1 County of Lehigh Drug and Alcohol Annual Report
2 County of Lehigh County Executive Don Cunningham, Jr. Board of Commissioners Percy H. Dougherty, Chairperson Sterling H. Raber, Vice Chair David S. Jones, Sr. Daniel K. McCarthy Glenn Eckhart Dean N. Browning Andy Roman Gloria L. Hamm Bill Leiner, Jr. Department of Human Services Lynn Kovich, Director MH/MR/D&A Administrator J. Timothy Boyer Drug & Alcohol Abuse Services 17 South 7 th Street Allentown, PA (610) Darbe George Drug and Alcohol Administrator Rudolph Gosztonyi, III Fiscal Officer J. Layne Turner Drug and Alcohol Assistant Administrator Kathleen Falk Fiscal Technician
3 Drug and Alcohol Abuse Advisory Board William A. Madden, Chairperson Daniel Farrell, Vice Chairperson Balbir Singh, Secretary Jane A. Makos David M. Howells, Jr. Michael J. Adams Sean Brown LEHIGH COUNTY DRUG AND ALCOHOL ABUSE SERVICES and ADVISORY BOARD MISSION STATEMENT Lehigh County Drug & Alcohol Abuse Services and Advisory Board are responsible to ensure the provision of quality alcohol, tobacco and other drug abuse Prevention, Intervention, Treatment, Case Management, HIV/AIDS, TB and Housing services for Lehigh County residents. We seek to decrease addiction and its effects throughout the County and will assist in the development and management of federal, state and county resources available to accomplish these goals. PHILOSOPHY STATEMENT The Board recognizes the disease concept of chemical dependency and is committed to ensuring that quality services are provided to Lehigh County residents. This is accomplished by contracting with organizations that offer direct client services. Alcohol, tobacco and other drug abuse services must include various Prevention, Intervention, Treatment, Case Management, HIV/AIDS, TB and Housing services to support countwide needs. This comprehensive system enables individuals to obtain the earliest possible care to address their special needs.
4 The Board assists in the determination of priorities that ensure the most efficient and yet effective use of funds. Prevention efforts must extend throughout the entire County to schools, prison, housing communities, organizations and businesses. Family programs must be developed to encompass all those affected by addiction and enhance the recovery of the addicted person as well as his/her family members. Drug and Alcohol Case Management, Resource Coordination and Intensive Case Management services were provided to all clients during FY 09/10, which included assessments (initial and periodic), referral, service planning, and assistance in accessing HIV/AIDS, TB, Housing and other appropriate ancillary services. Programs for the criminal justice population are available in order to decrease the number of individuals involved in criminal activities as a result of substance abuse or addiction. County funds will be used after all other funding sources have been exhausted for clients who are unable to pay for all or part of their treatment. A treatment liability will be determined on all adult clients and will be used to determine the client s financial responsibility in accordance to the Department of Health, Bureau of Drug and Alcohol Programs Liability Determination Policy. Prevention services will be made available to the community at no cost; however, donations are encouraged and accepted to offset the total expense to the County. In addition, the Office of Drug and Alcohol Abuse Services and the Drug and Alcohol Advisory Board support the Lehigh County Department of Human Services Purpose and Philosophy and the Department of Health, Bureau of Drug and Alcohol Programs requirements. ADMINISTRATION Lehigh County Drug and Alcohol Abuse Services is designated by the Pennsylvania Department of Health as a Single County Authority (SCA) responsible to ensure the provision of alcohol, tobacco and other drug abuse through Prevention, Intervention, Treatment, Case Management, HIV/AIDS, TB and Housing services to Lehigh County residents. The Office implements federal, state and local policies governing the fiscal and general administration of publicly funded alcohol, tobacco and other drug abuse services. Drug and Alcohol Abuse Services is one of three programs within the Office of Mental Health, Mental Retardation and Drug and Alcohol. The Drug and Alcohol Administrator is responsible for the day-to-day operations. All services are provided through contracts with community agencies. In FY 09/10, Drug and Alcohol Abuse Services contracted with 54 facilities (12 within the County and 42 out of County). Services are for the community and targeted special populations such as pregnant women, women with children, adolescents, minorities, criminal justice
