Southeast Michigan Community Alliance

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Southeast Michigan

Community Alliance

Substance Abuse Services

Action Plan

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TABLE OF CONTENTS

Page

PREVENTION

Narrative 3

Progress Toward Performance Indicators 7

Youth Access to Tobacco Narrative 10

Youth Access to Tobacco Narrative – Planned Activity 11 Communicable Disease Prevention Narrative 12

TREATMENT

Appendix H – Treatment and Recovery Services Dashboard 13 Appendix I – Treatment and Recovery Narrative by Level of Care 14

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PREVENTION PLANNING CHART

Current activities occurring in each priority area are consistent with the plan submitted in 2011.

PREVENTION NARRATIVE

Changes in Community Partners

The following coalitions are no longer active and withdrew their participation in the SEMCA Network: Youth Care of Monroe, Plymouth Canton Changing Alcohol Policies and Perception (PCCAP), and Access Substance Abuse Coalition.

Added to the SEMCA network: Ecorse Substance Abuse Prevention Coalition and Lincoln Park Substance Abuse Prevention Coalition

Added to collaborative Partnerships: Garden City Community Coalition (DFCC Grantee); Monroe County Substance Abuse Coalition (DFCC Grantee); Beaumont Hospital Community Coalition; Sumpter Community Coalition, Inkster Teen Health Center, Pharmacies, Michigan National Guard, Michigan Veterans Task Force, National Kidney Foundation of Michigan, Michigan Suicide Prevention Association

Progress on Immediate Outcomes

Goal 1: Reduce youth access to tobacco products

Objective 1.1: Increase enforcement of the Youth Tobacco Act

 In 2010, 61% (775) of tobacco retail establishments received law enforcement

inspections to determine compliance with the Youth Tobacco Act. In 2011, 77% (965) of tobacco retailers were inspected. This demonstrates an increase of 16% of enforcement inspections.

 In 2010, 8 warnings, 25 citations and 56 ordinance violations were issued to retailers for noncompliance with the Youth Tobacco Act. In 2011, 14 warnings and 104 citations were issued. In 2010, 93% of tobacco retailers that violated the Youth Tobacco Act were issued a written violation. In 2011, 100% of tobacco retailers were issued a warning or citation, thereby demonstrating a 7% increase in the number of written violations issued. Objective 1.2: Minimize the number of retailers who are willing to illegally sell cigarettes to underage purchasers

 In 2010, 87.7% of tobacco retailers complied with the Youth Tobacco Act as evidenced by law enforcement retail inspections. In 2011, 86% of tobacco retailers were in

compliance. The decrease in law enforcement compliance rates can be attributed to the increase in the number of retailers inspected.

 In 2010, 20% of tobacco retailers received on-site vendor education. In 2011, 46% of retailers received on-site vendor education. This demonstrates an increase of 26% of tobacco retailers receiving education. Vendor education includes a review of the Youth Tobacco Act and the potential cost for selling tobacco to minors, examples of store policies and directives for employees, guidelines on identification inspection and instruction on required signage.

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Objective 1.3: Increase the number of retailers to ask for identification when selling tobacco products

 In 2010, 92.8% of retailers who did not sell tobacco products to underage purchasers asked for identification. In 2011, the variable asking age/ID could not be examined with significance testing due to the low frequency of retailers that sold tobacco products and only asked age, as well as retailers that did not sell to minors and didn’t ask.

Goal 2: Reduce Childhood and Underage Drinking

Objective 2.1: Increase community involvement to reduce youth access to alcohol

 The SUDDs coalition (a youth coalition with several community chapters) provided on-site vendor education to alcohol retailers. They provided signs for vendors showing the birthdate when a customer is old enough to purchase and signs stating that there are consequences for anyone who provides alcohol to minors.

 Student volunteers were recruited to work in conjunction with law enforcement to assist with alcohol compliance inspections.

 Youth coalitions partnered with nine local alcohol retailers to implement Project Sticker Shock, a campaign targeting adults who furnish alcohol to minors.

