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Jurisdictional and Program ROSC Self-Assessments. Learning Collaborative January 11, 2010. Outline. Review self-assessment purpose Jurisdictional and program differences Highlights of self-assessment tools Questions and Answers. Self-Assessment Purpose.

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jurisdictional and program rosc self assessments

Jurisdictional and Program ROSC Self-Assessments

Learning Collaborative

January 11, 2010

outline
Outline
  • Review self-assessment purpose
  • Jurisdictional and program differences
  • Highlights of self-assessment tools
  • Questions and Answers
self assessment purpose
Self-Assessment Purpose
  • Baseline source of information regarding jurisdictional and individual program’s alignment with recovery-oriented system of care
  • Track progress over time in adopting recovery principles and system components
    • Annual completion expected
  • Educational purpose
    • Inform discussions with system stakeholders
    • Gain insight for your ROSC change plan
what self assessments are not
What Self-Assessments Are Not…
  • NOT tied to funding (at this point)
  • NO judgment passed on responses (at this point)
  • NOT research tools
tips for completing
Tips for Completing
  • For your jurisdiction and program’s use – be honest
  • Don’t worry if your jurisdiction or program doesn’t currently have or do something
  • Think about how effective you are in these areas
  • Take advantage of open-ended questions
  • Not asking for agreement or disagreement with items
  • ADAA will provide requested data elements
jurisdictional and program differences
Jurisdictional and Program Differences
  • Jurisdictional Self-Assessment:
    • Wear your purchaser of care, oversight, and system monitoring hat
    • Think about services at system and community level
  • Program Self-Assessment
    • Wear your administrative and clinical provider hat
    • Think about services at program and patient level
highlight 1
Highlight #1

ROSC Element – Attraction

Outreach

1. Jurisdiction engages in outreach activities.

1 2 3 4 5

Never Sometimes Always

Describe:

________________________________________________________

________________________________________________________

________________________________________________________

Explanation/Clarification:

Provide examples of your planned, systematic efforts to connect to individuals and families and engage them in services

highlight 2
Highlight #2

ROSC Element – Access

Screening and Evaluation

1. Evaluation for level of care occurs prior to admission to treatment.

1 2 3 4 5

Never Sometimes Always

slide10

2. Staff who provide evaluations for level of care

are organizationally separate/independent from

any specific level of care.

1 2 3 4 5

Never Sometimes Always

Explanation/Clarification:

Current practice often links intervention to level(s) of care provided by a program. To provide individualized menu of services, assessment and determination of interventions should be made independent of specific program services available.

adaa data element
ADAA Data Element

ROSC Element – Continuity of Care

Data:

% successfully linked to another level of care

_______________

  • Data Source: Table 1
highlight 11
Highlight #1

ROSC Element – Access

Screening and Evaluation

1. Evaluation for level of care occurs prior to admission to treatment.

1 2 3 4 5

Never Sometimes Always

Explanation/Clarification:

Current practice often links intervention to level(s) of care provided by a program. To provide individualized menu of services, assessment and determination of interventions should be made independent of specific program services available.

highlight 21
Highlight #2

ROSC Element - Engagement

Intake

1. A reminder phone call is made to each prospective

patient the day prior to scheduled intake appointment.

1 2 3 4 5

Never Sometimes Always

2. Intake no-show rate: ______

Explanation/Clarification: These questions may not apply to programs that do not operate with scheduled intake appointments. In this case, please write N/A next to the question and provide a brief description of how individuals are ensured intake.

highlight 3
Highlight #3

ROSC Element - Engagement

4. Redundant paperwork to be completed by the patient has been eliminated.

1 2 3 4 5

None Some All

Explanation/Clarification: Paperwork that captures same information has been consolidated and patients do not have to sign multiple forms that serve same purpose. For example, multiple release of information forms to different agencies can be consolidated into one universal release of information form.

adaa data elements
ADAA Data Elements

ROSC Element - Engagement

Data:

Program dropout rate is________________

Program administrative discharge rate is________

  • Data Source: Table 3
data element
Data Element

ROSC Element - Engagement

Program length of stay (% over 90 days in an

episode) is_________

  • Data Source: Table 4
highlight 4
Highlight #4
  • ROSC Element – Assessment
    • Questions 1-4
    • The items stress key, basic issues of assessment that should be very familiar
    • Lack of consistency in these components signifies a program in very early stages of alignment with ROSC
highlight 5
Highlight #5

ROSC Element – Service Delivery Elements

6. Program provides case management.

1 2 3 4 5

Never Sometimes Always

Describe staffing, services to which patients are linked,

and tracking:

_______________________________________________

_______________________________________________

Explanation/Clarification: Since case management is central to ensuring effective retention, continuity of care, and linkages to other services, detailed description is encouraged.

highlight 6
Highlight #6

ROSC Element – Service Delivery Elements

7. Program offers services provided by peers. Yes No

  • Alumni mentors
  • Recovery coaches
  • Other: _____________________________

Explanation/Clarification: Involvement of the recovery community is central to ROSC so completion of this item is critical to identify current state of peer engagement.

highlight 7
Highlight #7

ROSC Element – Service Delivery Elements

15. Program provides continuing care.

1 2 3 4 5

Never Sometimes Always

Describe:

_______________________________________________

_______________________________________________

Explanation/Clarification: Continuing care refers to monitoring and support services provided after formal, acute treatment no longer necessary.

adaa data elements1
ADAA Data Elements

ROSC Element – Service Delivery Elements

Data:

% female patients _________________

% African-American patients __________________

% Hispanic patients _____________________

% opiate dependent patients ________________

% patients receiving family services ______________

Average # family services provided per patient________

% received mental health services ________________

% referred to AA/NA ________________

  • Data Source: Table 5
adaa data element1
ADAA Data Element

ROSC Element – Continuity of Care

Data:

% successfully linked to another level of care

_______________

  • Data Source: Table 2
highlight 8
Highlight #8

ROSC Element – Recovery Environment

2. Program partners with prevention services.

1 2 3 4 5

Never Sometimes Always

Describe:

_______________________________________________

_______________________________________________

Explanation/Clarification: Consider how your program builds upon and aligns with existing prevention activities and strategies that work to make communities healthy and recovery-oriented. This could include a focus on family, school, and other community activities.

highlight 9
Highlight #9

ROSC Element – Recovery Environment

  • Includes appearance and maintenance of physical facilities in which services are provided
  • Includes reception of individuals and families seeking services
    • Website and informational pamphlets
    • Telephone contact
    • Front desk staff
take home messages
Take-Home Messages
  • For your jurisdiction and program’s use
  • Don’t worry if your jurisdiction or program doesn’t currently have or do something
  • Think about how effective you are in these areas
  • Remember – baseline assessment
self assessment and organizational change
Self-Assessment and Organizational Change
  • What information sources will you use to complete self-assessments?
  • How will you engage others in self-assessment process?
  • How can you and others use information obtained through self-assessments?