Home of New Vision Program Presentation: Engagement Center

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Home of New VisionProgram Presentation
Engagement Center
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Introduction and Overview

• Brief review of HNV and our services
• In depth discussion of a pilot project provided
  by WCHO and Home of New Vision
• Hamilton House Engagement Center (EC)

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Home of New Vision Overview

• Founded by our CEO, Glynis Anderson in 1997,
  Home of New Vision is a 501(c) (3) non-profit
  organization that provides gender specific
  programs and specialized services to empower,
  protect, encourage and enrich the lives of women
  and men, their families, and communities affected
  by the disease of addiction.
• Home of New Vision is committed to promoting
  change and awareness and reducing stigma and
  shame by providing a better understanding of
  recovery.

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Programs at Home of New Vision

• Assessment and Referral Services
• Co-Occurring Disorder/Dual Diagnosis Program
• Community Corrections Housing
• Outpatient Treatment Program/Women
• Outpatient Treatment Program/Men
• Transitional Housing
• Womens Specialty Program
• New Horizons Program
• Spectrum Prevention Services
• Hamilton House Engagement Center
• Recovery Oriented Case Management and Peer
  Support Partners

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Spectrum Prevention Services at HNV
Decisions That Impact Tomorrow (formerly MIP)
for 18 - 21 year olds with pending possession
issues.   ASAP (Adolescent Substance Abuse
Prevention)  as above, but for the 14 - 17 year
age range.  Additionally, children do not need to
be in actual trouble to participate in this
program it may be requested by their
parents.   Healthy Living Plan  groups run for
those participating in Sobriety Court and,
  COAP (Children of Addicted Parents)  this is
a program providing both peer and parent/child
therapy sessions and supervised, family building
fun activities for parents and children.
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Hamilton House Engagement Center

• A Safer Alternative

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The Need

• The Blueprint to End Homelessness
• a work group on substance abuse/mental health
  identified this as a significant gap in services
  to individuals who have not yet accepted
  readiness for change, and continue to use
  multiple community resources
• Fatalities
• Every year several members of the target
  population die in Washtenaw County because of
  this gap, either from exposure, overdose or
  medical complications related to their addiction

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The Need (Continued)

• Sobriety
• Because many of these individuals are not ready
  to accept sobriety, they typically refuse detox
  or other treatment opportunities. A safer
  alternative is needed that encourages trust and
  introduces options for meeting the immediate
  needs of clients. Implements best practices and
  stages of change
• Many clients have co-occurring mental health and
  substance abuse disorders and need active support
  network and case management to facilitate
  engagement in recovery process
• Other Models
• Similar models in Flint, Columbus, Philadelphia,
  and Colorado Springs have proven, positive
  outcomes

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Who Gets Served?

• Inclusion
• Incapacitated in a public place (PA 339)
• Appropriate referral to a recovery access center
  from a medical or detox facility, Shelter, Port,
  HVA or other human service agency
• Self Referral
• Exclusion
• Individuals who require acute medical
  intervention that requires ongoing nursing care
• Evidence of injury within the last 48 hours
• Combative or reasonably believe they would be
  difficult for staff to control or observe

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Admission Criteria

• At least 18 years of age
• Co-occurring mental health and substance abuse
  disorders and experiencing active substance use
• Must be ambulatory and conscious
• Must have completed a health examination
• B.A.C. less than .20
• May not have any of the following excessive
  tremors, disorientation beyond normal
  intoxication, seizures, excessive vomiting,
  inability to control bladder and bowel functions,
  heart rate above 110, and blood pressure above
  160/100

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Services Provided

• 8 to 10 Bed facility, 24/7 availability
• Assessment of Needs
• Mental health assessment
• Assessment For Stages Of Change
• Scheduled Meals
• Laundry/Clothing
• Scheduled Recovery-Based Groups/Educational
• Peer Recovery Mentors
• Up to 23 hour bed stays

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Outcome Measures/Data Indicators

• Primary Indicators
• Number () of clients who are ready for change
  and accept recovery options at discharge
• Number () of clients who are enrolled in
  recovery options at 14 days
• Number of clients who engage with case manager at
  30 days (when case management system is
  available)
• Number () of clients who remain at
  pre-contemplative stage upon discharge
• Secondary Indicators
• Number of appropriate EC client ER visits at 30,
  90, and 180 days
• Recidivism rate average visit rate per client
  per 12 months
• Average number of visits to accept recovery
  option upon discharge
• Average number of visits to achieve 30 day
  follow-up
• Number of days on wait list for each recovery
  option

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Costs Savings in the Emergency Room

• This program is designed to prevent the high-cost
  use of the Emergency Room for non-emergent simple
  intoxicated clients
• On average about ten intoxicated people per night
  stay in area ER, costing 500 -700 for a typical
  EC client to receive  physician and nursing
  services.  Both ERs report they average 6
  clients/night(day), thus costing 8,400 at the
  high end. Serving half these clients would save
  over 100,000 per month. 

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Recidivism

• Currently there is no data on who returns to
  the emergency room for these services
• A goal of this pilot project is to develop data
  to understand the recidivism rate

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Staffing Plan

• One full time Program Manager
• Eleven part time floor staff
• WCHO Case Managers (tbd)
• 25 to 40 peer mentors

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Transportation

• The Engagement Center will have access to cab
  fare and bus tokens
• Peer Mentors will be on hand to transport
  individuals
• Individuals requiring/requesting treatment
  services will be transported to the programs by
  peer mentors and case managers.

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Case Management

• Use strengths assessment to identify goals,
  tasks, and strategies
• Work with peer mentors to keep client engaged in
  recovery process
• Assist client with accessing services related to
  recovery including treatment facilities, SSI and
  SSDI, VA services, and sober living arrangements.

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Peer Mentoring

• 28 40 peer recovery partners
• Provide support network designed to promote
  continuous engagement in the recovery process
• Assist clients with basic needs such as
  transportation
• Work with case management team and clients to
  develop treatment plans and access to community
  resources