 Media Campaigns were designed and developed by youth to increase the awareness of the dangers of riding with someone who had been drinking and the consequences of underage drinking. Fact sheets, newsletters, and video presentations were conducted at local community events.

 5 Town Hall meetings were conducted throughout the region to increase awareness of the underage drinking problem.

 Coalitions implemented the Anti-Drinking Campaign, a week of events prior to prom. They promoted prom pledges, had round-table discussions, and contests. Each day featured a different activity and announcements about the dangers of alcohol and the consequences of drinking and driving.

 In partnership with local hospitals and law enforcement agencies, graduating seniors received presentations on the consequences of underage drinking followed by recruitment campaigns for pledging to stay drug and alcohol free before, during and after prom.

 Local schools partnered with community coalitions, MADD and law enforcement agencies to promote awareness of the consequences of underage drinking during the homecoming celebration.

 A community newsletter was developed and disseminated to parents to provide tips and resources for preventing underage drinking.

 A public awareness campaign, Parent Who Host Lose the Most, was initiated to educate parents about the health and safety risks of serving alcohol at teen parties and to increase compliance with drinking laws.

Objective 2.2: Increase concern about underage drinking through media advocacy

 Coalitions prepared and disseminated press releases and other information to local media outlets to increase awareness of the consequences of drinking.

 A press conference was held with local media to educate the community on the consequences of drinking and driving.

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 Opt-Ed articles were issued to media outlets to increase awareness of the consequences associated with drinking.

 Youth coalition members were interviewed by the local cable station to discuss the issue of underage drinking.

Objective 2.3: Increase social event monitoring and enforcement

 Community coalitions partnered with the Party Patrol Taskforce, a group of 12 law enforcement agencies, to use enforcement as an education tool to manage and contain underage drinking parties, involve parents and discourage future participation.

 Coalitions partnered with local law enforcement agencies to monitor underage drinking at local community events, such as prom, homecoming, high school dances, summer

festivals, sporting events and parks.

 Coalitions/Agencies provided education to local political leaders on the problems

associated with older siblings and parents supplying alcohol to underage drinkers and the need to enact social host ordinances.

Objective 2.4: Increase the ability to identify and resist influences to use alcohol

 Middle and high school students received the Project Northland curriculum series to learn skills to identify and resist influences to use alcohol, reduce peer influence and to encourage alcohol-free alternatives.

 Middle school students received the Protecting You Protecting Me curriculum to learn refusal and self protection skills to decrease riding with impaired drivers.

 The Project Towards No Drug Abuse curriculum was provided to alternative high school students to increase coping and life skills, build resistance to peer pressure and facilitate attitude change toward alcohol use.

Objective 2.5: Increase positive self-image, decision making and problem solving skills and build healthy relationships by fostering effective communication

 The LifeSkills curriculum was provided to middle school students to examine their self image and its effects on behavior, increase communication skills and develop resistance skills to refuse offers of alcohol, tobacco and other drugs.

 The Creating Lasting Family Connections curriculum was provided to alternative school youth to develop coping and life skills.

Objective 2.6: Increase availability of early intervention on problem behaviors

 A community-based delinquency prevention and diversion program provided youth who displayed problematic behaviors an opportunity to improve their behavior and avoid contact with the formal juvenile justice systems through a variety of services and programs

 The mentoring program provided at-risk youth personal connectedness, supervision, guidance, skills training, and enrichment opportunities to decrease the likelihood of further problematic behaviors.

 The afterschool Leadership program provided youth at risk of academic failure with tutoring in academic subjects, social skill building and opportunities to become involved in the community. At-risk students were partnered with honor society students for youth led and peer to peer mentoring activities.

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 The Nurturing Parenting curriculum was offered in a home-based environment to referred families with children at-risk for fetal alcohol syndrome. This program sought to increase positive/effective parental communication and reduce family management problems.

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Objective 3.1: Increase actual and perceived risk of arrest for driving after drinking though increased law enforcement

 Local coalitions partnered to launch community awareness campaigns to increase visibility of the problems associated with drinking and drinking and driving.

 Law local enforcement agencies increased traffic enforcement of drunk/drugged drivers during key holidays associated with heavy drinking.

