april 2017 problem gambling treatment providers monthly call/webinar

Problem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment Providers

Monthly Call/WebinarMonthly Call/WebinarMonthly Call/WebinarMonthly Call/Webinar

Facilitator:

Greta Coe, Problem Gambling Services Manager

April 5, 2017

Agenda

Time Topic3:00pm-3:10pm Introductions/County Roll Call3:10pm-3:25 pm PGS Update/Announcements

• Upcoming Trainings• ACCBO Training Calendar• Treatment System Cheat Sheet• Behavioral Health Collaborative• Working with the Criminal Justice Population

3:25pm – 3:35pm • Presentation: Family Involvement documentation for site reviews. (Greta)

3:35pm – 3:50pm • Highlights/Trends from the Quality Improvement Reports (Tom Moore)

3:50pm – 4:00pm • Questions and AnswersFuture agenda items: • Working with Cultural populations:

o African Americano Latinoo Asian

• MH clinicians not knowing how to refer and screen• Treating gambling addiction and co-occurring disorders• Ideas for increasing enrollments

State PGS General Updates

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Upcoming Training Opportunities:

� 31th National Conference on Problem Gambling� July 21-22, 2017� Preconference: July 19-20,

2017� DoubleTree by Hilton, Portland,

OR

Scholarships Available to National Conference

• State PGS program will be providing scholarships for the General Conference (Friday, July 21 and Saturday, July 22) to one treatment provider from each program and one prevention coordinator from each county or program.

• Registration process was sent mid-March. • Stipulation of receiving scholarship is that you will become a

volunteer for the conference• There are numerous volunteer task and we will ensure that

volunteering will not interfere with conference attendance. • More information on volunteering will be announced later.

Registration is first step. • Additionally, subsidy to help cover some of the cost of travel and

lodging will also be available to all providers. Email coming end of this week.

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Family Therapy Learning Session and Forums

• Dates in 2017: April 27, July 27, and October 26 • Time: 10-11:30 am• Facilitated and Coordinated by Teresa McDowell, Ed.D., Professor

and Chair, Department of Counseling Psychology; Lewis & Clark Graduate School of Education and Counseling

• Calls will include pre-meeting readings and structured agendas and topics.

• Information on login and call in, along with reading assignment provided via email closer to each call.

• 1 hour of CEUs provided for those that attend.

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Advanced Families and Problem Gambling Treatment Discussions

• Dates in 2017: May 25, Sept 7, Nov 30• Time: 10-11:30 am• Information on login and call in provided via email closer to each

call. All levels of clinicians welcome.• Please mark your calendars if you are interested.• Information on login and call in provided via email closer to each

call. • 1 hour of CEUs provided for those that attend.

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May Treatment Call

• Wednesday, May 3• 3:00 – 4:00 pm• Log in and call instructions and agenda to be sent later this month.

• Future dates in 2017: August 2, October 4, and November 1.• See training calendar: http://www.oregonpgs.org/wp-

content/uploads/2016/03/2015-17-PGS-Calendar-rev-2-1-17.pdf

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Free Webinar Training Announcement

• Using SBIRT for Problem Gambling in the Military• June 15, 2017• 12:00- 1:130 pm• Hosted by the Institute for Research Education and Training in

Addictions• Register at: http://ireta.org/improve-practice/addiction-

professionals/webinars/

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State PGS General Updates

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� Next PGS All Provider Webinar/MeetingJune 15 from 9-10:30am. To register: https://attendee.gotowebinar.com/register/2024019862819633924Agenda to be emailed mid May

2017 Training Calendar now available listing out the monthly prevention and treatment calls and all provider webinars and other upcoming trainings planned. Located at: http://www.oregonpgs.org/all-providers/workforce-development/

Problem Gambling Message Impact Focus Groups

• Dates: May 2, 3, and 4 2017• Location: Portland Area• Looking for gamblers who are in treatment or have completed

treatment to review and provide input on the advertisement for the helpline services.

• Looking for significant others of a gambler to provide input.• Looking for Spanish speaking gamblers to provide input.• Each population will have a separate session. • Email was sent with specifics and reminder coming next week. • The state is looking to providers for help with recruitment and

success with this focus group.

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Online Trainings

Problem Gambling Treatment Training for Clinicians & Supervisors• 8 Online modules available from January 2017-January 2018• Register at:

https://graduate.lclark.edu/programs/continuing_education/counselors_and_therapists/problem-gambling-treatment-online/– Problem Gambling Treatment in Oregon: The Big Picture– Overview of Problem Gambling– Problem Gambling Assessment and Treatment Planning– Diversity, Social Equity and Problem Gambling– Problem Gambling and Money– Family Treatment for Problem Gambling– Problem Gambling Treatment: Supervision Part I– Problem Gambling Treatment: Supervision Part II

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ACCBO Launches New Statewide Interactive Education Calendar

• Using new cutting edge software, educators can now post, edit and manage their course offerings for free. The new website will also allow individuals to search for classes by geographical area and course category.

Please visit accbo.com/education to view the new ACCBO Statewide Education Calendar.

