Somerset Expansion of Addiction Care Collaborative (SEACC) MAT Planning Project. Presented by: Pat McKenzie

Transcription

1 Planning Grantees

2 Somerset Expansion of Addiction Care Collaborative (SEACC) MAT Planning Project Presented by: Pat McKenzie

3 Our SEACC Leadership Team Pat McKenzie, LCSW of KBH: Project Director and Rep. for the Lead Agency Ann Dorney, MD, of Skowhegan Family Medicine: Primary Care Partner Mike Mitchell, LCSW and CEO of Crisis and Counseling: Community Mental Health and Crisis Service Partner Carla Stockdale, LCSW of KBH: Clinical Director Kathleen Dumont, LCSW,LADC, CCS of KBH: Co Occurring Treatment Consultant Rob Rogers, LADC of KBH: Community Substance Misuse Services and Prevention Consultant Dr. Robert Anderson of KBH: Psychiatry and Suboxone Provider TBD: A Consumer of MAT Services and Community Recovery Resources

4 Brief Project Overview Overall Project Goal: Develop a feasible and sustainable approach and implementation strategy to expand and support MAT within Somerset County within primary care and community behavioral health partners. Focus: Using a planning process that engages consumers, other community stakeholders, and providers to increase awareness and understanding of MAT, mobilize community resources, build capacity to provide MAT, and support longterm recovery services for individuals and families in need. Location: Somerset County

5 Two Hopes for Our Work Together We can design and plan for a straightforward approach for anyone to obtain access to treatment for anyone suffering from opioid addiction who wants a life of recovery. Improving outreach and access to outlying communities, promoting sensitivity to the culture of Somerset, and maintaining respect for the need for localized control of any initiative.

6 Two Ah ha! Moments from Lessons Learned Don t underestimate the negative power of stigma around addiction throughout the community and providers. Behavioral Health/ SUD providers cannot do this alone and realizing the importance of multidimensional coordination of services and whole person care.

7 Contact Info for Somerset Expansion of Addiction Care Collaborative Pat McKenzie Kennebec Behavioral Health 66 Stone Street Augusta, Maine Ext Cell Fax

8 Linking a Community: Bringing People Together for Comprehensive MAT Kathy Wright LincolnHealth Lincoln County

9 Our Team Kathy Wright Program Manager MeHAF Grant Anni Pat McKenney Program Manager Coulombe Center for Health Improvement Cathy Cole Director of Community Health Kari London Pharmacist Stacey Miller VP of Physician Services Sheila Irving Practice Manager Angela Poland, RN Care Manager Kathy Ames, LCSW Integrated Behavioral Health

10 Brief Project Overview Overall Project Goal: Expand access to MAT for medically underserved and uninsured people in our designated 100% rural community Focus: LincolnHealth will engage its community in a comprehensive planning grant process to transform the current model of care available for persons in need of opioid addiction care into a county wide, comprehensive MAT program. Location: Lincoln County

11 Two Hopes Learn more about our own strengths and what opportunities we have to enhance our current practices throughout Lincoln County. Gain increased understanding of the issues and impact of addiction, from the consumers perspective, to provide the most comprehensive services.

12 Two Ah ha! Moments Lincoln County is one of the oldest populations in Maine, which is the oldest state in the nation, yet we have a high prevalence of narcotic offenses and arrests. Level of misconceptions and lack of awareness of the opioid addiction issue in our communities among general population and professionals.

13 Contact Info for Project Kathy Wright, MeHAF Grant Program Manager LincolnHealth Arrowsmith Building 40 Belvedere Road Damariscotta, ME

14 CommUNITY Recovery Catherine Ryder, Project Lead Tri-County Mental Health Services

15 Meet Our Team Catherine Ryder (TCMHS/Project Lead) Nicole Garant/Melissa Tremblay (TCMHS/Wraparound Clinical Leads) Dr. Med Kelly/Paul Rouleau (SMRMC/MAT Clinical Leads) Randy St. Laurent (Lewiston PD) Lt. Anthony Harrington (Auburn PD) Mary Rita Reinhard (Community Concepts, Inc) Daphne Russell/Dennis Russell (United Ambulance) Corrie Brown/Erin Guay (Healthy Androscoggin)

16 Our Team (cont.) Jeff Chute (ACJ) Lee Averill (CMHC) Amy Thiele (TCMHS) Darren Ripley (Maine Alliance for Addiction Recovery) Angela Richards (Androscoggin Home Care & Hospice ) Eric Samson (Androscoggin County Sheriff)

17 Brief Project Overview Overall Project Goal: To create a community response and safe pathway of recovery and well-being by providing full access to resources, encouraging and supporting client participation, reducing stigma and restoring hope. Focus: By utilizing a universal release we will be able to quickly and efficiently identify those in our community with immediate need for MAT and move them into service with a cadre of well trained professionals prepared to support their care with full wraparound supports. Location: Year one will focus on Androscoggin County with year two expanding across Western Maine.

