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SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012) April 1, 2013 Section 408: (1) By April 1 of the current fiscal year the department shall report the following data from the prior fiscal year on substance abuse prevention, education, and treatment programs to the senate and house appropriations subcommittees on community health, the senate and house fiscal agencies, and the state budget office: (a) Expenditures stratified by coordinating agency, by central diagnosis and referral agency, by fund source, by subcontractor, by population served, and by service type. Additionally, data on administrative expenditures by coordinating agency shall be reported. (b) Expenditures per state client, with data on the distribution of expenditures reported using a histogram approach. 1 (c) Number of services provided by central diagnosis and referral agency, by subcontractor, and by service type. Additionally, data on length of stay, referral source, and participation in other state programs. (d) Collections from other first- or third-party payers, private donations, or other state or local programs, by coordinating agency, by subcontractor, by population served, and by service type. (2) The department shall take all reasonable actions to ensure that the required data reported are complete and consistent among all coordinating agencies. 1 These data are presented in table format.

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Page 1: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS

(FY2013 Appropriations Bill– Public Act 200 of 2012)

April 1, 2013

Section 408: (1) By April 1 of the current fiscal year the department shall report the following data from the prior fiscal year on substance abuse prevention, education, and treatment programs to the senate and house appropriations subcommittees on community health, the senate and house fiscal agencies, and the state budget office:

(a) Expenditures stratified by coordinating agency, by central diagnosis and referral agency, by fund source, by subcontractor, by population served, and by service type. Additionally, data on administrative expenditures by coordinating agency shall be reported. (b) Expenditures per state client, with data on the distribution of expenditures reported using a histogram approach.1 (c) Number of services provided by central diagnosis and referral agency, by subcontractor, and by service type. Additionally, data on length of stay, referral source, and participation in other state programs. (d) Collections from other first- or third-party payers, private donations, or other state or local programs, by coordinating agency, by subcontractor, by population served, and by service type.

(2) The department shall take all reasonable actions to ensure that the required data reported are complete and consistent among all coordinating agencies. 1 These data are presented in table format.

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SUBSTANCE ABUSE ANNUAL REPORT

FOR FISCAL YEAR 2011 (Public Health Code – Public Act 368 of 1978)

April 1, 2013

Section 6203: With the assistance of the department, the office shall: (F) Evaluate, in cooperation with appropriate state departments and agencies, the effectiveness of substance abuse services in the state funded by federal, state, local, and private resources, and annually during the month of November1, report a summary of the detailed evaluation to the governor, legislature, commission2 and committee3. 1 Report is done in the spring of the year, for the previous fiscal year, in conjunction with data reported

per Section 408 of the Appropriations Bill. 2 “Commission” refers to the advisory commission on substance abuse services established by PA 368,

section 6221. This commission was eliminated as a result of Executive Order 1991-3, MCL 333-26321. 3 “Committee” refers to the interdepartmental committee on substance abuse established by PA 368,

section 6201. This committee was discontinued in the late 1970s.

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Behavioral Health and Developmental

Disabilities Administration

Bureau of Substance Abuse and Addiction Services

Reports Required By

Public Act 200 of 2012, Section 408

And

Public Act 368 of 1978, Section 6203(f)

March 2013

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Table of Contents

Page No.

iv

Public Act 200 of 2012, Section 408 ................................................................................ i Public Act 368 of 1978, Section 6203............................................................................... ii Bureau of Substance Abuse and Addiction Services Cover Page .................................. iii I. Section 6203(f) Annual Report ................................................................................ 1

Prevention Prepared Communities within a Recovery Oriented System of Care . 2 Prevention Prepared Communities ....................................................................... 2 PPCs in Kent County ............................................................................................ 4 PPCs in Monroe and Wayne Counties ................................................................. 4 PPCs in Washtenaw County ................................................................................ 5 PPCs in Northern Michigan Counties ................................................................... 6 PPCs Lead to Healthier Communities .................................................................. 6 Additional Information About BSAAS .................................................................... 7 Substance Use Disorder Prevention, Treatment and Recovery Services ....... 7 Problem Gambling .......................................................................................... 7 Youth Tobacco Sales Rates, Synar ................................................................ 7 For More Statistical Information ...................................................................... 8 Other Programs We Oversee .......................................................................... 8 II. Section 408 Substance Abuse Prevention, Treatment and Recovery

Programs Report (Legislative Report) .............................................................. 9

Report Changes ................................................................................................. 10 Sources of Information ....................................................................................... 10 Regional Substance Abuse Coordinating Agencies (CAs) Map ......................... 12

Section 408(a) and (b) Expenditure Reports .................................................. 13

Statewide Total Expenditures by Service Category and Fund Source ............... 14 Statewide Total Expenditures by Agency and Fund Source ............................... 15 Statewide Expenditures for Service Categories by Agency and Fund Source Administrative Expenditures .......................................................................... 16 Access Management System (AMS) Expenditures ....................................... 17 Intensive Outpatient (IOP) Expenditures ....................................................... 18 Outpatient (OP) Expenditures ....................................................................... 19 Case Management Expenditures .................................................................. 20 Early Intervention Expenditures .................................................................... 21 Recovery Support Expenditures .................................................................... 22 Methadone Expenditures .............................................................................. 23 Detox Expenditures ....................................................................................... 24 Residential Expenditures............................................................................... 25 Prevention Expenditures ............................................................................... 26 Other Services Expenditures ......................................................................... 27 Integrated Treatment Expenditures by Agency and Fund Source ...................... 28

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Table of Contents (Cont’)

Page No.

v

Expenditures and Clients Served by Service Category Intensive Outpatient (IOP) ............................................................................. 29 Outpatient (OP) ............................................................................................. 30 Detoxification ................................................................................................. 31 Residential .................................................................................................... 32

Expenditures and Admissions by Agency Bay Arenac Behavioral Health / Riverhaven ................................................. 33 Detroit Department of Health ......................................................................... 40 Genesee County Community Mental Health ................................................. 48 Kalamazoo County Community Mental Health .............................................. 55 Lakeshore Coordinating Council ................................................................... 61 Macomb County Community Mental Health .................................................. 67 Mid-South Substance Abuse Commission .................................................... 72 network180 .................................................................................................... 79 Northern Michigan Substance Abuse Services, Inc. ..................................... 85 Oakland County Health Division .................................................................... 94 Pathways ....................................................................................................... 99 Saginaw County Health Department ........................................................... 105 Southeast Michigan Community Alliance .................................................... 110 St. Clair County Community Mental Health ................................................. 117 Washtenaw Community Health Organization .............................................. 123 Western U.P. Substance Abuse Services ................................................... 128 Salvation Army Harbor Light 1 ..................................................................... 134

Section 408(c) Number of Services Provided .............................................. 137

Length of Stay by Service Type Fiscal Years 2003-2012 ................................. 138 Referral Source for Treatment Admission ........................................................ 139 Reported Client Participation in Other State Programs .................................... 140

Section 408(d) Collections ............................................................................. 141

Collections by CA and Provider ...(This information is included in Section 408[a] & [b].)

1 Salvation Army Harbor Light is a provider and not a coordinating agency.

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MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BEHAVIOR HEALTH AND DEVELOPMENTAL DISABILITIES ADMININSTRATION

BUREAU OF SUBSTANCE ABUSE AND ADDICTION SERVICES

Annual Report for Fiscal Year 2012

Required by Public Act 368 of 1978, Section 6203(f)

The Michigan Department of Community Health, Bureau of Substance Abuse and Addiction Services (BSAAS), is the lead agency for the administration of federal and state funds for substance use disorder treatment, prevention, and recovery services. BSAAS also administers Michigan's publicly-funded problem gambling services. This report was prepared to give the reader information about BSAAS administered services, the people we help, and the effectiveness of our programs in serving the people of Michigan. Hyperlinks [in blue] are found throughout this document, click on these to view related information and reports on our website.

Visit our website, www.michigan.gov/mdch-bsaas, for more information about our office.

For additional copies of this report or for a copy of our Legislative Report, visit our website and along the left choose "Reports and Statistics," then under "Data" choose "S.A. Annual & Legislative Reports."

BSAAS VISION

A future for the citizens of the state of Michigan in which individuals and families live in healthy and safe communities that promote wellness,

recovery and a fulfilling quality of life.

BSAAS MISSION

Promote wellness, strengthen communities, and facilitate recovery.

Section 408(1) Report Page 1 of 141 April 1, 2013

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BSAAS - Annual Report for Fiscal Year 2012 Page 2 February 27, 2013

FY 2012 Summary of Admissions

Treatment Numbers:

61,093 Admissions/Transfers

Gender:

Male 60.4 %

Female 39.6 %

Age: 17 and under 4.6 %

18 - 35 52.5%

36 - 54 35.8 %

55 and older 7.1 % (Median age is 33)

Race/Ethnicity:

White 69.3 %

African Amer./Black 25.0 %

Hispanic 2.8 %

Native American 1.3 %

Multiracial/Other 1.6 %

Primary Substance Reported at

Admission: Alcohol 38.0 %

Heroin 20.7 %

Marijuana/Hashish 15.2 %

Other Opiates * 14.3 %

Cocaine/Crack 8.1 %

Methamphetamine 1.3 %

All Others 2.4 % * includes prescription opiates

[More Demographic Data]

[Primary Substance by County]

Michigan’s recovery oriented system of care

supports an individual’s journey toward

recovery and wellness by creating and

sustaining networks of formal and informal

services and supports. The opportunities

established through collaboration,

partnership and a broad array of services

promote life-enhancing recovery and

wellness for individuals, families, and

communities.

Definition Adopted by the ROSC

Transformation Steering Committee,

September 30, 2010

Prevention Prepared Communities within a

Recovery Oriented System of Care

This is an extraordinary time in the history of substance use disorder (SUD)

prevention and treatment service delivery. A move toward a recovery

oriented system of care (ROSC) has swept across the nation; and

continues to have a profound impact on the design and delivery of said

services and supports. Since 2009, the Michigan Department of

Community Health, Bureau of Substance Abuse and Addiction Services

(BSAAS), has been in the process of implementing a ROSC concept as

the core philosophy for the delivery of SUD services in Michigan. ROSC

coincides with the requirements of the Affordable Care Act, and

movement toward the integration of behavioral health with primary

care. Collectively, these initiatives are working together to improve the

experience of care, the health of populations, and reduce the per

capita cost of healthcare in our state.