5 offenders, mentally ill substance abusers (co-occurring), those who are high risk for HIV/AIDS and/or TB and the homeless who are seeking drug and alcohol treatment services. Drug and Alcohol Abuse Services has an Advisory Board of seven (7) members who are approved by the County Commissioners and appointed by the County Executive. Members are representative of various positions in the community. They provide recommendations regarding the planning, implementation and management of alcohol, tobacco and other drug abuse services. Advisory Board meetings are open to the public and are held on the second Tuesday of month at least seven times a year at 8:00 AM. They are held at the Lehigh County Government Center, 17 South Seventh Street, Allentown, PA. The Board met eight times this past year. The exact dates of the meeting were posted on the Lehigh County website. SCA CASE MANAGEMENT SYSTEM Lehigh County SCA is strictly an Administrative unit and, therefore, does not provide any direct services to clients. Individuals seeking assistance for a substance abuse problem have a variety of options available. The Lehigh Valley Drug and Alcohol Intake Unit and the three licensed outpatient service providers can screen and assess individuals seeking help and assist them to access the appropriate level of care. Day and evening hours are available at all of the agencies. Emergency services after hours or on weekends are provided by the Lehigh County Crisis Intervention Program, who screen individuals, arrange for immediate medical intervention, if necessary with next day follow-up. Assessments are available to anyone who does not have any insurance or other financial means. Occasionally, youth and adolescents want to receive treatment, but do not want parental/caretaker involvement. In these situations, the SCA will fund the assessment and treatment. Any adult who is assessed and needs inpatient treatment is case managed by the Lehigh Valley Drug and Alcohol Intake Unit. Once individuals are assessed, they are referred to the Lehigh County subcontracted agency that can provide the level of care recommended by the Pennsylvania Client Placement Criteria (PCPC) for adults or Adolescent American Society of Addiction Medicine (ASAM) for adolescents. If Inpatient treatment is recommended and transportation is not available from a relative or friend, the treatment agency is contacted to pick up the individual and transport him/her to the treatment facility. If Intensive Outpatient or Outpatient treatment is recommended or requested, the assessor will assist the individual in setting up the first available appointment at the IOP or Outpatient facility. When the individual is admitted to an Inpatient treatment facility, the facility contacts the Lehigh Valley Drug and Alcohol Intake Unit, who completes a fiscal form and forwards it to the SCA for review and authorization. The approved authorization is sent to the
6 treatment facility. If the client needs additional treatment days, as per the extended stay PCPC, the treatment facility must contact the Intake Unit and send the PCPC to them for review. An additional fiscal form is then forwarded to the SCA for review, approval and authorization. The treatment facilities must contact the Intake Unit when the client leaves treatment, including against facility advice and administrative discharge, prior to the expected discharge date. There are only three limits on treatment at this time: an individual who leaves Inpatient treatment against facility advice, therapeutically discharged or does not follow through with the recommended level of care cannot be admitted into Inpatient treatment for 90 days. After that time, he/she will only be offered Intensive Outpatient or Outpatient treatment until 90 days have passed. Individuals are advised in writing of this limitation at the time they are referred for Inpatient treatment. There is currently no county residency requirement for assessments or treatment; however; if someone has not established residency in Lehigh County, every attempt will be made to contact his/her original county of residence for funding. Intensive Case Management services, provided by the Lehigh Valley Drug and Alcohol Intake Unit, are available for those who meet the eligibility requirements. All eligible individuals completing Inpatient treatment are offered case management services, which include assistance to find housing, start or continue their education, ensure appropriate medical care, find employment, etc. They are followed for a minimum of six months or until they have enough stable support services to continue their recovery on their own. The case manager works very closely with the County s Mental Health, Aging/Adult Services and Children and Youth Systems. They also collaborate with several community agencies to provide the most information to and connections for the clients. HIGHLIGHTS ADMINISTRATIVE SERVICES (Highlights) Co-sponsored, with the PA Department of Health and Treatment Trends, Inc, Lehigh County SCA offered twenty-three trainings this fiscal year. These trainings were requested by local treatment providers, which allowed their staff to meet specific BDAP training requirements in those areas. This is the most training offered in Lehigh County at any point in time. Lehigh County SCA continues collaboration with Lehigh County Prison, Men s Community Correctional Center and Lehigh County Adult Probation to provide intervention services within the Men s Community Correctional Work Release Center.
