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ADSAC

ADSAC. Standardized treatment options for license reinstatement February 2012. ADSAC. Commonly reported causes of automobile accidents. ADSAC. ADSAC. ADSAC. ADSAC. ADSAC. Ray Caesar LPC, LADC Director of Addiction Specialty Programs

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ADSAC

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  1. ADSAC Standardized treatment options for license reinstatement February 2012

  2. ADSAC Commonly reported causes of automobile accidents

  3. ADSAC

  4. ADSAC

  5. ADSAC

  6. ADSAC

  7. ADSAC • Ray Caesar LPC, LADC • Director of Addiction Specialty Programs • Oklahoma Department of Mental Health and Substance Abuse Services • P.O. Box 53277 • Oklahoma City, OK 73152-3277 • rcaesar@odmhsas.org • 405-522-3870 • 405-522-4470 fax

  8. ADSAC CONTACT INFORMATION • Ray Caesar 405-522-3870 • rcaesar@odmhsas.org • Patty Patterson 405-522-8537 • ppatterson@odmhsas.org • John Bureman 405-522-8024 • jbureman@odmhsas.org • Linda Clark 405-522-5837 • lclark@odmhsas.org

  9. COSTS • Alcohol and other drug abuse is the number one public health problem in Oklahoma and the nation. • The economic cost is estimated at approximately $7 billion a year for Oklahoma and $414 billion nationally.

  10. COSTS • Cost of impaired driving for Oklahoma • $1.4 billion in crash related costs • $.6 billion in direct monetary costs • $.8 billion in quality of life costs • The average cost to the injured person in an alcohol related crash is $90,000.00

  11. COSTS

  12. ADSAC TITLE 450 Chapter 21 Certification of Alcohol and Drug Substance Abuse Courses (ADSAC), Organizations And Facilitators Effective July I, 2009

  13. ADSACNew Facilitator Training Course Costs Twenty-four hour course $360.00 Ten hour course $150.00 Course costs equal fifteen dollars an hour

  14. ADSAC ADSAC courses are considered “covered entities” and therefore protected by 42 CFR Part 2 Participant records must be kept in a specific manner

  15. ADSAC 203 Certified ADSAC Facilitators 60 Certified ADSAC Course Organizations with 90 satellites 2012

  16. HISTORY • The Oklahoma DUI School system was comprised of independently certified agencies. Each agency was responsible for curricula development. • ODMHSAS approved the curriculum verifying all areas required by statute were present.

  17. HISTORY • Many schools were appropriate and well run with competent, professional staff • A few schools were run in a less than professional manner. • A small number or inappropriate schools created a negative public perception

  18. ADSAC Each DUI school created a curriculum for that school. There were no standards for use of video. Most DUI schools were lecture only.

  19. SOLUTION • Utilize evidence based, best practices. Most current, science based information. Highest quality exercises. Highest quality materials. Transtheoretical Model of Change. Require Participant interaction.

  20. TRANSTHEORETICAL MODELOF CHANGE STAGES OF CHANGE Precontemplation Contemplation Preparation Action Maintenance/Termination

  21. SOLUTION • Through the provision of multiple interventions separate offenders by relative severity of problem. • 10 hour ADSAC • 24 hour ADSAC

  22. ADSAC • Alcohol & Drug, Substance Abuse Course 10 hour ADSAC Three sessions, held on three separate days, with no session lasting over three and one-half hours

  23. ADSAC • 10 hour ADSAC Table of Contents Introduction Laws and Consequences Alcohol/Other Drugs and Effects Use, Abuse and Addiction Looking Ahead

  24. ADSAC • Alcohol & Drug, Substance Abuse Course 24 hour ADSAC Twelve sessions, held two nights per week for six weeks, with each session two hours in length.

  25. ADSAC • 24 hour ADSAC Table of Contents Introduction Laws and Consequences Alcohol/Other Drugs and Effects Use, Abuse and Addiction Substance Use and the Family Self-Evaluation Strategies for Positive Change Looking Ahead

  26. SOLUTION • Instructor Facilitator Counselor Therapist

  27. ADSAC November 1, 1985 10 hour DUI school Testing suspensions July 1, 1991 10 hour DUI school All alcohol related suspensions May 26, 1993 10 hour DUI school Drug convictions September 1, 1993 Assessment required November 1, 1996 24 hour DUI school July 1, 2003 Assessment driven – Evidence based July 1, 2008 Recommendations in code November 1, 2008 Change in assessment fee collection

  28. ADSAC ADSAC is an acronym for ALCOHOL AND DRUG, SUBSTANCE ABUSE COURSE This phrase is found in Title 47 Motor Vehicle Code and originally referred to the entire process of assessment, education and treatment. Authority for the ADSAC process comes from Titles 43A Mental Health Law 47 Motor Vehicle Code 22 Criminal Code

  29. ADSAC THEORY & APPLICATION

  30. ADSAC Question: Who is a candidate for the ADSAC process?

  31. ADSAC Answer: Almost everyone.

  32. ADSAC Access to ADSAC services may be required of almost the entire population of Oklahoma * Only a very small percentage of the population will not be possible candidates for ADSAC services. Those who never drink or use mood altering drugs and who never associate with those who do. *

  33. ADSAC 25% to 40% of 30% of the population the population consume 90% of never drink the alcohol ======================= * * * * ======================= Of this group only 30% or (10% of the total population) are physically dependent National Institute of Health

  34. ADSAC ADSAC PROHIBITION Excessive drinking rather than alcoholism creates the majority of alcohol related problems. The prevalence of alcohol dependence among excessive drinkers in New Mexico, Alcoholism: Clinical & Experimental Research, Jan. 2007

  35. ADSAC Institute of Medicine Intervention Spectrum

  36. ADSAC How does ADSAC become a requirement?

  37. ADSAC • Alcohol or other drug related driving offenses (license revoked on arrest) • DUI • DUI D • DWI • APC • Drug offenses (license revoked on conviction) • Possession • Transportation • Distribution • Paraphernalia

  38. ADSAC

  39. ADSAC Intervention Categories & Recommendations from the Assessment

  40. ADSAC American Society of Addiction Medicine Patient Placement Criteria Second Edition - Revised

  41. ADSAC Intervention Category I 0 – 39 Low Risk Intervention Category II 0 – 39 Low Risk (Second offense) Intervention Cat III 40 – 69 Moderate Risk Intervention Category IIIB Override from (IV or V) Intervention Category IV 70 – 89 Problem Intervention Category V 90 – 100 Severe

  42. ADSAC Intervention Cat I 10 hour & VIP Intervention Cat II 24 hour & VIP (Second offense) Intervention Cat III 6 wks grp & 24 hr & VIP Intervention Cat IIIB 12 wk grp & 12 wk MSG Intervention Cat IV Intensive Outpatient Intervention Cat V Residential Treatment

  43. ADSAC Multiple interventions allow the separation of offenders by identified severity of problem

  44. ADSAC Intervention Category I 10 hour & VIP

  45. ADSAC Intervention Category II 24 hour & VIP (Second offense)

  46. ADSAC Intervention Category III 6 weeks of group & 24 hr & VIP

  47. ADSAC Intervention Category IIIB 12 weeks of group & 12 weeks Mutual Support Group

  48. ADSAC Intervention Category IV Intensive Outpatient

  49. ADSAC Intervention Category V Residential Treatment

  50. ADSAC The ADSAC Course

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