S APTA Regional Capacity Assessment Kelly Marschall, Principal, S - - PowerPoint PPT Presentation

S APTA Regional Capacity Assessment

Kelly Marschall, Principal, S EI (Proj ect Lead) Crystal Duarte, S EI Client S ervices Associate

Northern Regional Behavioral Health Policy Board Meeting

 Overview of capacity

assessment tool and process

 Regional assessment results  Priorities  Questions and Discussion Department of Health and Human Services Nevada Division of Public and Behavioral Health (DPBH)

Substance Abuse Prevention and Treatment Agency (SAPTA) Bureau of Behavioral Health Wellness and Prevention S

• cial Entrepreneurs, Inc (S

EI)

Review of the CAS T

 Created at the S

ubstance Abuse and Mental Health S ervices Administrat ion (S AMHS A)

 Designed to provide:

1)

a risk assessment of county-level social and community determinants of substance abuse that lead to adverse outcomes (e.g., hospitalization)

2)

an assessment of local service need across the continuum of care  When taken together, these elements help to

define the demand, need, and current service capacit y of a community substance abuse care system.

CAS T can be used to:

 Assess the presence of chronic social and

community conditions that are likely to increase the risk of hospitalization for substance abuse in your community

 Observe the gaps and potential redundancies in

the substance abuse care system of your community

 Generate estimates of need that can help to

inform community or organizational planning efforts

Inputs: Risk S core

 Publicly available data

related to social determinants of health

 National hospitalization

rates as a benchmark for regional risk

Results: Risk S core

Region Risk of Hospitalization for Drug

• r Alcohol Related Cause Level

Total Risk Score

8

Capacity Assessment

 Regional Capacity: Assessed using the

Calculating for an Adequate S ystem Tool (CAS T). This includes assessing:

These five categories encompass 32 components of a behavioral health care system.

• Promotion
• Prevention
• Referral
• Treatment
• Recovery

Inputs: Community Capacity Calculator

 Publicly available data

 National and local data sources

 Census  Regional Behavioral Health Annual Reports

 S

urvey responses

 RBHCs  Estimates of treatment utilization

Community Capacity Calculator

Calculations of Regional Need for Behavioral Health Care Services

Components Definition and Units of Measurement Data Source Maximum Community Need Program Usage Rate Adjusted Community Need Observed Community Totals Estimated Need

Results: Capacity Calculator Promot ion

Components

Definition and Units of Measurement Maximum Community Need Program Usage Rate Adjusted Community Need Observed Community Totals

Estimated Need Promot ion Marketing Advertisements

Individual advertisements placed on tv, radio, print, billboards, web, and social media within one year

1119 85% 951 5

• 946

Media Advocacy Events

Individual, in-person gatherings meant to raise awareness of substance abuse

746 3% 22 1

• 21

Community Coalitions

Individual coalitions of political, non- profit, and/ or business organizations that receive and allocate grant funding to limit substance abuse.

5 7% 4

4

Results: Capacity Calculator Prevent ion

Components

Definition and Units of Measurement Maximum Community Need Program Usage Rate Adjusted community need Observed Community Totals

Estimated Need

Prevent ion

S chool-based prevention programs

Substance abuse prevention programs being implemented within

• schools. Each program was counted

as 1.

31 93% 29 3

• 26

Community-based prevention programs

Substance abuse prevention programs being implemented within community settings. Each program was counted as 1.

373 12% 46 3

• 43

Housing Vouchers for homeless residents

Dedicated beds for homeless, across all types of CoC proj ect types

3283 20% 657 170

• 487

Needle Exchange

Number of locations offering needle exchange

49 45% 22

• 22

Prescription Drug Disposal Events/ Locations

Number of drug disposal events held per year, combined with all drug disposal locations

9 60% 5 6

1

Results: Capacity Calculator Referral

Components

Definition and Units of Measurement Maximum Community Need Program Usage Rate Adjusted Community Need Observed Community Totals

Estimated Need

Referral

Adult S pecialty Courts

All specialt y court s t hat serve adult s

121 1% 1 21

20

Y

• uth S

pecialty Courts

All specialt y court s t hat serve yout h

31 1% 2

2

S

• cial Workers

Licensed social workers wit h a subst ance abuse or ment al healt h focus

108 87% 94

• 94

Results: Capacity Calculator Inpat ient Treat ment

Components

Definition and Units of Measurement Maximum Community Need Program Usage Rate Adjusted Community Need Observed Community Totals

