Department of Alcohol and Drug Programs

1. Department of Alcohol and Drug Programs Continuum of Services System Re-Engineering Taskforce Phase II Planning Meeting December 6, 2006 Michael Cunningham Deputy Director, Program Services Division State of California Department of Alcohol and Drug Programs

2. AOD Services Re-Engineering Prevention Treatment Recovery State of California Department of Alcohol and Drug Programs

3. Destination A comprehensive and integrated continuum of alcohol and other drug services. The services are effective, high quality, client and community centered, sustainable and culturally competent. They have the capacity and resources to facilitate holistic health and promote wellness. State of California Department of Alcohol and Drug Programs

4. AOD Services Re-Engineering Design • Gaps & Needs Prevention • Principles Plan • Recommendations • Logic Model • Goals, Objectives, Outcomes Treatment • Who, What, When, Where & How • Communication Plan Recovery State of California Department of Alcohol and Drug Programs

5. System Improvement Model Alcohol & Other Drug Risk, Abuse & Dependency * Adapted from the Chronic Care Model, Improving Chronic Illness Care Program State of California Department of Alcohol and Drug Programs

6. System Improvement Model for the Continuum of Services • AOD SYSTEM • - Service System Design • - Leadership/ • Administrative Support COMMUNITY -Resources & Policy - Community Partnerships PRINCIPLES - Client/community centered - Evidence based - Comprehensive, integrated, efficient & effective Workforce Development Prevention and Recovery Support IMPROVED OUTCOMES FOR CLIENTS AND COMMUNITIES State of California Department of Alcohol and Drug Programs

7. Overarching Goal of Continuum of Services System Re-Engineering Through the use of the System Improvement Model (SIM), develop and implement a comprehensive and integrated continuum of services (COS) system that delivers high quality and effective alcohol and other drug (AOD) services. State of California Department of Alcohol and Drug Programs

8. Desired Outcome Ensure that individuals and communities receive high quality, effective, and efficient services along a service continuum that addresses the potential risk, and the acute and chronic nature of alcohol and other drug problems. State of California Department of Alcohol and Drug Programs

9. Continuum of Services System Re-Engineering Goals • Develop a comprehensive, integrated, effective, and efficient AOD services system • Develop an organizational culture and infrastructure, including information systems that promote comprehensive, integrated, effective, and efficient AOD services • Develop and implement policies and resources that support system- wide effective outcomes • Insure linkages between AOD and other community systems and partners to promote effective outcomes for communities and individuals • Empower and prepare individuals and communities to prevent, reduce, or manage their AOD risks and recovery • Ensure that the AOD workforce is prepared to deliver effective services to support the prevention, treatment, and recovery needs of communities and individuals State of California Department of Alcohol and Drug Programs

10. Theory of Change Theory of Change Articulates the Logic at the Big Picture Level State of California Department of Alcohol and Drug Programs

11. Logic at the Big Picture Level With what people (Target Population) What Action Using what strategies In what setting or context Results in what long range outcomes State of California Department of Alcohol and Drug Programs

12. What Action Re-engineering the System from an acute to chronic condition model State of California Department of Alcohol and Drug Programs

13. With What People (Target Population) With ADP, Counties, AOD providers and Other Stakeholders, including those in recovery and family members State of California Department of Alcohol and Drug Programs

14. In What Setting or Context In incremental but meaningful ways with leadership and support for an organizational culture and infrastructure, including information systems to assist a data-driven effective and efficient service system State of California Department of Alcohol and Drug Programs

15. Using What Strategies • Developing a system of services design that is comprehensive, integrated, effective and efficient • Developing, recruiting and retaining a prepared workforce • Removing funding barriers, developing resources and establishing policies for system and between systems • Developing and maintaining a diverse set of community partnerships to ensure critical linkages State of California Department of Alcohol and Drug Programs

16. Results in What Long Range Outcomes • Empowered and prepared individuals, families and communities as active partners to prevent, reduce and manage AOD risks & recovery • Individuals and communities routinely receive high quality, effective and efficient services along a service continuum that addresses the potential risk, acute and chronic nature of alcohol and other drug problems State of California Department of Alcohol and Drug Programs

17. COSSR Phase II Subcommittees • System of Services Design • Leadership & Administrative Support • Resources and Policy • Community Partnerships • Prevention and Recovery Support • Workforce Development State of California Department of Alcohol and Drug Programs