Treating & Training Recovering Addicts
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- Gabriella Fisher
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1 Treating & Training Recovering Addicts Background: Addiction Recovery Care Former prosecuting attorney and functioning alcoholic. December 11, 2006 sobriety date. August 2008 resigns as prosecutor and gives law practice to partner. December 2010 Karen s Place, recovery center for women, opens in Louisa, Kentucky. Kentucky Leading the Way in Appalachia Access to Treatment Peer Support Vocational Training 2 nd Chance State We are the laboratory For Solutions to the Drug Epidemic! 1
2 Leading the Way in the Leading State Admitted first Medicaid Residential patient January 2015 Admitted nearly 3000 Medicaid members for residential treatment Private Insurance plans provide coverage TREATMENT ON DEMAND Average wait time for a bed for someone who has insurance and passes phone screen: < 48 hours ADDICTION RECOVERY CARE TREATMENT CENTERS RESIDENTIAL CENTERS OUTPATIENT CENTERS 2
3 ARC s Residential Treatment Catchment Area Holistic Approach to Care Clinical (Mind) Medical (Body) Spiritual (Soul) Vocational (Purpose) Dr. Michael Fletcher Chief Medical Officer Addictionologist, American Board of Addiction Medicine (ABAM) President-Elect of Kentucky Chapter of American Society of Addiction Medicine (ASAM) Kentucky Board of Medical Licensure (KBML) Supervises Primary Care Physician, NP s and RN s 3
4 Nationally Accredited Accredited by Commission on Accreditation of Rehabilitation Facilities (CARF) Drug and Alcohol Treatment Centers Spirituality Program CARF Standards Compliant Pastoral Counselors Chaplains Celebrate Recovery 16 bed women s center in Lawrence County, KY 4
5 16 bed men s center in Fleming County, KY 16 bed men s center in Pulaski County, KY 16 bed women s center in Harlan County, KY 16 bed men s center in Boyd County, KY 5
6 Karen s Place Maternity Center Blue Angels Average NICU stay for a drug addicted baby is over 20 days. 92% babies born at maternity center came back with mother in 5 days or less. 6
7 Residential Phase 2 (IOP & Sober Housing) Three phase two centers for men Two phase two centers for women Breaks Breaks The The Cycle Louisa Lexington Mt. Sterling Prestonsburg Outpatient Centers Medication Suboxone Vivitrol Counseling Crestview Hills Case Management Peer Support Model Integrated MAT Program 8 patient touches per month initially. No less than 4 touches per month. Employed physicians taper program Counseling Case Management/WRAP Peer Support Drug Screens Medication Counts 7
8 Suboxone Diversion Rates Nationally: 54% ARC: 7% Study of 14,000 samples provided by patients by lab company Ameritox. For every dollar spent on residential drug treatment =$7 in benefits Robert Wood Johnson Foundation Study on Benefit and Costs of Substance Abuse Treatment, August 2006 $7 in benefits calculated by Decrease Costs in: medical care, mental health services, criminal activity and welfare payments Increase in: employment earnings 8
9 Cost-Benefit by Public Investment Aos, Steve. The Comparative Costs and Benefits of Programs to Reduce Crime. (May, 2001). Washington State Institute for Public Policy; Robert Wood Johnson Foundation Study on Benefit and Costs of Substance Abuse Treatment, August 2006; study on MAT programs. $4.00 $5.28 $7.00 $1.91 $2.83 Treatment in Prison Drug Court MAT Job Training Residential Treatment Comparing Residential Treatment & Job Training $7.00 ROI for $1: Residential $5.28 ROI for $1: Job Training What if we combined them? ARC s Treatment Center Staff Training Program Treatment Center Staff Training Staff Internship Program at ARC Guaranteed job (1 year clean). Career Paths: 1. Residential Center Staff 2. Residential Center Management 3. Office Assistants 4. Drug Screen Collectors 5. Peer Support Specialists 6. Corporate Office 9
10 Vanessa Keeton: Karen s Place Graduate Clean since December 2010 From: IV Needle User Now: Homeowner College Graduate Center Director Business Owner Matt Brown: Belle Grove Graduate Clean since May 2014 From: HS Valedictorian/Licensed Physical Therapist with Pain Pill Addiction Now: Chief of Staff to CEO Louisa City Council Community Activist Pastor Brandon Leslie: Belle Grove Graduate Clean Since January 2014 Former IV Opiates User Military Veteran (Iraq and Afghanistan) From: PTSD, ADDICTED VETERAN Now Director of the center that saved his life. Associate Director of Residential Services 10
11 Power of Connection State-Approved Certification Program PEER SUPPORT SPECIALIST Peer Support Training Program approved January Provides recovering addicts employment opportunity. Requirements: HS /GED; 1 year clean 40 Hour Course w/exam $12-$15 per hour wage Medicaid billable professional Peer Support Specialist Academy October 2016 Sullivan University EKCEP College Credit State Certifications 11
12 Peer Support Specialist Academy Graduates May graduates 14 now employed 14 paying taxes 14 no longer needing Medicaid 14 helping others recover November new graduates. April more graduates. February new students started classes! 12
13 Peer Support Specialists in Needle Exchanges, Detoxes, Hospitals. Boyd County Needle Exchange 17 people entered treatment in 1 st year. A decision to enter treatment every hours the exchange was open. 300 Jobs Created Residential Phase 1: approximately jobs Outpatient: approximately 5-8 jobs Residential Phase 2: approximately 6-8 jobs 13
14 300 Jobs Created 50% in recovery 33% ARC Graduates Add Op Editorial, September 1, 2017, The Herald Leader: Addiction is driving people out of the workforce, undermining improvements to Kentucky s business environment and threatening the opportunities for economic growth. Dave Adkisson, President & CEO Kentucky Chamber of Commerce Replicating ARC s Success! Certified Addiction Response Employer Program (C.A.R.E.) Pre-employment -Screening -Work Ready Current Employees -Environment for Self-Report -Rapid Response -Peer Support 14
15 On the Horizon EKCEP Teleworks Program Digital Literacy Certificate Work Ethics Certificate National Career Readiness Certificate National Retail Foundation Certificate Culinary Arts Certificate and Apprentice Program Maintenance Certificate and Apprentice Program Automotive Certificate and Apprentice Program Welding Certificate and Apprentice Program Information Technology Certificate and Apprentice Program Addiction treatment with job training can not only save lives in Kentucky, Kentucky has an opportunity to be a national leader in creating addiction treatment solutions for one of the nation s biggest workforce challenges. Three ways to schedule a bed Call (606) Visit intake@arccenters.com 15
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