Orange County Substance Abuse Services Ian Kemmer, LMFT, Division Manager AOABH
System of Care: Access 2
Beneficiary Access Line (BAL) • (800) 723-8641 – 24 hour access line for Medi-Cal beneficiaries • May be used by: Client, parent/legal guardian of a minor, or referring agency with client present • Verify Medi-Cal eligibility • Conduct Substance Use Disorder (SUD) Brief Level of Care Screening • Conduct Mental Health Screening • Schedules appointment or provides referral to appropriate level of care 3
Member Service Line – OC Links • 855-OC-Links (855-625-4657) – Monday-Friday 8:00am to 6:00pm • May be used by: Client, parent/legal guardian of a minor, or referring agency with client present • Will be able to verify Medi-Cal eligibility • If caller requests services while on call: • If caller has Medi-Cal, OC Links will warm link to the Beneficiary Access Line (BAL) • If caller has private insurance, OC Links will refer caller to contact their insurance provider • If caller is does not have insurance, OC Links will warm link to a County- operated clinic 4
Additional Access Points • DMC-ODS Providers • County Mental Health Intake Counselors • Collaborative Court Evaluations • AB 109 Screeners • Medically Monitored High Intensity WM Screening 5
If you build it… Numbers Served • Outpatient Programs served 2851adults and 220 adolescents • Intensive Outpatient Programs served 313 adults and 78 adolescents • Residential Treatment Programs served 1090 adults and 108 adolescents • Narcotic Treatment Programs and other MAT served 2203 clients • In general about a 20% increase in numbers served. 6
System of Care: Providers 7
Outpatient Services • Services for adolescents and adults: • County-operated SUD programs offer ODF and IOT (ASAM Levels 1.0 and 2.1) for Medi-Cal beneficiaries and clients without insurance • 4 locations : Aliso Viejo, Anaheim, Santa Ana, and Westminster – serves adolescent & adults • DUI/Drug Court Programs : Aliso Viejo, Anaheim, Costa Mesa, Santa Ana, and Westminster – serves adults • Perinatal services: available at the 4 ODF and IOT locations – serves adults • County-contracted SUD programs offer ODF and IOT (ASAM Levels 1.0 and 2.1) for Medi-Cal beneficiaries only • KC Services - serves adults (3 locations: Fullerton, Garden Grove, and Irvine) • Phoenix House- serves adults (1 location: Santa Ana) • Twin Town - serves adolescents & adults ( 3 locations: Los Alamitos, Orange, and Mission Viejo) • Wel-Mor Psychology Group, Inc. – serves adolescents & adults( 1 location: Costa Mesa) • 8 PES-ebs – serves adults (1 location: Santa Ana)
Medically Monitored Withdrawal Management (Med Detox) • Medically Monitored Withdrawal Management (3.7) services are available for adult Medi-Cal beneficiaries and clients without insurance • Client may be screened by walking in during 3.7 assessment days/times at scheduled locations • If client meets medical necessity for 3.7, referral is made to one of two providers • Tom Redgate Memorial in Long Beach • American Recovery Center in Pomona 9
MAT: Opioid Treatment Program (OTP)/Narcotic Treatment Program (NTP) • Available for adult Medi-Cal beneficiaries and clients without insurance • Provided to adults in jail who were receiving methadone prior to incarceration • NTP services available include: • Methadone Maintenance, 21-day methadone detox, Disulfiram, Buprenorphine, and Naloxone • County-contracted providers: • Western Pacific Med Corp. Costa Mesa – clients without insurance only Fullerton – Medi-cal beneficiaries and clients without insurance Stanton – Medi-Cal beneficiaries only • Acadia - Recovery Solutions Santa Ana – Medi-Cal Beneficiaries only 10
MAT: Vivitrol • Available for adult Medi-Cal beneficiaries and AB 109 clients without insurance • Vivitrol Provider: • KC Services (3 locations: Fullerton, Garden Grove, and Irvine) 11
Clinically Managed Residential Withdrawal Management (Social Model Detox) • Available for adult Medi-Cal beneficiaries and clients without insurance • Two contracted providers: • Roque Center (Stanton) • Woodglen Detox (Fullerton) 12
Residential Treatment Services • Serves adolescent and adults • Perinatal services available by Letter of Agreement • County-contracted DMC providers: • Adult Providers: Phoenix House (Santa Ana) Provides services in LOC 3.5 and 3.1 Male & Female beds Hope House (Anaheim) Provides services in LOC 3.1 Males beds only Woodglen (Fullerton) Provides services in LOC 3.1 Male & Female beds Gerry House (Santa Ana) Provides services in LOC 3.1 Males and female beds • Adolescent Provider: Touchstones (Orange) Provides services in LOC 3.5 and 3.1 Male & Female beds 13
Residential Treatment Services Expansion • Expanded Perinatal Residential • CleanPath (Costa Mesa) • Vera’s Sanctuary (Trabuco Canyon) • New Providers coming on Board • His House (Upland) • New Creation (Colton) 14
MAT Expansion • Adding Suboxone for Uninsured • Looking to increase Office Based Opioid Treatment (OBOT) • Working to Site South County Location • Initiatives in the Community to Increase MAT in FQHC settings 15
Services to Criminal Justice Expansion • Methadone expansion in Jail • Planning to provide SUD services for Incarcerated Population • Increase County-contracted DMC providers for AB109: • Residential Providers: Step House Cooper Fellowship Woodglen Daylight The Villa • Vivitrol Provider: Step House 16
Questions? Ian Kemmer, LMFT, Division Manager Adult and Older Adult Behavioral Health 714-834-2160 ikemmer@ochca.com 17
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