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Department of Behavioral Health ICH Youth Committee Adolescent/TAY Substance Use Disorder Treatment Services January 24, 2019 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health Adolescent Substance Abuse


  1. Department of Behavioral Health ICH Youth Committee Adolescent/TAY Substance Use Disorder Treatment Services January 24, 2019 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health

  2. Adolescent Substance Abuse Treatment Expansion Program (ASTEP) One Agency. One Mission. One Voice. 2 District of Columbia Department of Behavioral Health

  3. ASTEP Providers • Latin American Youth Center • Plant the Seed Youth Treatment (LAYC) Services 1419 Columbia Road, NW 5212 Astor Place SE Washington, DC 20009 Washington, DC 20019 (202) 319-2225 (202) 621-8340 Ages 12-20 Ages 12-20 • Federal City Recovery Services • Hillcrest Children and Family 601 Raleigh Pl. SE Center Washington, DC 20032 – 3029 Martin Luther King Jr Ave SE (202) 735-5579 Washington, DC 20032 Ages 12-20 – 1244 Taylor St. NW Washington, DC 20011 • MBI (202) 779-8565 4130 Hunt Place, NE Ages 12-20 Washington, DC 20019 202-388-4300 Ext. 305 Ages 12-20 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health

  4. Adolescent Substance Abuse Treatment Expansion Program (ASTEP)  Adolescent Substance Abuse Treatment Expansion Program (ASTEP)  Adolescents can access services from any ASTEP network provider  Anyone can refer an adolescent for treatment services  ASTEP offers help for Adolescents with Co- occurring Mental Health and Substance Use Disorders One Agency. One Mission. One Voice. 4 District of Columbia Department of Behavioral Health

  5. One Agency. One Mission. One Voice. 5 District of Columbia Department of Behavioral Health

  6. Core Treatment Services  Assessment/Diagnostic and Treatment Planning  Initial, Comprehensive, Ongoing, Brief Assessments  Clinical Care Coordination  Case Management ◦ HIV Case Management  Crisis Intervention  Substance Use Disorder Counseling ◦ Group/ Psych-ED, Individual, Family  Drug Screening ◦ Toxicology ◦ Urinalysis One Agency. One Mission. One Voice. 6 District of Columbia Department of Behavioral Health

  7. Specialty Treatment Services  Medication Management  Medication Assisted Treatment (Methadone, Buprenorphine, Naltrexone)  Adolescent Community Reinforcement Approach (ACRA)  Motivational Enhanced Therapy / Cognitive Behavioral Therapy (MET/CBT) One Agency. One Mission. One Voice. 7 District of Columbia Department of Behavioral Health

  8. What is ACRA? The Adolescent Community Reinforcement Approach (ACRA) is a behavioral health approach for youth and young adults with substance use/co-occurring disorders. ACRA promotes increasing the family, social and educational/vocational reinforcers to support recovery. ACRA teaches communication skills, and problem-solving skills to cope with day-to-day stressors and encourages active participation in positive social and recreational activities. The goal of ACRA is to improve life satisfaction, to promote abstinence from and/or increase harm reduction knowledge on drugs and alcohol. ACRA supports the District Adolescent Substance Treatment Expansion Program (ASTEP) by integrating a sustainable evidence-based substance use and co-occurring practice into youth treatment. One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health

  9. ACRA How Does ACRA Work? – Treatment is composed of approximately 10 individual sessions with the adolescent, 2 individualized sessions with the caregiver, and 2 sessions with the adolescent and caregiver together. One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health

  10. ACRA Who can Enroll? Why Choose ACRA? Adolescents, ages 12-18 and • PROMOTE(S) POSITIVE PEER transitional aged youth RELATIONSHIPS (TA)/young adults (YA) 18-24 • PROMOTE(S) IMPROVED with a substance use and/or RELATIONSHIPS co-occurring disorder. • DECREAS(S) THE USE OF ALCOHOL AND DRUGS District Providers engage • HELP(S) YOUTH ENROLL IN youth in the following places: SCHOOL • HELP(S) YOUTH ESTABLISH • Outpatient Center GOALS • Home • Other Community setting One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health

  11. ACRA Provider Locations • Latin American Youth Center (LAYC) • Community Connections 1419 Columbia Road, NW 801 Pennsylvania Ave SE Washington, DC 20009 Washington, DC 20003 (202) 319-2225 (202) 683-1079 Ages 21-24 Ages 12-20 • Federal City Recovery Services • Hillcrest Children and Family 601 Raleigh Pl. SE Center Washington, DC 20032 3029 Martin Luther King Jr Ave SE (202) 735-5579 Washington, DC 20032 Ages 12-20 (202) 779-8565 Ages 12-20 and 21-24 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health

