Access to Substance Use Disorder Services in Genesee County

1. Access to Substance Use Disorder Services in Genesee County Kristie R. Schmiege, MPH, CCS, CADC, CPC-M Director of Substance Abuse Services Genesee County Community Mental Health May 18, 2011

2. Transformation: IARC is Closing • Currently and for the last 40 years, the Intake Assessment and Referral Center (IARC) has been the substance abuse screening and referral center in Genesee County • IARC’s Board of Directors decided to dissolve the organization effective June 30th, 2011 • Effective July 1, GCCMH will assume this screening and referral function through integration into our Access Center

3. Genesee County CMH Access Center Will Become Integrated • GCCMH has been operating an Access Center for adults and children with developmental disabilities, adults with serious mental illness and children with serious emotional disturbance for years • Estimates are that at least 50% of individuals seeking services have co-occurring mental and substance use disorders

4. Single Phone Number • There will be a Single Number for Mental Health and Substance Abuse Access • The number for screening and referral for Mental Health and Substance Abuse Services will be: (810)257-3740 • This is also our after hours crisis services number • IARC’s number, (810) 235-9555, will ring in the GCCMH Access Center after 7/1/11, for a while • Those that choose to be seen face-to-face can walk-in and continue be screened in person

5. Additional Safety Net Information: CIRT GCCMH developed and funds: • Crisis Intervention Recovery Team (CIRT) • Mobile, face-to-face team to assist in diffusing mental health, substance abuse and/or family crises and in accessing medically necessary services and supports • Community providers, agencies & safety net partners can call CIRT 24/7 at (810) 496-4935.This number is for use by community agencies only. Please: this contact info should not be given to individuals seeking service. They can call (810)257-3740 - 24/7.

6. Direct Access to Substance UseOutpatient Services • Individuals seeking outpatient services will call to register in our system, then go straight to the provider of their choice • Individuals seeking residential and sub-acute detoxification services will be screened by Access staff on the phone • Individuals seeking medication assisted treatment – Methadone & our Block Grant Suboxone Pilot – will be screened in person

8. Available Addiction Services • There are many licensed providers of substance use disorder services in Genesee County • They provide an array of services including: • Sub-acute detoxification • Residential • Recovery housing • Intensive outpatient/Day-treatment • Outpatient • Methadone maintenance For adults and adolescents, for women who are pregnant or have minor children with them

9. Publicly Funded Providers • Above the Waterhouse - Recovery Housing • BioMedical Behavioral Healthcare - Methadone • Catholic Charities - Outpatient, drug court • Flint Odyssey House - Resid. including women’s, OP • Hope Network-Insight - Outpatient @ Jail, New Paths & Salvation Army, adolescent day treatment and OP • Kairos Healthcare – Adolescent residential • New Paths - Recovery Housing • Oakland Psychological - Outpatient • Sacred Heart -Resid. including women’s, OP, methadone • Turning Point - Residential • Woodward Counseling – Outpatient, recovery housing

10. Additional Provider Information • Many above listed providers also accept private insurance along with having contracts with GCCMH for public funds e.g. Medicaid & federal block grant • There are many other licensed, non-publicly funded substance abuse agencies and individual clinicians that accept insurance or private payments, e.g. Auburn Counseling, hospital system clinics • Have insured patients contact their benefits manager of their employer’s human resource department or employee assistance program • GCCMH Access Center will also verify insurance

11. Additional Service Information: Sobering Facility • The “Sober House” at New Paths, Inc., 765 E. Hamilton, Ave., Flint, (810) 233-5340 X-149 • 23 hour monitored service is a safe drug and alcohol-free place to sober up or come down from alcohol or drugs with peer support • Individuals can be taken there by family, police, etc. or transported by New Paths staff from hospital EDs, although ED clearance is no longer a required part of admission criteria

12. Other Specialty Addiction Services • Addictionologists - ASAM certified physicians • Physicians certified to prescribe Buprenorphine buprenorphine.samhsa.gov -> locater www.suboxone.com www.pcssmentor.org - The SAMHSA-funded Physician Clinical Support System • Pain Management specialists • Some addiction providers have experienced staff – e-mail me for a list – kschmiege@gencmh.org

13. Prevention Services • Services that reduce the risk of individuals developing problems that could require entry into the treatment system • Parenting Classes, Anger Management/Conflict Resolution Classes, Life Skills Classes, Family Programs • Services for all age groups can be conducted throughout Genesee County • Current providers: Catholic Charities and Hope Network/Connexion

14. Your Important Role,Use the C’s • Communicate with your patients if alcohol, Rx or other drug misuse or dependence is suspected. Try not to personalize, cut off, etc. • Use “Carefrontation” and refer as needed • Coordinate Care with other professionals – contact them as needed, ask patients how counseling or support group meetings are going, get progress reports, etc.

15. Together We Can Affect Change Contact me as needed: Kristie Schmiege (810) 496-5541 kschmiege@gencmh.org Thank you!