A ROSC is a philosophical construct by which a behavioral health

system (SUD and mental health) shapes its perspective on how it will

address recovery from addiction and other disorders. Its philosophy

encompasses all aspects of SUD prevention, treatment and recovery,

including program structure/content, agency staffing, collaborative

partnerships, policies, regulations, trainings, and staff/peer/volunteer

orientation. Within a ROSC, SUD service entities, as well as their

collaborative partners, cooperatively provide a flexible and fluid array

of services. People should be able to move among and within the

system’s service opportunities without encountering rigid boundaries or

silo-embedded services in order to obtain the assistance needed to

pursue recovery, and approach and maintain wellness.

As defined by the Substance Abuse and Mental Health Services

Administration (SAMHSA), behavioral health is a state of

mental/emotional being and/or choices and actions that affect

wellness. Substance abuse and misuse are one set of behavioral health

problems. Others include, but are not limited to, serious psychological

distress, suicide, and mental illness. In Michigan, we believe that behavioral health recovery is possible

and can be achieved by individuals, families, and communities.

Prevention Prepared Communities

A comprehensive approach to behavioral health requires

prevention programming be codified as a part of an overall

continuum of care. In this regard, Prevention Prepared

Communities (PPCs) are essential to the successful

implementation of a ROSC. PPCs enable individuals, families,

schools, faith-based organizations, and workplaces take action

to promote emotional health and reduce the likelihood of

mental illness, substance abuse, and suicide. Prevention

services that use community collaboration and strategic

partnerships to prevent and mitigate consequences of drug use,

suicide, and other health problems affecting the community are

a hallmark of a PPC. As are prevention services that draw on the strengths of the community to

promote the health and wellbeing of individuals and families in the community.

Section 408(1) Report Page 2 of 141 April 1, 2013

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BSAAS - Annual Report for Fiscal Year 2012 Page 3 February 27, 2013

By 2020, mental and substance use disorders will surpass all physical diseases as a major cause of disability worldwide.

The annual total estimated societal cost of substance abuse in the United States is $510.7 billion, with an estimated 23.5 million Americans aged 12 and older needing treatment for substance use.

Each year, approximately 5,000 youth under the age of 21 die as a result of underage drinking.

In a PPC, a strategic planning framework is used to achieve wellness

through comprehensive collaboration, joint assessment, and

planning efforts to address identified community needs; and

integrate a systems approach to deliver services. Five steps needed

to promote integration are:

1. Sharing of relevant data

2. Identifying mutual needs and strengths

3. Developing complementary organizational processes and plans

4. Integrating and/or linking services in order to improve access to

each other’s services

5. Assessing effectiveness of actions

The above-mentioned steps are coordinated with

other health promotion efforts in order to plan and deliver specialized, cost effective

prevention services that promote social and emotional well-being and align with

healthcare reform outcomes. These steps also use evidence-based services and

interventions, and meet the cultural and linguistic needs of diverse populations.

Numerous partners and stakeholders are involved, including representatives from:

healthcare, schools, education, law enforcement, courts, multi-purpose

collaborative bodies, government (in particular, human services), ethnic/tribal

leaders, behavioral health providers, families/parents/parent groups, business

community, media, youth/student-led groups, faith-based/fraternal

organizations, the recovery community, civic/volunteer groups, suicide

prevention groups, and older adult organizations.

With these partners at the table, a PPC in a ROSC can be described as a community-based

integrated prevention initiative designed to support recovery and wellness by:

Preventing and reducing the use of drugs

Mitigating the consequences of substance use disorders to individuals, families, and communities

Forging partnerships that can foster collaborative efforts and develop an integrated service

system able to sustain persons in recovery and their families

Promoting good quality of life and improving health and wellness of a community

Behavioral Health Indicators Baseline 2017 Goals

Alcohol use during past 30-days – percent of youth in 9th

-12th

grades (MI YRBS, 2011) 30.5 % 26.0 %

Binge drinking during past month – percent of youth in 9th

-12th

grades (MI YRBS, 2011) 17.8 % 14.5 %

Heavy drinking – percent of individuals over 18 years old (BRFSS 2008-10) 5.4 % 5.2 %

Alcohol involved deaths – deaths where at least one driver was 16-20 years old and had been drinking (average 2004-10) 29 28

Alcohol involved serious injuries – injuries where at least one driver was 16-20 years old and had been drinking (avg. 2004-10) 144 142

Non-medical use of pain relievers – percent of youth 12-17 years old (NSDUH, 2009-10) 6.4 % 5.0 %

Non-medical use of pain relievers – percent of youth 18-25 years old (NSDUH 2009-10) 13.4 % 12.7 %

Past year major depressive episode experienced – percent of youth in 9th

-12th

grades (MI YRBS, 2011) 26.0 % 23.0 %

Suicides – age-adjusted rate per 100,000 people in 2010 12.5 10.8

When a focused inventory has been completed, communities can identify what is already in place

and any unmet needs or gaps in services. The more diverse the group of people conducting the

inventory, the richer the action plan will be. An example of a PPC within a ROSC would include: Prevention services for individuals, families, groups, and communities

Behavioral health services for mental health and substance use disorders

Physical health services, both primary and specialty care

Medication support

Other supportive systems for overall health and well-being, including: housing, employment,

education, child care, wellness, legal issues, crisis management, and support groups

Age at First Use of Primary Drug at Admission

13 and under 17.8 %

14 – 17 35.1 %

18 – 20 17.5 %

21 – 25 13.8 %

26 – 29 5.5 %

30 and older 10.2 %

(Median age is 17)

Half of all lifetime cases of mental and substance use disorders begin by age 14

and three-fourths by age 24.

Section 408(1) Report Page 3 of 141 April 1, 2013

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BSAAS - Annual Report for Fiscal Year 2012 Page 4 February 27, 2013

15.10%

11.70%

2.70%

16.60%

5.40%

No health insurance coverage

Does not always wear a seatbelt

Drove a vehicle after drinking

Binge drinking

Heavy drinking

Adult Risky Health and Safety Patterns from Michigan Behavioral Risk Factor Survey 2008 - 2010

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Alcohol

Heroin &Other Opiates

Marijuana

Cocaine

All Others

Meth

Self-Reported Primary Drug of Choice at Admission into Michigan Publicly Funded Services

Treatment Episode Data Set FY2003 - FY2012 (10 years)

During the past year, 14 communities across

Michigan have focused on developing PPCs

within a ROSC.

PPCs in Kent County

In Kent County, the regional coordinating

agency (CA), network180, has been a vehicle

for the mobilization of a diverse array of

stakeholders who serve different functions, have different roles, and identities. Together they have

successfully designed and implemented large-scale, culturally competent strategies that promote

community restoration and public health. The Kent County Prevention Coalition (KCPC) has built a

team of 30+ partner organizations and over 40 residents who represent 12 core sectors. This village-like

framework has changed community conditions, norms, systems, and policies in Grand Rapids and

beyond in landmark ways.

KCPC is a testament to the power of community coalition-building and collaborative problem-solving

as vehicles to prevent and reduce social ills. Their work has shifted concerned community members

from being ‘lone rangers’ to a collaborative ‘A-Team,’ with an understanding that the greater synergy

there is among community stakeholders, the greater the impact. KCPC members have a shared

concern for improving the health and wellness of Grand Rapids and surrounding communities. This

synergy and shared concern unites all of the

partner organizations who form PPCs via the

coalition.

network180 is committed to educating,

empowering, and engaging people and

organizations to work in tandem versus silos,

and has used its leadership to spearhead the

creation of community partnerships that braid

resources, reduce overlap, and eliminate

duplication of services. Kent County knows

PREVENTION WORKS, and healthy communities

are essential to recovery.

PPCs in Monroe and Wayne Counties

In a similar fashion, Southeast Michigan Community Alliance (SEMCA), the CA serving Monroe and

Wayne counties (outside of Detroit), recognizes the value of leveraging partnerships to develop

healthy communities for recovery, and sustain community change. Community coalitions are building

capacity through a structured strategic planning process to identify and effectively address substance

misuse/abuse and consequence issues in their local communities. Thirteen different community

coalitions in this geographic area are either directly funded or work in collaboration with SEMCA as a

strategic partner. Some specific examples include:

Wayne County Home Visiting Program Hub: SEMCA has partnered with the Wayne County Great

Start Collaborative, The Wayne Children’s Healthcare Access Program (WCHAP), and the

Information Center to become the managing entity for the local Home Visiting Hub in Wayne

County. The purpose of the Home Visiting Hub is to streamline and coordinate outreach, intake,

referral, and feedback loops across home visiting programs; and to assure equitable access to the

most appropriate services for high-risk families. The WCHAP (an independent, physician led,

public-private community health collaborative based on a proven medical home improvement

model) has committed to utilizing the Home Visiting Hub by referring children from its participating

pediatric practices and federally qualified health clinics, if they are eligible or need home visiting.

Similarly, WCHAP receives referrals from the home visiting partners for children who are not

attending their regular well child visits, do not have a primary care provider, or have significant

issues with asthma or childhood obesity.

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BSAAS - Annual Report for Fiscal Year 2012 Page 5 February 27, 2013

Babies & Substance Abuse

The latest studies estimate that 40,000

infants are born each year with Fetal

Alcohol Spectrum Disorders (FASD)

– 1 out of every 100 births in the U.S.

Direct costs associated with Fetal Alcohol Syndrome (estimated at $3.9 billion annually) include not only

healthcare costs but also costs associated with social services and incarceration.

Of individuals with FASD, 60% will end up in an institution (mental health facility or prison).

It is estimated that almost 70% of children in foster care are affected by prenatal alcohol exposure in

varying degrees. (National Organization on Fetal Alcohol Syndrome)

192 babies were born drug-free to women in Michigan SUD treatment programs, during FY12.

91.0%

7.3% 8.8%

39.0%

5.5% 4.5% 0%

20%

40%

60%

80%

100%

Primary Drug Use Homelessness Recent Arrests

Admission

Discharge

21.3% 22.4% 26.8%

43.3%

0%

20%

40%

60%

80%

100%

Employed Social Support

Admission

Discharge

1 Discharge records matched to admissions.

Michigan SUD Treatment Outcome Measures at Discharge FY2012

1

Lincoln Park Community Prevention Coalition: Over the past

several years, a community park has been “home” to stores

selling tobacco and synthetic drugs to youth, prostitution, drug

abuse, and a significant homeless population. The coalition has

been working with neighbors, the City of Lincoln Park, Lincoln Park

Police Department, and the Lincoln Park Citizens Patrol Watch to

provide an overhaul of the park and surrounding neighborhood.

