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Making a Difference in Addiction

Making a Difference in Addiction. LifeStream Behavioral Center Dr. Miguel Correa Rick Hankey Sarita Narine Jamie Eckherdt May 9, 2019. AIM. What was the aim of our project?

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Making a Difference in Addiction

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  1. Making a Difference in Addiction LifeStream Behavioral Center Dr. Miguel Correa Rick Hankey SaritaNarine Jamie Eckherdt May 9, 2019

  2. AIM What was the aim of our project? • Support, engage, motivate, and enhance our consumer’s perception to modify past behaviors, and establish positive alliances to maintain retention. • Retention: Successfully engage our consumers in MAT for at least 6 months. • Early intervention and Stabilization: Provide Oral Naltrexone/Campral to consumers until eligible for Vivitrol injections. Same day access to ARF unit for stabilization. Buprenorphine induction on opioid use disorder. • Expand out services to other locations within the organization. • Provide our consumers with other resources: Referrals to career/educational/ AA/Dual Treatment.

  3. Changes? What changes did we make? • Add a Satellite Office in Orlando Area with full-time medical assistant and therapist for the MAT program. • Increased the number of providers. • Increased treatment services. • Integrated treatment to pregnant women. • Stared DCF Overdose Prevention Program, to reduce opioid overdose in the communities with the distribution of Narcan Emergency Kit. • Early follow-up with the consumer within 7 days of induction.

  4. Buprenorphine Vivitrol Injections

  5. Results • Continued growing as evidence by the increase in census of Buprenorphine and Vivitrol consumers served. • Successfully treated pregnant females with healthy outcomes. • Even with a lack of funding for Vivitrol injection we were able to successfully maintain our consumers in the program with 6 to 12 months of injections. • Consumers going back into the work force or seeking educational goals. • Involvement of families on treatment. • Maintained policy against diversion which includes random toxicology screens, and empty wrappers count. • Remain in counseling

  6. Next Steps How did we decide to adopt, adapt. abandon the change? What led to our decisions? • Barrier to access treatment: • An increase in no calls and no shows. • Abandon of treatment. • An increase readmissions in detox. What will we do next? • Continue to expand our services. • Promote our service to Citrus County. • Evaluate sublocade as another option for MAT. • Provide same day service.

  7. Impact How did this project impact your customers and organization? • It provided many educational ideas to engage the consumers in MAT. Sustainability What ideas do you have to sustain the improvements you made? • Keep consumer counseling within the organization. • Reminder texts or calls the day before appointment. • Continued 7-day follow-calls. • Give opioid users the opportunity to switch between buprenorphine and Vivitrol based on eligibility. Empower of treatment.

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