BHRS Alcohol and Other Drug Luminescence Consulting Stakeholder Process 310 422 2256 • luminescence.org Resetting the conversation • Focus of our work • Timeframe • Process and where we are 2
Road map for the AOD Stakeholder process Explore options + Formal decisions: SLT + BOS develop proposals Community Capacity-Building Financial Leadership Develop shared Assess this Sustainability Development Understanding process Focus on results March 30 Orientation + Foundational skills 3 Creating the conditions for Collective Wisdom to emerge Interior Exterior Sustained commitment to: Skills, behaviors, + public commitments, including: • Not-knowing Individual • Non-attachment • Distinguishing facts + stories • Listening with the intent to understand • Positions + Interests Portal for Collective Wisdom Sustained commitment to: Structures + group practices, • The scallop principle including: • This stakeholder process Group • Tending to the relational field
Starting with principles for allocation • Evolve from agency- to community- centric • Strengthen capacity of communities to engage and support people effectively • Prioritize needs that aren’t/won’t be otherwise met • Serve the maximum number of people possible • Be guided by cost and effectiveness data • Focus on fiscal sustainability • Strive to maintain multiple levels of care and support 5 Principles to guide implementation • Prioritize underserved communities • Develop treatment appropriate for people of different diversity dimensions • Improve integration and coordination • Map resources • Develop and improve data • Consider developing a centralized resource center • Evolve a holistic system of care • Going forward: look for other funding sources and funding opportunities 6
Continuing the exploration of options • February 8th results • Beginning map of emerging convergence • The process 7 Visualizing an emerging continuum of care Community Liaison Community-based Day Treatment Community-based Residential OP + Intensive OP + Support + Education Treatment Treatment Sober Living
Community-based supports + education Where JO thinks we have agreement • Crucial part of the system. Includes faith-based, neighborhood-based, AA, NA, others • Want as broadly available as possible • Ideally the first line of support • Want to promote learning and collaboration • Want to improve linkages to other parts of continuum through Community Liaison 9 Outpatient + Intensive Outpatient Treatment Notes Where we have work to do • This requires certified staff • How much to this category? but not certified facility • Where located? • If a facility is certified, can • Do we want a specialized bill Medi-Cal ‘post-detention‘ program? Where JO thinks we have agreement • Some people need more than community supports • Want this tx to be broadly available across the County • Want this tx to be linked seamlessly to rest of continuum with help from Community Liaison 10
Day Treatment + Sober Living support Where JO thinks we have Where we have work to do agreement • How much to this category? • There are some people who • Where is Day Treatment require more intensive tx than located? outpatient alone • What numbers are possible • For people who are coming for what we invest? from residential tx or from non-supportive situations, good to have housing options available for them • Want to leverage and support the Sober Living network 11 Residential Treatment Where JO thinks we have Where we have work to do agreement • How much to this category? • There are some people who • SRC 3-day only? Private require more intensive tx than sector extended residential day treatment + outpatient only? Or both? alone • What numbers are possible • Want to maximize numbers for what we invest? possible • Want to leverage SRC infrastructure + expertise 12
Summary of emerging continuum + issues Community Liaison Community-based Community-based Day Tx + Residential Support + Education OP + Intensive OP Tx Sober Living Tx Specific interests Specific interests Specific interests Specific interests • Support expan- • Housing for people • Intensive care • Tx accessible across sion + linkages in Day Tx • Seamless linkage the county • Support learning • Leverage expertise to other tx + • Seamless linkage to + capacity of SLs support community supports Notes Question Question Question • Includes Faith- • Specialized groups • Potential #’s + • 3-day @ SRC or based, n’hood for post-detention? costs longer w/ private based, AA, NA, or both? Notes Notes others • Certified staff Notes • No certified staff • Certified staff required • Certified staff required required required • If certified facility, can bill Medi-Cal 13 Table process • Delegates only this time • Next iteration of the worksheet • Community Liaison • Integrated phone referral 14
Next meetings • Wed March 2: Finalize recommednations ----------- • Wed March 30: Assessment 15 Closing session • Other next steps • Assessing this meeting • Final reflections 16
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