The coalition has connected residents with the Citizens Patrol

Watch to take ownership of the community and establish patrols

though the park and neighborhood. In addition, the coalition

conducts ongoing compliance checks and provides vendor

education to retailers to make the community a safer place for

youth. The coalition has identified and provided a link between

government and the community.

Monroe County Intermediate School District: As part of a ROSC

approach, a program is offered for families with children ages

birth to three who have been exposed prenatally to alcohol or

other drugs, and/or who have parents involved in SUD treatment.

The goal of the program is to increase parenting skills by enhancing parental understanding and

promoting child development. The program has partnered with Salvation Army Harbor Light, a

SUD treatment agency, to offer parenting services through home visits. To ensure the success of

families, the ROSC program collaborates with other community agencies such as Mercy Memorial

Hospital, The Monroe Great Start Collaborative, Monroe Department of Human Services Foster

Care Department, and Maternal Infant Support Services.

PPCs in Washtenaw County

A third CA, Washtenaw Community Health Organization (WCHO), has also been working in their region

to implement PPCs within a ROSC. The Washtenaw Health Initiative (WHI) formally started with a

planning meeting in January 2011 as community leaders came together to discuss how best to help

Washtenaw County plan and prepare for implementation of the Patient Protection and Affordable

Care Act of 2010.

With the sponsorship of both the University of Michigan Health System and Saint Joseph Mercy Health

System, a 12-member steering committee was formed. The planning group includes multiple

community sectors working together to assess the state of health care of Medicaid recipients, low-

income residents, and the uninsured in the county. By July 2011, this group made recommendations

to improve access and coordination of care for these populations. The WHI has grown to more than

70 participants from more than 40 organizations.

Using the 5-step strategic planning framework, the WHI developed recommendations and

implementation proposals to bridge some of the identified gaps in access to care. The work of WHI

generated collaborative activities with partners at the table, one of which is WCHO. In addition to

many other successes, WHI facilitated connections between Washtenaw County and the BSAAS that

enabled them to successfully obtain a Screening, Brief Intervention, Referral and Treatment grant to

place case managers in local safety net settings in order to assist residents struggling with substance

Section 408(1) Report Page 5 of 141 April 1, 2013

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BSAAS - Annual Report for Fiscal Year 2012 Page 6 February 27, 2013

0

5

10

15

20

<20 20-29 30-39 40-49 50-59 60+

0.6

7.3 8.7 9.5 8.4

2.1 0.2

3.4 4.8

9.0 7.8

2.1

Females

Males

Age Groups

Prescription Drug Overdose Death Rates per 100,000 Persons Michigan Residents by Age and Sex

MDCH, Vital Records and Health Statistics 2007 - 2010

use. Future projects include supporting primary care clinicians in

diagnosis, treatment, and management of depression symptoms; and

developing a tool-kit for other communities that wish to implement their

own community-based efforts.

PPCs in Northern Michigan Counties

PPCs within a ROSC are not just developed in metropolitan areas of the

state; rural parts of Michigan also develop community-based integrated prevention initiatives.

Northern Michigan Substance Abuse Services (NMSAS), the CA covering 30 counties in the Northern-

Lower Peninsula, initially convened a meeting in 2009 to discuss the problem of rising prescription drug

misuse/abuse. Community members known to share concern about the issue were solicited to

attend, and others were welcomed. Water quality and medical professionals; hospital and Federally

Qualified Health Center representatives; law enforcement and waste management organizations;

and mental health and SUD prevention and treatment representatives created a diverse group of

participants in the forum. Concerns brought to the table for discussion ranged from decreased water

quality from improper disposal, to increased numbers of Schedule II and III prescriptions being filled.

The common goal, reducing prescription drug misuse and abuse was shared by all.

A task force was formed and a strategic plan was developed using a strategic planning framework to

address identified community needs and integrated systems approach to deliver services. Because of

this process, strategies continue to be implemented throughout the NMSAS region, including:

A media campaign, I am the Solution, promoting awareness and dangers of prescription drug

misuse/abuse, and positive social norm messages of “Secure, Monitor, and Dispose Properly”

Editorials, media articles, and interviews that support efforts

A dedicated website,

www.drugfreenorthernmichigan.com, with

templates, fact sheets, and other resources

for public use

A dedicated Facebook community page

(same name as the website)

Local medication disposal sites and events

Medical professional education on “Best

Practices in Pain Management” and “Use of

the Michigan Automated Prescription

Monitoring Service (MAPS)”

Community surveys and community-level data

are being used to measure the impact of these

initiatives on overall health and wellbeing in the

region.

PPCs Lead to Healthier Communities

The effective administration of evidence-based practices to reduce risk factors that contribute to SUDs

are oftentimes also successful in reducing risk factors for mental health disorders. PPC's positive impact

on reducing risk factors common to SUDs and mental health disorders also promotes resilience,

supports recovery, and leads to healthier communities.

Send comments and questions to our office by email at [email protected].

About one out of every two

admissions to treatment during FY2012 also had a mental health

disorder (48.0%).

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BSAAS - Annual Report for Fiscal Year 2012 Page 7 February 27, 2013

63.0%

15.3% 14.3% 14.1% 18.8% 14.9%

10.7%

5%

15%

25%35%

45%

55%65%

75%

1994 2007 2008 2009 2010 2011 2012

Ille

ga

l S

ale

s R

ate

Fiscal Year

Statewide Youth Tobacco Illegal Sales Rates

Administrative 10%

Prevention 14%

AMS 7%

IOP 5%

OP 31%

Case Management 3%

Early Intervention 1%

Recovery Support 5%

Methadone 9%

Detox 7%

Residential 32%

Treatment 76%

Additional Information About BSAAS…

Substance Use Disorder

Prevention, Treatment and

Recovery Services: Regional coordinating agencies (CAs), established by Pubic Act 368 of 1978, locally manage services for persons with substance use disorders. Michigan has sixteen CAs (see Coordinating Agency Map) who contract with over 400 providers to make services available statewide.

In fiscal year 2012, BSAAS administered over $68 million in federal funds and over $16 million in state funds to purchase services on behalf of Michigan residents. Please see our Legislative Report for spending details and information on providers (including types/quantities of services, and amounts/sources of funds).

Problem Gambling: Services available to Michigan residents include a 24-hour help-line, treatment, and prevention. State restricted revenue for problem gambling services comes from several sources: casinos, lottery, and racetracks. In FY2012, 605 individuals were admitted to treatment, a program record. Of those, 62 were on the Disassociated Persons List and voluntarily enrolled in the Problem Gambling Diversion Program to receive treatment in place of criminal trespassing convictions. Please see the BSAAS Problem Gambling webpage or the re-designed www.gambleresponsibly.org website for more information about problem gambling services.

Youth Tobacco Sales Rates, Synar: A key target for prevention services is reducing youth access to tobacco. Statewide, prevention agencies, anti-tobacco groups, selected tobacco retailers, and law enforcement agencies continue to work at reducing the frequency of illegal tobacco sales to youth under the age of 18.

Studies show that strict compliance enforcement of youth access to tobacco laws is a strong deterrent for youth who are contemplating initiation of tobacco or experimenting with tobacco use.1, 2 Michigan began conducting annual random inspections of tobacco retail outlets in 1994 to determine the extent of youth access to tobacco. In accordance with the Synar regulation issued by the Substance Abuse and Mental Health Services Administration, beginning in 1997, Michigan was required to survey tobacco retailers and achieve a federally prescribed retailer violation rate (RVR).

Since 2007, with the exception of 2010, Michigan has seen a continuous decrease in RVRs. In 2012, the RVR was 10.7%, a decrease of over four percentage points from Michigan’s RVR of 14.9% reported in FY2011.

In 2013, Michigan is taking measurable steps to address youth access to tobacco RVR increases; developing a state-level Synar Strategic Plan, pooling additional funding streams to increase enforcement efforts, and aligning services to reflect a holistic approach to develop prevention-prepared communities. Please see our Youth Access to Tobacco and Synar Info webpage, on our website under Prevention, for more details. 1 Doubeni, C.A., Wenjun, L., Fouayzi, H., and DiFranza, J.R. (2008). Perceived accessibility as a predictor of youth smoking. Annals of

Family Medicine, 6(4): 323–330. 2 Forester, J.L., Murray, D.M., Wolfson, M., Blaine, T.M., Wagenaar, A.C., and Hennrikus, D.J. (1998). The effects of community policies to

reduce youth access to tobacco. American Journal of Public Health, 88(8): 1193–1198.

Admissions to Problem Gambling Treatment in Michigan

Region No. of Clients

Wayne County, including Detroit 228 Detroit Metro (outside Wayne Co.) 211 East Region 68 West Region 98 Upper Peninsula (UP) 0

Statewide During FY 2012 605

Trea

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BSAAS - Annual Report for Fiscal Year 2012 Page 8 February 27, 2013

For More Statistical Information: Reports with statistical information by regional areas are also available as listed below. They are on our website at www.michigan.gov/mdch-bsaas, along the left side choose "Reports and Statistics."

Treatment Demographics (includes Correctional/Judicial involvement statistics)

Primary Substance Reported at Admission by County

Women & Pregnant Women - Admissions and Discharges

Reported Mental Health Disorder as Factor in Treatment

Treatment Activity Summary (TEDS)

Treatment Discharge Reasons

Treatment Outcomes Measured at Discharge

Prevention - - Youth Tobacco Sales Rates, Synar

Problem Gambling Services

Other Programs We Oversee: Our website also has information about other programs we oversee:

Prescription and Over-The-Counter Drug Abuse

Section 408(1) Report Page 8 of 141 April 1, 2013

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MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BEHAVIOR HEALTH AND DEVELOPMENTAL DISABILITIES ADMININSTRATION

BUREAU OF SUBSTANCE ABUSE AND ADDICTION SERVICES

Substance Abuse Prevention, Treatment and Recovery Programs Report

(Legislative Report) for Fiscal Year 2012

Required by Public Act 200 of 2012, Section 408

The Michigan Department of Community Health, Bureau of Substance Abuse and Addiction Services (MDCH/BSAAS) developed this report to meet the requirements of the Public Act noted above. PA 200 of 2012 is the annual appropriations act for the department. Section 408 is as follows:

(1) By April 1 of the current fiscal year, the department shall report the following data from the prior fiscal year on substance abuse prevention, education, and treatment programs to the senate and house appropriations subcommittees on community health, the senate and house fiscal agencies, and the state budget office:

(a) Expenditures stratified by coordinating agency, by central diagnosis and

referral agency, by fund source, by subcontractor, by population served, and by service type. Additionally, data on administrative expenditures by coordinating agency shall be reported.

