1 mental health and substance abuse services division association of substance abuse providers mike...
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Mental Health and Substance Abuse Services Division
Association of Substance Abuse Providers
Mike Maples
October 5, 2011
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John Austin Peña Primary Care and
Substance Abuse Treatment Facility
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John Austin Peña Primary Care and Substance Abuse Treatment Facility
• Hidalgo County is one of the top 10 counties in terms of population in the State of Texas, and growing fast.
• 47% of the community is either uninsured or underinsured so the access to these low cost services is vital..
• Incorporating primary care into the substance abuse treatment plan will ensure coordinated care for the adolescents undergoing treatment.
• The 13,000 sq ft outpatient facility will be located in Edinburg and will be able to manage a caseload of up to 150 individuals.
• This will be the only public substance abuse treatment facility for adolescents in the Rio Grande Valley
• This is the first public/private partnership implemented by the County.
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The level of services to be provided includes primary care for clients participating in the outpatient substance abuse treatment services. A. Substance Abuse Treatment and Primary Care Services for Adolescents
only. Services such as anger management, cognitive behavioral and life skills can be included in treatment to the extent they are inclusive in a substance abuse treatment and primary care program, and related to the specific issue of substance abuse and or primary health care and/or prevention.
B. SCAN, Inc. (Serving Children and Adolescents in Need, Inc.) agrees to provide
appropriate testimony, affidavits and documents for any court proceedings and trials related to its treatment and other services regarding any clients or families referred from the Juvenile Probation system and/or any other entity requiring such documentation in accordance with the State of Texas.
C. All types of payment will be accepted: Private Insurance, Medicaid, CHIP, Private
Pay, County Indigent Program
John Austin PenaPrimary Health Care and
Substance Treatment Abuse Facility
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Medicaid Earnings FY2011
Medicaid SUD Claims Paid Trends by Payor (claims lag in later months)
$-
$50,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
$400,000
$450,000
Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11
TMHP HMO
Paid Claims for Medicaid Adults (>=21)
TMHP $ 1,026,412
HMO $ 702,429
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Money Follows the Person Pilot
• DSHS pilot designed to help adults with mental health and substance use disorders leave nursing facilities and become independent in the community (Pilot sites in San Antonio and Austin areas).
• Part of the State’s much larger Money Follows the Person federal Demonstration (in partnership with DADS, HHSC and their providers.)
• Provides Cognitive Adaptation Training and substance abuse services up to 6 months before and up to one year after relocation to the community.
• Substance abuse services include assessment, counseling, community linkage, transportation and peer support adapted to individual needs
• 80 % of participants currently enrolled in the Pilot have maintained sobriety in the community.
• Substance Abuse services have helped prevent relapse and assisted individuals in resuming recovery after relapse
Rider 71
• 71. Study of the State Mental Health System.
Out of funds appropriated above the Department of State Health Services (DSHS) shall contract with an independent entity not later than December 1, 2011, to review the state's public mental health system and make recommendations to improve access, service utilization, patient outcomes, and system efficiencies. The study shall review current service delivery models for outpatient and inpatient care, the funding levels, financing methodologies, services provided, and community-based alternatives to hospitalization. The review should look to other states for best practices or models that may be successful in Texas. The study shall also review and recommend “best value” practices that the state's public mental health system may implement that will maximize the use of federal, state and local funds. DSHS shall submit the final report to the Legislative Budget Board, the Governor, Senate Health and Human Services Committee, and House Public Health Committee not later than September 1, 2012
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Opioid Abuse on the Rise: Nationally
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Public Health Impact of Opioid Analgesic Use
Treatment admissions are for primary use of opioids from Treatment Exposure Data setEmergency department (ED) visits are from DAWN,Drug Abuse Warning Network, https://dawninfo.samhsa.gov/default.aspAbuse/dependence and nonmedical use in the past month are from the National Survey on Drug Use and Health
For every 1 overdose death there are
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161
461
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Leading Types of Prescribers ofOpioid Analgesics, U.S., 2009
Volkow ND, et al. Characteristics of opioid prescriptions in 2009. JAMA 2011;305:1299-1300.
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Opioid Deaths in Texas
Number of T40.2 Opioid Deaths per Year*
0
200
400
600
800
Year
Nu
mb
er
of
De
ath
s
Year
*T40.2—code includes poisoning by codeine, morphine, oxycodone, vicodin, etc. opioids other than opium (T40.0), heroin (T40.1), methadone (T40.3) and other synthetic narcotics (T40.4)
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Opioid Abuse on the Rise: Texas
Indicators of Abuse of Opiates in Texas 1998 – 2010
DSHS Treatment Admissions
a "Other Opiates" refers to those other than heroin.2009. bThe DSHS treatment data collection changed in 2010 with fewer clients being reported for all drugs after 2009. Sources: Poison Control Centers, Department of State Health Services (analysis by J. C. Maxwell); and NFLIS.
0
1000
2000
3000
4000
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6000
1998 2000 2002 2004 2006 2008 2010
Methadone"Other Opiates"
Other….
• CMBHS• Advisory Committee• Insurance Providers• Detox Protocols• Medication Assisted Therapy• Behavioral Health Institute• Maintenance of Effort• Senate Proposal for SAMSHA Funding
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