Estimated Need

Inpat ient Treat ment

Detoxification

Facilit ies providing in hospit al

• r residential det oxificat ion

4 13% 2

2

24-hour/ Intensive Day treatment

Facilit ies providing non- resident ial, psychiatric care programs, last ing t wo or more hours per day for 3 or more days per week

40 8% 3 5

2

S hort-term (30 days or fewer)

Facilit ies providing less t han 30 days of non-acut e care in a set t ing wit h t reat ment services for alcohol and ot her drug abuse and dependency

72 5% 4

• 4

Long-term (more than 30 days)

Facilit ies providing 30 days or more of non-acut e care in a set t ing wit h t reat ment services for alcohol and ot her drug abuse and dependency

60 6% 4 1

• 3

Results: Capacity Calculator Out pat ient Treat ment

Components

Definition and Units of Measurement Maximum Community Need Program Usage Rate Adjusted Community Need Observed Community Totals

Estimated Need

Out pat ient Treat ment Detoxification

Facilit ies providing

• ut pat ient / ambulat ory

det oxification

7 13% 1 1

Counselors

Counselors licensed by t he st at e t o assist client s wit h drug and alcohol issues

178 35% 62 40

• 22

Psychiatrists

Psychiat rist s list ed as specializing in subst ance abuse and addicit on issues

124 27% 34

• 34

Psychologists

Psychologist s list ed as specializing in subst ance abuse and addict ion issues

124 4% 5

• 5

Opioid Treatment program (OTP)

Providers t hat offer opioid t reat ment programs (OTPs), t hat offer daily supervised dosing

16 25% 4 1

• 3

Office based

• piate

substitution (OBOT)

Providers t hat offer office- based opioid t reat ment (OBOT), which provides medication on a prescribed weekly or mont hly basis (is limit ed t o buprenorphine)

219 25% 55 18

• 37

Results: Capacity Calculator Recovery S upport

Components

Definition and Units

• f Measurement

Maximum Community Need Program Usage Rate Adjusted Community Need Observed Community Totals

Estimated Need

Recovery S upport Religious or spiritual advisors for those who have been involved with treatment in the past 5 years

Individual, religious

• r spiritual

professionals providing substance abuse therapy and counseling

539 11% 59

• 59

12-step groups for those who have been involved with treatment in the past 5 years

Number of substance abuse support groups

• ffered weekly

147 30% 44 60

16

Transportation for those receiving treatment

Number of vouchers provided within a year to assist those seeking treatment

38203 14% 5348 10080

4732

Employment support for those receiving treatment

Number of programs

• ffered by each

responding or reported group (number not specified counted as 1)

237 5% 13 3

• 10

Results: Capacity Calculator Recovery S upport

Components

Definition and Units

• f Measurement

Maximum Community Need Program Usage Rate Adjusted Community Need Observed Community Totals

Estimated Need

Recovery S upport Educational support for those who have completed treatment in the past 3 years

Number of programs

• ffered by each

responding group (number not specified counted as 1)

34 14% 5 1

• 4

Parenting education for individuals with a use disorder

Number of programs

• ffered by each

responding group (number not specified counted as 1)

949 7% 62 52

• 10

Housing Assistance

Number of programs

• ffered by each

responding group (number not specified counted as 1)

285 7% 20 4

• 16

Insurance Assistance

Individual professionals who provide insurance enrollment support

75 43% 32 17

• 15

S etting Priorities

Overview of Capacity Categories

Promotion Prevention Referral Inpatient Treatment Outpatient Treatment Recovery Support

Marketing Advertisements S chool-based prevention programs Adult S pecialty Courts Detoxification Detoxification Religious or spiritual advisors Media Advocacy Events Community-based prevention programs Y

• uth S

pecialty Courts 24-hour/ Intensive Day treatment Counselors 12-step groups Community Coalitions Housing Vouchers for low-income residents S

• cial Workers

S hort-term (30 days

• r fewer)

Psychiatrists Transportation for those receiving treatment Needle Exchange Long-term (more than 30 days) Psychologists Employment support for those receiving treatment Prescription Drug Disposal Events/ Locations Opioid Treatment Program (OTP) Educational support Office Based Opiate S ubstitution (OBOT) Parenting education Housing assistance Insurance assistance

S etting Priorities

Based on the results of the CAS T capacity calculator and your own experience:

• 1. Which domains are you less worried about?
• 2. Which domains are you more worried about?
• 3. What priorities would you set based on this

information?

Next S teps

Thank you!