GATEWAY CALL CENTER Presented to: BHB System Planning & Fiscal - - PowerPoint PPT Presentation

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GATEWAY CALL CENTER Presented to: BHB System Planning & Fiscal - - PowerPoint PPT Presentation

GATEWAY CALL CENTER Presented to: BHB System Planning & Fiscal Committee May 6, 2016 Substance Use Treatment Services: Behavioral Health Services Department offers services to Santa Clara County residents at sites conveniently


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GATEWAY CALL CENTER

Presented to: BHB – System Planning & Fiscal Committee May 6, 2016

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Substance Use Treatment Services:

 Behavioral Health Services Department offers services

to Santa Clara County residents at sites conveniently located throughout Santa Clara County:

 Detoxification  Residential  Outpatient  Transitional housing  Prevention services

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Substance Use Treatment Services:

  • I. Assessment

 A Complete Drug and Alcohol Assessment is

completed by a certified Drug and Alcohol counselor, with the provider.

 The Assessment identifies clients' psychosocial profile,

including their alcohol and other drug use; psychological, physical, legal, and vocational issues; and family and social relationships.

 By the end of this assessment, clients have an initial

treatment plan

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Substance Use Treatment Services:

  • II. Detoxification Services

 These non-medical facilities provide 24-hour

supervision, support & offer a safe and sober environment for the individual to withdrawal from alcohol and/or drugs.

 Typical stay is 3-5 days, length of services depend on

the individual’s need for treatment.

 Horizon South - ALL MALE Facility  Pathway Mariposa - ALL FEMALE Facility

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Substance Use Treatment Services:

  • III. Residential Treatment

 Residential treatment consists of structured, live-in

programs at licensed treatment facilities for men, women, and women with children ages up to 5.

 The treatment goal here is client stabilization.  Services include intake assessment; treatment planning;

case management; crisis intervention; individual and group counseling; discharge services and referral.

 Average length of stay is 40 days, length of services depend

  • n the individual’s need for treatment.

 Currently Gateway refers client to Residential Placement

Coordinator at SUTS QI.

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Substance Use Treatment Services:

  • III. Residential Treatment

 Residential Providers/Facilities:

 CADS  Horizon South  Parisi House on the Hill  Pathways House  Pathways Mariposa  Project 90

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Substance Use Treatment Services:

  • IV. Outpatient Treatment

 Outpatient sites offer flexible intensity of services,

based on the severity of clients' illness.

 This includes individual, group, vocational, and

educational counseling.

 Convenient hours, including evening appointments,

are available.

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Substance Use Treatment Services:

  • IV. Outpatient Treatment

 Outpatient Providers/Facilities:

 AARS  Central Treatment  FCS

 FCS Julian St. San Jose  FCS 1st St. San Jose  FCS North County Palo Alto

 Proyecto Primavera  Indian Health Center  Pathways - So. County

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Substance Use Treatment Services:

  • V. Transitional Housing Units (THU):

 Gateway does NOT refer to THU. The client must

receive a THU referral from a treatment provider site.

 Gateway would screen client to determine & refer to

appropriate level of care, treatment provider would refer to THU placement list.

 This service is geared exclusively for those in

  • utpatient treatment who either need a safe

environment or who require temporary housing.

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Substance Use Treatment Services:

  • V. Transitional Housing Units (THU):

 It provides a great opportunity for clients to develop a

support system while receiving outpatient services and transitioning into a safe and sober lifestyle.

 There is also specialized housing for men and women

in reunification.

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Substance Use Treatment Services:

  • V. Transitional Housing Units (THU):

 CADS  Crossroads  InnVision  Pathway  Solace

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Substance Use Treatment Services:

  • VI. Special Out Patient Programs:

Addiction Medicine and Therapy Program

  • This outpatient program offers medication assistance

treatment for opioid addiction.

  • The program offers both medically supervised

withdrawal and maintenance treatment for persons who are opiate-dependent.

  • Treatment requires rehabilitation counseling and offer

clients HIV counseling and testing.

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Substance Use Treatment Services:

  • VI. Special Out Patient Programs:

Perinatal Services

  • Intensive individual and group counseling is available

for pregnant and parenting women.

  • Opiate-dependent women may receive medically

supervised methadone maintenance or detoxification treatment.

  • Programs focus on women's issues, domestic violence,

and parenting.

  • Childcare is provided for children up to age 3.
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Substance Use Treatment Services:

  • VI. Special Out Patient Programs:

Perinatal Services  As a special service, SUTS provide on-site child care for

children up to age three.

