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ACCESS TO RECOVERY III MARYLAND RecoveryNet What is ATR  Access to Recovery (ATR) is a “high-priority” federal initiative that provides vouchers to individuals to purchase services and supports linked to their recovery from substance use disorders.  ATR is a SAMHSA system transformation grant designed to build recovery support networks within communities.  ATR emphasizes the expansion of capacity within systems of care.  ATR projects involve clients in directing their own care and give them choices among appropriate providers. ATR Impact on Outcomes According to GPRA results outcome data are promising. At six months post admission to ATR services,  80% were abstinent from substance use,  46% were stably housed,  51% were employed,  87% were connected to support networks,  and 96% reported no involvement with the criminal justice system. ATR III in Maryland  Four year Access to Recovery (ATR) grant, Maryland RecoveryNet – awarded by to the Maryland Alcohol and Drug Abuse Administration for approximately $3.2 million per year. 2011 201420132012 Million Time Numbers to be Served Targeted Population(s)  In Maryland in FY 2009 8,000 individuals were diagnosed with substance use disorders severe enough to warrant treatment in publicly funded residential programs  Average of cost of $37,704 per residential treatment episode.  The percentage that follows through with outpatient treatment is under 26%  A revolving door recovery is often the result. Eligibility  The RecoveryNet target population is adults (18 years or older) with a diagnosed substance use disorder who are enrolled in residential addiction treatment (ASAM Level III.7, Level III.5, or Level III.3) in a publicly funded bed.  Eligible population includes inmates in Department of Public Safety and Correctional Services Residential Substance Abuse Treatment programs, and returning Iraqi or Afghanistan veterans who are enrolled in Department of Veterans Affairs residential addiction treatment programs. Criteria  Resident of Maryland and planning to reside in Maryland after discharge from the residential program.  Current ASI or TAP bio- psycho-social assessment  Documented need for RecoveryNet services  Request for RecoveryNet services  Income at or below 200% of the Federal Poverty  Agree to conditions of RecoveryNet initiative  If participating in the Residential Substance Abuse Program, must be scheduled for release from the facility into the community within 60 days of discharge from the treatment program.  Agree to work with a Care Coordinator as a RecoveryNet vouchered service  Agree to enroll in another level of treatment or in Continuing Care with a Level I Outpatient program Eligibility Portal Programs: ATR Gateway Individuals in publically-funded residential treatment slots. ASAM Levels; • III.7, • III.5, and • III.3 including programs within the Department of Corrections and the Veterans Administration, who are being discharged into their home communities. RecoveryNet: Maryland’s Provider Network RecoveryNet is designed to build networks of treatment and support services within communities throughout the State, by encouraging community and faith-based providers to offer services to people in early recovery. Possible Recovery Support Services include: • *Care Coordinaon • Halfway House beds • Family Counseling • Pastoral Counseling • Employment Readiness Counseling • Recovery Housing rent reimbursement • Childcare • Transportaon *required for each ATR parcipant [...]... Coordinators who work to enhance recovery begun in the Treatment episode  We all become architects in building Recovery Oriented Communities  Better Outcomes! ! For Programs, Counselors, and Recovering Individuals For More Information Maryland’s RecoveryNet;  www.dhmh.state.md.us/adaa/ATR  Project Director- Debbie Green – 410.402.8592 dgreen@dhmh.state.md.us Access to Recovery at SAMHSA;  www.atr.samhsa.gov... with Recovery Planning  Generate/Issue Vouchers  Contact Care Coordinator  Facilitate Patient Care Coordinator Introduction Care Coordination Comprehensive care coordination is provided to clients to identify their needs, plan services, link the services system with the client, monitor service delivery, and evaluate the effort • Coordinate/facilitate delivery of RecoveryNet Services • Assist with Recovery. .. disconnection, and facilitate progress in recovery through an integrated faith-based and psychological approach Service Definitions: Recovery Support Care Coordination- Comprehensive medical and social care coordination is provided to clients to identify their needs, plan services, link the services system with the client, monitor service delivery, and evaluate the effort Recovery Housing- These services provide... month Follow-up GPRA’ s • Agree to attend OP/Continuing Care Service Definitions: Clinical The RecoveryNet emphasizes client choice and increases the array of available community- and faith-based services, supports, and providers All services are designed to assist recipients in remaining engaged in their recovery while promoting independence, employment, self-sufficiency, and stability Halfway House... a client’s child(ren), less than 14 years of age and for less than 24 hours per day, while the client is participating in treatment and/or recovery support activities Transportation- Commuting services are provided to clients who are engaged in treatment- and/or recovery support-related appointments and activities and who have no other means of obtaining transportation ATR Service Rate Table Service... and stability Halfway House Residential Treatment – Clinically managed low intensity treatment programs offering treatment services at least 5 hours per week directed toward preventing relapse, applying recovery skills, promoting personal responsibility, and reintegration Marital/Family Counseling- Services provided to engage the whole family system to address interpersonal communication, codependency,... means of obtaining transportation ATR Service Rate Table Service Description *Care Coordination Unit of Service Unit = 15 minutes **Total units = 24 Payment Rate Unit rate = $12.00 Total amount = $288.00 Recovery Housing Assistance Unit = 1 da Total units = 30 Unit rate = $26.66 Total available amount = $800.00 Job Readiness Counseling Unit = 15 min session Total units = 36 Unit rate = $7.00 Total available... department or its designated entity ATR Service “Dose” Table Service Average Recommended *Maximum Dose to start authorization period/amount Halfway House Family /Couples Counseling Pastoral Counseling Recovery Housing Childcare Job Readiness Counseling Transportation Care Coordination 4 weeks 4/one hour sessions 4 weeks 6 sessions 4/one hour sessions 6 sessions 4 weeks 8 weeks 25 hours 6 hours/24 -15... ATR Process Residential Treatment Program (ATR Portal) Residential Counselor/ Discharge Planning ATR Regional Coordinator VMS Care Coordination Provider Services Care Coordinators •Halfway House beds Recovery Housing rent reimbursement •Transportation •Pastoral Counseling •Employment Readiness Counseling •Family Counseling •Childcare ATR Regional Break-out ATR Region 2 Central and Western Counties . for RecoveryNet services  Request for RecoveryNet services  Income at or below 200% of the Federal Poverty  Agree to conditions of RecoveryNet initiative  If. discharged into their home communities. RecoveryNet: Maryland’s Provider Network RecoveryNet is designed to build networks of treatment and support services

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