S APTA Regional Capacity Assessment Kelly Marschall, Principal, S EI (Proj ect Lead) Crystal Duarte, S EI Client S ervices Associate
Department of Health and Human Northern Regional Services Nevada Division of Public and Behavioral Health Behavioral Health (DPBH) Policy Board Meeting Bureau of Behavioral Health Wellness and Prevention Overview of capacity assessment tool and process Substance Abuse Prevention and Regional assessment results Treatment Agency (SAPTA) Priorities S ocial Entrepreneurs, Inc (S EI) Questions and Discussion
Review of the CAS T Created at the S ubstance Abuse and Mental Health S ervices Administrat ion (S AMHS A) Designed to provide: a risk assessment of county-level social and 1) community determinants of substance abuse that lead to adverse outcomes (e.g., hospitalization) an assessment of local service need across the 2) continuum of care When taken together, these elements help to define the demand , need , and current service capacit y of a community substance abuse care system.
CAS T can be used to: Assess the presence of chronic social and community conditions that are likely to increase the risk of hospitalization for substance abuse in your community Observe the gaps and potential redundancies in the substance abuse care system of your community Generate estimates of need that can help to inform community or organizational planning efforts
Inputs: Risk S core Publicly available data related to social determinants of health National hospitalization rates as a benchmark for regional risk
Results: Risk S core Region Risk of Hospitalization for Drug or Alcohol Related Cause Level 8 Total Risk Score
Capacity Assessment Regional Capacity: Assessed using the Calculating for an Adequate S ystem Tool (CAS T). This includes assessing: • Promotion These five categories encompass 32 • Prevention components of a • Referral behavioral health • Treatment care system. • Recovery
Inputs: Community Capacity Calculator Publicly available data National and local data sources Census Regional Behavioral Health Annual Reports S urvey responses RBHCs Estimates of treatment utilization
Community Capacity Calculator Calculations of Regional Need for Behavioral Health Care Services Definition and Maximum Observed Data Program Adjusted Estimated Components Units of Community Community Source Usage Rate Community Need Need Measurement Need Totals
Results: Capacity Calculator Promot ion Maximum Program Adjusted Observed Estimated Definition and Units of Components Community Usage Community Community Measurement Need Need Rate Need Totals Promot ion Marketing Individual advertisements placed on tv, -946 1119 85% 951 5 radio, print, billboards, web, and social Advertisements media within one year Media Advocacy Individual, in-person gatherings meant -21 746 3% 22 1 to raise awareness of substance abuse Events Individual coalitions of political, non- Community profit, and/ or business organizations 4 5 7% 0 4 that receive and allocate grant funding Coalitions to limit substance abuse.
Results: Capacity Calculator Prevent ion Adjusted Observed Estimated Definition and Units of Maximum Community Program Components community Community Measurement Need Usage Rate Need need Totals Prevent ion Substance abuse prevention S chool-based programs being implemented within -26 31 93% 29 3 schools. Each program was counted prevention programs as 1. Substance abuse prevention Community-based programs being implemented within -43 373 12% 46 3 community settings. Each program prevention programs was counted as 1. Housing Vouchers for Dedicated beds for homeless, across -487 3283 20% 657 170 all types of CoC proj ect types homeless residents Number of locations offering needle -22 49 45% 22 0 Needle Exchange exchange Prescription Drug Number of drug disposal events held 1 9 60% 5 6 Disposal per year, combined with all drug disposal locations Events/ Locations
Results: Capacity Calculator Referral Adjusted Observed Estimated Maximum Community Program Definition and Units of Components Community Community Measurement Need Usage Rate Need Need Totals Referral Adult S pecialty All specialt y court s t hat serve 20 121 1% 1 21 Courts adult s Y outh S pecialty All specialt y court s t hat serve 2 31 1% 0 2 Courts yout h Licensed social workers wit h a -94 108 87% 94 0 S ocial Workers subst ance abuse or ment al healt h focus