7 Lehigh County SCA has increased collaboration with Lehigh County Children and Youth. Lehigh County SCA began weekly participating in the Lehigh County Children and Youth Post-Placement meetings. In these meetings, we assist parents in accessing drug and alcohol services to help children return to their homes and live successful lives with their biological parent. Lehigh County SCA has worked collaboratively with Lehigh County s Child Death Review Team to monitor and provide assistance to children and their families who have passed away as a direct result of their parents drug and/or alcohol use or of their own accord. Lehigh County SCA continues to be an active member of the DUI Task Force. We have participated in monthly meetings and have been involved in numerous press conferences to bring awareness and education to our community. Lehigh County SCA continues to be an active member of Team MISA [Mental Illness and Substance Abuse] providing assistance to inmates in need of accessing treatment. PREVENTION SERVICES (Highlights) Center for Humanistic Change continues to be a Commonwealth Approved Student Assistance (SAP) Trainer. During this fiscal year, their Commonwealth Approved Trainer successfully trained/certified 45 individuals, including teachers, guidance counselors, principals, assistant superintendents, agency administrators and treatment providers This fiscal year, Center for Humanist Change s classroom programs focused on understanding the effects of the multiple stimulants and chemicals in energy drinks, how these chemicals can affect daily lives, and also provided healthy alternatives to gain energy. Center for Humanistic Change s programs reached over 900 students in classroom presentations and 100 more at health fairs. Center for Humanistic Change continued to provide the prison/probation programs to include an addiction relapse prevention program for Lehigh County inmates who are preparing to re-enter society. Center for Humanistic Change researched and developed a preventive program on Relapse Prevention to work specifically with addicts involved with the criminal justice system who have reached a period of sobriety and need to build the skills, knowledge, self concept, and resources to maintain sobriety and to become a fully functional member of society. In this fiscal year, 206 individuals participated in the 18 Relapse Prevention Groups provided.
8 CROSSROADS/Project SUCCESS (Schools Using Coordinated Community Efforts to Strengthen Students) Program, a mentoring and prevention program for at-risk students coordinated and facilitated through the Center for Humanistic Change, served 15 schools in the Lehigh Valley with targeted in-school mentoring programs. Through the procurement of additional funding, they were able to launch programs at two new school sites while maintaining existing programs at 13 school sites. Overall, the mentoring programs served over 1700 students, with about 1450 secondary students served through the Project SUCCESS program and about 250 elementary students served through Crossroads. The Strengthening Families Program for Parents and Youth Ages works with parents and children to address parenting life skills through role play, discussions, learning games and family projects. 