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
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1. ACCESS TO RECOVERY III
2. 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.
3. 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.
4. 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.
5. Numbers to be Served
6. 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.
7. 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.
8. 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
9. Portal Programs: ATR Gateway
10. RecoveryNet: Maryland’s Provider Network
11. Maryland’s ATR Process
12. Provider Services
13. ATR Regional Break-out
14. ADAA-Funded Residential Treatment
15. Projected Eligible Participants by Region
17. Manage Regional Resources
Maintain regular contact with Jurisdictional Tx Coordinators
Assist Providers with Application Process
Provide Technical Assistance to Providers
Conduct Provider Site Visits
Adjust/Issue Vouchers as requested by Care Coordinator
Notify Care Coordinators of pending GPRA (Dx/Follow-up)
Coordinate/Deliver Technical Assistance to Care Coordinators
Monitor Waste, Fraud and Abuse
Submit required reports to State Project Director
Regional ATR Coordinator
18. Regional Coordinator Relationship Chart
19. Determine Eligibility and Assess Needs
Notify/Communicate with Regional Coordinator
Assist Patient with ATR Application
Administer Admission GPRA*
Assist Patient with Service/Provider Selection
Assist Patient with Recovery Planning
Contact Care Coordinator
Facilitate Patient Care Coordinator Introduction
Residential Treatment Program Counselors
20. Care Coordination Coordinate/facilitate delivery of RecoveryNet Services
Assist with Recovery Planning
Access resources outside of ATR scope that meet client needs
Administer Discharge and follow-up GPRA
Communicate with outpatient Tx
Referral and access to more intensive level of care if needed.
Administer Client Satisfaction Survey
21. ATR Participant Completes ATR Intake with Residential Counselor
Identifies ATR services needed
Provides collateral contact information
Agrees to work with Care Coordinator
Agrees to complete Admission, Discharge and Six-month Follow-up GPRA’ s
Agree to attend OP/Continuing Care
22. Service Definitions: Clinical
23. Service Definitions: Recovery Support
24. ATR Service Rate Table
25. ATR Service “Dose” Table
26. Voucher Management System
27. Who pays for this? It starts as a grant-funded treatment episode
Discharge planning/referral is already required and paid for as part of the treatment episode.
Training for Residential Counselors (Portal Programs) on the Voucher Management System and GPRA Administration paid for through the ATR Grant
Technical Assistance and Help Desk activities are also ATR grant funded.
We all contribute, time, effort and patience.
28. What’s in for me? One stop shopping for referral resources
Increased capacity for those entering the Treatment System
Partnering with Care 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
29. For More Information Maryland’s RecoveryNet;
Project Director- Debbie Green – 410.402.8592 [email protected]
Access to Recovery at SAMHSA;