Objective 3.2: Reduce youth access to alcohol by training alcohol retailers to avoid selling to minors and through increased enforcement underage alcohol sales laws

 Communities partnered with local courts to develop and implement stricter consequences for youth issued Minor in Possession [MIP] tickets.

 Partnered with local law enforcement agencies on the submission of grant application to increase alcohol compliance checks.

 Community volunteers and coalition members participated in the Training for

Intervention Procedures [TIP] to increase their knowledge of responsible service, sale and consumption of alcohol.

 Coalitions worked to pass a local ordinance that requires bars/restaurants to receive TIPS training updates after initial licensing

 Party Patrol provided increased enforcement during prom and graduation to heighten the perception of getting caught by police at a party where underage drinking is occurring. Objective 3.3: Increase parental and community involvement to reduce youth access to alcohol

 Refer to report on objective 2.1

Goal 4: Reduce Prescription Drug Abuse and Over the Counter Drug Abuse

Objective: Increase knowledge of the consequences of using drugs, refusal skills and resistance to peer and media pressure.

 The Life Skills Curriculum was provided to middle and high school students in increase communication, coping skills and effective decision making skills

 The Project Alert Curriculum was provided to middle school students to increase knowledge of the dangers of drug use, enhance decision making, resistance and interpersonal skills.

 Initiated the Medication Brown Bag Lunch series in collaboration with local pharmacist and area senior centers to prevent medication sharing and medication misuse, safe storage and disposal

Objective 4.2: Increase school/community capacity needed to implement and support the diversion of prescription drugs

 The Student Assistance program provided coordinated assistance to youth and their families as well as school staff and administrators. Activities included individualized meetings with students, small educational group sessions, resources and referrals, classroom and/or curriculum assistance and parent and staff education.

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 Initiated the Drug Take Back Campaign within local communities to collect expired or used drugs in an effort to divert the illegal use of prescription drugs.

 Conducted 3 town hall meetings on prescription drug abuse to increase community awareness of the problem

 Provided education and tools to healthcare professionals to support responsible prescribing and disposal

 Conducted outreach to pharmacists, seniors, parents and other community members by distributing point of sale flyers at pharmacies

 Coordinated the Yellow Jug Old Drugs campaign to safely dispose of unwanted and unused medications at participating pharmacies. Three pharmacies were added this past year.

PROGRESS TOWARD PERFORMANCE INDICATORS

The data reported in this section is based on the results of the Michigan Profile for Healthy Youth Survey (MiPHY) for 2008 and 2010. Please note that Monroe County did not participate in the 2008 MiPHY survey. Their baseline measurement is based on results of 2010 survey.

ABSTINENCE FROM DRUG USE

Lifetime alcohol use decreased by 7.1% among Wayne County High School Students

 In 2010, 51.6% of Wayne County high school students drank alcohol (lifetime)

 In 2008, 58.7% of Wayne County high school students drank alcohol (lifetime)

Baseline

 In 2010, 53.9% of Monroe County high school students drank alcohol (lifetime) Lifetime smoking decreased by 5.2% among Wayne County High School Students

 In 2010, 27.3% of Wayne County high school students ever smoked (lifetime)

 In 2008, 32.5% of Wayne County high school students ever smoked (lifetime) Baseline

 In 2010, 28.4% of Monroe County high school students ever smoked (lifetime)

INCREASE PERCEPTION OF DISAPPROVAL/ATTITUDE

Perception of disapproval attitude towards cigarettesdecreased by 2.1%among Wayne County Youth

 In 2010, 81.3% of Wayne County high school students reported regular cigarette use to be a moderate or great risk.

 In 2008, 83.4% of Wayne County high school students reported regular cigarette use to be a moderate or great risk.

Baseline

 In 2010, 84.7% of Monroe County high school students reported regular cigarette use to be moderate or great risk.

Perception of disapproval attitude for alcohol increased by 2.1% among Wayne County High School Students

 In 2010, 70.7% of Wayne County high school students reported regular alcohol use to be a moderate or great risk

 In 2008, 68.6% of high school students reported regular alcohol use to be a moderate or great risk.

