Charles County Drug and Alcohol Council
Strategic Plan 2010-2012
Laura Burns Heffner July 1, 2010
Alcohol and Drug Abuse Administration
55 Wade Avenue
Catonsville, MD 21228
Dear Ms. Heffner:
As noted in our March report, our primary mission remains unchanged: to reduce alcohol and other drug abuse and related problems in the community. Further, our mission is to promote and facilitate prevention, outreach, advocacy and coordinated service delivery.
In preparing our revised Strategic Plan for FY 2010-2012, we conducted a review of our accomplishments and outcomes through a process of ongoing data collection and quarterly reports from all participating agencies at our Council meetings. A few key trends and issues began to emerge. Most critically, with the implementation of the Juvenile Drug Court and a variety of juvenile outreach programs, we continue to see slow but steady progress in redirecting Juvenile drug offenders from the detention system into treatment. Simultaneously, budget cuts to the adult service continuum, especially the jail-based programs, drove the Council’s decision to refocus attention on the adult populations.
There have been a few major changes in the county’s service delivery system which will have an impact on implementing the strategic plan. Most critically, the Human Services Partnership, the independent agency that provided funding and oversight of the County’s residents with significant mental health disorders has been incorporated into Charles County’s Department of Health. We will focus this quarter on integrating these services into our overall system of care, especially for individuals with co-occurring disorders. Additionally, following the direction of ADAA, we have initiated a more systemic approach to service delivery, focusing on a recovery oriented system of continuing care. Our clients are now being served on a walk- in registration basis, thus expediting entry into receiving treatment, and rather than a process of discharging clients, our new model will allow for a continuum for those clients who meet the criteria, allowing for easy re-entry to prevent or in the event of a relapse.
The objectives reflect changes that are in the planning stages, such as increasing use of evidenced based treatment, early intervention and prevention in our community and the development of the Family Recovery Court. The Juvenile Drug Court has now met the target of serving at least 25 adolescents and their families during the year due to collaboration within the team.
One of the measures used to monitor our initiatives in prevention and education has been the data collected on a regular basis by the Maryland State Department of Education, via the MAS, Maryland Adolescent Survey. This survey is no longer being conducted. The substance abuse department will coordinate with its partners to attempt to capture similar data.
Based on these changes, our 2010-12 Strategic Plan has been prioritized and modified as follows:
· Goal 1 focuses on adult populations, including those with special needs and the integration of the care of clients with co-occurring disorders.
· Goal 2, focuses on reducing substance abuse among adolescents and young adults
· Goal 3 focuses on prevention and early intervention.
We have a cohesive, committed Council, and have continued to progress on our goals, in spite of significant fiscal constraints. While some of our planned strategies have had to be postponed or scaled back, we continue to work collaboratively to reduce alcohol and drug abuse in our growing county.
CC. Attachment
WORKSHEET FOR DATA COLLECTION
Goal 1: Develop and maintain a continuum of effective and efficient services for adult populations, including those with special needs.
Data needed / Responsible Party (parties) / Updates/progress/barriers /
A. Reducing Barriers
Analysis of barriers/ plans for remediation / Health department SA services/HSP / HSP has a new director and will now be under the Department of Health July 1, 2010. Coordination on a regular basis for clients with co-occurring disorders will begin then and we should be able to start reporting numbers on clients treated for co-occurring disorders.
Documentation of written process for cross-referral and coordination / Health department SA services/HSP / Beginning July 1, 2010 the two divisions will coordinate care, and begin collecting data jointly on clients in treatment, screening, referred and treated.
Number of clients served through cross-referral and coordination. / Health department SA services/HSP / See above.
Number screened, referred and treated. / Health department SA services/HSP / See above
B. Co-Occurring Disorders
Written criteria for defining population and outcome measures / Health department SA services/HSP/ Jude House/committee review / The criteria will be developed by September, 2010 and implemented fully after January 1, 2011
Number screened and referred. / Health department SA services/HSP / Unable to give a breakdown, but we have 106 clients with Co-occurring Disorders.
Number and percentage of above
Receiving treatment. / Health department SA services/HSP / 106 Clients in treatment with co-occurring disorders.
Number/percentage of successful outcomes. / Health department SA services/HSP / new program report written to provide this data for this in the future
C. Jail-based Clients
Number served. / SA/Jail Based treatment team/Prevention services / (Prevention) 34 participated 30 completed. There are 14 sessions prior to completion of the program.
Programming is going very well. (SA) 53 Served.
The jail operates a model program known as STARS: Successful transition and reentry skills. Of 38 inmates enrolled in the program between November 2008 and June 2010, only 4 have returned to jail. An additional 6 were discharged from the program for disciplinary reasons.
Rates of recidivism. / SA/JBT / A draft process for collected rates was developed by a subcommittee, consisting of the Jail-based treatment team, representatives from Parole and Probation, the Public Defenders Office. Reports on recidivism will be available on January 1, 2011.
