Westmoreland Drug & Alcohol Commission, Inc. July 1, 2008 – June 30, 2009 ANNUAL REPORT CONTENTS Mission Statement.......................................................................................... 1 Background .................................................................................................... 1 Organizational Chart...................................................................................... 2 SCA Information............................................................................................ 2 Accomplishments/Administration ................................................................. 3 Prevention ...................................................................................................... 6 Intervention .................................................................................................... 8 Treatment ....................................................................................................... 9 Case Management.......................................................................................... 11 SCA Case Management System .................................................................... 12 Demographics ................................................................................................ 13 Fiscal Information.......................................................................................... 15 I. SCA MISSION STATEMENT The Mission of Westmoreland Drug and Alcohol Commission, Inc. is to enhance the quality of life for persons who have experienced problems related to their use or abuse of alcohol and/or other drugs. This Single County Authority (SCA) will assure clients receive the appropriate level of alcohol/drug treatment and effectively utilize various funding sources to eliminate financial impediments to persons seeking treatment as well as link clients with the appropriate supportive services. Our efforts shall be to assist clients to assume a life long plan of recovery that is suitable to their needs, and to help maintain a network of prevention and treatment services that will provide a seamless system of services to the Westmoreland community. II. BACKGROUND The Westmoreland Drug and Alcohol Commission, Inc. is a private non-profit corporation located at the Mon Valley Community Health Center in the city of Monessen. The name Westmoreland Drug and Alcohol Commission is used in reference to the entire drug and alcohol service-delivery system consisting of an administrative unit known as the Single County Authority (SCA) and various subcontractor agencies which are responsible for providing direct service to the public. The Westmoreland Drug and Alcohol Commission is an Independent Commission overseen by a governing Board of Directors. The Board of Directors consists of 11 members who have management of the property, affairs and funds of the corporation as derived from the board by-laws. Duties of board members include participating in standing committees, which consist of finance, nominating, by-laws, personnel and program review to conduct the business of the SCA. Board meetings are scheduled at a minimum six times per year and overseen by the Board President. Since its inception in 1978, the Commission advocates and staff have successfully developed a comprehensive and coordinated system of drug and alcohol services for Westmoreland County. The Westmoreland SCA functions as an administrative unit whose responsibility is fiscal and program accountability to provide the best possible publicly funded services for Westmoreland County citizens in need of help with alcohol, tobacco and other drug problems. The SCA plans, funds and monitors subcontracted case management, prevention, intervention and treatment services. The strength of the Westmoreland Drug and Alcohol Commission rests with the dedication, commitment and expertise available and the relationship that exists between the SCA and programs. 1 ORGANIZATIONAL CHART Governing Board of Directors Executive Director III. SCA Information Deputy Director Prevention Coordinator Fiscal Officer Administrative Assistant III. SCA INFORMATION Westmoreland Drug and Alcohol Commission, Inc. Eastgate 8 Monessen, PA 15062 Phone: (724) 684-9000 ext. 4446 Fax: (724) 684-3489 Board of Directors Chairperson Wayne Kingsland 2 IV. MAJOR ACCOMPLISHMENTS OF THE WESTMORELAND SCA ADMINISTRATION During the 2008-2009 Fiscal Year, the SCA experienced several personnel changes. Janet Hoffer replaced Jennifer Hooper as the Prevention Coordinator. Lisa Miller replaced Lorraine Ruday as the Fiscal Officer and Diane Chopyak became the new Administrative Assistant. The SCA focused much attention on ATOD prevention services by providing mini-grants to local grassroots, community and school-based organizations. The SCA awarded nine mini-grants during its annual dinner meeting to the following organizations: Baggaley Elementary School- the school purchased Turning Point Interactive Devices which allow the students to have an opportunity to interact about their knowledge on the dangers of drugs and alcohol. The students also created public service announcements and videos promoting positive student decision making on ATOD use. City of Greensburg Police Department- purchased portable breath testing devices for each of the department’s patrol vehicles. The devices will be used during their investigation of underage drinking in DUI offenses. Communities in Schools of Southwest PA, Inc.