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Baseline

 In 2010, 69.3% of Monroe County high school students report regular alcohol use to be a moderate or great risk

DELAY AGE OF FIRST SUBSTANCE USE

Among Wayne County High School students, first use of alcohol before age 13 was decreased by 3.3%

 In 2010, 14.8% of Wayne County high school students reported having their first drink of

alcohol other than a few sips before age 13 years.

 In 2008, 18.1% of Wayne County high school students reported having their first drink of

alcohol other than a few sips before age 13 years.

Baseline

 In 2010, 15.4% of Monroe County high school students reported having their first drink of alcohol other than a few sips before age 13 years

Among Wayne County High School students, smoking for the first time before age 13 decreased by 4.4%

 In 2010, 10.2% of Wayne County high school students reported smoking a whole

cigarette for the first time before age 13 years

 In 2009, 14.6% ofWayne County high school students reported smoking a whole

Baseline

 In 2010, 9.7% of Monroe County high school students reported smoking a whole

REDUCE 30-DAY SUBSTANCE USE

Recent alcohol use among Wayne County high school students decreased by 5.7%

 In 2010, 25.9% of Wayne County high school students drank alcohol during the past 30 days.

 In 2008, 31.6% of Wayne County high school students drank alcohol during the past 30 days.

Baseline

 In 2010, 29.9% of Monroe County high school students drank alcohol during the past 30 days.

Recent cigarette use among Wayne County high school students decreased by 3%

 In 2010, 13.3% of Wayne County high school students smoked cigarettes during the past 30 days

 In 2008, 16.3% of Wayne County high school students smoked cigarettes during the past 30 days

Baseline

 In 2010, 15.7% of Monroe County high school students smoked cigarettes during the past 30 days

Recent prescription drug use decreased among Wayne County high students by 1.9%

 In 2010, 4.6% of Wayne County high school students took a prescription drug without a doctor’s prescription one or more times during the past 30 days.

 In 2008, 6.5% of Wayne County high school students took a prescription drug without a doctor’s prescription one or more times during the past 30 days.

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Baseline

 In 2010, 6.6% of Monroe County high school studentstook a prescription drug without a doctor’s prescription one or more times during the past 30 days.

Decrease Criminal Justice Involvement: Reduce alcohol-related traffic crash deaths

As reported by the Office of Highway Safety Planning, Michigan Traffic Crash Facts for 2009 and 2010:

 In 2010, the number of fatal crashes [5] with drinking involvement decreased for Monroe County as compared to the number of fatal crashes [7] with drinking involvement reported for 2009

 In 2010, the number of fatal crashes [49] with drinking involvement decreased for Wayne County as compared to the number of fatal crashes [52] with drinking involvement reported for 2009

 In 2010, the number of alcohol involved traffic crashes [138] decreased for Monroe County as compared to the number of alcohol involved traffic crashes [172] reported for 2009

 In 2010, the number of alcohol involved traffic crashes [1504] decreased for Wayne County as compared to the number of alcohol involved traffic crashed [1648] reported for 2009

Successes

 Expanded the number of communities working to address substance abuse through the development of community coalitions

 SEMCA network coalitions completed the following Strategic Prevention Framework Deliverable: Needs and Resource Assessment, Strategic Plans, and Action Plans

Increased collaborative partnerships to focus on substance issues by engaging community stakeholders and local organizations

 Developed survey and data reporting system to evaluate the effective of prevention services in the region

 Developed public services announcements to increase community awareness of the problem associated with underage drinking

 Partnered with local communities to prevent prescription drug abuse and promote safe disposal of medications

 Expanded the number of media campaigns to change favorable norms for substance use

 Expanded the number of communities/law enforcement agencies participating in the Drug Take Back program.

Challenges

 High unemployment and poverty rates are impacting the level of services required for children and families, increase in demand for early intervention/indicated services, agency budget cuts are impacting the willingness of organizations to release staff to participate in community initiatives, increase in the number of partner organizations requesting funding to maintain programs/services, limited participation from parents due to employment demands, limited grant opportunities for prevention services and

programs.

