specialized Female Residential Services • 50% of clients served in 2009 reported abstinence at follow-up. • Abstinence rates differ among referral sources: • OSAR (39%) • DFPS (55%) • Self Referrers (43%) • Detoxification Services (66%) • Probation (62%)

16. Women and Children Residential Services • $7,353,000 billed in 2009 (13 contractors for intensive and 6 for supportive) • 1126 clients served in 2009 • Top 5 referral sources in 2009: • DFPS (46%) • OSAR (16%) • Self Referrers (11%) • Probation (7%) • “Other Community Agencies” (3%)

17. Women and Children Residential Services • 72% of clients admitted successfully completed the service in 2009. • Completion rates differ among referral sources: • DFPS (77%) • OSAR (73%) • Self Referrers (57%) • Probation (78%) • “Other Community Agencies” (70%)

18. Women and Children Residential Services • 55% of clients served in 2009 reported abstinence at follow-up. • Abstinence rates differ among referral sources: • DFPS (57%) • OSAR (52%) • Self Referrers (53%) • Probation (60%) • “Other Community Agencies” (50%)

19. News About Access to Recovery • ATR has been expanded to new populations within the existing ATR counties • Bexar, Burnett, Dallas, El Paso, Harris, Tarrant, Travis, Fort Bend, Lubbock, Potter, Randall, McLennan, Collin, Grayson, and Jim Well/Brook, Taylor and Harrison counties • Clients referred by DFPS are eligible • All DSHS priority populations are eligible • Pregnant Injecting Women • Pregnant Women • Injecting drug users • Parents with children in foster care • Honorably discharged veterans

20. The Future • Intervention • PPI providers and DSHS are collaborating to develop sound performance measures, clear statements of work, and useful assessment tools. • Treatment • 2011 Request for Proposals • Has entered the “non-disclosure” phase • New performance measures • Individualized statements of work for each service type • http://esbd.cpa.state.tx.us/

21. Contact Us • Natalie Furdek, M.Ed., LPC Women's Substance Abuse Services Coordinator Substance Abuse Program Unit • (512) 206-5254 • natalie.furdek@dshs.state.tx.us