18 Two Hopes Better process flows to maintain open access and no wrong door for those in need of treatment Best Practice for intervention and response. We ll share, but hope to steal as well!

19 Two Ah ha! Moments Experience as Project Lead on other MeHAF funded grants A state-wide network of colleagues and health-care leaders that can provide consultation and guidance.

20 Contact Info for Project Catherine Ryder, Project Lead TCMHS Nicole Garant & Melissa Tremblay - Clinical Lead TCMHS Paul Rouleau, Clinical Lead SMRMC Dr. Michael Kelly, Medical Lead & MAT Certified Trainer SMRMC

21 York Hospital Integrated Medication Assisted Treatment Program YH IMAT Jud Knox, President & CEO York Hospital

22 Our Team York Hospital MAT Hospital Position MeHAF Grant Role Core Change Team Jud Knox President & CEO Project Manager Eric Haram, LADC Consultant MAT Expert Assistance Provider & Addiction Specialist Dr. Argilla ( Jill ) George Primary Care Provider Medical Director Sally Keck, LADC Clinical Supervisor Provider of Substance Use Disorder Treatment Erica Webber, RN, MBA Hilary Leonhard Sally Manninen Director of Clinical Integration & Operations Development & Community Relations Substance Abuse Prevention Coordinator MAT Core Change Team Leader Project Coordinator Community Health Leader

23 Brief Project Overview Overall Project Goal: Develop a hub & spoke model using our existing substance abuse treatment specialty services (The Cottage Program) as the hub and our 6+ PCP practices as the spokes to provide treatment capacity for up to 160 patients/year (Cottage/100 patients; PCPs/60 patients). Focus: Formalize continuum of care to establish a patientcentered wrap around system of addiction care, including MAT. Location: York Hospital service area (York, Kittery, Eliot, Berwick, South Berwick, North Berwick, Wells, Ogunquit, Kennebunk, Sanford) and surrounding Seacoast area.

24 Two Hopes (Share two things you hope to learn from your peers and colleagues in this work) HOPE #1: How best to support our PATIENTS who struggle with opiate addiction. Expand access to evidence based, patient centered model(s) of addiction care that support successful, long term recovery. HOPE #2: How best to support PROVIDERS who want to deliver MAT, but need an integrated system of care. Improve care coordination between PCPs, substance use specialists and community networks to develop wraparound services. Provide training and technical expertise to close knowledge gaps and minimize barriers to care.

25 Two Ah ha! Moments Share two things that you bring to this group from past experience that others might benefit from #1: Jud Knox Innovative Models of Addiction Care York Hospital serving southern Maine since 1906 IOP established in 1980s to help treat substance use disorders Shifting priorities and resources to expand treatment options based on community need #2: Dr. Jill George Patients struggling with addiction not What s Wrong, but What Happened?

26 Contact Info for Project York Hospital MAT Core Change Team Contact Information Jud Knox (207) Eric Haram, LADC (207) Dr. Argilla ( Jill ) George (207) AGeorge@yorkhospital.com Sally Keck, LADC (207) SKeck@yorkhospital.com Erica Webber, RN, MBA (207) EWebber@yorkhospital.com Hilary Leonhard (207) HLeonhard@yorkhospital.com Sally Manninen (207) SManninen@yorkhospital.com Hospital Position President & CEO Consultant Primary Care Provider Clinical Supervisor Director of Clinical Integration & Operations Development & Community Relations Substance Abuse Prevention Coordinator MeHAF Grant Role Project Manager MAT Expert Assistance Provider & Addiction Specialist Medical Director Provider of Substance Use Disorder Treatment MAT Core Change Team Leader Project Coordinator Community Health Leader

27 Implementation Grantees

28 Greater Portland Addiction Collaborative: Women s Opioid Health Home Brian Townsend Amistad

29 Our Team Primary Care MAT providers (Hubs): Greater Portland Health, Mercy Hospital, Maine Health Spokes: Milestone Foundation, Catholic Charities Maine, City of Portland, The Opportunity Alliance, Community Housing of Maine, Amistad, Portland Recovery Community Center, Preble Street

30 Brief Project Overview Overall Project Goal: Provide care coordination to drive enhanced access to MAT in primary care Focus: Uninsured women, particularly pregnant, post partum and parenting women, who are struggling with opiate addiction and lacking primary care and essential treatment components for supporting their recovery Location: Greater Portland

31 Two Hopes 1. We would like to learn others viewpoints and strategies on eliminating barriers and improving transitions of care for this vulnerable population. 2. As a cohort of grantees, we would like to coconstruct consistent and effective narratives that help stakeholders understand the scope of this issue and the pathways toward solutions.

