Montana Chemical Dependency Center

1. Montana Chemical Dependency Center 2500 CONTINENTAL DRIVE BUTTE, MT 59701 Phone: (406) 496-5400 Fax: (406) 496-5437 Admissions: (406) 496-5402

2. FY 2002 ACHIEVEMENTS 1.New Program Design in Admissions Department 2.Updated and Completed Electronic/Paper Manual for all Policy and Procedures for Facility • 3.Implemented Clinical DBT Training • 4.Implemented PPC-IIR Training & Forms (i.e., ASAM PPC-IIR Patient Placement Criteria for Levell III Care & Biopsychosocial Assessement Forms) • 5.Developed Comprehensive Staff and Patient Orientation Procedure • 6.Developed Electronic Chart Review Process • 7.Developed following Committees to Improve Services - Pharmacy and Therapeutic Committee; Performance Improvement Committee; Discharge Committee; Grievance Committee; Chart Audit Committee; Ethics Committee

3. ACHIEVEMENTS (Cont.) • 8.TIER - Forms being used by the Nursing, Clinical, & Admissions Staff for Total Electronic Charting System. • 9.Developed Integrated Team Design Concept (Interdisciplinary Staffing) • 10.Implemented Graduation Ceremonies, Patient of the Week and Peer Leaders for Patients • 11.Participated in DPHHS Employee Recruitment & Retention Work Group • 12.Internship Supervision for two Licensed Addictions Counselors • 13.Coordinated with Montana State Hospital for Patient Transfers to MCDC for Co-Occurring Treatment • 14.Improved Admission Show Up Rate • 15.Participated in PSO Planning • 16. Improved our Identification & Treatment of Co-Occuring Disordered Patients

4. Background One of six facilities in DPHHS One of three facilities in AMDD Moved from Galen in 1993 Single State in-patient residential 24 hour CD treatment facility 76 Beds - 70 treatment beds, 6 detox/medical beds Cost of Treatment - Ability to Pay - $149.00/day; Serve Low Income & Indigent Residents of Montana Annual Budget of approximately 2.8 million dollars Work Closely with Community Based State Approved & Private Providers for Referrals into Facility

5. Staffing Montana State Certified Licensed Addiction Counselors Licensed Physician Registered & Licensed Practical Nurses Licensed Mental Health Professional Counselors Treatment Specialists Administrative & Support Personnel

6. STATISTIC OVERVIEW • Serve 800-1000 Patients Per Year • Approximately 65% are men and 35% are women • Average age is 30 for men and 26 for women • 78% of patients are Caucasian, 19 % are Native American, 3% are African American, Hispanic, and Asian • Approximately 30% are intravenous (IV) drug users • Approximately 37% are methamphetamine users • Approximately 36% of women are women with dependent children • 49% of patients have some level of legal involvement • 85% of patients are unemployed • Rate of Completion is % for women and % for men • Co-Existing disordered patients constitute approximately 51% of our population

7. Utilization Review • Utilization Team Consists of Admissions, Clinical, Mental Health, & Nursing Staff • Must Meet Level III.5 or III.7 Criteria • Notification Procedures - Approval, Pending, Denial Notifications Sent to Referring Programs • Procedure for Canceling Admission Date - Referring Program, Probation Officer, or Judge Must Cancel Admission Dates • Earlier Admission Dates Available Upon Cancellation/no Shows • Length of Stay for Program - Varies From 28-45 Days

8. Patient Characteristics FY2002

9. Recidivism