Allegany county, maryland strategic plan for alcohol and drug abuse



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ALLEGANY COUNTY, MARYLAND

STRATEGIC PLAN FOR ALCOHOL AND DRUG ABUSE


VISION: Allegany County- A Healthy, Drug Free Community

MISSION: To reduce the incidence and prevalence of alcohol and drug abuse in Allegany County.

GOAL 1: Educate and assist families of Allegany County to live healthy and drug free lives.

Objective 1: Use appropriate evidence-based prevention programs in all targeted population settings. (DARE To Be You, Creating Lasting Family Connections, Project ALERT, Life Skills, & All Stars)*

Objective 2: Increase the effectiveness of prevention activities by targeting

parents who are in drug treatment, incarcerated, or in other

high-risk situations. (Creating Lasting Family Connections & DARE To Be You)*

Objective 3: Utilize environmental strategies to change individual norms and perspectives regarding substance use and abuse. (After-Prom, underage drinking, & policies on tobacco and alcohol use)*

Objective 4: To work with the “Got Hope” group and other community based organizations to address drug and alcohol problems identified by the community*
Objectives 1 through 4 were completed throughout this fiscal year and are currently ongoing projects.
Objective 5: To work with the Sheriff’s Office to initiate the P.L.A.Y. program. (Parents, law enforcement, and youth)*
Objective 5 was completed on 6/1/06 and continues to be an ongoing

program.


Performance Target: Reduce the overall incidence of first use of substances among

youth and increase parental involvement in setting rules about

substance use.

Measure: Evaluation of evidence-based programs.


GOAL 2: Provide integrated continuum of efficient and effective treatment services.

Objective 1: Maintain 25 adult residential “ASAM Level III.7” beds for the treatment of substance abuse disorders. (Massie Unit)*
Objective 1 has been accomplished.

Objective 2: Maintain 33 adolescent residential “ASAM Level III.7” beds for the treatment of substance abuse disorders. (Jackson Unit)*
Objective 2 has been met at this time. These are statewide beds and need to

be increased from funding 33 beds to funding 40 beds. The initial strategic

plan identifies the need for an expansion of 15 beds, however the Jackson

Unit currently has the space for easily accommodating 7 additional beds.

Objective 3: Maintain 253 “ASAM Level I” outpatient slots for the treatment of substance abuse disorders. (Outpatient Addictions Unit including Alternative School)*

Objective 4: Maintain 11 halfway house “ASAM Level III.1” beds for the treatment of substance abuse disorders. (Halfway House)*
Objective 3 and 4 have been accomplished.

Objective 5: Maintain 22 “ASAM Level II.1” J.S.A.P. slots for the treatment of substance abuse disorders. (Jail Substance Abuse Program)*
Objective 5 completed and increased to 29 slots.

Objective 6: Maintain 20 intensive outpatient “ASAM Level II.1” slots for the treatment of substance abuse disorders. (IOP)*
Objective 6 has been accomplished.

Objective 7: Maintain 35 (Medication Assisted Treatment) MAT “ASAM Level I” slots for the treatment of substance abuse disorders. (Methadone Clinic)*
Objective 7 completed and increased to 55 slots.

Objective 8: Maintain 30 (Medication Assisted Treatment) MAT “ASAM Level I” slots for the treatment of Opioid abuse disorders using Buprenorphine (Suboxone).*
Objective 8 completed and increased to 45 slots.

Performance Target: Reduce the negative consequences of substance abuse in the

treated population.



Measure: SAMIS Outcome Measures
All of the above objectives were accomplished this year.

GOAL 3: Increase the availability of existing treatment services.