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11 There are no technical assistance requests at this time.

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YOUTH ACCESS TO TOBACCO NARRATIVE Fiscal Year 2013

A total of 1014 tobacco vendors were examined from January 25, 2011 to August 30, 2011 to determine the characteristics of tobacco vendors who sell tobacco products to underage purchasers. Twenty-four tobacco compliance check retailers were either not eligible or did not complete the check for a variety of reasons; therefore, the following analysis

summarizes results of the 990 retailers that were examined (97.6%), with 126 retailers having sold tobacco products to underage purchasers, creating a total percent of tobacco sales to underage purchasers at 12.7%. The vendors were examined according to the location of the vendor, type of vendor, clerk’s age grouping and gender, having a visible tobacco sign, if tobacco products were behind the counter, if tobacco products were sold to the underage purchaser, and if the vendor sold loose cigarettes.

o 12.7% of vendors sold tobacco products to underage purchasers. The cities of Allen Park, Carlton, Dundee, Highland Park, Las Salle, Maybee, Monroe, Petersburg, Riverview and Temperance sold tobacco products to underage purchasers more than 20% of the time. Additional attention will be addressed to Monroe (29.3%) and Allen Park (20.0%), due to these cities having the highest rates with a large sample of retailers.

o For the current sample, an adequate amount of data was collected to assume that the most common type of vendor that sold tobacco products to underage

purchasers was a gas station (20.6%).

The results of the current analysis suggest that the following characteristics influence the proportion tobacco sales to minors: (1) having a youth tobacco act sign visible is

associated with the proportion of tobacco sales to underage minors and the type of retailer selling tobacco products (gas stations).

The specific retailer characteristics that resulted in the highest percentage of sales were gas stations, clerks who did not ask for the participants’ age or ID and did not have a tobacco act sign posted.

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YOUTH ACCESS TO TOBACCO NARRATIVE – PLANNED ACTIVITY Fiscal Year 2013

• Increase law enforcement inspections of retailers that sell tobacco products

• Increase collaboration with local courts to impose mandated vendor education for retail clerks in violation of the Youth Tobacco Act

• Mobilize community coalitions to conduct vendor education and provide incentives (written letters, certificates) to retailers in compliance of the Youth Tobacco Act

• Increase on-site vendor education to tobacco retailers by 10%

• Conduct a region-wide media campaign targeted to businesses that sell tobacco products

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COMMUNICABLE DISEASE PREVENTION

FY 2013 SEMCA is not planning to fund additional CD services beyond the scope of the policy requirements and is exempt from plan submission.

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Appendix H

Action Plan 2013 – Treatment and Recovery Services Dashboard

Coordinating Agency Name: Southeast Michigan Community Alliance (SEMCA)

Level of Care Total Number of Providers ROSC Efforts in Region Peer Support Services

Specialty Services Supplemental Support

Services Addressing MDCH Goals

COD Capable COD Enhanced # of Providers # of

Providers # of 1Providers # of Providers # of Providers

# of Providers # of Providers PC PS A W1 OA V TA CC WT PH HS O IM SS AV MH Outpatient 22 20 14 5 9 8 6 18 8 7 20 13 7 8 19 8 7 6 17 4 Residential 7 7 6 1 2 5 5 5 5 6 8 7 2 1 4 3 5 4 7 1 Detoxification 4 4 4 1 0 1 4 4 2 4 4 4 1 1 1 1 1 2 3 1 Methadone 4 3 0 0 0 1 3 3 0 0 4 3 0 0 1 1 1 0 4 0 Other Medication Assisted Tx 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Case Management 4 21 4 2 3 3 13 13 10 3 4 10 10 10 2 0 2 2 2 2 Recovery Support 4 4 34 5 3 2 3 3 2 2 3 3 2 5 1 5 2 3 2 1 Early Intervention 3 3 2 0 1 1 3 3 1 0 1 0 0 0 0 0 0 0 2 0 Column Totals 48 62 64 14 18 21 37 49 28 22 44 40 22 25 28 18 18 17 37 9

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Appendix I (Revised)

TREATMENT AND RECOVERY UPDATE BY LEVEL OF CARE

FY 2012 ACTION PLAN UPDATE AND FY 2013 ACTION PLAN AMENDMENT

Do you have accomplishments toward your 2012 action plan goals regarding outpatient services?

