Presentation to the Boston HIV Planning Council. Lydie Ultimo, MSW Director Bureau of Substance Abuse Services

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1 Presentation to the Boston HIV Planning Council Lydie Ultimo, MSW Director Bureau of Substance Abuse Services

2 Responsibilities of the Bureau of Substance Abuse Services License addiction treatment programs License Alcohol and Drug Counselors Fund and monitor prevention, intervention, treatment, and recovery support services for substance abuse and gambling addiction Provide access to substance abuse services for the indigent and uninsured

3 Guiding Principles Addiction is a chronic disease that can be successfully prevented and treated Eliminating stigma associated with addiction is essential to our work Substance use disorders affect individuals, families and communities across the Commonwealth No single treatment is appropriate for everyone Medications are an important element of treatment for many individuals Paradigm shift away from acute episodic care Persons affected by substance abuse should be treated with dignity and respect Recovery works

4 FY15 Bureau of Substance Abuse Services Funding Account Name Amount State Appropriation $91,317,333 Federal Block Grant $39,563,072 Post-detox Step Down $4,800,000 Jail Diversion Program $2,000,000 Family Intervention Services $1,500,000 Naloxone Expansion $1,000,000 Gambling Prevention $1,500,000 Substance Abuse Trust Fund $10,000,000 Other Federal Funds $9,488,805 BSAS funds a full continuum of services to address addiction across the lifespan including prevention, intervention, treatment and recovery support. Services are provided within the community. Total Funding $161,169,210

5 Client Gender 67% male 33% female < 1% transgender Primary Drug of Choice 48% heroin 8% other opiate drugs 31% alcohol Characteristics of FY 14 Enrollments Served N=153,948 Other Characteristics 60% report opiates as their primary or secondary drug of choice 39% between the ages of 16 and 29 65% unemployed 14% homeless

6 BSAS Priority Populations BSAS requires providers to prioritize for admission those persons who are: Intravenous drug users HIV+ individuals Pregnant women Persons with criminal justice involvement Priority populations set by SAMHSA Block Grant

7 BSAS Initiatives New programs and services being implemented: ATS & CSS in Franklin County Recovery High School in Worcester Residential Services Central Navigation System Pilot Assessment Centers Recovery Support Centers Grants awarded to 23 municipalities for overdose response training and purchasing of naloxone kits

8 Overdose Education & Naloxone Distribution Pilot program supported by the BSAS and the Office of HIV and AIDS 21 agency sites and 16 parent support group meeting sites where an individual can receive overdose education and a naloxone kit As of January 6, 2015: 31,201 individuals enrolled 3,869 bystander overdose reversals reported 712 overdose reversals reported by first responders in DPH pilot

9 Central Navigation System Currently being developed Comprised of a helpline and an interactive website Seeks to facilitate and streamline the process for individuals, family members and the provider community seeking substance abuse treatment and recovery information and services Will work in tandem with the state s Pilot Regional Assessment Centers

10 Pilot Assessment Centers Funding six assessment centers one per region Located within licensed outpatient programs or FQHCs licensed to provide substance use treatment Component of the Central Navigation System Provide assessments and referrals to appropriate level of care Individuals can be seen and triaged 7 days/week with extended hours that can adequately serve the population

11 BSAS Resources BSAS Website Substance Abuse Information and Referral Helpline and online directory Buprenorphine/Suboxone Referral Helpline Problem Gambling Information and Referral Helpline Youth Central Intake Workforce Development Website Pregnant Women Central Intake Massachusetts Smokers Helpline quitnow.html Overdose Education and Naloxone Distribution Program Massachusetts Health Promotion Clearinghouse https://massclearinghouse.ehs.state.ma.us

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