(b) Expenditures per state client, with data on the distribution of expenditures

reported using a histogram approach. (Department note: these data are presented in table format.)

(c) Number of services provided by central diagnosis and referral agency, by

subcontractor, and by service type. Additionally, data on length of stay, referral source, and participation in other state programs.

(d) Collections from other first- or third-party payers, private donations, or

other state or local programs, by coordinating agency, by subcontractor, by population served, and by service type.

(2) The department shall take all reasonable actions to ensure that the required

data reported are complete and consistent among all coordinating agencies.

Section 408(1) Report Page 9 of 141 April 1, 2013

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BSAAS – Legislative Report for Fiscal Year 2012

Report Changes for FY2012 The structure for the FY2012 Legislative Report (LR) is essentially the same as that of the FY2011 report. Sources of Information Principle sources of information are:

Treatment admission and discharge data uploads. Treatment providers prepare a profile of each client at admission, and they update the profile at discharge. These profiles contain demographic and clinical data. Providers submit the data to CAs, and CAs upload to MDCH. Salvation Army Harbor Light (SAHL) uploads the data directly to MDCH. This data is the source of information on client characteristics, referral sources, and treatment outcomes.

Treatment encounter data uploads. Encounter data are prepared by treatment

providers, submitted to CAs, and uploaded to MDCH. This data is the source of information on the nature and amount of treatment provided.

Categorical annual reports. Information has been drawn from several reports

prepared by CAs. Legislative reports. Each of the 16 regional substance abuse CAs and the SAHL

submit an annual report specific to Section 408. This report shows agency administrative expenditures, lists subcontractors by service category, shows revenue sources and amounts per subcontractor, and, for treatment services, shows numbers of units, admissions and unduplicated clients.

Prevention Data System. This is the source for numbers of prevention services

direct recipients. On each agency’s LR, Prevention Recipients are not included in Admissions Total.

Significant effort at local and state levels was made to provide complete and consistent data among agencies. State staff reviewed the reports for consistency with federal and state requirements. Subcontractor information was checked against the substance abuse licensure database. Financial data were checked for consistency with agency year-end Revenue and Expenditure reports. Client data were checked for consistency with encounter data submitted previously by the agencies. Revenue sources reflected in the report are:

1) BSAAS, which consists of federal categorical and block grant funds and state general fund appropriations.

2) Medicaid, which consists of Per Eligible Per Month (PEPM) payments

administered by CAs.

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BSAAS – Legislative Report for Fiscal Year 2012

3) Adult Benefit Waiver (ABW) PEPM gross payments (federal and state shares

combined) administered by CAs as paid to CAs by one or more Prepaid Inpatient Health Plans (PIHPs);

4) MIChild (PEPM) payments administered by CAs. 5) State Disability Assistance (SDA), consisting of funds to support room and board

for SDA-eligible individuals admitted to residential treatment, administered by CAs.

6) Fees, which mainly include insurance and self-pay; this category is intended to

include only that fee revenue which is associated with services paid for by CAs, or by SAHL with MDCH/BSAAS-administered funds.

7) Local, which includes but is not limited to, PA 2 of 1986 funds (convention facility

tax). 8) Federal, directly received by the agency or providers. 9) Other, which consists largely of funding from other state departments and from

drug courts. The expenditure and revenue information for populations served is unavailable, as individual client financial information by population is not tracked. The collections from first and third parties, and collections by populations served, as requested in Section 408(d), are also unavailable. The report includes the administrative expenses for each agency, except for SAHL; they do not separately budget administrative costs.

MDCH/BSAAS welcomes comments and questions. Please direct them to our office at [email protected] or (517) 373-4700.

Section 408(1) Report Page 11 of 141 April 1, 2013

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Bureau of Substance Abuse & Addiction Services

Mental Health & Substance Abuse Administration Michigan Department of Community Health 320 S. Walnut St., Lansing, MI 48913 Phone: (517) 373-4700 Fax: (517) 241-2611 Email: [email protected] Website: www.michigan.gov/mdch-bsaas

Section 408(1) Report Page 12 of 141 April 1, 2013

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Section 408(a) and (b) Expenditure Reports

Section 408(1) Report Page 13 of 141 April 1, 2013

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Section 408(1) Report Page 14 of 141 April 1, 2013

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Section 408(1) Report Page 15 of 141 April 1, 2013

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$0$0

$2,8

46$3

71,8

03$0

$1,3

62,4

59

Net

wo

rk 1

80$6

04,5

37$3

81,0

17$0

$0$0

$0$0

$0$0

$985

,554

No

rth

ern

MI S

ub

Ab

use

$781

,288

$175

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$21,

087

$0$0

$0$0

$0$6

8,14

5$1

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,872

Oak

lan

d C

ou

nty

Hea

lth

Div

.$3

51,4

75$1

51,4

44$4

0,54

3$0

$0$1

5$2

09,0

33$0

$0$7

52,5

10

Pat

hw

ays

Su

bst

ance

Ab

use

$147

,892

$45,

439

$6,2

67$0

$0$0

$0$0

$24,

023

$223

,621

Sag

inaw

Co

un

ty H

ealt

h D

ept.

$252

,875

$235

,883

$0$0

$0$0

$0$0

$0$4

88,7

58

So

uth

east

MI C

om

m. A

llian

ce$7

81,5

08$1

72,0

95$1

0,89

1$2

,521

$0$0

$6,4

24$0

$1,9

09$9

75,3

49

St.

Cla

ir C

ou

nty

CM

H$1

99,6

46$1

72,4

10$7

,256

$0$0

$0$0

$0$0

$379

,312

Was

hte

naw

Co

mm

. Hea

lth

Org

.$3

04,0

41$9

3,30

0$2

5,53

0$0

$0$2

,260

$19,

094

$0$0

$444

,225

Wes

tern

U.P

. Su

b. A

bu

se$2

22,2

26$0

$0$0

$0$2

6,49

6$1

,217

$4,8

48$5

9,74

1$3

14,5

28

Sal

vati

on

Arm

y H

arb

or

Lig

ht

$0$0

$0$0

$0$0

$0$0

$0$0

Sta

tew

ide

To

tals

$7,7

39,0

63$3

,207

,471

$819

,361

$2,7

59$0

$29,

466

$1,9

79,0

06$3

76,6

51$3

86,6

53$1

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0,43

1

Bu

reau

of

Su

bst

ance

Ab

use

an

d A

dd

icti

on

Ser

vice

s (B

SA

AS

)R

epor

t to

the

Legi

slat

ure

for

Fis

cal Y

ear

2012

Ad

min

istr

ativ

e E

xpen

dit

ure

s b

y A

gen

cy a

nd

Fu

nd

So

urc

e

Mic

higa

n D

epar

tmen

t of C

omm

unity

Hea

lth, B

ehav

iora

l Hea

lth a

nd D

evel

opm

enta

l Dis

abili

ties

Adm

inis

trat

ion

Section 408(1) Report Page 16 of 141 April 1, 2013

Page 22: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ag

ency

BS

AA

SM

edic

aid

AB

W G

ross

F

eder

al &

Sta

te

Fro

m C

As

PIH

P(s

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hild

(F

eder

al

Sh

are

On

ly)

SD

AF

ees

Lo

cal

Fed

eral

Oth

erT

ota

ls

BA

BH

/Riv

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aven

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395

$14,

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29$0

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$0$0

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Det

roit

Dep

t. o

f H

ealt

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Gen

esee

Co

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ty C

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$400

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$307

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amaz

oo

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esh

ore

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ord

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cil

$173

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$0$0

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om

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ou

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Su

bst

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Ab

use

$184

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$0$0

$0$0

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0,58

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$0$0

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No

rth

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ub

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use

$283

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$129

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$0$0

$0$0

$426

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Oak

lan

d C

ou

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Div

.$4

49,7

46$2

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$0$0

$0$0

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39

Pat

hw

ays

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ance

Ab

use

$276

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$135

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$11,

278

$0$0

$0$0

$0$2

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$425

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Sag

inaw

Co

un

ty H

ealt

h D

ept.

$107

,408

$72,

433

$0$0

$0$0

$0$0

$0$1

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41

So

uth

east

MI C

om

m. A

llian

ce$3

87,7

19$2

03,0

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,860

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$0$7

5,81

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93

St.

Cla

ir C

ou

nty

CM

H$1

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53$1

76,4

07$7

,424

$0$0

$0$0

$0$0

$321

,384

Was

hte

naw

Co

mm

. Hea

lth

Org

.$8

7,54

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4,88

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,025

$0$0

$0$0

$0$0

$129

,457

Wes

tern

U.P

. Su

b. A

bu

se$2

05,0

00$0

$0$0

$0$3

2,55

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1,63

5$1

50$5

,870

$275

,209

Sal

vati

on

Arm

y H

arb

or

Lig

ht

$0$0

$0$0

$0$0

$0$0

$0$0

Sta

tew

ide

To

tals

$4,2

66,6

95$2

,740

,285

$312

,594

$1,0

50$0

$32,

554

$107

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$150

$26,

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$7,4

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29

1 AM

S fu

nctio

ns in

clud

e fin

anci

al a

nd c

linic

al e

ligib

ility

det

erm

inat

ion,

ref

erra

l, ut

iliza

tion

man

agem

ent,

and

othe

r fu

nctio

ns.