12

Treatment Cheat Sheet

• All presentations over the last few months during the treatment calls on how to achieving successful site review and encountering related to problem gambling have been combined into one document.

• Contains information we have learned from those that have had integrated site reviews the last two year and questions we have received on encountering.

• It will be located on the oregonpgs.org web page and send out with treatment call presentation follow-up email.

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Behavioral Health Collaborative• Over the last year, OHA has been reviewing documents and holding

meetings with 50 diverse stakeholders that represent the behavioral health system.

• From this work, a report has been drafted with recommendations on how to improve the behavioral health system. No wrong door.

• Report can be found at: http://www.oregon.gov/oha/amh/BHCMeetingDocs/BHC%20recommendations%20Final-exec%20summaryV01%20FINAL.pdf

• From this report workgroups are being developed and implementation plans drafted.

What we currently need to do:• State office will be sitting on the Governance and Finance

workgroup and the Workforce Development. • At a local level- important be at the table for local

governance/community partner alliances when this work begins. If not you, ensure your agency will represent problem gambling.

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Working with the Criminal Justice System

• Multnomah County Specific Workgroup is working with local judge for movement on Therapeutic Court (gambling court) in their county.

• State is working with connection at Criminal Justice System to get linked to different components of the Criminal Justice System/DOC and Community Corrections to determine statewide partnerships that can rolldown and be helpful at local level

• Action plan and timelines have been developed• State currently developing fact sheets specific for criminal justice

system professionals related to problem gambling and collecting and summary research on criminality, problem gambling and substance abuse.

• Meetings with future partners scheduled to begin in May. • Stay tuned……..

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Family Involvement documentation for site reviews

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OAR 309-019-0170(4)- Family Counseling• 4) Family Counseling: Family counseling includes face-to-face or

non face-to-face service sessions between a program staff member delivering the service and a family member whose life has been negatively impacted by gambling.

• (a) Service sessions must address the problems of the family member as they relate directly or indirectly to the problem gambling behavior; and

• (b) Services to the family must be offered even if the individual identified as a problem gambler is unwilling, or unavailable to accept services.

Recommendation: Within the assessment, document that the client has been informed of and offered family treatment and has accepted, declined or will consider. If a client declines family involvement, document within assessment that client will be approached again regarding family involvement in future sessions.

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Highlights/Trends from the Quality Improvement Reports

Presented by Tom Moore, PhDHerbert and Louis, LLC

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The QIR Criteria

• Access Wait Time: Goal – minimum of 90% within five business days from initial call to first available appointment:

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Rock Stars:

Deschutes BestCare ��

Yamhill County ��

Josephine OSO ��

Lewis & Clark College ��

Polk County ��

Overall 58.3% Met Criteria

The QIR Criteria

• Retention: Goal – minimum of 40% remain in treatment for at least 10 sessions:

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Rock Stars:


Adapt Douglas ��

Emergence ��

Lewis & Clark College ��

Cascadia Clackamas ��

Linn County ��

The QIR Criteria

• Reporting: Goal – minimum 90% enrollment abstracting forms within 14 days; discharge forms within 90 days of last visit; and encounter within 30 days of the end of the service month.

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Stars:


Bridgeway Recovery OP ��

LifeWorks NW ��

Adapt Douglas �

ARC �

Yamhill �

The QIR Criteria

• Penetration: Goal – 2.0% (seeking treatment) of 2.7% (probable prevalence of those who could benefit from intervention) adult population in the program catchment area.

22

Rock Stars:


The QIR Criteria

• Open Cases Without Waivers: Goal – 0.0%

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Rock Stars:

Overall 41.7% Met Criteria*

Too numerous to list ��

* 20.8 % with only one case ��

Only two agencies with recurring issues �

The QIR Criteria

• Client Authorizations for Follow-Up: Goal – minimum of 80.0% providing authorization and contact information to enable six and twelve month follow-up.

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Rock Stars (& Honorable Mention):


Lincoln County ��


All Heart Counseling ��

Mid-Columbia CFL ��

The QIR Criteria

• Enrollment Surveys: Goal – minimum of 95.0% of enrollment surveys completed by gambler and family clients.

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Rock Stars:



ARC ��

LifeWorks NW ��


Tillamook County ��


The QIR Criteria

• Willingness to Recommend: Goal – minimum of 85.0% of active clients will respond “always” or “often” to the Semi-Annual Satisfaction Surveys.

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Rock Stars:

Overall 41.7% Met Criteria (54.2% No Submission)



Cascadia Portland ��




The Semi-Annual Survey (Benefits of)

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Plus written comments on most helpful, least helpful, and suggestions for improvement.

The QIR Super Stars

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Adapt Douglas ��


Questions

Future Agenda Items• Working with Cultural populations:

• African American- Michael Braxton• Latinos- Latino Advisory Committee members• Asian Americans- Asian Advisory Committee members

� MH clinicians not knowing how to refer and screen

� Treating gambling addiction and co-occurring disorders

� Ideas for increasing enrollments

april 2017 problem gambling treatment providers monthly call/webinar

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