Our Role In Rural Health ERNIE FLETCHER, MD Fletcher Group - PowerPoint PPT Presentation

fletchergroup.org Our Role In Rural Health ERNIE FLETCHER, MD Fletcher Group Co-Founder This ¡presenta,on ¡is ¡supported ¡by ¡the ¡Health ¡Resources ¡and ¡Services ¡Administra,on ¡(HRSA) ¡of ¡the ¡U.S. ¡Department ¡of ¡Health ¡and ¡Human ¡Services ¡(HHS) ¡as ¡part ¡of ¡an ¡award ¡ totaling ¡$10.4 ¡million. ¡The ¡contents ¡are ¡those ¡of ¡the ¡author(s) ¡and ¡do ¡not ¡necessarily ¡represent ¡the ¡official ¡views ¡of, ¡nor ¡an ¡endorsement, ¡by ¡HRSA, ¡HHS ¡or ¡the ¡U.S. ¡Government. ¡

KENTUCKY ORIGINS Our recovery expertise began in 2004 when Don Ball and Governor Our History Ernie Fletcher launched Recovery Kentucky —18 recovery residences that helped thousands of people rebuild their lives while saving millions in taxpayer dollars.

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Dedicated to expanding access to quality Evidence-Based Recovery Housing for all populations, particularly the most vulnerable. ONE VOICE We work hand-in-hand with NARR and other partners to ensure a nationally unified voice for Recovery Residences supporting people in recovery.

EVIDENCE-BASED TA Our Focus Field-proven tools and expertise to maximize your effectiveness. NATIONAL REACH We're working in rural communities in Idaho, Montana, Washington, Oregon, Kentucky, Georgia, West Virginia, Ohio, and other rural communities as requested. HOUSING FOCUS With a particular emphasis on the homeless and those with SUDs involved in the criminal justice system.

PARTNERS 6 ¡

NARR ¡ Levels ¡of ¡ Support ¡ RECOVERY ¡RESIDENCES ¡IN ¡ THE ¡CONTINUUM ¡OF ¡ RECOVERY ¡

ASAM Criteria Core Activities: 1) Science-based interventions 2) Dissemination of best practices in rural communities

Understanding Pathways to Recovery Case ¡Management ¡ Referral ¡Sources ¡ Employment ¡ ¡ Peer ¡Support ¡ Support ¡ � Criminal ¡Jus,ce ¡ � Treatment ¡ Stable ¡Housing ¡ Providers ¡ Life ¡Skills ¡ ¡ � Counselors ¡ Development ¡ � Community ¡ Employment ¡ Support ¡Groups ¡ Transporta,on ¡ Behavioral ¡Health ¡ � Self-­‑directed ¡ Educa,on ¡ Housing ¡ Support ¡ Social ¡Support ¡

CHAOS Recovery Housing is an unregulated industry prone to fraud and abuse. State of CONFUSION Desperate families spend thousands of Industry dollars with no help to loved ones. 10 ¡ LACK OF RESOURCES Rural communities lack the funds and resources to respond.

Unique Rural Challenges 101 Counties In 8 States HIGHER RATES HIGHER COSTS • ¡Kentucky ¡ of SUD incidence, morbidity, Long-distance travel to • ¡Ohio ¡ overdose occurrence and facilities adds significantly to • ¡West ¡Virginia ¡ mortality. already high costs. • ¡Georgia ¡ • ¡Montana ¡ FEWER GREATER 11 ¡ • ¡Idaho ¡ RESOURCES STIGMA • ¡Oregon ¡ ¡ Doctors diagnosing SUDs are Smaller rural communities • ¡Washington ¡ less likely to have the may experience less privacy resources and training for and, as a result, more social follow-up care. stigma.

VULNERABLE DISTRUST More Native Americans meet Of mainstream institutions Unique the diagnostic criteria exacerbated by treatment for SUD than any other ethnic protocols that may be Cultural or minority group. culturally insensitive. Challenges GEOGRAPHY COMPLEXITY Widely dispersed facilities and Areas lacking social services the technicalities of insurance and education are also more can present additional likely to interact with the problems. criminal justice system.

FEDERAL FUNDING We recently became one of three recipients to receive $6.6 million over the next three years. HRSA Grant RECOVERY HOUSING 13 ¡ Alone among the three recipients, our Rural Center Of Excellence is laser- focused on Recovery Housing.

OES Baseline County Surveillance Data Collection Core Activity: 1) Science-based interventions ¡

KIPRC Developing a portal DATA and mobile app to collect data from RH and patients. Outcomes Core Activity: 1) Science-based interventions ¡

KIPRC & NARR Education Developing an Training educational portal for access to educational models refletcting best practices in RH Core Activities: 2) Dissemination of best practices in rural communities 3) Providing scientific and technical assistance

KIPRC FindTreatment.gov NARR SAFEProject RH Directory Integrate state and national data to create a national registry of RH for consumer access to quality and Core Activities: value. 2) Dissemination of best practices in rural communities 3) Providing scientific and technical assistance

State ¡Affiliates ¡ Ohio ¡

“Boots Helping “Face to Becoming part of Face” the community on the Ground” Understanding Working to bring the cultural down state and nuances local silos

Bring down silos, Top Down State effort and Inform RH strategy strategies Bottom Up Local Integrate with Community existing efforts efforts All ¡poli'cs ¡are ¡local ¡ ¡ Tip ¡O’Neill, ¡Speaker, ¡House ¡of ¡US ¡Representa'ves, ¡1977-­‑1987 ¡

We ¡focus ¡on ¡vulnerable ¡popula,ons. ¡ #1 THE HIGHEST INCREASE IN OVERDOSE MORTALITY IS AMONG NATIVE AMERICANS Source: Centers for Disease Control and Prevention (specifically drug- and opioid-involved overdose mortality) Morbidity and Mortality Weekly Report, Dec. 21, 2018

Currently ¡Targeted ¡States ¡

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It’s ¡All ¡About ¡People ¡ “The program changed me and I’m now a peer mentor. I know about this disease better and have the tools to stay sober.” 24 ¡ “They truly, honestly care about me and want me to have a fruitful and productive future.”

Contact ERNIE FLETCHER, MD Information Fletcher Group Co-Founder EMAIL ADDRESS efletcher@fletchergroup.net PHONE NUMBER (606) 657-4662 WEBSITE fletchergroup.org