D. Family Recovery Court
Documentation of beginning of family recovery court / Problem court coordinator (Mary Ellen); Judge assigned( Judge Harrington / The FRC has been approved by Administrative Office of Courts. Because of the current fiscal crisis, many state and local agencies have taken significant cuts to their budgets that include loss of positions to support the FRC Program. The FRC Administrative Planning Team has applied for a federal grant to support the start of the program and 3 full years of funding.
Number of participants referred / Problem Court Coordinator / N/A
Number with stays of 90 days or more / Problem Court Coordinator / N/A
Number and percentage successfully completing treatment / Problem Court Coordinator / N/A
Recidivism rates. / Problem Court Coordinator / N/A
Goal 2: Reduce substance abuse among adolescents (12-17) and young adults (18-24) through the development of an accessible continuum of services delivered in the least restrictive setting.
Data needed / Responsible Party (parties) / Updates/progress/barriers
A. Juvenile Drug Court
Number of referrals / SA/drug court coordinator / (JDC)During the past six (6) months the number of referrals to juvenile drug court was 8.
Number who enter program / SA/drug court coordinator / Out of the 8 referred, 7 were admitted. One did not meet drug court criteria.
Tracking data: age of first referral / SA/drug court coordinator / The average age at time of referral is 16.51
Number of successful completions
Tracking data; lengths of stay: number and percentage over 90 days in Rx
Number of participants served annually. (Goal: 25/yeqr) / SA/drug court coordinator / There have been 24 successful completions of the JDC program. The average length of stay is 12 months. The percentage of clients entering the program and staying in treatment 90 days or more is 94.12%. The number of kids served in the past year is 28.
B. Evidence-based program options for adolescents
Data on services established for adolescents (level 0.5 and Level 1 outpatient / SA / Substance Abuse uses Evidence Based Theories, but not formalized programs. The department has connected with NIATX, a national network for improvement of addictions treatment to assist in the development and implementation of evidence based programs.
Data on comparative outcomes and recidivism rates / SA / See above
C. Evidence-based program options for young adults / See above
Number enrolled in EVP / SA / See above
Number of those successfully completing program / SA / See above
Tracking data on comparative outcomes / SA / See above
D. school-based screening
Number of referrals into treatment by school system, JDC and parents / CCPS,SA, Juv.Services / DJJ-63 Referrals, JDC-23, Parent -40, School -31
Tracking data of adolescent admissions by referral and discharge outcomes / SA / 63admitted.
35 discharged
Goal 3: Educate and assist individuals and families in Charles County to live healthy and drug free lives through evidence based prevention and early intervention programs.
Data needed / Responsible Party (parties) / Updates/progress/barriers /
A. public education and awareness
Number of participants in community training and awareness programs / HD Prevention staff/coalition /
(Prevention) 760 to date, awaiting additional request.
Coalition supported activities:
Fishing Derby 6/12/10 – 160 youth & parents; Project Graduation 6/7-8/10 –2256 graduates and guests; 8 middle school Transition Dinners in Feb & March – approximately 3000 parents & youth; CSAP’s Community Prevention Day 2/8 – 6 Coalition members attended; False ID Workshop 5/3 – 10 participants in the class; 4 class presentations at La Plata HS 5/18 – 75 students.
Awareness and Prevention Activities at CSM: Welcome Back Students 2/4 – 100 students; Safe Spring Break 3/4 – 100 students; 5/4 Stress Break 5/4 – 150 students; attended Regional BACCHUS Conference at JMU 3/26-27 – 4 students & advisor; Bacchus Certified Peer Education Training –in May with seven students.
Tracking data on performance measures from Coalition for Drug-free program / HD Prevention staff/coalition / N/A
B. Evidence-based Programs
Inventory current inter=agency EVP / HD Prevention / 2 programs (Detention Center) Head Start 16
Evidence of training for implementation of at least two new programs / HD Prevention / New Parenting Group for Fathers to start in July 2010.
Monitor programs in use / HD Prevention / Yes
Track number of participants and completion rates. / HD Prevention / Yes, Jail 60 participants, Head Start 242 participants.
C. Under-age drinking
Number and percentage of beverage license compliance checks/percent of all in compliance. (Goal- 90% passing checks) / HD Prevention staff/Sheriff’s department / Compliance checks Jan-March 2010
52 establishments checked
42 passed
10 failed
81% passed this quarter
Track percentage of 30-day reported use of alcohol, tobacco and marijuana by 12th graders (goal: decrease by 3%) / MAS data as
available / The State is no longer conducting the MAS at this time. The Coalition is working with CCPS to put the MAS in an on-line survey tool. Charles Co. expects to conduct the MAS in the fall of 2010.
Percentage of 30 day reported use of alcohol by underage college students. (Goal decrease by 3%) / Community college/coalition / 2006 Survey -60.4%
2008 Survey 52.3%
Want to reduce by 2% for 2010.
Core Survey conducted during spring semester. New data expected in summer 2010.
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