32 Two Ah ha! Moments The recovery process is truly a community effort. This epidemic feels less hopeless when we observe the entire community coming together and committing our diverse strengths and resources in a collective effort. Treatment engagement saves lives: report.pdf

33 Contact Info for Project Brian Townsend, Amistad 66 State St., PO Box 992 Portland, ME (207) x. 106

34 Medication Assisted Treatment William Diggins Health Access Network

35 Our Team Prescribers: 2 MD s Support Providers: 1 FNP and 1 PA Behavioral Health/Counseling: 2 LCSW s and 2 Psychologists Care Coordination: 1 RN and 1 LSW

36 Brief Project Overview Overall Project Goal: Expand the reach of HAN s current MAT program in order to serve a substantial panel of patients requiring significant care coordination and management to maximize the quality of patient care. Focus: 1. Increase access to MAT 2. Provide Care Coordination and Management during treatment Location: Geographic area surrounding our six sites in Lincoln, Lee, Medway, Millinocket, and West Enfield.

37 Two Hopes Learn best practice strategies from other Health Centers regarding assisting patients with opiod addiction who are also experiencing difficulties with other health disparities such as: 1. Food insufficiencies 2. Housing difficulties 3. Job training and placement 4. Transportation challenges

38 Two Ah ha! Moments Care Coordination is essential to success It takes strong community support and collaborative to provide good quality care and make a difference in a patients life.

39 Contact Info for Project William Diggins CEO Nicole Morrison RN Miranda Willett RN Marie Sutherland LSW

40 R.A.C.E. To Recovery Rural Addiction Care Expansion Tracy Harty Healthy Community Coalition Franklin County

41 Our Team Healthy Community Coalition Evergreen Behavioral Health HealthReach FCHC s Franklin Health Practices Independent Primary Care Consultant NorthStar Community Para Medicine

42 Brief Project Overview Overall Project Goal: To expand patient centered addiction care in Rural Western Maine. Stakeholders Advisory Group Provider Education Snuggle ME initiatives for Pregnant Women MHU Outreach and Service Expanded Community Social Services IOP and Peer Support Sensitivity Training Community Para Medicine Outreach

43 Two Hopes We are eager to understand the barriers faced by providers making them reluctant to prescribe M.A.T. for their patients, so that we can betters address their needs. We hope to learn the most effective and efficient strategies for sustaining community safety net services.

44 Two Ah ha! Moments Learning from our Physician Champion how vital it is to have a systematic plan for office preparation and set up before offering MAT services. A tool kit is needed. Discovering that there are many individuals struggling alone with their addiction who are invisible to the medical system.

45 Contact Info for Project Tracy Harty, HCC Molly Clark, HCC Dalene Sinskie, EBS

46 A Regional, Rapid Access Approach to MAT Heather Blackwell, Project Manager Penobscot Community Health Care

47 Our Team Dr. Noah Nesin, VP of Medical Affairs Medical Services Project Director Dr. Trip Gardner, Chief Psychiatric Officer Psychiatric Services Project Director Angela Fileccia, MSW, LCSW, Chief Care Management & Social Services Officer Care Management Project Director Heather Blackwell, Operations Project Manager Project Manager Barbara Dunakin, CMPE, Executive Practice Director Director of Practice Site Dr. David Rawcliffe, Primary Care Physician Lead MAT Provider at Practice Site Jennifer Moss, LCSW & Nathan McKnight, LCSW Lead Psychotherapists at Practice Site

48 Brief Project Overview Overall Project Goal: Expand access to our current Recovery Program services, and create a rapid referral & intake process to drastically minimize the time from when a person requests help to when they receive services. Focus: Provide integrated, evidence based treatment of Opioid Use Disorder for people in Penobscot, Somerset, and Waldo counties, regardless of referral source, hospital/clinic affiliation, or ability to pay. Location: PCHC s Brewer Medical Center 735 Wilson Street Brewer, ME 04412

49 Two Hopes Balance the need for rapid access and need for integrated, evidence based longitudinal care. Obtain OHH status customized for FQHC environment.

50 Two Ah ha! Moments Provider and staff attitudes about OUD and MAT as a treatment model are key to implementation. Variability in MAT programs, provider proprietary sense of their own models, and lack of long term data mandate flexibility in models.

