Systems Gap Analysis Substance Use Disorder Treatment Programs - - PowerPoint PPT Presentation

Systems Gap Analysis – Substance Use Disorder Treatment Programs

Annika Skansberg JD/MPH Candidate Opioid Operational Command Center

The Substance Use Epidemic in Maryland

Gaps Analysis Objectives

Evaluate the current treatment capacity for individuals with substance use disorders in Maryland counties and regions Ensure that individuals with substance use disorders in Maryland can access effective, evidence-based treatment Inform counties and regional leadership on areas where they are lacking services, and areas where they have a surplus of services

Variations of Treatment Programs – Levels of Care

Methods

A systems gap analysis is a method of assessing the differences in performance within a system in order to assess outcomes in relation to optimal service provision

Sources of Data Use of Anne Arundel, Wicomico, and Frederick County as Statewide Standards Formulas

Results and Analysis

• The largest gaps were observed in Baltimore

City and Baltimore County

• Many counties in the state have near-
• ptimal treatment coverage with minimal

gaps based on our analysis

• Caroline County, Charles County,

Dorchester County, Montgomery County, and Talbot County

Regional Treatment Capacity

• In some instances, counties may want to

consider regional solutions for expanding services to maximize individual resources

• .The regions are classified as: (1) Western

Maryland (Washington County, Allegany County); (2) Southern Maryland (Calvert County, Charles County, St. Mary’s County); (3) Central Maryland (Baltimore City, Baltimore County, Anne Arundel County, Howard County, Harford County, Carroll County); (4) Eastern Shore (Cecil County, Queen Anne’s County, Caroline County, Talbot County, Dorchester County, Somerset County, Wicomico County, Worcester County); (5) Capital Region (Frederick County, Prince George’s County, Montgomery County

Regional Treatment Capacity

• There are identified treatment gaps for every

level of service in Central Maryland

• Western Maryland’s greatest treatment needs

are residential services for levels 3.3-3.7 care

• The Eastern Shore’s analysis indicates an

increased need for residential services

• The Capital Region’s greatest needs are levels

3.1 and 3.7 residential treatment

• Southern Maryland seemingly has sufficient

treatment capacity, with the exception of level 3.1 treatment

Allocation of Resources

Limitations with Analysis

The use of Anne Arundel County, Wicomico County, and Frederick County as the comparison counties rather than developing statewide standards through other methods Classification of beds by their highest level of licensure This analysis does not account for payor type Some counties house national-level treatment facilities that are licensed for a large number of beds

Future Research on Substance Use Disorder Treatment Capacity

Include the development of a new statewide standard using other methods Development of an alternative way to classify treatment programs since many are licensed for multiple levels of care Incorporate more data into their calculations Research how treatment facilities are being utilized within each county