85 families consisting of 132 parents/caregivers and 108 youth participated in this program. This program was coordinated and facilitated by Valley Youth House. The Youth Education Program (YEP) for the Prevention of Destructive Decisions, administered through Valley Youth House, delivered YEP prevention services to over 3,000 youth Of those families served through Valley Youth House s Family Intervention Program 82% of parents identified with substance abuse issues at intake or during the course of intervention, reduced or eliminated their substance abuse by case closure. The S.A.D.D. Chapters Advisory Board continues to be administrated through Valley Youth House and assists students in initiating drug prevention programs in their own schools. Participants surveyed stated that their knowledge of alcohol, tobacco, and other drug information had increased as a result of their involvement with S.A.D.D. The Public Information Center on Drug Prevention continues to be located at Valley Youth House provides state of the art information and resources on alcohol and drug issues. INTERVENTION SERVICES (Highlights) Continued with the integrated Student Assistance Program (SAP) Services through a contract with the Lehigh Valley Drug and Alcohol Adolescent Central Intake Program. This intervention service screens adolescents for both mental health and substance abuse problems upon referral by the school-based SAP teams. The SAP liaisons attended 486 meetings of the school-based SAP teams. During such meetings, 2544 students were discussed. The SAP liaisons provided through the Central Intake Unit assessed 574 adolescents who were referred by school personnel. Through a contract with Lehigh Valley Drug and Alcohol Intake Unit, the Student Assistance Program (SAP) Consortium was held on May 5, Over 115
9 individuals and SAP Team members attended this event, which was held at Treatment Trend, Inc. Veteran s Sanctuary. Eight local Drug and Alcohol Treatment and Prevention providers as well as Mental Health providers were present and provided information on their services. Through ongoing school-based truancy intervention services involving an Attendance Specialist working in conjunction with the Allentown School District, 60 low income elementary and middles school families and 73 students were provided with support to help improve attendance and grades along with learning how to avoid substance abuse. A total of 802 direct service hours were provided. This fiscal year, Lehigh County SCA in conjunction with Treatment Trends, Inc. Confront entered into a contract to provide Intervention Groups to accommodate individuals waiting to access outpatient treatment services. 76 hours of intervention services were provided. Both the Allentown Health Bureau and Latinos for Health Communities provided the following: 296 Lehigh County residents with HIV/AIDS education; 236 Lehigh County residents with HIV/AIDS prevention/pretest counseling; 131 Antibody HIV tests were provided to Lehigh County residents; and 113 Lehigh County residents received post-test counseling. TREATMENT SERVICES (Highlights) We again received a renewal of the Intermediate Punishment Grant from the Pennsylvania Commission on Crime and Delinquency (PCCD) - effective July 1, 2009 through June 30, Individuals admitted to the Drug & Alcohol Intermediate Punishment Program enter into and then pursue successful completion of a 22-month program of restrictive drug and alcohol treatment in lieu of prison. This program is a collaborative effort that involves Lehigh County Adult Probation and Treatment Trends, Inc. We continued to work with the Director of Human Services to open a non-hospital detox program in Lehigh County. This process is ongoing. A plan has been developed. The building will be located in Salisbury Township on land currently owed by Lehigh County. The building will be a new free standing site. We are currently proceeding with the appropriate Township approvals. Confront implemented daytime groups to meet the changing needs of employed clients. Two groups were offered weekly.
