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Recovery Engagement. The Solution is in the Community. Who We Are. Multi-state provider of community-based mental health & addictions services, 1800 staff, 75,000 clients served annually.

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Recovery Engagement


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    1. Recovery Engagement The Solution is in the Community

    2. Who We Are Multi-state provider of community-based mental health & addictions services, 1800 staff, 75,000 clients served annually Developer of personal health record-enabled “care units” – helping patients with addictions, cancer, mental illness and other diseases track treatment plan progress, outcomes, and engage with care providers. Analytics & health IT technology, research to prevent & cure mental illness, program evaluation

    3. The Problem or why Change to ROSC Unmet Need for Services Funding Challenges Traditional Care does not match Client needs.

    4. Comprehensive Treatment Needs

    5. Siloed Resources and Siloed Funding

    6. What is ROSC? • ROSC = Recovery Oriented System of Care (ROSC) • A cost-effective, community-based, whole-health approach to addictions treatment • Focus on increasing “Recovery Capital” in addition to meeting “treatment need” • Focus on “Targeted Treatment” • Uses Recovery Coaches, Peer Support Specialists, Recovery Engagement Centers, other treatment providers, volunteers, and other community resources in an organized and focused way to meet the need of each individual

    7. Traditional Addiction Care/Recovery Oriented Systems of Care

    8. Recovery Capital Personal Recovery Capital • Physical Capital = health, shelter, food, transportation, etc. • Human Capital = values, knowledge, credentials, education, problem solving, self-awareness, self-esteem, self-efficacy (ability to manage self in high risk situations) hopefulness/optimism, purpose/meaning in life, interpersonal skills Family/Social Recovery Capital • Family Capital = Recovery supportive intimate relationships, family and family of choice relationships, and social relationships • Community capital = Access resources in the community to support recovery and community engagement Cultural Recovery Capital • Cultural Capital = local availability of culturally-prescribed pathways of recovery that resonate with particular individuals and families

    9. ROSC Care is Sensitive to Client Needs

    10. Community Engagement The Centerstone Recovery Engagement Center (REC) is a low-barrier point of entry into the recovery Community and involves Recovery Coaches, Peer Mentors, Peer Specialists and volunteers. 20% Support Service 8% Employment 7% Housing 20% Support Groups 20% Recovery Coaching 4% Service Inquiries 35% Informal Support Bloomington, Indiana REC While the REC, in its former life, was an inpatient facility that saw under 100 consumers a year, as the hub of the ROSC, it now serves 4200 walk-in consumers per year. Services requested by consumers are: This is a hub of recovery that is not based in a facility but is instead a part of the community. The ability to partner and leverage other community resources and supports allows us to provide comprehensive services and address the diverse needs and interests of clients.

    11. Barriers to Expanding ROSC • Geographic and transportation barriersto accessing the REC. • Some clients lack the resources to make it to a physical location consistently. • Some clients need basic support in domains of scheduling and follow-up. • Some clients are reluctant to seek help. Virtual Engagement is the next step in increasing community connections, encouraging engagement, and offering a diversity of supports.

    12. eROSC SAMHSA-2011 CSAT Health IT grant Purpose of eROSC: • Encourage client engagement • Increase community connections • Offer a diversity of supports • Improve outcomes

    13. eROSC: Meeting Stakeholder Needs People with Addictions: • ROSC helps people with addiction challenges achieve change through abstinence and improved health, wellness, and quality of life. Healthcare Providers: • ROSC Improves operational efficiency, • eROSC’s PHR component helps providers meet Meaningful Use Stage 2 requirements • ROSC supports new payment models. Payers: • ROSC reduces costs • ROSC has better long-term outcomes. Communities: • Easy-to-Access, coordinated care for people with addictions • Creates strong community partnerships • Promotes volunteerism & community service

    14. Comprehensive Consumer Engagement

    15. The 3 Domains of v-Recover.com v-REC (Public Site) Moderated Discussion Live Chat (with a Recovery Coach or volunteer) Request an appointment Addicted / Need Help? Terms of Service and Privacy Policy Code of Conduct • Public Calendar • Announcements • Community Resources • Our View / What we Provide • Real Recovery • Gallery • The Rec Family • About

    16. The 3 Domains of v-Recover.com (cont.) e-ROSC Recovery Center (Private Site) My Personal Health Record (Participant controlled) Medications Conditions Allergies Immunizations Apt Notes Procedures Notifications Providers Procedures Observations Emergency info Tools • Recovery Plan • Weekly Update • Secure Message Center • Personal Calendar • Recovery Capital Scale

    17. E-ROSC Environment Overview

    18. Recovery Engagement Center

    19. Recovery Engagement Center

    20. Recovery Engagement Center

    21. Recovery Support Tools

    22. Recovery Engagement Center Recovery Tools are those materials that are used by the Client and the Recovery Coach to plan, organize and direct Recovery Supports.

    23. Recovery Engagement Center My Personal Health Record is a client owned method of tracing, maintaining and coordinating health information.

    24. Centerstone

    25. CenterStone Website

    26. Recovery Engagement Center

    27. Recovery Engagement Center

    28. Measurement Outcomes of TMAC • Risk and ProtectiveScores can be tracked over time and visually represented on the Client’s secured E-ROSC page.

    29. CenterStone Website

    30. Recovery Engagement Center

    31. E-ROSC Evaluation Plan: Key Implementation Questions • Who is referred to E-ROSC? • Are clients satisfied with E-ROSC? • To what extent do the case managers and clients use the Recovery Plan as a tool? • Tracking use of Recovery Plan and correlation with indicators and outcomes • Does E-ROSC increase access to community supports and resources, and facilitate transition in service utilization patterns? • Services tracking system—collaboration between evaluators and recovery coaches • What are the patterns of use of the private and public www.v-recover.com sites?

    32. V-Recover.com Utilization Data (June 1-August 30, 2012)

    33. V-Recover.com Utilization Data (June 1-August 30, 2012) • Top Referral Traffic Sources: • Facebook • Centerstone.org • Twitter • Top visiting states and cities (2,103 U.S.-originated visits): • Nashville, Tennessee (n=916) • Indiana (n=448; Bloomington, Indianapolis, Columbus, Bedford, Connersville, Richmond) • Michigan (n=295; Ann Arbor, Saginaw, Novi)

    34. V-Recover.com Virtual Open House Data (August 15, 2012)

    35. What’s next? • Vocational Rehabilitation for recent release (Note 1) • Integrated behavioral/physical health • Depression/Anxiety • Chronic pain • ??? _______________ Note 1: Presently funded under DOL grant Note 2: This Substance Abuse e-ROSC program is available as a package, supported by Centerstone, National Council and White Pine Systems.

    36. Conclusion • E-ROSC is the logical response to the economic, regulatory and technological world today. • E-ROSC contributes to sustainability of Behavioral Health delivery models. • E-ROSC allows us to penetrate markets we have been unable to access previously • E-ROSC will improve outcomes and lower cost, giving value to everyone.