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DALLAS COALITION FOR TREATMENT IMPROVEMENT A sudden rise in Heroin use among adolescents and young adults served as a call to action and inspired this treatment systems improvement project. s: Treatment Providers Homeward Bound, Inc. - Adult - Detox, Residential, and Outpatient
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DALLAS COALITION FOR TREATMENT IMPROVEMENTA sudden rise in Heroin use among adolescents and young adults served as a call to action and inspired this treatment systems improvement project.
s: Treatment Providers
Homeward Bound, Inc. - Adult - Detox, Residential, and Outpatient
Nexus Recovery Center - Adult – Residential and Outpatient Women/children Adolescent - Residential and Outpatient
Phoenix House - Adolescent - Residential and Outpatient
Dallas County Juvenile Department - Adolescent - Day Treatment
Payers & Policy Makers Other Participants
TexasDepartment of State Health Services (DSHS) Carlos Tirado, MD, UT Southwestern Medical Center
Value Options/North STAR Managed Care Program Medical Director, Nexus – MAT
Jane Maxwell, PhD, Local Evaluator
Center for Excellence in Drug Epidemiology, Addiction Research
Gulf Coast Addiction Technology Transfer Center, UT-Austin
Over 300 clinicians attended DSHS coach supported trainings in Austin, Dallas/Ft Worth, Houston, Corpus Christi, El Paso, Lubbock, and San Antonio in 2008/2009
130 support staff in Dallas/Ft. Worth area attended DSHS supported MI 101 training in 2008
Dallas County Community College provided MI training for professionals and support staff in 2009
Advancing Recovery agencies actively implement MI in their programming
Example of Results: Phoenix House significantly reduced their AMA rate by using the MI approach
Medication Assisted Treatment (MAT)
Over the past four months, we have found
To be the most useful levers of change in implementing and spreading Motivational Interviewing and Medication Assisted Treatment in our collaboration
“How Functionally Can An Organization Implement New Approaches?”
To find a solution the Intra-organizational Analysis was used
1) Assessed Internal Processes (Walk-through)
2) Studied Work Flow Efficiency (Statistical Analysis)
To Increase Attendance at Day Treatment Intake Appointment
Business Case– this small change:
Every time you talk to someone it is an opportunity to educate them on your project.
Open communication strengthens relationships and unites state, provider, payer and regulatory agencies to achieve common goals.
State – Provider – Payer Partnerships
From July 2009 – January 2010
State-wide RFP development is in process and will include EBP and MAT requirements
2009 Texas Legislature approved a Medicaid benefit expansion that includes all levels of SA Treatment and Medication Access
1. Currently restricted to hospital-based detoxification for adults and out-patient counseling for adolescents
2. Buprenorphine is on Medicaid formulary – will expand office-based management opportunities