COURT BASED ADDICTION AND DRUG SERVICES PROGRAM Ripley County - - PowerPoint PPT Presentation
COURT BASED ADDICTION AND DRUG SERVICES PROGRAM Ripley County Courts and Margaret Mary Health What i is CADS? Court Addiction and Drug Consists of 4 Phases Services Program Primary providers are one Typical program length is Licensed
Ripley County Courts and Margaret Mary Health
Court Addiction and Drug Services Program Consists of 4 Phases Typical program length is between 6-8 months Primary providers are one Licensed Independent Social Worker and one Peer Recovery Coach
Notable Partnerships: Choices Emergency Response Team, Court Services Team
Motivational Interviewing
additional drug screens
services
Notable Partnerships: Choices Emergency Response Team, Court Services Team, Primary Care and Psychiatry
LCSW
consultation
Notable Partnerships: P2P, Peer Support Specialists and sponsors, Court Services Team
begins to “wean out” of program
screens and home visits
as Peer2Peer
employment interview training, resume training, stipends for work equipment, uniforms, and help with childcare coordination
affordable nutrition options (food desert), overall health and wellness, child nutrition, and any remaining food insecurity
screens
0 overdoses, 0 deaths We have served 50 participants to date 68% of patients complete the program without a single failed Urine Drug Screen 12% of participants failed a Urine Drug Screen at some point, received wrap around or enhanced services, and completed the program successfully Total success rate = 78%
78% Hepatitis C positive (50% of those were new diagnoses) 1 new HIV+ 26% of participants are between the ages of 18-24, 48% are between the ages of 25-34, 6% are
25% of participants face some form of housing insecurity 30% face chronic food insecurity (verses 13.3% of rural households on average) Domestic Violence 100% of participants reported a first degree relative with a substance abuse disorder
The average ACE score for the group was 8/10 According to research, individuals with an ACE score of 4+ and who don’t receive treatment are… 460% more likely to suffer from depression 1,220% more likely to attempt suicide 390% more likely to contract chronic pulmonary lung disease 2x as likely to suffer from cancer Have an average of 20-year shorter life spans
has been proven to be very effective at treating various mental illnesses. CBT focuses
cognitive distortions to improve personal coping strategies.
treating substance abuse disorders with one study showing 60% of the 120 patients examined providing negative drug screens at 52 weeks
Nurturing Program Family system trauma from substance abuse and incarceration Generational trauma
ISDH Cooking Matters Nutrition education for low income parents One study found that ASI psychological and medical domain scores improved by 68% and 56% when dieticians consulted with substance abuse treatment participants
https://www.sciencedirect.com/science/article/abs/pii/S0002822304000094
Support all paths to recovery Subutex for pregnant women Vivitrol availability for all patients Expanding suboxone access via Telepsych
Peer Support is critical in maintaining treatment engagement We support all types
groups 12 step programs (NA, AA), 12 step non-spiritual programs, faith- based programs Peer Specialists in group and case management settings P2P average 25 weekly participants
Indiana Risk Assessment System (IRAS) High Risk for Mental Health and Substance Abuse Department of Child Protective Services Condition of bond, probation condition and/or community correction condition
3 Drug Screens per week Home visits and unannounced drug screens Weekly case management and services coordination
Therapeutic sanction Direct commitment sanction Violation referral to the Court(s)
who enters the program- therapists do based
charge as a result of completing
while on probation or home detention
provide services to adult participants involved with Child Protective Services
Only 1 graduate went on to receive new drug charges after successfully completing the program 88% of participants were referred for substance abuse, 12% were for alcohol –related offenses 96% attendance rate to all program phases
Billing and Medicaid Challenges Cultural transition Community support Balancing several unlikely partnerships simultaneously
Margaret Mary Health- free standing 25 bed Critical Access Hospital Ripley County Circuit and Superior Courts Ripley County Court Services Team Choices Emergency Response Team/Safety Pin The Department of Child Services Indiana WorkOne (unemployment office) The peer support community The faith community Our local and state elected officials
Nikki King, MHSA Manager of Behavioral Health and Addiction Services Margaret Mary Health Nikki.king@mmhealth.org Shannon Schmaltz, MS Director of Court Services Ripley County Courts schmaltz@ripleycounty.com Lindsey Gessendorf, LCSW Clinical Addictions Therapist Margaret Mary Health Lindsey.Gessendorf@mmhealth.org
This product was supported by the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS). The information, conclusions and opinions expressed in this product are those of the authors and no endorsement by FORHP, HRSA, or HHS is intended or should be inferred.