ADVANCED BEHAVIORAL HEALTH, INC.

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ADVANCED BEHAVIORAL HEALTH, INC.

• The Hartford Youth Project
• Samuel Moy, Ph.D.
• Robyn Anderson, LPC, LADC

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ADVANCED BEHAVIORAL HEALTH, INC.

• Hartford Youth Project Using technology to
  integrate assessment and clinical data in
  treatment selection and planning

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Hartford Youth Project Background and Purpose

• A CSAT SCY site through the Department of
  Children and Families
• To strengthen community based substance abuse
  treatment for Hartford youth
• Develop a multi-agency, comprehensive system of
  care

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Hartford Youth Project Objectives

• Develop a comprehensive and coordinated network
  of services
• Reduce substance use behavior and related
  problems of youth served
• Expand implementation of evidence based treatment
  models
• Provide a continuum of treatment services
• Increase treatment capacity
• Increase family involvement
• Improve community linkages for referrals and
  support services
• Implement a management information system to
  facilitate attainment of program goals

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• Hartford Youth Project

Hartford Schools, Community Agencies, Primary
Care Clinics, and Homeless Youth
Outreach, Identification, Engagement, Referral -
Urban League of Greater Hartford
Outreach, Identification, Engagement, Referral -
Hispanic Health Council
Program Management ABH
DCF Referrals Committed Youth, Voluntary and
Behavioral Health Systems
Juvenile Justice Probation, Committed Delinquents
ADRC
The Village
NAFI
HBH
CSI
Follow-up Hispanic Health Council
Follow-up Urban League of Greater Hartford
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ABH Role in HYP

• Provide program management and oversight of the
  HYP system of care.
• Develop and support a management information
  system to successfully implement HYP.
• Facilitate collaboration and communication within
  the provider network.
• Improve assessment and treatment planning
• Support continued program analysis
• Inform change recommendations for systems of
  care
• Electronic client record
• Monitor client outcomes

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HYP MIS System Features Quick Facts

• Custom built, user friendly program
• VPN and Citrix Connection, accessed via the web
• Robust security system allows only those who
• have permission to view or enter data
• HIPAA compliant
• Access to GAIN reports
• Used as an electronic case record for assessment,
  care,
• and follow-up
• 7. Additional Data Collection instruments can be
  added
• 8. Very flexible and customizable

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Users of the MIS
HYP MIS provides multi-site access and data entry
for the following users

• Engagement Specialists
• Community Treatment Providers
• DCF HYP Program Director
• ABH HYP Program Manager
• UConn Research Team
• ABH MIS Project Staff

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CSAT Grant - Improving Adolescent Treatment
Client Specific data
Management Information System
ROI Consent Data
Provider and agency accessibility and interaction
Treatment Service Tracking Data
Reports and Extracts
GPRA Outcome Reporting data
GPRA Reports
GAIN Data - Baseline
ABS
GAIN Data Follow Up
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8 Modules
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Module 1 HYP Clients
Comprehensive Client Management System
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Module 1 HYP Clients (cont.)
Consent/Release of Information/GAIN data
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Module 1 HYP Clients (cont.)
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Module 1 HYP Clients (cont.)
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Module 1 HYP Clients (cont.)
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Using the GAIN data
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How GAIN Clinical Data is Utilized

• HYP Youth are Matched to Treatment based on the
  Clinical Profile and the data generated from
  various GAIN Scales.

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Clinical Profile Data used for Treatment Matching

• Severity of Alcohol and Drug Usage
• Environmental Risk Factors
• Psychiatric History
• Sex Offenders History
• Responses to General Victimization Scale
• General Conflict Tactic Index Score
• Recency of Mental Distress
• Internal Mental Distress

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Evidenced based Treatment Models Utilized

• MST
• MDFT
• MET/CBT
• Family Support Network

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Lessons learned

• Technology can be a major resource for systems of
  care
• Consistent, reliable data collection is a
  critical need
• Electronic case records can be implemented in a
  multi-agency structure that facilitates
  assessment, treatment planning, outcomes,
  communication, and coordination of care
• Treatment and outcomes for youth and families and
  stakeholder involvement should drive technology
  (not vice versa)

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Future developments

• Expansion of electronic case record and/or GAIN
  assessment in new projects including
• Multi-site adolescent substance abuse programs
• Multi-site juvenile justice and behavioral care
  management and coordination programs