Mic

higa

n D

epar

tmen

t of C

omm

unity

Hea

lth, B

ehav

iora

l Hea

lth a

nd D

evel

opm

enta

l Dis

abili

ties

Adm

inis

trat

ion

Bu

reau

of

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ance

Ab

use

an

d A

dd

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on

Ser

vice

s (B

SA

AS

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epor

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the

Legi

slat

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cal Y

ear

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Acc

ess

Man

agem

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Sys

tem

(A

MS

)1 E

xpen

dit

ure

s b

y A

gen

cy a

nd

Fu

nd

So

urc

e

Section 408(1) Report Page 17 of 141 April 1, 2013

Page 23: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ag

ency

BS

AA

SM

edic

aid

AB

W G

ross

F

eder

al &

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te

Fro

m C

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al

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are

On

ly)

SD

AF

ees

Lo

cal

Fed

eral

Oth

erT

ota

ls

BA

BH

/Riv

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aven

$0$0

$0$0

$0$0

$0$0

$0$0

Det

roit

Dep

t. o

f H

ealt

h$2

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66$2

58,2

39$4

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,909

$22,

880

$0$0

$580

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Gen

esee

Co

un

ty C

MH

$101

,487

$78,

559

$7,6

44$0

$0$0

$39,

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$0$1

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60

Kal

amaz

oo

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ty C

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$0$0

$0$0

$0$0

$0$0

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esh

ore

Co

ord

. Co

un

cil

$202

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$220

,149

$25,

997

$1,6

22$0

$4,4

09$8

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6$0

$0$5

39,4

67

Mac

om

b C

ou

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CM

H$1

02,3

36$3

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1$9

,314

$0$0

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12$1

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-So

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bst

ance

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use

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$0$0

$0$0

$0$0

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wo

rk 1

80$0

$0$0

$0$0

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ern

MI S

ub

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use

$21,

037

$117

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$11,

286

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$21,

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$133

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$304

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Oak

lan

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ou

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.$6

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use

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00$7

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$0$0

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uth

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llian

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89$6

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19

Was

hte

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mm

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$0$0

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$521

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tern

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bu

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671

Sal

vati

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arb

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75

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tew

ide

To

tals

$2,5

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11$1

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$171

,954

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$182

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$876

,486

$0$1

2,57

2$5

,347

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Mic

higa

n D

epar

tmen

t of C

omm

unity

Hea

lth, B

ehav

iora

l Hea

lth a

nd D

evel

opm

enta

l Dis

abili

ties

Adm

inis

trat

ion

Bu

reau

of

Su

bst

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use

an

d A

dd

icti

on

Ser

vice

s (B

SA

AS

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epor

t to

the

Legi

slat

ure

for

Fis

cal Y

ear

2012

Inte

nsi

ve O

utp

atie

nt

(IO

P)

Exp

end

itu

res

by

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ency

an

d F

un

d S

ou

rce

NO

TE

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orth

ose

CA

sre

port

ing

noIO

Pex

pend

iture

son

this

spre

adsh

eet,

they

have

chos

ento

com

bine

thei

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Pan

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der

OP

;w

hile

othe

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As

adm

itan

ddi

scha

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unde

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nd O

P s

ervi

ce c

ateg

orie

s.

Section 408(1) Report Page 18 of 141 April 1, 2013

Page 24: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ag

ency

BS

AA

SM

edic

aid

AB

W G

ross

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eder

al &

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m C

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al

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are

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ly)

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AF

ees

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cal

Fed

eral

Oth

erT

ota

ls

BA

BH

/Riv

erh

aven

$594

,307

$595

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$43,

750

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51$0

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858

$26,

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10

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roit

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t. o

f H

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Gen

esee

Co

un

ty C

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$957

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$134

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$22,

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cil

$997

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$456

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$48,

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$2,3

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$47,

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$662

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use

$1,7

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$151

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$3,0

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$362

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$226

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$4,8

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rk 1

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2,43

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$622

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84

No

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ub

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use

$230

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lan

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ou

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$616

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$99,

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$122

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$377

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Pat

hw

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$476

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$276

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$30,

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$25,

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Was

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$0$0

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ide

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$12,

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$11,

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reau

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d A

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ear

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t (O

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end

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ency

an

d F

un

d S

ou

rce

Section 408(1) Report Page 19 of 141 April 1, 2013

Page 25: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ag

ency

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m C

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ees

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cal

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Kal

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08,2

83$0

$0$0

$0$0

$224

,425

$0$0

$332

,708

Mid

-So

uth

Su

bst

ance

Ab

use

$287

,898

$0$0

$0$0

$0$3

67,2

71$0

$21,

071

$676

,240

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wo

rk 1

80$2

49,3

21$6

58,4

48$5

,046

$0$0

$0$1

80,5

94$0

$0$1

,093

,408

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rth

ern

MI S

ub

Ab

use

$59,

686

$0$0

$0$0

$0$2

6,91

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$0$8

6,60

4

Oak

lan

d C

ou

nty

Hea

lth

Div

.$2

2,22

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$0$0

$0$6

2$0

$0$0

$22,

284

Pat

hw

ays

Su

bst

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use

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$0$0

$0$0

$0$0

$0$5

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ty H

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$29,

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$120

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$0$0

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MI C

om

m. A

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$0$0

$0$0

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25$0

$29,

399

$335

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Cla

ir C

ou

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CM

H$3

,681

$0$0

$0$0

$0$0

$0$0

$3,6

81

Was

hte

naw

Co

mm

. Hea

lth

Org

.$8

5,78

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$0$0

$0$0

$186

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$0$9

0,51

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62,7

92

Wes

tern

U.P

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$0$0

$0$0

$0$0

$0$0

$0

Sal

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y H

arb

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ht

$0$0

$0$0

$0$0

$0$0

$0$0

Sta

tew

ide

To

tals

$1,0

23,0

28$8

20,8

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4,39

2$8

31$0

$62

$1,3

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31$0

$140

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$3,3

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39

Mic

higa

n D

epar

tmen

t of C

omm

unity

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lth, B

ehav

iora

l Hea

lth a

nd D

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enta

l Dis

abili

ties

Adm

inis

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ion

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reau

of

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bst

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use

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d A

dd

icti

on

Ser

vice

s (B

SA

AS

)R

epor

t to

the

Legi

slat

ure

for

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cal Y

ear

2012

Cas

e M

anag

emen

t E

xpen

dit

ure

s b

y A

gen

cy a

nd

Fu

nd

So

urc

e

Section 408(1) Report Page 20 of 141 April 1, 2013

Page 26: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ag

ency

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ly)

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cal

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eral

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use

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$0$0

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$126

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$140

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$7,9

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$421

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26

Mic

higa

n D

epar

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unity

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inis

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d A

dd

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ly In

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ency

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ou

rce

Section 408(1) Report Page 21 of 141 April 1, 2013

Page 27: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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wo

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$45,

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Was

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nd

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So

urc

e

Section 408(1) Report Page 22 of 141 April 1, 2013

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Ag

ency

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AA

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edic

aid

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ross

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ly)

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eral

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ota

ls

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BH

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aven

$196

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$33,

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$133

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Was

hte

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mm

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2 Met

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ces

are

secu

red

on a

cas

e by

cas

e ba

sis

as m

edic

ally

nec

essa

ry.

1 Dat

a on

this

pag

e re

flect

dos

ing,

labo

rato

ry w

ork,

and

phy

sici

an s

ervi

ces.

Out

patie

nt c

ouns

elin

g fo

r M

etha

done

clie

nts

is r

efle

cted

on

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nt ta

bles

, tho

u no

t sep

arat

ely.

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n D

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ear

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on

e E

xpen

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y A

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nd

So

urc

e1

Section 408(1) Report Page 23 of 141 April 1, 2013

Page 29: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ag

ency

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$0$0

$389

,839

Wes

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$0$0

$0$3

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$10,

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$49,

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$0$0

$0$0

$127

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$31,

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$0$0

$809

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Sta

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$3,8

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$233

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$2,3

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$146

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Rep

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Ad

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(BS

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Mic

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ties

Adm

inis

trat

ion

Section 408(1) Report Page 24 of 141 April 1, 2013

Page 30: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ag

ency

BS

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edic

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AB

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$820

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$73,

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$90

$116

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$0$3

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$196

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$2,3

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21

Kal

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Co

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$366

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$110

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$2,2

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$30,

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$8,7

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. Co

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$584

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$251

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$36,

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Mac

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ou

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CM

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$617

,584

$0$1

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$0$2

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,327

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Su

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Ab

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$1,0

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$2,0

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0,31

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88,7

48$0

$319

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$2,5

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38

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45,3

90$5

58,4

34$0

$0$1

65,9

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$293

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$0$0

$1,7

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65

No

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MI S

ub

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$1,5

97,8

21$9

59,5

20$6

9,85

6$1

,777

$155

,956

$48,

148

$517

,276

$0$1

0,48

7$3

,360

,840

Oak

lan

d C

ou

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Hea

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Div

.$8

58,1

24$6

45,2

39$8

5,02

3$4

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$141

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$5,8

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14,4

09$0

$0$2

,455

,407

Pat

hw

ays

Su

bst

ance

Ab

use

$493

,787

$419

,291

$0$1

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$112

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$13,

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$4,7

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$0$1

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Sag

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Co

un

ty H

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h D

ept.

$571

,379

$536

,198

$0$0

$0$0

$0$0

$0$1

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So

uth

east

MI C

om

m. A

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ce$1

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$1,1

66,9

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6,77

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4,41

1$2

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2$2

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84,9

45$0

$0$3

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St.

Cla

ir C

ou

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CM

H$1

83,8

26$5

36,6

38$0

$5,9

55$1

,471

$4,6

18$8

,178

$0$0

$740

,686

Was

hte

naw

Co

mm

. Hea

lth

Org

.$2

70,2

73$1

12,9

91$4

6,24

2$0

$48,

597

$0$3

43$0

$0$4

78,4

46

Wes

tern

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. Su

b. A

bu

se$2

50,8

51$0

$0$0

$105

,842

$6,8

10$8

,424

$35,

601

$1,0

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08,5

28

Sal

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Arm

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arb

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$1,7

47,1

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$0$0

$0$1

11,8

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6,46

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$0$1

,885

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Sta

tew

ide

To

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$16,

076,

785

$11,

357,

033

$1,0

94,0

09$5

7,99

5$1

,958

,058

$487

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$3,9

34,7

65$3

5,60

1$5

27,3

50$3

5,52

9,58

8

Mic

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ou

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Section 408(1) Report Page 25 of 141 April 1, 2013

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Ag

ency

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aid

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30,4

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$77,

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$570

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$842

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$333

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3,89

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$791

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$0$0

$34,

569

$421

,629

$0$1

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ou

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CM

H$5

98,7

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$0$0

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3$2

49,8

88$0

$0$9

37,8

26

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Su

bst

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Ab

use

$1,0

39,6

37$0

$0$0

$0$4

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1$3

77,6

78$1

24,0

00$2

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$1,5

84,5

23

Net

wo

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36,6

42$0

$0$0

$0$0

$366

,386

$0$0

$903

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rth

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MI S

ub

Ab

use

$970

,467

$0$0

$0$0

$0$4

36,0

38$0

$0$1

,406

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Oak

lan

d C

ou

nty

Hea

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Div

.$7

53,9

48$0

$0$0

$0$0

$278

,923

$0$0

$1,0

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71

Pat

hw

ays

Su

bst

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Ab

use

$386

,875

$0$0

$0$0

$18,

315

$421

,300

$1,0

00$2

4,76

9$8

52,2

59

Sag

inaw

Co

un

ty H

ealt

h D

ept.