Objective 1: Provide 5 new adult residential “ASAM Level III.7D” detoxification beds. (Massie Unit)

Objective 2: Provide 10 new adult residential “ASAM Level III.7” beds. (Massie Unit)

Objective 3: Increase “ASAM Level III.7” adolescent beds by 15. (Jackson Unit)*
The Jackson Unit has not been funded for the additional 15 beds. The

Jackson Unit has discontinued their agreement with DJS to provide shelter

care services in the form of 7 beds.
The Jackson Unit’s mission is to provide residential alcohol and drug

treatment, and providing the shelter care service was destabilizing, and

detrimentally impacted our ability to provide quality alcohol and drug

treatment.
The Jackson Unit currently has the space available for the addition of 7

residential treatment beds, and like their other beds these beds would be

dedicated to a statewide catchment area. Increasing the Jackson Unit’s

funding for an additional 7 beds would be an efficient way to increase

services to meet both the needs of Allegany County and for an obviously

underserved segment of the state of Maryland’s population. The physical

facility, trained clinical staff and administrative staff necessary to provide

quality residential treatment is available and ready.

Objective 4: Hire full time doctor for addiction services to provide psychiatric services/mental health services to “ASAM Level I through III.7D”. (Outpatient Addictions, Alternative School, Massie Unit, and Jackson Unit)

Objective 5: Increase capacity in the jail program by 8 slots.*
Objective 5 has been achieved, although slots were increased by 7 as opposed to the goal increasing by 8 slots. This was accomplished without any additional funding by realigning resources from within the Allegany County Health Department’s Outpatient Program to meet the area of greatest demonstrated need.

Objective 6: Increase outpatient “ASAM Level I” capacity by 30 treatment slots. (Outpatient Addictions including Alternative School)

Objective 7: Increase MAT capacity by 35 treatment slots. (Methadone Clinic)*
Objective 7 has been addressed and significant progress made by the addition of 20 methadone slots. This was accomplished without any additional funding by realigning resources from within the Allegany County Health Department’s Outpatient Program to meet the area of greatest demonstrated need.

*Although two private methadone clinics have opened up in the area, the waiting list at the Allegany County Health Department’s Methadone Clinic remains due to funding. Clients often don’t have the finances available to afford private clinics but the Allegany County Health Department’s Methadone Clinic offers clients services based on a sliding fee scale.

Objective 8: Increase MAT capacity by 35 treatment slots. (Buprenorphine)*
Objective 8 has also been addressed and continues to increase as needed.

The addition of 15 slots was made and 5 more slots will be available in the

next two months.

Performance Target: Eliminate waiting list.

Measure: Number of clients on waiting list.

GOAL 4: Establish labor pool of qualified professionals to staff prevention and addiction treatment services.

Objective 1: To pursue partnerships with higher education.*
Objective 1: Currently collaborating with Allegany College and Frostburg State University.

Objective 2: Improve the overall compensation and benefit package for administrative and clinical staff.*
Objective 2: Currently advocating for improved benefit packages.

Objective 3: Work to establish entry-level counselor certification requirements that are clear, objective, and based on standard degree programs offered by colleges and universities.*
Objective 3: Continuing to work with the Maryland Addictions Director’s Council on these issues.

Objective 4: Maintain staff development through technical assistance and training.*
Objective 4: Trainings are offered on an ongoing basis. At the local level, several trainings were brought to Allegany College in order to cut down on the distance staff had to travel.

Performance Target: Recruitment and retention of qualified leadership and clinical and prevention staff.

Measure: Vacant positions are able to be filled in a timely manner with qualified individuals

GOAL 5: To educate students in Allegany County in making healthy decisions regarding substance abuse issues. (CASASTART Program)
Objective 1: Expand community capacity and resources already established through the Local Management Board, for referred youth and their families.*
Objective 2: Establish a seamless referral system between families, schools, agencies, and the supporting child networks for more efficient delivery of supportive services.*
Objective 3: Identify and work with family’s social supports including faith-based organizations, neighborhood associations and clubs.*
Objective 4: Communicate resiliency and strength-based skills in youth by promoting the ASSET Development Program, as adopted by the LMB.*
Objective 5: Provide continued support of the new D.A.R.E. program in our public schools including the fifth and seventh grade curriculums.*
Objective 6: Continue to work with and encourage the continued commitment of resources by the Maryland State Police, Allegany County Sheriff’s Office, and the City of Cumberland in our D.A.R.E. program. *
Objective 1 through 6 has been accomplished.

Performance Target: Reduce the overall incidence of first use of substances among

youth ages 11-17.


Measure: Evaluation of Maryland Adolescent Survey


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