 All pregnant clients must be referred to only Perinatal

providers.

 Any woman with minor children may attend to

Perinatal OP provider.

 PSAP

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Substance Use Treatment Services:

  • VI. Special Out Patient Programs:

Prevention Services  Information and referral, education, and support

services are available both to the community at large (including people in the earliest stages of experiencing alcohol and other drug problems) and for family members and significant others of clients enrolled in the managed care system.

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GATEWAY CALL CENTER

 The Call Center is the point of entry of clients needing

Adult System of Care.

 The Gateway Call Center refers clients and patients,

after the registration, initial screening (based on calls received) and determination of level of care, to the appropriate providers and agencies in the county.

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GATEWAY CALL CENTER

 Gateway completes brief screenings to determine

which level of care to refer the individual.

 Schedules “WTT” - also known as Welcome to

Treatment and/or Individual Intake, which is the

  • rientation with the provider.

 A representative of the facility will inform the clients

  • f the provider’s policies, procedures and what is

expected of them to successfully complete treatment.

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GATEWAY CALL CENTER

 Utilize SCC HHS Language Services, which we can

assist clients in many languages.

 All length of services depend on the individual’s need

for treatment.

 Business Hours:

 Monday to Friday – 8:00 am to 5:00 pm  Closed on County Holidays and Weekends

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GATEWAY CALL CENTER

 Systems/Application

 Cisco – Telephone System  Cisco – Reporting System Migration  UniCare – BHS Client Registration System  HealthLink – SCVHHS Patient System  Microsoft Outlook – Provider Scheduling System

 Number of Staff:

 1 FTE – Sr. Health Service Representative  1 FTE – Health Service Representative (In Custody)  4.5 FTE – Health Service Representative (Out of Custody)  2 FTE – Rehabilitation Counselor  1 FTE – Office Specialist

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GATEWAY CALL CENTER

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GATEWAY CALL CENTER

 Fiscal Year 2014 - 2015 Report:

 Number of Calls Received

 Out of Custody – 36,740  In Custody – 11,611

 Number of Calls Handled

 Out of Custody – 29,116  In Custody – 8,854

 Number of Calls Abandoned

 Out of Custody – 7,624 (20.75%)  In Custody – 2,757 (23.74%)

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GATEWAY CALL CENTER

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GATEWAY CALL CENTER

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GATEWAY CALL CENTER

 Fiscal Year 2015-2016 (9 Months) Report:

 Number of Calls Received

 Out of Custody – 25,141  In Custody – 9,853

 Number of Calls Handled

 Out of Custody – 23,141  In Custody – 8,985

 Number of Calls Abandoned

 Out of Custody – 1,448 (5.76%)  In Custody – 868 (8.80%)

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GATEWAY CALL CENTER

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GATEWAY CALL CENTER

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GATEWAY CALL CENTER

 Performance Standards (NAQC and Covered California):

 Calls need to be answered quickly – “Average Speed of

Answer ”

 20-30 Seconds (North American Quitline Consortium)  30 Seconds (Covered California)

 Hold times must be minimized – “Wait before Handled”

 Less than 2 minutes  If more than 2 mins., the consumer should able to choose to be

called back.

 No one should experience a busy signal

 Benchmark – 2% unable to get through  No busy signals (Covered California)

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GATEWAY CALL CENTER

 Performance Standards (NAQC and Covered California):

 Use of voice mail should be avoided

 Real time coverage  If with voice mail, 90% of callers should hear back within 1

business day (NAQC), 2 business days (Covered CA)

 Call abandonment rates must be minimal – “# of Calls

Abandoned”

 Should be lower than 3%. NAQC recommends 0% but notes that

10-20% is common.

 Automated Systems should be limited

 No more than 2 automated questions should be asked before

guided to available agent.

 Must be able to opt out of automated system, routed to agent

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Looking Ahead. . .

 DADS and MHD Call Centers integrate to become a

BHS Access and Referral Center

 Integration Access and Referral Workgroup meets to

plan and develop workflows, procedures and forms:

 Demographic Registration and Insurance Verification

Tool

 Screening and Referral Tool  Cross-training  Timeline

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Looking Ahead. . .

 Workgroup comprised of:

 DADS and MHD Management/Division Directors  DADS and MHD Staff  Union Representatives

 Further Ahead:

 Co-location

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Comments & Questions

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THANK YOU! ! ! Gateway Call Center 1-800-488-9919