$296

,995

$0$0

$0$0

$0$1

92,2

27$0

$0$4

89,2

22

So

uth

east

MI C

om

m. A

llian

ce$1

,050

,153

$0$0

$0$0

$0$5

46,2

36$0

$0$1

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Cla

ir C

ou

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CM

H$1

78,9

79$0

$0$0

$0$0

$82,

663

$0$0

$261

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Was

hte

naw

Co

mm

. Hea

lth

Org

.$4

50,3

58$0

$0$0

$0$0

$538

,735

$0$0

$989

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Wes

tern

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. Su

b. A

bu

se$2

71,8

44$0

$0$0

$0$0

$15,

270

$9,0

00$0

$296

,114

Sal

vati

on

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y H

arb

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ht

$0$0

$0$0

$0$0

$0$0

$0$0

Sta

tew

ide

To

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$11,

710,

305

$0$0

$0$0

$216

,691

$4,6

43,1

68$1

34,0

00$2

73,2

09$1

6,97

7,37

3

Mic

higa

n D

epar

tmen

t of C

omm

unity

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lth, B

ehav

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l Hea

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nd D

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enta

l Dis

abili

ties

Adm

inis

trat

ion

Bu

reau

of

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ance

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use

an

d A

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s (B

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ven

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nd

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nd

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urc

e

Section 408(1) Report Page 26 of 141 April 1, 2013

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Ag

ency

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edic

aid

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$46,

596

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$0$0

$5,3

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$12,

377

$68,

499

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amaz

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$1,8

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$0$0

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$302

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7$3

91,6

70

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esh

ore

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ord

. Co

un

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$172

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$0$0

$0$0

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$0$0

$172

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om

b C

ou

nty

CM

H$0

$0$0

$0$0

$0$1

5,80

0$0

$0$1

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0

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uth

Su

bst

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Ab

use

$64,

868

$0$0

$0$0

$0$5

7,10

0$0

$0$1

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68

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wo

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05,1

67-$

56$0

$0$0

$52,

030

$0$0

$300

,309

No

rth

ern

MI S

ub

Ab

use

$300

,685

$217

,496

$0$0

$0$0

$35,

000

$0$0

$553

,180

Oak

lan

d C

ou

nty

Hea

lth

Div

.$1

49,9

74$4

,380

$794

$0$0

$0$0

$0$0

$155

,148

Pat

hw

ays

Su

bst

ance

Ab

use

$6,6

32$4

8,87

9$4

,060

$0$0

$0$6

5,42

3$0

$0$1

24,9

94

Sag

inaw

Co

un

ty H

ealt

h D

ept.

$26,

562

$0$0

$0$0

$0$0

$0$0

$26,

562

So

uth

east

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om

m. A

llian

ce$1

29,6

58$0

$0$0

$0$0

$161

,734

$0$0

$291

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Cla

ir C

ou

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CM

H$1

9,37

7$0

$0$0

$0$0

$8,5

00$0

$0$2

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7

Was

hte

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Co

mm

. Hea

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Org

.$1

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$0$0

$0$0

$510

,659

$0$1

6,84

2$6

56,0

89

Wes

tern

U.P

. Su

b. A

bu

se$0

$0$0

$0$0

$7,4

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53,8

62$3

0,98

8$2

11,9

60$4

04,2

46

Sal

vati

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Arm

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arb

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ht

$0$0

$0$0

$0$0

$0$0

$0$0

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tew

ide

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$2,0

36,2

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43,3

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7,75

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0,98

8$3

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by

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ency

an

d F

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Section 408(1) Report Page 27 of 141 April 1, 2013

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Ag

en

cy

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ed

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58

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$0$0

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$0$1

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6

Kal

amaz

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$32,

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$5,8

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$0$0

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9$0

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3

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. C

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$855

$0$0

$0$6

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$0$0

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750

Mac

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ou

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H$3

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60,7

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8,49

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$33,

422

$61,

315

$0$0

$648

,323

Mid

-So

uth

Su

bst

ance

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use

$872

,718

$1,6

94,2

91$1

87,0

12$3

,922

$0$0

$0$0

$0$2

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,942

Net

wo

rk 1

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Co

un

ty C

MH

$332

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$798

,465

$5,0

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$0$0

$591

,610

$0$0

$1,7

27,5

14

No

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Ab

use

$1,5

93,7

63$1

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,577

$73,

253

$0$9

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81,0

30$0

$0$3

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,854

Oak

lan

d C

ou

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Hea

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.$9

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98,2

58$8

0,27

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26$7

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$22,

208

$0$0

$0$1

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Pat

hw

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Su

bst

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Ab

use

$12,

612

$5,2

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$0$2

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$0$0

$18,

769

Sag

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Co

un

ty H

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h D

ept.

$0$0

$0$0

$0$0

$0$0

$0$0

So

uth

east

MI

Co

mm

. A

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nce

$2,1

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,386

$132

,168

$819

$0$3

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1$4

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$0$4

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St.

Cla

ir C

ou

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CM

H$8

7,94

4$8

2,37

2$6

,988

$0$0

$16,

728

$6,7

40$0

$0$2

00,7

72

Was

hte

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Co

mm

un

ity

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lth

O$3

86,9

85$1

37,8

41$4

0,72

5$0

$0$0

$0$0

$0$5

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51

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tern

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. S

ub

. A

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$0$0

$0$0

$0$0

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$7,8

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grat

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reat

men

t oc

curs

with

in a

ll tr

eatm

ent

cate

gori

es;

inte

grat

ed a

nd r

egul

ar t

reat

men

t ex

pend

iture

s ar

e co

mbi

ned

in e

xpe

nditu

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by s

ervi

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ory

figur

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end

itu

res

by

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ency

an

d F

un

d S

ou

rce

Section 408(1) Report Page 28 of 141 April 1, 2013

Page 34: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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that

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rved

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rat

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ulat

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unity

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)

Section 408(1) Report Page 29 of 141 April 1, 2013

Page 35: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 30 of 141 April 1, 2013

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Section 408(1) Report Page 31 of 141 April 1, 2013

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Section 408(1) Report Page 32 of 141 April 1, 2013

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$109

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Section 408(1) Report Page 33 of 141 April 1, 2013

Page 39: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 34 of 141 April 1, 2013

Page 40: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 35 of 141 April 1, 2013

Page 41: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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75

Section 408(1) Report Page 36 of 141 April 1, 2013

Page 42: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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00

Section 408(1) Report Page 37 of 141 April 1, 2013

Page 43: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 38 of 141 April 1, 2013

Page 44: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 39 of 141 April 1, 2013

Page 45: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 40 of 141 April 1, 2013

Page 46: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ser

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Section 408(1) Report Page 41 of 141 April 1, 2013

Page 47: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ser

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Section 408(1) Report Page 42 of 141 April 1, 2013

Page 48: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 43 of 141 April 1, 2013

Page 49: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 44 of 141 April 1, 2013

Page 50: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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$90,

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Section 408(1) Report Page 45 of 141 April 1, 2013

Page 51: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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ters

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Section 408(1) Report Page 46 of 141 April 1, 2013

Page 52: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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nd

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Section 408(1) Report Page 47 of 141 April 1, 2013

Page 53: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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h

Section 408(1) Report Page 48 of 141 April 1, 2013

Page 54: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 49 of 141 April 1, 2013

Page 55: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 50 of 141 April 1, 2013

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Section 408(1) Report Page 51 of 141 April 1, 2013

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Section 408(1) Report Page 52 of 141 April 1, 2013

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Section 408(1) Report Page 53 of 141 April 1, 2013

Page 59: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 54 of 141 April 1, 2013

Page 60: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 55 of 141 April 1, 2013

Page 61: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 56 of 141 April 1, 2013

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Section 408(1) Report Page 57 of 141 April 1, 2013

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Section 408(1) Report Page 58 of 141 April 1, 2013

Page 64: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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02

Section 408(1) Report Page 59 of 141 April 1, 2013

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4

Section 408(1) Report Page 60 of 141 April 1, 2013

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Section 408(1) Report Page 61 of 141 April 1, 2013

Page 67: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 62 of 141 April 1, 2013

Page 68: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 63 of 141 April 1, 2013

Page 69: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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034

1

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had

on

e P

rovi

der

s

Eas

tsid

e S

ubst

ance

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se C

linic

$12,

080

$211

,274

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325

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640

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bort

own

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atm

ent

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ter6

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058

0

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rry

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eet

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vice

s, I

nc.

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20

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had

on

e T

ota

ls$3

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5$2

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89$3

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$288

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Det

ox

Pro

vid

ers

Jim

Gilm

ore

Jr.

CH

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42$1

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87$0

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2715

8

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e R

est

Jelle

ma

TC

$26,

257

$15,

690

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718

Sal

vatio

n A

rmy

TP

Pro

gram

$125

,754

$55,

692

$17,

298

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7119

1

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ox

To

tals

$276

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4536

7

Res

iden

tial

Pro

vid

ers

Hol

y C

ross

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th &

Fam

ily

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vice

s (in

cl.

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& B

d fo

r M

ed.)

$1,5

41$0

$0$4

,959

$0$0

$0$0

$0$6

,500

1

Jim

Gilm

ore

Jr.

CH

C (

incl

. R

m &

B

d fo

r M

ed.)

$168

,506

$15,

048

$3,1

86$0

$0$2

94$5

,724

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$192

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Kai

ros

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lthca

re,

Inc.

(in

cl.

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&

Bd

for

Med

.)$1

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$0$0

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$1,1

612

OA

R-C

hest

er A

. R

ay C

tr.

(incl

. R

m &

Bd

for

Med

)$1

32,0

53$7

1,63

0$2

,880

$0$1

2,17

7$7

,428

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89

OA

R-H

arbo

r H

ouse

(in

cl.

