CommStat 9/27/18 Police Data for Drug-Related Incidents Valcour - - PowerPoint PPT Presentation

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CommStat 9/27/18 Police Data for Drug-Related Incidents Valcour - - PowerPoint PPT Presentation

Sep 25, 2022 369 likes •996 views

CommStat 9/27/18 Police Data for Drug-Related Incidents Valcour Agencies in Chittenden County Nancy Stetson Source: Valcour Source: Valcour Source: Valcour Source: Valcour Source: Valcour Assessing Capacity in Chittendens Hub and Spoke

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CommStat 9/27/18

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Police Data for Drug-Related Incidents Valcour Agencies in Chittenden County Nancy Stetson

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Source: Valcour

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Source: Valcour

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Source: Valcour

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Source: Valcour

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Source: Valcour

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Assessing Capacity in Chittenden’s Hub and Spoke System of Care

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Data Source: Howard Center Chittenden Clinic

28 989 940 950 960 970 980 990 1000 1010 1020 5 10 15 20 25 30 35 40 45 50 Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug

Individuals Enrolled, Admitted, and Waiting by Month at the Chittenden Clinic (Hub)

Waiting Admitted Enrolled

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Data Source: Howard Center Chittenden Clinic

5 10 15 20 25 30 35 40 May June July Aug

Referral Sources for Chittenden County Hub Monthly Admissions, May-August 2018

Hub Referrals Spoke Referrals DOC Safe Recovery Self-Referrals Residential

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Data Source: Howard Center Chittenden Clinic

12 33 40 3 8 0-5 6-10 11-15 16+ NA

Chittenden Hub Admissions by TNQ Score, May-August 2018

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589 100 200 300 400 500 600 700 Sep-13 Dec-13 Mar-14 Jun-14 Sep-14 Dec-14 Mar-15 Jun-15 Sep-15 Dec-15 Mar-16 Jun-16 Sep-16 Dec-16 Mar-17 Jun-17 Sep-17 Dec-17 Mar-18 Jun-18

Number of Medicaid Beneficiaries Treated in Chittenden County Spokes, Sep 2013-Jun 2018

Source: http://www.healthvermont.gov/sites/default/files/documents/pdf/ADAP_OpioidUseDisorderTreatmentCensusandWaitList.pdf

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79 10 20 30 40 50 60 70 80 90

Number of MAT Prescribers at Chittenden County Spokes, Sep 2014-Jun 2018

Source: http://www.healthvermont.gov/sites/default/files/documents/pdf/ADAP_OpioidUseDisorderTreatmentCensusandWaitList.pdf

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Data Source: Pam Farnham, UVMMC

Chittenden Spokes Patient and Provider Census Compared to May 2018 Census

Site Number of All Payers Patients Net Patient Gain/Loss Number of Waivered Providers Net Provider Gain/Loss LUND 21

  • 1

1 Community Practice (n=7) 50 12 7 UVMMC Specialty Spokes (n=3) 61

  • 19

7

  • 1

Howard 140 60 2 UVMMC Traditional Spokes (n=9) 172 38 36

  • 6

CHCB 430 22 19 7 Total 874 112 72

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601 100 200 300 400 500 600 700 800 900 1000 Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 Q4 2014 Q1 2015 Q2 2015 Q3 2015 Q4 2015 Q1 2016 Q2 2016 Q3 2016 Q4 2016 Q1 2017 Q2 2017 Q3 2017 Q4 2017 Q1 2018

Members Visiting Syringe Services Programs in Burlington, 2013-2018

Source: http://www.healthvermont.gov/sites/default/files/documents/pdf/ADAP_OpioidUseDisorderTreatmentCensusandWaitList.pdf

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Recommendations from: “Vermont Hub-and-Spoke Model of Care for Opioid Use Disorders: An Evaluation”

  • Dr. Rick Rawson
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Hub and Spoke Recommendations

  • 1. Increase access to MAT in spokes.
  • 2. Add additional hub locations/or medication units to improve

access and reduce high clinic censuses.

  • 3. Develop an addiction workforce plan for Vermont.
  • 4. Conduct a prospective evaluation of the H & S system, with

randomly selected participants and an intent-to-treat design.

  • 5. Establish a workgroup to improve clinical treatment within the

H & S system.

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  • 5. Establish a workgroup to improve clinical treatment within

the H & S system.

 Increase access to mental health services.  Provide vocational services to individuals who need employment assistance.  Develop a family members/significant others component for the H & S system.  Expand and diversify residential treatment capacity.  Develop clinical materials/protocols to assist patients using stimulants or benzodiazepines, or misusing alcohol while on MAT.  Develop materials to assist clinicians in explaining the typical course of MAT and positive and negative considerations of medication termination and post- MAT continuing care.  Review and revise the patient placement instruments (Treatment Needs Questionnaire and Office Based Opioid Treatment Stability Index) to improve placement of individuals in the H & S system.  Review and develop an H & S system protocol on cannabis screening and response to positive screens.  Develop and add tobacco cessation services for patients on MAT.  Review and consider the addition of newer forms of MAT for OUDs.

