SUBSTANCE ABUSE SERVICES FUNDED BY RYAN WHITE PART A IN THE BOSTON EMA

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1 SUBSTANCE ABUSE SERVICES FUNDED BY RYAN WHITE PART A IN THE BOSTON EMA January 15, 2015 Frantzsou Balthazar-Toussaint, Sr. Program Coordinator, Client Services Boston Public Health Commission

2 Purpose of this presentation 2 Understand Substance Abuse services Ryan White Part A funds in the Boston EMA. Who is receiving Part A funded Substance Abuse services? Provide information to guide the work of the Planning Council.

3 Service Categories 3 2 Categories of Substance Abuse Services: Residential Substance Abuse Service Psychosocial Support for Substance Abuse

4 Residential Substance Abuse 4 PLWH live in a residential treatment program where they receive counseling and support (short term). Includes Residential Recovery services and Transitional Support Services.

5 Services available to PLWH in the EMA 5 Substance Abuse - Residential Services (1 Unit = 1 Bed Day) Residential Recovery Services (RRS) provide a structured, therapeutic, sober environment for individuals recovering from addiction to alcohol and/or other drugs. Residents are encouraged to integrate themselves into the community and to enhance community resources, including self-help groups and employment.

6 Services available to PLWH in the EMA 6 Substance Abuse - Residential Services (1 Unit = 1 Bed Day) Transitional Support Services (TSS) provide short-term residential services for individuals in need of a safe and structured environment to support their recovery after detoxification, and may include case management services, and individual or group counseling. The program is designed to help individuals in need of services between acute treatment and residential rehabilitation, outpatient or other aftercare.

7 Psychosocial Support Substance Abuse 7 Licensed counselors provide one-on-one or group counseling in an outpatient setting. These services are intended to serve clients in agencies licensed by the state to provide outpatient substance abuse but are not eligible to bill Medicaid.

8 Services available to PLWH in the EMA 8 Psychosocial Support (Substance Abuse Outpatient Services) (1 Unit = 1 Hour) Individual Counseling provide a face-to-face session between an eligible provider and a client. Group Counseling provide a face-to-face session between an eligible provider and client participating in a group session with three or more individuals.

9 Part A Substance Abuse services funding in FY14 9 Residential Substance Abuse Services = $919,523 Psychosocial Support (SA) = $83,457

10 Accessing Part A Funded SA Services 10 Residential SA 2 programs located in Boston neighborhoods, 1 in Central MA Psychosocial Support (SA) - 2 located in Boston neighborhoods

11 Mode of Exposure (FY 2013) 11 Psychosocial Support (SA) 5% 1% Residential SA 11% 16% 47% 6% 9% 14% 2% 5% IDU 64% MSM Heterosexual Unknown/Undetermined 20% MSM & IDU N = 160 clients N = 171 clients Other Risk

12 Race (FY 2013) 12 Psychosocial Support (SA) Residential SA White Only 7% 29% 17% 29% Black or African- American Only More than one race 37% Unknown/Unreported 27% 35% 19% Native Hawaiian Only American Indian Only N = 160 clients N = 171 clients Asian Only

13 Hispanic, Latino/a Ethnicity (FY 2013) 13 Psychosocial Support (SA) 0% Residential SA 1% Hispanic or Latino/a 59% 41% 51% 48% Not Hispanic or Latino/a Unknown/Unreported N = 160 clients N = 171 clients

14 FY13: Distribution of Units - Residential clients received a total of 10,469 bed days. Average cost per client is $4,

15 15 FY13: Distribution of Units Psychosocial Support (SA) 160 clients received a total of 2,349 counseling hours. Average cost per client is $

16 Summary 16 Part A funds Substance Abuse Residential and Psychosocial Support (SA). Residential Substance Abuse is the 4 th most funded Part A service, while Psychosocial Support (SA) is the 13th. Most clients (97%) are below the federal poverty level. Part A allocation represents a small percentage of total resources for substance abuse in the Boston EMA.

17 17 Questions