Rm

&

Bd

for

Med

)$1

37,9

79$8

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0$8

,280

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48$1

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66$0

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4675

Pin

e R

est

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edom

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se (

incl

. R

m &

Bd

for

Med

.)$9

,840

$9,5

45$0

$0$0

$0$0

$0$0

$19,

385

6

Section 408(1) Report Page 64 of 141 April 1, 2013

Page 70: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ser

vice

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d (

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eral

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e O

nly

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ther

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ort

to t

he L

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latu

re f

or F

isca

l Yea

r 20

12

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esh

ore

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ord

inat

ing

Co

un

cil

Pin

e R

est-

Jelle

ma

Hou

se (

incl

. R

m &

Bd

for

Med

.)$1

6,14

1$5

,292

$0$0

$0$0

$0$0

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1,43

36

Pin

e R

est

Jelle

ma

TC

(in

cl.

Rm

&

Bd

for

Med

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58$0

$0$0

$0$0

$0$0

$6,6

352

Sal

vatio

n A

rmy

TP

Pro

g (in

cl.

Rm

&

Bd

for

Med

.)$1

11,3

41$4

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2$2

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5$0

$0$3

,161

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725

$0$0

$211

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161

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gwoo

d C

hris

tian

Ser

vice

s (in

cl.

Rm

& B

d fo

r M

ed.)

$1,5

93$1

4,45

5$0

$0$0

$0$0

$0$0

$16,

048

1

Res

iden

tial

To

tals

$584

,632

$251

,750

$36,

981

$4,9

59$1

9,48

0$1

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47$0

$0$1

,255

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ven

tio

n P

rovi

der

s

Alle

gan

CM

H$1

29,6

29$0

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000

$0$0

$204

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rien

Co

Hlth

Dep

t$1

80,6

69$0

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$0$7

,855

$99,

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2$3

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03

Eve

ry W

oman

's P

lace

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$0$0

$74,

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kego

n C

o H

lth D

ept

$102

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$27

$231

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awa

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lth D

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$89,

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$96,

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I-H

olla

nd$1

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74$0

$0$0

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$123

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$329

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via'

s P

lace

$0$0

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01$0

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iona

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vent

ion

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iviti

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ven

tio

n T

ota

ls$7

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78$0

$0$0

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29$0

$144

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ject

8$1

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iona

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SS

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370

Section 408(1) Report Page 65 of 141 April 1, 2013

Page 71: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

Ser

vice

Cat

ego

ry /

Pro

vid

erB

SA

AS

Med

icai

d1

& 9

AB

W G

ross

-F

eder

al &

Sta

te-

Fro

m C

As

PIH

P(s

)9

MIC

hil

d (

Fed

eral

S

har

e O

nly

)S

DA

Fee

sL

oca

lF

eder

alO

ther

To

tal

Rev

enu

es/

E

xpen

dit

ure

sA

dm

issi

on

s

Rep

ort

to t

he L

egis

latu

re f

or F

isca

l Yea

r 20

12

Lak

esh

ore

Co

ord

inat

ing

Co

un

cil

Ber

rien

Co

Hlth

Dep

t "C

D"

$0$0

$0$0

$0$0

$0$0

$0$0

0

Cat

holic

Cha

ritie

s W

est

Mic

higa

n (O

ttaw

a) "

CD

"$3

,000

$0$0

$0$0

$0$0

$0$0

$3,0

0076

Hac

kley

Life

Cou

nsel

ing

"CD

" (H

E/R

R)

$27,

129

$0$0

$0$0

$0$0

$0$0

$27,

129

523

Wes

t M

I T

hera

py "

CD

"$3

,060

$0$0

$0$0

$0$0

$0$0

$3,0

6067

Oth

er S

ervi

ces

To

tals

$172

,846

$0$0

$0$0

$0$0

$0$0

$172

,846

666

Gra

nd

To

tals

$3,7

15,9

38$1

,503

,314

$185

,553

$8,9

01$1

9,48

0$1

06,4

73$1

,552

,916

$0$1

44,5

63$7

,237

,138

5,28

2

NO

TE

S:

1 W

SS

fun

ds a

re u

sed

for

anci

llary

ser

vice

s pr

ovid

ed t

o M

edic

aid

clie

nts

from

PIH

Ps

that

do

not

cont

ract

with

LC

C a

nd a

ll da

ta f

or

thos

e cl

ient

s co

uld

not

be c

aptu

red.

A

dditi

onal

ly,

LCC

cap

ture

s ot

her

WS

S s

ervi

ces

and

Uni

ts o

f S

ervi

ce v

ia a

dat

abas

e th

at is

not

con

nect

ed t

o th

e S

tate

's d

atab

ase.

2 All

"CD

" P

rovi

ders

' Adm

issi

ons

and

Und

uplic

ated

Clie

nts

repr

esen

t th

e nu

mbe

r of

clie

nts

serv

ed.

The

se n

umbe

rs a

re a

lso

incl

ude

d in

eac

h pr

ovid

ers'

tre

atm

ent

row

bec

ause

clie

nts

rece

ivin

g H

E/R

R

serv

ices

als

o re

ceiv

ed t

reat

men

t.

The

"C

D"

Uni

ts o

f S

ervi

ce r

epre

sent

mul

tiple

-par

ticip

ant

grou

p se

ssio

ns.

3 PA

2 F

undi

ng w

as u

sed

for

Alle

gan

Cou

nty

She

riff

Dep

artm

ent,

Beh

avio

ral H

ealth

Ser

vice

s of

HC

H,

Ber

rien

Cou

nty

Hea

lth D

epar

tmen

t, C

atho

lic C

harit

ies

Wes

t M

ichi

gan

(Ott

awa)

, O

AR

-Che

ster

A.

Ray

C

tr.,

OA

R-H

arbo

r H

ouse

, O

AR

-Hol

land

, P

athw

ays

MI,

Ste

ven

DeG

root

, P

h.D

. (A

llega

n D

rug

Cou

rt),

Sal

vatio

n A

rmy

TP

Pro

gram

, an

d 60

th D

istr

ict

Cou

rt.

Som

e of

the

PA

2 U

nits

of

Ser

vice

, A

dmis

sion

s,

and

Und

uplic

ated

Clie

nts

for

thes

e P

rovi

ders

are

not

sub

mitt

ed t

hrou

gh t

he S

tate

's d

atab

ase.

T

he d

ata

is c

olle

cted

via

oth

er m

eans

.

4 Cas

e M

anag

emen

t A

dmis

sion

s an

d U

ndup

licat

ed C

lient

s ar

e in

clud

ed in

eac

h pr

ovid

er's

OP

num

bers

.

5 Uni

ts o

f S

ervi

ce a

nd C

lient

dat

a fo

r C

atho

lic C

harit

ies

Wes

t M

ichi

gan

(Mus

kego

n) E

arly

Int

erve

ntio

n se

rvic

es a

re r

epor

ted

man

ually

. S

ome

Adm

issi

ons

and

Und

uplic

ated

Clie

nts,

how

ever

, m

ay a

lso

be

incl

uded

with

the

pro

vide

r's O

P a

nd I

OP

num

bers

if t

reat

men

t is

rec

omm

ende

d.

6 Uni

ts o

f S

ervi

ce a

nd C

lient

dat

a fo

r H

arbo

rtow

n T

reat

men

t C

ente

r's a

dole

scen

t se

rvic

es f

or t

he J

uven

ile D

eten

tion

Cen

ter

are

repo

rted

man

ually

.

7 Met

hado

ne a

dmis

sion

s ar

e in

clud

ed in

cor

resp

ondi

ng O

P s

ite.

8 CA

FA

SD

Pro

ject

ser

ved

19 c

lient

s fr

om M

uske

gon

Cou

nty

and

5 cl

ient

s fr

om B

errie

n C

ount

y in

FY

2012

. U

nits

of

Ser

vice

and

orig

inal

adm

issi

on d

ata

is e

nter

ed in

to t

he w

eb-b

ased

sys

tem

pro

vide

d by

Nor

thro

p G

rum

man

as

requ

ired

by t

he P

CA

P m

odel

des

ign.

9 Med

icai

d an

d A

BW

fun

ds a

nd c

lient

dat

a no

t av

aila

ble

to L

CC

for

Ber

rien

or A

llega

n C

ount

ies

(PIH

Ps

hold

).

Section 408(1) Report Page 66 of 141 April 1, 2013

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Ser

vice

Cat

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ry /

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nly

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oca

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ther

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tal

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enu

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on

s

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eral

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min

istr

atio

n

Off

ice

of S

ubst

ance

Abu

se$4

97,9

66$2

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90$4

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4$0

$0$0

$141

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$0$0

$914

,837

Off

ice

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ubst

ance

Abu

se-

Pre

vent

ion

$81,

818

$0$0

$0$0

$0$0

$0$0

$81,

818

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eral

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min

istr

atio

n T

ota

ls$5

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$0$0

$996

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ess

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agem

ent

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tem

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MS

) P

rovi

der

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.R.E

.$1

95,0

00$1

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66$1

6,87

7$0

$0$0

$0$0

$0$3

21,1

432,

134

AM

S T

ota

ls$1

95,0

00$1

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66$1

6,87

7$0

$0$0

$0$0

$0$3

21,1

432,

134

Inte

nsi

ve O

utp

atie

nt

(IO

P)

Pro

vid

ers

Clin

ton

Cou

nsel

ing

Ctr

$9,1

76$4

,898

$0$0

$0$7

71$3

,472

$0$0

$18,

317

26

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ton

Cou

nsel

ing

Ctr

-Int

egra

ted

Tre

atm

ent

$37,

076

$12,

710

$7,7

50$0

$0$2

,750

$2,9

76$0

$0$6

3,26

211

0

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twoo

d-C

linto

n T

wp

$18,

407

$6,0

80$1

92$0

$0$0

$3,9

53$0

$0$2

8,63

271

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twoo

d-S

t. C

lair

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res

$6,2

28$2

,624

$192

$0$0

$581

$118

$0$0

$9,7

4314

Eas

twoo

d-S

t. C

lair

Sho

res-

In

tegr

ated

Tre

atm

ent

$7,1

28$2

,048

$0$0

$0$6

55$3

54$0

$0$1

0,18

522

Pio

neer

Cou

nsel

ing

Ser

vice

s-S

terli

ng H

eigh

ts$7

,344

$2,4

19$0

$0$0

$680

$0$0

$0$1

0,44

337

Pio

neer

Cou

nsel

ing

Srv

cs-S

Hts

-In

tegr

ated

Tx

$16,

977

$3,4

22$1

,180

$0$0

$1,8

75$9

72$0

$0$2

4,42

646

IOP

To

tals

$102

,336

$34,

201

$9,3

14$0

$0$7

,312

$11,

845

$0$0

$165

,008

326

Ou

tpat

ien

t (O

P)