10 Confront has re-modeled their offices creating 2 more group/counseling rooms to allow for increased capacity. 32% of 223 individuals discharged from Confront completed the program with goals fully or partially achieved. 60% of 223 individuals discharged from Confront were either employed, in school, or in a training program beyond high school at their time of discharge. 206 adult individuals discharged from Confront regardless of their status shows the following: 76% refrained from drug use while in treatment; 85% had not been arrested; 90% had refrained from involving themselves in violence; and 88% lived in safe and stable housing Confront provided 12,662 hours of drug and alcohol treatment this fiscal year. These hours included group, individual, family and psychological services. The Halfway Home of the Lehigh Valley Alumni Association participated with current residents in activities through the year such as bowling, outings to area parks and quarterly breakfasts. These activities and the Phase III support group provided residents the opportunity to network with persons in recovery and strengthen their recovery supports while developing the skills and resources to sustain recovery. Significant numbers of alumni were involved in Phase III Alumni Support group as person s transition into the community. Alumni with a wide range of time in recovery continued to provide inspiration support and encouragement to residents while reinforcing the message of recovery as a new way of living. Key staff from The Halfway Home of the Lehigh Valley Alumni Association and representatives of several of the local Recovery and Oxford Houses met to develop referral guidelines from the halfway home into these facilities. The Halfway Home of the Lehigh Valley remained active in teaching future counselors and giving them the opportunity to develop knowledge about chemical dependency and treatment. The Halfway Home of Lehigh Valley observed its 37 th year of continuous operation at its Annual Picnic held at the Rose Garden in Allentown. Approximately 120 alumni and families joined staff and residents to enjoy the event. Keenan House client participated in fundraisers such as car washes, and helped with security work at Dorney Park. These events allowed clients to raise money toward their own activities and helped serve the community. This past holiday season,
11 Keenan House provided presents, diners and funds to less fortunate families in the Lehigh Valley, as well as donating over 73 toys to the Toys for Tots Program. The Fish and Game commission also benefitted from Keenan House resident volunteerism as residents worked at the Fish Hatchery to stock the Lehigh River in the spring. In the fall, they returned to help maintain the Fish Hatchery infrastructure. Keenan House clients participated in activities that provided opportunities for social learning this year, such as rustic camping at Hickory Run State Park; and the Recovery Celebration Picnic which included families, friends, residents and staff. The Keenan House s Books for Bonding program received a technological update moving from cassette to CD s. This program allows an opportunity for parents residing in Keenan House to choose a book or two that reflects the interest of their child and record these books. The CD and book(s) are mailed to the child who can enjoy the book and the comforting sound of their parent s voice. Keenan House residents planted and maintained the landscaping surrounding the Federal Building in Allentown. All Keenan House residents participated in either The Great PA Clean Up or local neighborhood clean up efforts to ensure that awareness of how to support