51 Contact Info for Project Heather Blackwell Operations Project Manager Penobscot Community Health Care 103 Maine Avenue P.O. Box 2100 Bangor, Maine , ext

52 Expanding Patient Centered Addiction Care Emilie van Eeghen MaineGeneral Community Care

53 Our Team Janelle Bechard, LADC, Counselor Jeff Janell, LCPC, CCS, Manager of Outpatient Services Natalie Morse, Director of Prevention & Healthy Living Alane O Connor, DNP, MDFMR/MGMC Malindi Thompson, MPH, Program Manager for Prevention & Healthy Living Emilie van Eeghen, MBA, Chief Behavioral Health Officer

54 Brief Project Overview Overall Project Goal: Expand MAT access throughout the Kennebec Health Region Alliance through training, support and a well networked substance use disorder treatment system. Focus: We will increase MAT capacity by training medical staff in 1) buprenorphine prescribing waiver training and 2) practical tips from experts in the field. We will expand MAT access by supporting primary care prescribers in navigating practice workflow changes by system improvements in practice workflow and cross organization tracking. Consultation and teaching by experts will address challenges, assure consistent compliance with procedures and offer a special workflow for pregnant women. Prevention & Healthy Living (PHL) will improve tracking of capacity, including comprehensive MAT information of new prescribers. PHL will link uninsured patients to PCPs that accept the uninsured, assuring even distribution. An LADC will offer level of care assessments and act as the clinical contact point. Location: Augusta/Waterville

55 Two Hopes Address the complex needs of those without insurance in terms of healthcare and response to other social determinants of health as we offer a range of patient appropriate MAT level of care that is better integrated with primary care. Increase MAT access for 1) patients needing to begin treatment and become stabilized, and 2) stable patients needing to be transitioned back to primary care.

56 Two Ah ha! Moments Our work to build a network of primary care providers willing to engage in MAT services plus SUD treatment specialists is not complete but has begun to address the complexity of the typical patient presenting for addiction treatment. We can provide insight about the trainings for prospective prescribers in the past that we have provided over several years.

57 Contact Info for Project Janelle Bechard: Jeff Janell: Natalie Morse: Alane O Connor: alane.oconnor@mainegeneral.org Malindi Thompson: malindi.thompson@mainegeneral.org Emilie van Eeghen: emilie.vaneeghen@mainegeneral.org

58 Downeast Opioid Treatment Hub and Spokes Project Elsie Flemings Healthy Acadia

59 Our Team Blue Hill Memorial Hospital; Maine Coast Memorial Hospital; Mount Desert Island Hospital (lead role in Hub launch and oversight; provide funding to launch Hub; support expansion of Spokes ; facilitate ED staff trainings) Bucksport Regional Health Center (lead role in Hub launch and oversight; support expansion of Spokes; provide consulting on Pain on the Brain initiative) AMHC (lead role in Hub launch and oversight; provide licensure for Hub; provide consulting to Spokes on MAT delivery & coordination with SUD treatment services) MDI Behavioral Health Center (part of MDIH) (Lead role in Hub launch and oversight; provide consulting to Spokes on addiction services and MAT)

60 Our Team (cont.) Ellsworth Police Department (share information about Hub and Spokes; provide referrals to Hub and Spokes to Project HOPE participants) Health Equity Alliance (support updating and distribution of Downeast Recovery Supports guide; share information about Hub and Spokes; provide referrals) Community member & leader in recovery (provide education, expertise, and input with Hub and Spokes launch) Healthy Acadia (lead role in Hub launch and oversight; project coordinator and administrator; convene Downeast Substance Treatment Network & committees; provide trainings; coordinate peer recovery coach system & chronic pain self management supports

61 Brief Project Overview Overall Project Goal: To increase provider and practice capacity to deliver MAT through our Downeast Opioid Hub and Spokes model Focus: Launch Hub through collaborative model; train and support PCP sites to serve as Spokes; engage and train EDs & EMSs as key partners; provide wrap around services, including recovery coaching & chronic pain self management support Location: Hancock County & western Washington County

62 Two Hopes We hope to be able to provide timely access to treatment for those who are seeking treatment in our community and to forge stronger collaborative relationships, particularly through the Hub and Spokes model, to meet the needs in our community. We hope to learn more about how other health care delivery services function, how others around the state provide best practice MAT, and how to best draw on the strengths of each of our partnering organizations.

63 Two Ah ha! Moments We are inspired by seeing people s willingness to change and their strength from within to do so. Our first meeting of the Downeast Substance Treatment Network was an Ah ha moment to look around the room at all the attendees from all different backgrounds, with such a wealth of experiences and expertise, coming together for one cause.

64 Contact Info for Project Elsie Flemings, Executive Director, Healthy Acadia Phone: (207) Address: 140 State Street; Ellsworth & 121 Court Street; Machias 04654