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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 Coordinaon
•
Halfway House beds
•
Family Counseling
•
Pastoral Counseling
•
Employment Readiness Counseling
•
Recovery Housing rent reimbursement
•
Childcare
•
Transportaon
*required for each ATR parcipant
[...]... 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