Pro

vid

ers

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ton

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nsel

ing

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$56,

321

$24,

890

$2,3

11$7

7$0

$7,8

22$8

,298

$0$0

$99,

719

117

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om

b C

ou

nty

CM

H,

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ice

of

Su

bst

ance

Ab

use

Ser

vice

s

Mic

higa

n D

epar

tmen

t of

Com

mun

ity H

ealth

, B

ehav

iora

l Hea

lth a

nd D

evel

opm

enta

l Dis

abili

ties

Adm

inis

trat

ion

Bu

reau

of

Su

bst

ance

Ab

use

an

d A

dd

icti

on

Ser

vice

s (B

SA

AS

)

Rep

ort

to t

he L

egis

latu

re f

or F

isca

l Yea

r 20

12

Section 408(1) Report Page 67 of 141 April 1, 2013

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Ser

vice

Cat

ego

ry /

Pro

vid

erB

SA

AS

Med

icai

d

AB

W-G

ross

F

eder

al &

Sta

te

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m C

As

PIH

P(s

)

MIC

hil

d (

Fed

eral

S

har

e O

nly

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DA

Fee

sL

oca

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eder

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enu

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dm

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b C

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CM

H,

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ice

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s

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ort

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5

Section 408(1) Report Page 68 of 141 April 1, 2013

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9

Section 408(1) Report Page 69 of 141 April 1, 2013

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Section 408(1) Report Page 70 of 141 April 1, 2013

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Section 408(1) Report Page 71 of 141 April 1, 2013

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Section 408(1) Report Page 72 of 141 April 1, 2013

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Page 79: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Page 80: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 76 of 141 April 1, 2013

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Section 408(1) Report Page 77 of 141 April 1, 2013

Page 83: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 78 of 141 April 1, 2013

Page 84: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 79 of 141 April 1, 2013

Page 85: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 80 of 141 April 1, 2013

Page 86: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 81 of 141 April 1, 2013

Page 87: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 82 of 141 April 1, 2013

Page 88: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 83 of 141 April 1, 2013

Page 89: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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rapy

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out

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pres

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ren

is n

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Out

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ER

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patie

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row

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,26

and

30 n

eed

to b

e su

btra

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.8 T

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conc

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reve

ntio

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tego

ry t

o th

e R

ER

pre

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sub

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AS

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3 an

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bacc

o ro

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the

RE

R r

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trac

t th

e H

ispa

nic

row

70,

and

sub

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I ch

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bout

on

the

RE

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com

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6 The

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ateg

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epor

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in t

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as

early

inte

rven

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use

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RE

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oes

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have

an

"oth

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lanc

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T a

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5 The

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PD

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not

an

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rese

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ided

. T

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otal

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clud

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pula

tion

in-d

irect

and

/or

one

time

via

tow

n ha

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fam

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billb

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s, n

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SA

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web

site

& A

TI-

Ken

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ount

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timat

ed r

each

and

env

ironm

enta

l str

ateg

ies.

Section 408(1) Report Page 84 of 141 April 1, 2013

Page 90: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 85 of 141 April 1, 2013

Page 91: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 86 of 141 April 1, 2013

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Section 408(1) Report Page 87 of 141 April 1, 2013

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80

Section 408(1) Report Page 88 of 141 April 1, 2013

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109

Section 408(1) Report Page 89 of 141 April 1, 2013

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Section 408(1) Report Page 90 of 141 April 1, 2013

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Section 408(1) Report Page 91 of 141 April 1, 2013

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Section 408(1) Report Page 92 of 141 April 1, 2013

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Section 408(1) Report Page 93 of 141 April 1, 2013

Page 99: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 94 of 141 April 1, 2013

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2

Section 408(1) Report Page 95 of 141 April 1, 2013

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33

Section 408(1) Report Page 96 of 141 April 1, 2013

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Section 408(1) Report Page 97 of 141 April 1, 2013

Page 103: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 98 of 141 April 1, 2013

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Section 408(1) Report Page 99 of 141 April 1, 2013

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Section 408(1) Report Page 100 of 141 April 1, 2013

Page 106: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 101 of 141 April 1, 2013

Page 107: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 102 of 141 April 1, 2013

Page 108: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 103 of 141 April 1, 2013

Page 109: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 104 of 141 April 1, 2013

Page 110: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 105 of 141 April 1, 2013

Page 111: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 106 of 141 April 1, 2013

Page 112: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 107 of 141 April 1, 2013

Page 113: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 108 of 141 April 1, 2013

Page 114: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 109 of 141 April 1, 2013

Page 115: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 110 of 141 April 1, 2013

Page 116: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 111 of 141 April 1, 2013

Page 117: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 112 of 141 April 1, 2013

Page 118: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 113 of 141 April 1, 2013

Page 119: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 114 of 141 April 1, 2013

Page 120: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 115 of 141 April 1, 2013

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Section 408(1) Report Page 116 of 141 April 1, 2013

Page 122: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 117 of 141 April 1, 2013

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Section 408(1) Report Page 118 of 141 April 1, 2013

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Section 408(1) Report Page 119 of 141 April 1, 2013

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656

11

Section 408(1) Report Page 120 of 141 April 1, 2013

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Section 408(1) Report Page 121 of 141 April 1, 2013

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Section 408(1) Report Page 122 of 141 April 1, 2013

Page 128: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 123 of 141 April 1, 2013

Page 129: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 124 of 141 April 1, 2013

Page 130: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 125 of 141 April 1, 2013

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Section 408(1) Report Page 126 of 141 April 1, 2013

Page 132: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 127 of 141 April 1, 2013

Page 133: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 128 of 141 April 1, 2013

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Section 408(1) Report Page 129 of 141 April 1, 2013

Page 135: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 130 of 141 April 1, 2013

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Section 408(1) Report Page 131 of 141 April 1, 2013

Page 137: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 132 of 141 April 1, 2013

Page 138: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Page 139: SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS€¦ · SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY PROGRAMS (FY2013 Appropriations Bill– Public Act 200 of 2012)

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Section 408(1) Report Page 134 of 141 April 1, 2013

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Section 408(1) Report Page 135 of 141 April 1, 2013

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Section 408(1) Report Page 136 of 141 April 1, 2013

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Section 408(c) Number of Services

Provided

Section 408(1) Report Page 137 of 141 April 1, 2013

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

35 35 34 33 32 35 37 39 40 51 33 33 31 30 30 32 32 33 33 38

4 4 4 4 3 4 5 4 4 5 4 4 4 4 3 4 4 4 4 4

17 13 15 16 15 15 16 16 15 17 17 13 15 15 14 14 14 15 14 15

50 49 44 44 40 43 44 46 42 43 54 46 43 43 31 32 34 42 31 31

74 81 77 78 78 74 83 86 85 105 67 70 68 68 64 64 66 72 71 72

1 Length of stay is defined as the number of days from admission to discharge from the same service type. 2 Mean number of days is calculated with outliers removed. Outliers are defined as those over the 95th percentile.

Michigan Department of Community Health, Behavioral Health and Developmental Disabilities Administration

Bureau of Substance Abuse and Addiction Services

Report to the Legislature for Fiscal Year 2012

Length of Stay by Service Type 1

Fiscal Years 2003 to 2012 (10 years)

Mean Number of Days 2 Median Number of Days

Residential - Long Term

Outpatient Drug-Free

Service Type

Intensive Outpatient

Detoxification

Residential - Short Term

0

10

20

30

40

50

60

70

80

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Me

dia

n N

um

be

r o

f Da

ys

Fiscal Years

Length of Stay by Service TypeMedian Number of Days

Intensive Outpatient

Detoxification

Residential - Short Term

Residential - Long Term

Outpatient Drug-Free

Section 408(1) Report Page 138 of 141 April 1, 2013

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Intensive Outpatient (IOP)

Outpatient Detoxification Residential

Intensive Outpatient (IOP) Program 30 450 8 7 495

Outpatient Program 121 641 26 62 850

Detoxification Program 87 232 143 2,710 3,172

Residential Program 175 1,368 21 287 1,851

Self 1,194 10,529 5,828 3,667 21,218

Criminal Justice 498 12,404 34 413 13,349

Assessment 325 2,616 2,348 2,924 8,213

Human Services 141 1,902 73 230 2,346

Other Substance Abuse [non-funded] Program

265 1,340 185 454 2,244

Medical 92 877 359 138 1,466

Mental Health 42 547 90 94 773

Secretary of State 0 10 0 2 12

Other 400 4,064 1,163 677 6,304

Statewide Totals 3,370 36,980 10,278 11,665 62,293

1 Referral Source is self-reported answer to question, "Who directed you to this program?"

Data Source: FY2012 TEDS Admission Records

Note: Persons are sometimes referred from another provider in the same service category (less than 2.5%) due to various reasons, including: specialty, geography, availability, transportation, and meeting times.

Referral Source at Treatment Admission

Michigan Department of Community Health, Behavioral Health and Developmental Disabilities Administration

Bureau of Substance Abuse and Addiction Services

Report to the Legislature for Fiscal Year 2012

Referral Source 1 Totals

Service Category at Admission

Section 408(1) Report Page 139 of 141 April 1, 2013

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Other State Programs Clients

Community Corrections 3,452

Community Mental Health 5,389

Department of Corrections 6,781

Department of Education 1,777

Department of Human Services 5,809

Secretary of State 606

Public Health 3,515

Total Clients Participating with Other State Agencies: 27,329

Source: FY 2012 TEDS Admission Records, Medicaid Eligibility, Encounters

Admission data as of 2/27/13, excludes PIPHs (1,200)

Michigan Department of Community Health, Behavioral Health and Developmental Disabilities Administration

NOTE: These data represent total clients in treatment, all payment sources. Clients may participate in more than one program at a time.

Bureau of Substance Abuse and Addiction Services

Report to the Legislature for Fiscal Year 2012

Reported Client Participation in Other State Programs

Total Unduplicated Clients Treated Statewide: 62,293

Section 408(1) Report Page 140 of 141 April 1, 2013

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Section 408(d) Collections

This information is included in

Section 408 (a) and (b).

Section 408(1) Report Page 141 of 141 April 1, 2013