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State Efforts to Enhance Treatment Systems for Adolescents with Substance UseCooccurring Mental Heal

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Better understand the strengths and needs of adolescent substance abuse system ... of areas of strength, as well as areas of duplication, inefficiency, and gaps ... – PowerPoint PPT presentation

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Title: State Efforts to Enhance Treatment Systems for Adolescents with Substance UseCooccurring Mental Heal


1
State Efforts to Enhance Treatment Systems for
Adolescents with Substance Use/Co-occurring
Mental Health Disorders
  • 2009 NIATx Summit
  • and
  • SAAS National Conference
  • July 30, 2009
  • Tucson, Arizona
  • Nitika Singh, PhD
  • Department of Health Services
  • Division of Behavioral Health Services

2
Substance Abuse Coordination (SAC) Grant Projects
in Arizona
3
Impact of SAC Grant on Adolescent Substance Abuse
System of Care in Arizona
  • Three pronged
  • Better understand the strengths and needs of
    adolescent substance abuse system of care in
    Arizona
  • Strengthening and improving infrastructure for
    adolescent SA treatment
  • Sustaining the progress made in strengthening the
    system.

4
Better Understand Strengths and Needs of the
Adolescent Substance Abuse System of Care in
Arizona
  • Statewide Focus Groups
  • Financial Mapping
  • Statewide Adolescent SA Treatment
    Provider/Program Evaluations

5
Statewide Focus Groups
  • Major themes explored were
  • How serious is adolescent substance abuse in
    Arizona?
  • What EBPs are currently being practiced?
  • How are treatment plans being developed and
    implemented? Specifically, are Child and Family
    Teams being used effectively?
  • What resources are available to the providers and
    the adolescents and their families?

6
Financial Mapping
  • To more fully understand what is a complex
    picture of multiple funding streams in order to
    better inform policy decision making
  • To get a better sense of areas of strength, as
    well as areas of duplication, inefficiency, and
    gaps
  • To support services that have better outcomes for
    children and families
  • Discrepancy b/w behavioral health and substance
    abuse services
  • High levels of funds utilized for out of home
    placements/services

7
Statewide Adolescent SA Treatment
Provider/Program Evaluations
  • Quality assessment criteria included Nine
    Key Elements of Effective Treatment for
    Adolescent Substance Abuse
  • Comprehensive standardized screening and
    assessment
  • Comprehensive, integrated treatment approaches
  • Family involvement in treatment
  • Developmentally appropriate programming
  • Gender and cultural competency
  • Engaging and retaining teens in treatment
  • Continuing care
  • Treatment outcomes
  • Qualified staff

8
Strengthening and Improving Infrastructure for
Adolescent SA Treatment
  • Interagency Collaboration
  • Family Involvement at all levels of SA Treatment
  • Workforce Development
  • Lead Substance Abuse Clinical Advisor Position
  • Family and Youth Collaborator Position
  • Substance Abuse Practice Protocol- Comprehensive
    Assessment And Treatment For Substance Use
    Disorders In Children and Adolescents

9
Interagency Collaboration
  • Arizonas Childrens Executive Council (ACEC)
  • Adolescent Substance Abuse Subcommittee
  • The Adolescent Substance Abuse subcommittee will
    meet regularly to discuss issues pertaining to
    research and implementation of substance abuse
    services for youth and their families. The focus
    of this committee will be to review any
    initiatives, practices, and strategies that are
    identified to help strengthen and increase
    engagement and participation of these youth and
    their families in treatment. The committee will
    have cross system representation to ensure that
    the impacts of other system efforts are
    considered when services are offered to youth in
    behavioral health.
  • System partners invited to all statewide
    trainings and conferences supported by the grant
  • Participate and collaborate on projects initiated
    by the system partners

10
Family and Youth Involvement in all levels of SA
Treatment
  • Family Involvement Center (FIC) and Mentally Ill
    Kids In Distress (MIKID)
  • Required element - family members/caregivers
    should be involved at all levels of treatment
  • Dare To Be Different Youth Conference
  • SATISFACTION- Peoria School District Project
  • Currently youth are working protocol on youth
    involvement in treatment

11
Workforce Development
  • Statewide Trainings in SA EBP
  • Adolescent Community Reinforcement Approach
    (ACRA)
  • Matrix Model for Adolescent
  • Motivational Enhancement Therapy/Cognitive
    Behavioral Therapy (MET/CBT)
  • Motivational Interviewing
  • White Bison Wellbriety Programs
  • Circle of Strength
  • CRAFT
  • Seven Challenges
  • Teen Intervene
  • SA Screener CRAFFT

12
Substance Abuse Practice Protocol- Comprehensive
Assessment And Treatment For Substance Use
Disorders In Children and Adolescents
  • Protocol has the following nine elements that
    must be incorporated into all adolescent
    substance abuse treatment programs
  • Comprehensive Screening and Assessment Process
  • Integrated Treatment Approach
  • Family Involvement in Treatment
  • Developmentally Appropriate Programming
  • Gender and Cultural Competence
  • Engagement and Retention of Adolescents in
    Treatment
  • Treatment Outcomes
  • Aftercare plans

13
Substance Abuse Practice Protocol- Comprehensive
Assessment And Treatment For Substance Use
Disorders In Children and Adolescents
  • Providers will be required to implement the
    identified Service Expectations as clearly
    identified in this document

14
Sustaining the Progress made
  • SAPT Funding Earmarked for Adolescent Substance
    Abuse Treatment
  • Lead Substance Abuse Clinical Advisor Position
  • Family and Youth Collaborator position
  • Ongoing SA Treatment Program Evaluations by
    RBHAs
  • Substance Abuse Practice Protocol- Comprehensive
    Assessment And Treatment For Substance Use
    Disorders In Children and Adolescents

15
Contact Information
  • Nitika Singh
  • (602) 364 - 4383
  • singhn_at_azdhs.gov
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