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Police Data for Youth Ages 13-21 Valcour Agencies in Chittenden County Nancy Stetson

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Source: Valcour

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Source: Valcour

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Source: Valcour

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Source: Valcour

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Source: Valcour

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Source: Valcour

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Source: Valcour

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DCF-FSD YOUTH JUSTICE

BETH MAURER, MSW DISTRICT DIRECTOR SEPTEMBER 27, 2018

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39 41 42 40 34 48 62 65 65 67 77 67 75 71 58 61 61 58 66 57 58 50 35 36 31 29 31 24 21 22 20 21 26 30 28 30 28 27 25 37 42 39 41 42 68 73 77 72 74 71 71 71 69 70 70 75 67 63 57 60 63 67 77 79 91 89 11 16 11 16 12 14 11 13 10 7 10 11 11 10 6 8 6 5 8 7 8 7 10 20 30 40 50 60 70 80 90 100

Number of Kids in Care Year/Quarter

Number of Children in Custody, by Age, by Quarter, 2013-2018 (1st quarter), Burlington

B 0-5 B 6-11 B 12-17 B 18+

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9/28/2018 Sample Footer Text 34

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13 28 10 6 2 12 15 11 10 4 18 13 13 14 5 10 15 20 25 30 Q1 Q2 Q3 Q4

Number of Children Age 18+ Who Were Emancipated

Statewide Emancipation Trend Data for Youth Age 18+

2015 2016 2017 2018

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WHAT’S MISSING?

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DATA ON YOUTH WITH SUD

This Photo by Unknown Author is licensed under CC BY-SA-NC
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DATA ON OLDER YOUTH ON PROBATION WHOSE PARENTS STRUGGLE WITH A SUD

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WHAT WE DO KNOW…

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S.234 – VERMONT IS TAKING JUVENILE JUSTICE REFORM FORWARD!

S.234 legislates raising the age of juvenile jurisdiction to include 18 and 19 year-olds in 2020 and 2022 respectively. Given the system and resource implications, DCF, in consultation with the Dept of State’s Attorneys and Sheriffs, the Office of the Defender General, the Judiciary and DOC, is required to evaluate adding 18 and 19 year olds to the system and what resources, systemic changes, other things may be needed. A report on the status and plan for expansion, including necessary funding, is required to be submitted to the Joint Legislative Justice Oversight Committee on November, 1, 2018.

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Mitch Barron

1025 Airport Dr 94 West Canal St 802-488-7711

  • So. Burlington 05403

Winooski 05404 www.CenterpointServices.org

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www.CenterpointServices.org

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Centerpoint provides a full array of treatment & educational supports and programs to teens, young adults, and their families faced with emotional, behavioral, mental health, substance abuse, or special learning needs. Centerpoint clients receive a comprehensive plan of services that may include:

  • Psychiatric and mental health evaluation
  • Immediate Access substance abuse screening and assessment
  • Centerpoint School: Integrated special education and mental health day treatment services
  • Outpatient counseling for mental health and substance abuse concerns
  • Family counseling and parent support
  • Group therapy
  • IOP: Intensive outpatient treatment programs and plans
  • Gender-affirmative treatment services
  • Art Therapy, limbic, and body-based treatment services
  • Trauma-focused treatment and support
  • School-based substance abuse and mental health services
  • Truancy intervention services
  • CHECKPOINT: Screening, brief intervention, and access to services and supports (SBIRT)
  • Centerpoint Cooperative: Life skills training and proficiency-based education
  • Driver Education: Therapeutic Driver Training & Support
  • Community wellness and recovery support
  • Animal Assisted Therapy and Emotional Support
  • Services for youth involved through juvenile justice and the legal system
  • Counseling services for the college and transition-aged student
  • Prevention and early intervention programs
  • Training and Consultation

www.CenterpointServices.org

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Support for Youth, Young Adults, and Their families: Some Universal Principles & Best Practices

A seamless – integrated – multitiered - multidimensional system of supports that :

  • are developmentally matched to what we know about the (social/emotional/behavioral/familial/cultural/

environmental/physiological) stages and ages of our youth populations

  • apply differentiatied modalities, intensities, and locations to engage varied styles, skills, needs, and

interests

  • are mapped to ‘normative adolescent development’, with goals and expectations in scale
  • recognize that relationships with caring – committed – consistent adults are essential
  • celebrate identity development and youth empowerment (and support adult curiosity&

humility)

  • promote affiliation and foster hope
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Group Services and Supports are an evidence-based and effective approach for counseling teens and parents.. Skillful use of peer influence and group dynamics allows change to occur more quickly and sets the stage for longer-lasting progress through the establishment of natural peer-based

  • supports. Specialty groups are developed based on emerging needs and trends, and are offered within clinics and a variety of school/community sites.

Promoting Health & Wellness: No one size fits all

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Youth Thrive when Families Thrive

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Diagnosable Conditions Upon Engagement

FY 18 Based on DSM 5: Diagnostic and Statistical Manual of Mental Disorders

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Mitchell Barron, LICSW LADC 802-488-7721 MitchB@CenterpointServices.org www.CenterpointServices.org

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  • 10/25 (Thursday) 8:30-11:00 AM
  • Burlington Electric

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