X Yes No

If so, please provide that information in bulleted form (rather than narrative). ROSC transformation activity must be included in your comments:

• SEMCA added a culturally sensitive program to address our increased Arab American clients.

• SEMCA has trained 34 Peer Recovery Coaches under the CCAR curriculum as of December 2011.

• These peer recovery coaches are located in all levels of care.

• Case management services are provided in this level of care to our network by our floating case management provider or by specific providers that are funded for this service. Case management services increased by 12% for fiscal 10-11.

• Providers have established MOUs with FQHCs in our region.

• Providers have been working with integration of primary care with local hospitals, FQHCs and Primary care physicians.

• Providers have enhanced their mission and vision statements to be more behavioral health focused.

• Providers have established integrated assessments, treatment plans and progress notes. Progress notes reflect stages of change

• Outpatient is the lowest cost level of care. Almost half of SEMCA clients have a co-occurring disorders are in OP. Intensive Outpatient (IOP) is better suited to meet the needs of women. In IOP clients are engaged in treatment, there is a comparatively low percentage of them that leave against medical advice.

If no progress has been made, please indicate why: NA

Will you be amending your 2013 plans for outpatient services? Yes X No If you responded yes, please explain plan amendments:

Do you have accomplishments toward your 2012 action plan goals regarding residential services? X Yes No

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• The utilization of peer recovery coaches to step clients down to lower levels of care keep them engaged in treatment has increased client retention and decreased AMA’s.

• Providers have established integrated assessments, treatment plans and progress notes. Progress notes reflect stages of change.

• Providers have been working with integration of primary care with local hospitals, FQHCs and Primary care physicians.

• There is an increase in the number of request/referrals for peer recovery coach’s services.

• Peer recovery coaches have assisted SEMCA clients with sober housing, medical appointments, online AA/NA chat rooms, AA/NA groups, psychiatric services, and employment assistance.

• Peer recovery coaches have helped with de-escalating other clients, case management and outreach services, as well as communication with probation officers.

• Residential has the highest continued treatment rate at 76.1% and the lowest AMA rate of 6.5%.

• Residential referrals/stays remain the same as last fiscal year no increase or reduction, it remains at 9%.

If no progress has been made, please indicate why: NA

Will you be amending your 2013 plans for residential services? Yes XNo If you responded yes, please explain plan amendments:

Do you have accomplishments toward your 2012 action plan goals regarding detoxification services? X Yes No

• The use of peer recovery coaches has decreased the amount of AMA’s by 17% in detox.

• Clients are completing detox and remain engaged in lower levels of care.

• Peer recovery coaches keep clients engaged in treatment and follow through with recommended treatment options.

• There is an increase in the number of referrals for peer recovery coach services. If no progress has been made, please indicate why: NA

Will you be amending your 2013 plans for detoxification services? Yes X No If you responded yes, please explain plan amendments:

Do you have accomplishments toward your 2012 action plan goals regarding methadone services? X Yes No

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• SEMCA Methadone clients are receiving case management services from our floating case management provider.

• SEMCA’s OMT providers have shown improvement in providing COD services and have increased their DDCAT scorers.

• Our OMT providers have transformed their policies and clinical forms to be more behavioral health focused.

• One of our OMT providers has invested in an electronic health record. If no progress has been made, please indicate why: NA

Will you be amending your 2013 plans for methadone services? Yes X No If you responded yes, please explain plan amendments:

Do you have accomplishments toward your 2012 action plan goals regarding other

medication assisted treatment services? Yes X No

• NA

If no progress has been made, please indicate why: SEMCA does not utilize other forms of medication assisted treatment.

Will you be amending your 2013 plans for other medication assisted treatment services? Yes X No

If you responded yes, please explain plan amendments:

Do you have accomplishments toward your 2012 action plan goals regarding case

management services? X Yes No

• 955 clients received case management services during FY 10-11, compared to 854 for fiscal year 09-10.