community and increase awareness of the importance of giving back. White Deer Run of Allentown continued to grow during FY 2009/2010. Though residents were impacted by the changing economic times, the agency worked with all requestors of services to ensure these services were available regardless of the ability to pay. The adolescent program at White Deer Run of Allentown doubled in admissions and the day and evening adult programs added second programs for both timeframes. White Deer Run of Allentown expanded its office space and refurbished the exiting office space to meet the increased need for treatment services. Three White Deer Run of Allentown staff members were trained to participate on School Justice Panels within the Allentown School District. CASE MANAGEMENT SERVICES (Highlights) Provided case management services to 429 individuals Provided resource coordination to 16 individuals. Provided intensive case management to 192 individuals.
12 ASSESSMENTS Total Assessed: 3220 Adult: 2421 Adolescent: 799 Evaluations Total: 1763 Re-evaluation Total: 1457 Adult: 1128 Adult: 1293 Adolescent: 635 Adolescent: 164 Primary Drug of Choice: Adult Adol Total LEVEL OF CARE Referrals to Drug and Alcohol Treatment Alcohol Adult Adol Total Cocaine/Crack Crisis Intervention Cannabis Detoxification Depressant Early Intervention Designer Drug Emergency Hospitalization Hallucinogen Halfway House Heroin Intensive Case Management Inhalant Intensive Outpatient N/A Long-term Rehab Narcotic Long-term Rehab (Co-occurring) Over the Counter Mental Health Evaluation Prescription Moderate-term Rehab Stimulant Moderate-term Rehab (Co-occurring) None Outpatient Partial SAP Monitoring/Groups Short-term Rehab including (Cooccurring) Twelve Step Meetings Urine Screening
13 Geographic Area (by townships): Adult Adol Total Gender Adult Adol Total Albertus Males Allentown Females Bethlehem Catasauqua Center Valley Coopersburg Coplay Race: East Allen Adult Adol Total Emmaus African American Fountain Hill Asian Hanover Caucasian Heidelberg Hispanic Homeless Other Lehigh Lower Macungie Lower Milford Lower Saucon Lowhill Lynn Employment Status: Macungie Adult Adol Total North Whitehall Disabled Out of County Full-time Out of State Part-time Salisbury Retired Slatington Self South Whitehall Student Upper Macungie Unemployed Upper Milford Upper Saucon Whitehall
14 Referral Sources Adult Adol. Total Allentown Health Bureau Attorney Conference of Churches CSA Children and Youth (other County) Federal Parole Friend Hispanic American Organization Hospital ICM Impact Project Intensive Outpatient Treatment Provider Judge LC Adult Mental Health LC Adult Probation LC Juvenile Probation LC Prison LC Children and Youth Long Term Rehab (Co-occurring) LV Pretrial Magellan Magistrate MCCC NC Adult Probation NC Juvenile Probation NC Children and Youth NC Pretrial Other Other Family Outpatient Treatment Provider OVR Parent Physician Probation/Parole (other County) Public Defender School Self Shelter State Parole Step By Step Transitional Living Center VYH WCCC
15 Fiscal Year Source Budgeted Revenues Total Revenues Percent Program Budgeted Expenditures Total Expenditures Percent Local Administration Lehigh County $ 81, % Lehigh County SCA $ 406, % DUI/Other $ 171, % Lehigh County Probation TCAP $ 51, Interest $ 10, % $ 457, % $ 263, % Assessment L.V. Drug & Alcohol Intake Unit $ 231, % $ 231, % Case Management Regular $ 410, % TCAP $ 164, % $ 574, % State Funding Prevention Base $ 778, % $ 584, % BHSI $ 441, % $ 584, % Act 152 $ 366, % IGT $ - 0% Outpatient $1,586, % Regular $ 523, % TCAP $ 60, % $ 584, % Partial Hospital $ - 0% $ - 0% IOP Federal $ 134, % Base $ 1,496, % $ 134, % $1,496, % Methadone $ 131, % $ 131, % Intervention $ 223, % $ 223, % Other Funding Residential PCCD/TCAP $ 664, % Inpatient Regular $ 548, % $ 664, % Inpatient TCAP $ 183, % Halfway Home Regular $ 47, % Halfway Home TCAP $ 205, % Detox $ 83, % Transitional Living $ 21, % $ 1,088, % Total Budgeted Revenues $4,010, % Total Budgeted Expenditures $ 4,010, %
