BERNALILLO COUNTY DEPARTMENT OF SUBSTANCE ABUSE PROGRAMS - DSAP
BUDGET DSAP currently operates on a budget of $9.6 million dollars that is fully subsidized by outside funding sources Most of the funding comes from DWI and Detox grant funds Other Funding Sources: Optum Health, UNM Hospital, HUD
SERVICES PROVIDED OUT PATIENT: Assessment Center- Serves the Community Custody Program and Courts Addiction Treatment Out Patient Program (non IOP) IN-PATIENT PROGRAMS: Renee s Project Addiction Treatment Jail Based Program Drug and Alcohol Detoxification Services Supportive After Care Medical Observation and Treatment Unit Public Inebriate Intervention Program (PIIP)
OTHER FUNDED SERVICES ENFORCEMENT: DWI Check Points Party Patrol ALTERNATIVE SENTENCING: Community Custody Program (for DWI offenders) Juvenile Alcohol Program
Prevention Schools from Elementary to the University of New Mexico (UNM) Working with UNM on a Social Media Campaign for Youth Tavern Taxi/ Safe Ride Program
MATS Metropolitan Assessment and Treatment Services (MATS) Campus 24 hr. Social Model Detox services MOTU/Outpatient Clinic 12 hr. Public Inebriate Intervention Program (PIIP) Supportive After Care (SAC) Milagro Residential Turquoise Lodge Hospital Adult/Adolescent Medical Detox and Intense Rehabilitation
PIIP Public Inebriate Intervention Program (PIIP) 30 bed capacity, can be expanded based on detox census 2-12 hr. observation and stabilization Diverts clients to treatment services rather than MDC or area hospitals Reduces down and out calls for APD and AFD
SAC Supportive After Care (SAC) Eighty bed unit located on the MAT s Campus Transitional living facility that provides extended aftercare recovery for up to 180 days Clients must have completed alcohol and drug detoxification to qualify for this program Clients receive intensive case management services in order to receive a warm hand off back to the community
Milagro 10 bed unit located on the MAT s Campus Clients must be pregnant or postpartum Provides Substance abuse aftercare recovery support Clients receive intensive case management services Bernalillo county partners with UNM FOCUS program.
PROVIDER PERSPECTIVE Bernalillo County Needs: Centralized Assessment Center to appropriately evaluate treatment needs Consistent Funding for a variety of In-Patient Services ranging from Medically Managed Detox to Transitional Living Beds Wrap-around services for both individuals and families Build capacity for a provider continuum so clients can access the right services to meet their needs Build a continuum of services from abstinence to harm reduction
ASAM (Adult) Levels of Care (American Society of Addiction Medicine) DETOXIFICATION SERVICES ASAM Level IV-D Medically Managed Intensive Hospital Inpatient Detox ASAM Level III.7-D Medically Monitored Inpatient Detox ASAM Level III.2-D Clinically Managed Residential Detox (Social Detox) ASAM Level II-D or I-D Ambulatory Outpatient Detox with or without extended on-site monitoring TREATMENT SERVICES ASAM Level IV Medically Managed Intensive Hospital Inpatient Treatment ASAM Level III.7 Medically Monitored Intensive Inpatient Treatment ASAM Level III.5 Clinically Managed High-Intensity Residential Treatment ASAM Level III.3 Clinically Managed Medium-Intensity Residential Treatment ASAM Level III.1 Clinically Managed Low-Intensity Residential Treatment ASAM Level II.5 Partial Hospitalization/Day Treatment ASAM Level II.1 Intensive Outpatient Treatment ASAM Level I Outpatient Services ASAM OMT - ORT Opioid Maintenance Outpatient Opioid Replacement Therapy ASAM Level 0.5 Early Intervention Only e.g. DWI offender education only programs ***Clients should always be brought in for whichever service (Detox or Treatment) at the lowest level of care required that meets their current needs***
EXAMPLES OF SERVICES NEEDS Behavioral Health (Limited or no funding) Emergency Room Diversion PIIP $18 per admission MOTU $55 per incidence (Funded by Bernalillo County) Social Model Detox-DSAP $58 per client daily rate (not funded through Optum) Transitional Living (Adult) SAC Program $120/day (Optum Value Added Service limited funding) Transitional Living (Adolescent) Needs to be developed throughout the state (Optum value added service limited funding $120 per day capped amount) Bernalillo County Currently developing the service Assessment Center (Not funded) Out Patient Non-IOP Substance Abuse Programming (Not funded) AND FUNDING Behavioral Health (Funded) ER Visit Average cost $250 $300 per Incidence Medical detox $425 per day Adolescent Residential Treatment Residential Treatment Center $320 per day (Funded through Optum) IOP $90-$250 per day (Funded Through Optum)