  12. SUD Grants One Agency. One Mission. One Voice. 12 District of Columbia Department of Behavioral Health

  13. State Youth Treatment (SYT) Partnering with sites to develop and sustain a evidence based treatment intervention for adolescents, transitional aged youth and their respective families. The goal of SYT is to enhance and improve access to, and quality of treatment for adolescents and transitional aged youth with substance disorders and co-occurring disorders. SYT utilizes the Adolescent Community Reinforcement Approach (ACRA) which is an evidence-based practice in conjunction with core treatment services. ACRA incorporates the Cannabis Youth Treatment Series (CYT) which uses Cognitive Behavioral Therapy and Motivational Enhancement Therapy as clinical platforms. One Agency. One Mission. One Voice. 13 District of Columbia Department of Behavioral Health

  14. District of Columbia’s Changing and Improving Treatment for our Youth (DC- CITY) The purpose of this program is to enhance and expand comprehensive treatment, early intervention, and recovery support services for adolescents (ages 12-18), transitional aged youth (ages 16-25), and their families/primary caregivers with substance use disorders (SUD) and/or co-occurring substance use and mental disorders. One Agency. One Mission. One Voice. 14 District of Columbia Department of Behavioral Health

  15. Recovery Services (RSS) One Agency. One Mission. One Voice. 15 District of Columbia Department of Behavioral Health

  16. Recovery Services Recovery Support Services are non- clinical services that assist individuals and families working toward and maintaining recovery from substance use disorders or co-occurring disorders One Agency. One Mission. One Voice. 16 District of Columbia Department of Behavioral Health

  17. Recovery Services The following services are offered through our recovery support services providers throughout the District of Columbia: Recovery Evaluation Education Services (Ind. Group) Spiritual Support Group Social Activities One Agency. One Mission. One Voice. 17 District of Columbia Department of Behavioral Health

  18. Recovery Services A specialty recovery support service is Environmental Stability (ES). ES is a recovery housing service that provides a structured and stable living environment and recovery support system for up to six months . The objective of ES is to prepare the individual for independent living upon completion of the program. The criteria to be eligible for ES is as follows:  Be drug and alcohol free for thirty (30) days prior to admission not including prescribed medication  Maintain sobriety throughout the program  Be in recovery from a diagnosed SUD  Be employed or participating in a structured training class or workforce development program or participating in a combination of both for 30 or more hours a week  Deposit 50% of net income into an individualized escrow account  Participate in other RSS services One Agency. One Mission. One Voice. 18 District of Columbia Department of Behavioral Health

  19. Recovery Services Providers Total Family Care (RSS Only) DC Recovery Community Alliance (DCRCA) (RSS Only) 1050 17 th and L Streets, NW, Suite 1000 1214 I Street SE Apt. 11 Washington, DC 20003 Washington, DC 20036 202-747-8878 202-776-0645 MBI (RSS Only) Federal City Recovery Services (RSS and ES) 4130 Hunt Place, NE Washington, DC 20019 601 Raleigh Pl. SE 202-388-4300 Ext. 305 Washington, DC 20032 202-735-5579 Hillcrest (RSS Only) 915 Rhode Island Avenue, NW La Clinica del Pueblo (RSS Only) Washington, DC 20001 2831 15 th Street NW 202-492-8781 Washington, DC 20011 202-350-8048 So Others Might Eat (S.O.M.E) (RSS and ES) 60 O Street, NW Washington, DC 20002 Salvation Army (RSS Only) 202-797-8806 Ext. 1133 2100 New York Ave, NE Washington, DC 20002 202-269-6333 Ext. 213 Samaritan Inns, Inc. (RSS and ES) 2523 14 th Street NW Washington, DC 20009 202-667-8831 Ext. 267 One Agency. One Mission. One Voice. 19 District of Columbia Department of Behavioral Health

  20. Q & A One Agency. One Mission. One Voice. 20 District of Columbia Department of Behavioral Health

  21. “The District of Columbia is a thriving community where prevention is possible and recovery from mental health and substance use disorders is the expectation” If you know someone who needs Substance Use Disorders Services call the 24 Hour Access Help Line at 1(888)7-WE-HELP. One Agency. One Mission. One Voice. 21 District of Columbia Department of Behavioral Health

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