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1 Substance Abuse & the Continuum of Care Presented by Jama Carpenter, MC, LPC SAC Clinical Coordinator Phoenix VA Health Care System

2 Veterans Who Have Left Active Duty 1,094,502 1,094,502 OEF and OIF Veterans have left active duty and become eligible for VA health care since FY % (573,404) Former Active Duty troops 48% (521,098) Reserve and National Guard

3 Veteran Statistics There are 23.4 million U.S. Veterans 2 million Veterans and counting are from the wars in Iraq and Afghanistan

4 Veteran statistics 1 in 4 Veterans ages met the criteria for substance abuse disorder in million Veterans of any age met the criteria for having a substance abuse disorder d in 2006 There are 130,000 homeless U.S. Veterans, and 75% of them suffer from substance abuse problems Sources: National Association of Drug Court Professionals, Substance Abuse and Mental Health Services Administration, U.S. Department of Defense, U.S. Department of Justice Bureau of Justice Statistics, U.S. Department of Veterans Affairs

5 VA Health Care Utilization Among all 1,094,502 separated OEF/OIF Veterans 46% (508,152) of total separated OEF/OIF Veterans care since 95% have obtained VA health FY 2002 (cumulative total) 95% (481,619) of 508,152 evaluated OEF/OIF patients have been seen as outpatients only by VA and not hospitalized 5% 5% (26,533) of 508,152 evaluated OEF/OIF patients have been hospitalized at least once in a VA health care facility

6 Substance Abuse Clinic (SAC) Referral Process Consults Self-referral Family members Community yp providers Physician Court Walk-in referrals from Healthcare for Homeless Veterans

7 SAC Services Awareness Education treatment Early intervention treatment Intensive Outpatient treatment Residential Treatment Buprenorphine p (Suboxone Suboxone) treatment Psychiatric services Halfway House contracts Group therapy/individual counseling Court liaison services

8 Discovery Group Orientation to SAC Walk-in Mon. through Fri. 8:00 am to 8:30 am in bldg 4 Saturdays at 8:00 am in Outpatient Mental Health Clinic Attend once

9 Preparation Group Substance Abuse Pre- treatment services Prerequisite: Discovery Group Mon. - Fri. 9:00 am to 10:00 pm or Mon. & Thurs. 5:30 pm to 6:30 pm

10 Intake Psychosocial assessment interview Prerequisite: Referral by Preparation group facilitator

11 Track 1: Awareness Education Treatment for vets needing more info on alcohol l and drug related problems Includes: legal, DUI returning OEF/OIF 12 week certificate program (18 hours) Meetings on Saturday 9:00 10:30 am in the PVAHCS Outpatient Mental Health Clinic

12 Track 2: Early Intervention Treatment Certificate program 12 weeks (36 hours) Includes: 1 st time legal offense, problems with family or work and not ready to commit to intensive treatment. Meets on Saturdays from 9:00 am to 12:00 noon in PVAHCS Mental Health Clinic.

13 Track 3: Intensive Outpatient Treatment 12 week certificate programs Prerequisite it SAC intake AM Primary Program Mon., Wed., & Thurs. 9:00 am to 12:00 pm PM Primary Program Mon., Wed., & Thurs. 5:30 pm to 8:30 pm SAC Co-occurring occurring Disorders Program Mon., Wed., & Thurs. 1:00 pm to 4:00 pm

14 Co-occurring occurring Disorders Program 12 week certificate program Primary diagnosis of alcohol or drug dependence Co-occurring occurring diagnosis of alcohol or drug dependence with mental health history Emphasis on interrelationship between substance abuse and mental health problems

15 Primary Program 12 week certificate program Intensive Substance abuse education and group counseling Primary diagnosis of alcohol or drug dependence Morning and Evening Options

16 Track 4: Residential Treatment Substance Abuse Residential Rehabilitation Treatment Program (SARRTP) 1 3 Month residential treatment Inadequately served in outpatient treatment For more info on admission process and contracts call (602) x 5954, or 5398 Residential treatment t t Crossroads, 7523 N. 35 th Ave. Phx, AZ For info on facility and rules call VA Liaison Mark (602)

17 Continuing Care Program Recommended 6 month attendance Prerequisite: completion of an Intensive Outpatient Program or residential substance abuse program

18 Continuing Care Groups Process Dual Diagnosis Relationships Relapse Prevention SAC Post Traumatic Stress Disorder

19 Contact Information Substance Abuse Clinic Building East Indian School Road Phoenix, Arizona Phone: (602) x 7640 Fax: (602)

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