Results: Capacity Calculator Inpat ient Treat ment Adjusted Observed Estimated Definition and Units of Program Components Maximum Community Need Community Community Measurement Usage Rate Need Need Totals Inpat ient Treat ment Facilit ies providing in hospit al 2 4 13% 0 2 Detoxification or residential det oxificat ion Facilit ies providing non- resident ial, psychiatric care 24-hour/ Intensive 2 40 8% 3 5 programs, last ing t wo or more Day treatment hours per day for 3 or more days per week Facilit ies providing less t han 30 days of non-acut e care in a S hort-term (30 -4 72 5% 4 0 set t ing wit h t reat ment services days or fewer) for alcohol and ot her drug abuse and dependency Facilit ies providing 30 days or more of non-acut e care in a Long-term (more -3 60 6% 4 1 set t ing wit h t reat ment services than 30 days) for alcohol and ot her drug abuse and dependency
Results: Capacity Calculator Out pat ient Treat ment Adjusted Observed Estimated Definition and Units of Maximum Community Program Components Community Community Measurement Need Usage Rate Need Need Totals Out pat ient Treat ment Facilit ies providing 0 7 13% 1 1 Detoxification out pat ient / ambulat ory det oxification Counselors licensed by t he -22 178 35% 62 40 Counselors st at e t o assist client s wit h drug and alcohol issues Psychiat rist s list ed as -34 Psychiatrists 124 27% 34 0 specializing in subst ance abuse and addicit on issues Psychologist s list ed as -5 124 4% 5 0 Psychologists specializing in subst ance abuse and addict ion issues Providers t hat offer opioid Opioid Treatment t reat ment programs (OTPs), -3 16 25% 4 1 t hat offer daily supervised program (OTP) dosing Providers t hat offer office- Office based based opioid t reat ment opiate (OBOT), which provides -37 219 25% 55 18 medication on a prescribed substitution weekly or mont hly basis (is (OBOT) limit ed t o buprenorphine)
Results: Capacity Calculator Recovery S upport Maximum Program Adjusted Observed Estimated Definition and Units Components Community Usage Community Community of Measurement Need Need Rate Need Totals Recovery S upport Individual, religious or spiritual Religious or spiritual advisors for professionals -59 539 11% 59 0 those who have been involved with providing substance treatment in the past 5 years abuse therapy and counseling 12-step groups for those who have Number of substance 16 147 30% 44 60 been involved with treatment in abuse support groups offered weekly the past 5 years Number of vouchers Transportation for those receiving provided within a 4732 38203 14% 5348 10080 year to assist those treatment seeking treatment Number of programs offered by each responding or Employment support for those -10 237 5% 13 3 reported group receiving treatment (number not specified counted as 1)
Results: Capacity Calculator Recovery S upport Maximum Program Adjusted Observed Estimated Definition and Units Components Community Usage Community Community of Measurement Need Need Rate Need Totals Recovery S upport Number of programs offered by each Educational support for those who responding group -4 have completed treatment in the 34 14% 5 1 (number not past 3 years specified counted as 1) Number of programs offered by each Parenting education for individuals responding group -10 949 7% 62 52 (number not with a use disorder specified counted as 1) Number of programs offered by each responding group -16 285 7% 20 4 Housing Assistance (number not specified counted as 1) Individual professionals who -15 75 43% 32 17 Insurance Assistance provide insurance enrollment support
S etting Priorities
Overview of Capacity Categories Promotion Prevention Referral Inpatient Outpatient Recovery Treatment Treatment Support S chool-based Marketing Adult S pecialty Religious or spiritual prevention Detoxification Detoxification Advertisements Courts advisors programs Community-based Media Advocacy Y outh S pecialty 24-hour/ Intensive prevention Counselors 12-step groups Events Courts Day treatment programs Housing Vouchers Transportation for Community S hort-term (30 days for low-income S ocial Workers Psychiatrists those receiving Coalitions or fewer) residents treatment Employment Long-term (more Needle Exchange Psychologists support for those than 30 days) receiving treatment Prescription Drug Opioid Treatment Disposal Educational support Program (OTP) Events/ Locations Office Based Opiate ubstitution (OBOT) Parenting education S Housing assistance Insurance assistance
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