16 D&A FUNDING INTEREST, $10,081-0% STATE PCCD, $664, % DUI/OTHER, $171, % COUNTY, $81, % STATE, $778, % FEDERAL DRUG FEDERAL ALCOHOL GOV. DISC. FUND BHSI IGT ACT 152 * ACT 152, $366,763-9% BHSI, $441, % FEDERAL ALCOHOL, $441, % FEDERAL DRUG, $1,054, % DUI/OTHER PCCD INTEREST COUNTY
17 SHELTER/TRANSITION, $21,000-1% INTENSIVE OUTPATIENT, $134,549-3% METHADONE MAINTENANCE, $131,777-3% OUTPATIENT DRUG- FREE, $584,802-15% HALFWAY HOUSE, $252,565-6% D&A COST BY CATEGORY CASE MANAGEMENT, $574,465-14% ADMINISTRATION, $457,973-12% TREATMENT & REHAB, $731,784-18% PREVENTION, $584,495-15% INTERVENTION, $454,259-11% DETOXIFICATION, $83,199-2% ADMINISTRATION PREVENTION INTERVENTION DETOXIFICATION TREATM ENT & REHAB HALFWAY HOUSE PARTIAL HOSPITAL OUTPATIENT DRUG-FREE METHADONE MAINTENANCE INTENSIVE OUTPATIENT SHELTER/TRANSITIONAL CASE M ANAGEM ENT
18 D&A FUNDING BY CATEGORY STATE FEDERAL BHSI IGT ACT 152 DUI/OTHER PCCD INTEREST COUNTY 0 ADMINISTRATION DETOXIFICATION PARTIAL HOSPITAL INTENSIVE OUTPATIENT
19 PAYMENTS BY SERVICE BY PROVIDER FACILITY SERVICE PAID CLIENTS DAYS BOWLING GREEN BRANDYWINE DETOX $ 7, CONEWAGO POTTSVILLE DETOX $ 26, GAUDENZIA, INC. DETOX $ 4, PENN FOUNDATION DETOX $ 4, PYRAMID HEALTH CARE DETOX $ 23, WHITE DEER RUN DETOX $ 17, $ 83, FACILITY SERVICE PAID CLIENTS DAYS EAGLEVILLE HOSPITAL HOSPITAL DETOX $ FACILITY SERVICE PAID CLIENTS DAYS ALLENTOWN RESCUE MISSION INPATIENT $ BOWLING GREEN BRANDYWINE INPATIENT $ 26, COLONIAL HOUSE INPATIENT $ 17, CONEWAGO INPATIENT $ 75, EAGLEVILLE HOSPITAL INPATIENT $ 4, GAUDENZIA, INC. INPATIENT $ 5, MINSEC/LUZERNE TREATMENT CENTER INPATIENT $ 9, PENN FOUNDATION INPATIENT $ 99, PYRAMID HEALTH CARE INPATIENT $181, SACA/NUESTRA CLINICA INPATIENT $ 16, TODAY, INC. INPATIENT $ TREATMENT TRENDS, INC INPATIENT $216, WHITE DEER RUN INPATIENT $ 77, $731, FACILITY SERVICE PAID CLIENTS DAYS CLEM MAR HOUSE HALFWAY HOME $ 11, GATE HOUSE FOR MEN HALFWAY HOME $ 6, GOOD FRIENDS, INC. HALFWAY HOME $ 1, HALFWAY HOME OF THE LEHIGH VALLEY/TTI HALFWAY HOME $ 14, HARWOOD HOUSE HALFWAY HOME $ 5, PYRAMID HEALTH CARE HALFWAY HOME $ 7, TREATMENT TRENDS, INC (KEENAN HOUSE) HALFWAY HOME $205, $252, FACILITY SERVICE PAID CLIENTS DAYS VICTORY HOUSE HOUSING $ 21, $ 21,
20 PAYMENTS BY SERVICE BY PROVIDER FACILITY SERVICE PAID CENTER FOR HUMANISTIC CHANGE PREVENTION $290, LEHIGH VALLEY D&A INTAKE UNIT PREVENTION $149, VALLEY YOUTH HOUSE PREVENTION $144, $584, FACILITY SERVICE PAID ALLENTOWN SCHOOL DISTRICT INTERVENTION $ 52, CITY OF ALLENTOWN HEALTH BUREAU INTERVENTION $ 68, LEHIGH VALLEY D&A INTAKE UNIT INTERVENTION $105, LATINOS FOR A HEALTHY COMMUNITY INTERVENTION $ 56, NEW DIRECTIONS TREATMENT SERVICES INTERVENTION $ 18, PYRAMID HEALTH CARE INTERVENTION $ 30, TREATMENT TRENDS, INC INTERVENTION $ 16, VALLEY YOUTH HOUSE INTERVENTION $106, $454, FACILITY SERVICE PAID COUNCIL ON ALCOHOL & DRUG ABUSE OUTPATIENT $ 67, RIVERSIDE CARE, INC. OUTPATIENT $ 43, STEP BY STEP OUTPATIENT $ 63, TREATMENT TRENDS, INC. OUTPATIENT $292, WHITE DEER RUN ALLENTOWN OUTPATIENT $117, $584, FACILITY SERVICE PAID NEW DIRECTIONS TREATMENT SERVICES METHADONE $131, FACILITY SERVICE PAID RIVERSIDE CARE, INC. IOP $ 77, WHITE DEER RUN ALLENTOWN IOP $ 56, $134, FACILITY SERVICE PAID LEHIGH VALLEY D&A INTAKE UNIT CASE MGT. $410, TREATMENT TRENDS, INC. CASE MGT. $164, $574,465.00