• Project more SEMCA clients will receive case management services in FY 11-12.

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services to those they currently aren’t funded for this service.

• Case Management services provided: transportation, referrals and/or medical appointments, medications, vaccinations, employment assistance, refers to recreational facilities,

Michigan Tobacco Quit line and others. If no progress has been made, please indicate why: NA

Will you be amending your 2013 plans for case managementservices? Yes X No If you responded yes, please explain plan amendments:

Do you have accomplishments toward your 2012 action plan goals regarding recovery

supports services? X Yes No

• 470 SEMCA clients received recovery support services for FY 10-11.

• The use of peer recovery coaches has helped our clients from relapsing and phasing into the community.

• SEMCA has trained 34 Peer Recovery Coaches under the CCAR curriculum as of December 2011.

• These peer recovery coaches are located in all levels of care.

• There is an increase in the number of request/referrals for peer recovery coach’s services.

• Peer recovery coaches have helped with de-escalating other clients, case management and outreach services, as well as communication with probation officers.

• Several clients have been helped in Western Wayne FQHC.

• Peer recovery coaches have helped SEMCA clients to make connections in the recovery communities.

• Peer recovery coaches have provided emotional support, advocacy, and connection to resources in the community as well as provided transportation assistance.

• Peer recovery coaches have helped to retain clients in long time recovery. If no progress has been made, please indicate why: NA

Will you be amending your 2013 plans for recovery support services? Yes X No If you responded yes, please explain plan amendments:

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Do you have accomplishments toward your 2012 action plan goals regarding early

intervention services? XYes No

• FY 10-11, 652 clients received Early Intervention (EI) services.

• SEMCA EI’s programs are pre-contemplative from the Stages of Change Model.

• The majority of the Early Intervention clients participated in EI Groups, such as Helping Women Recover and Helping Men Recover and/or received Acupuncture services.

• SEMCA continues to provide EI services to adolescents and adults. If no progress has been made, please indicate why: NA

Will you be amending your 2013 plans for early intervention services? Yes X No If you responded yes, please explain plan amendments:

Provide bulleted information on the progress of your NIATx project. If no progress has been made, please indicate why:

• FY 11-12 SEMCA and Hegira Programs conducted NIATx training at the Community Mental Health Conference in Traverse City, MI.

• SEMCA’s network improved the following areas with the use of Peer recovery coaches and case managers:

• Increased clients attendance at intake appointments

• Increased clients retention minimally through 6 weeks of treatment

• Increased attendance at, and participation in, the Recovery Support Group

• Engaged Recovery Support Group members to recruit neighbors and family members in need of treatment

• Expanded Follow-up Calls and mailed out reminder letters about appointments throughout the network

• Provided Contingency Management to increase intake appointments

• Decreased no show rates for initial intakes and treatment sessions

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clients engage with ongoing substance abuse/COD treatment service

• Streamlined paperwork; reducing wait time. Sent out follow-up letters and made reminder calls. Made case management, peer recovery coaches, recovery supports and early intervention services available.

• SEMCA’s NIATx coach is training other CA’s in NIATx principles, i.e. Washtenaw County FY 11-12.

Provide bulleted information on the progress of your integrated health initiative. If no progress has been made, please indicate why:

• SEMCA will re-issue its RFP for all treatment and prevention services. Based on the findings/outcome from our Needs Assessment and Outcome Analysis data acquired will guide program decisions, this information will be submitted to SEMCA in March 30, 2012. SEMCA’s RFP will be distributed in the later part of April 2012.

• Providers have established MOUs with FQHCs in our region.

• Providers have been working with integration of primary care with local hospitals, FQHCs and primary care physicians.

• A few providers have staff, including peer recovery coaches working in FQHC on a part-time basis.

• Providers have enhanced their mission and vision statements to be more behavioral health focused.

• Providers have established integrated assessments, treatment plans and progress notes that address SA, MH and primary care. Progress notes reflect stages of change.

• SEMCA has two FQHC integration projects in process.