-the organization educated youth enrolled in the Derry Jays after school program in drug avoidance and character building activities. They also provided Family Nights to join families together to learn about substance abuse issues surrounding youth and ways parents can be more positively involved with their child. Derry Area High School Students Against Destructive Decisions- the organization provided a Prom Promise Carnival that actively involved the general student body in the prevention program. The carnival consisted of games and demonstrations related to the prevention of alcohol, tobacco and other drug use. They also provided presentations highlighting the dangers of destructive decisions related to ATOD use. Jeannette Public Library- purchased new books and audio visual materials to support student assignments and individual reading interests on the topics of alcohol, tobacco and other drugs. Monessen Communities That Care- the organization provided education for youth on making healthier choices and offer positive alternative solutions for having a party or getting together with friends after school that does not involve the use of alcohol, tobacco and other drugs. Penn Trafford Area Recreation Commission- The Road Rally program provided a drug-free alternative activity for high school youth through education on the health hazards of drug use by high school students. 3 Private Industry Council of Westmoreland/Fayette, Inc. - purchased educational materials to build an ATOD Resource Library for current and future family literacy participants. They will also provide activities promoting ATOD- free lifestyles. Westmoreland County Camp Cadet Association- provided a camp which emphasizes the concepts of self-discipline, self-esteem, self-respect and respect for others. They demonstrated examples of how to overcome the negative peer pressures of using alcohol and/or illegal drugs and abusing prescription medication. The Westmoreland SCA received the Strategic Prevention Framework State Incentive (SPF SIG) grant. The contract began July 1, 2008 and ends June 20, 2012. WeDAC will receive $379,000.00 over the next 48 months. The SCA and the contracted prevention providers determined through the use of the Uniform Crime Report that the city of Greensburg’s Liquor Law Violations were 16.91 percent which is significantly higher than the 8.7 percentage baseline for the state. Through this funding, two contracted prevention providers in Westmoreland County will focus on ways to prevent and reduce the early initiation and regular use of alcohol in middle and high school students. Evidence based programming will be conducted over the next 36 months to youth of Greensburg Salem Middle School and Aquinas Academy. The Greensburg Council on Alcohol and Youth was formalized. This coalition will support and mobilize the community level prevention efforts to impact factors in reducing alcohol use and related problems in middle and high school students. Using reinvestment monies from the HealthChoices program, the SCA has collaborated with Outside In to provide Multi-Dimensional Family Therapy (MDFT). This is an evidenced based comprehensive drug and alcohol program which addresses the needs of the entire family as whole rather than addressing clients on an individual basis. The SCA also collaborated with Southwestern PA Human Services (SPHS) Behavioral Health to use reinvestment funds from the HealthChoices program to provide a full time case manager at the Narcotics Treatment Program at Torrance. The case manager will be on site daily and case management services will be implemented on the day the client is admitted to treatment. Fetal Alcohol Spectrum Disorder (FASD) for 2008 began as a collaborative effort among thirteen Southwestern PA SCAs. The participating counties kicked off the week with a tshirt campaign featuring an alcohol free message “be good to me…stay alcohol free”. More than 2,000 t-shirts were distributed by doctors’ offices, beer distributors, prevention and treatment providers and other community members throughout the thirteen counties. In addition to the t-shirts, the Westmoreland SCA distributed printed materials providing information on the dangers of alcohol use while pregnant. In recognition of its efforts, The Westmoreland Drug and Alcohol Commission accepted a proclamation from the Westmoreland County Commissioners office declaring September 8-14 “Fetal Alcohol Spectrum Disorder” awareness week. The SCA sponsored the following trainings: TB/STD, HIV/AIDS, Cultural Competency, Pennsylvania Client Placement Criteria (PCPC), Screening and Assessment and Confidentiality. 4 The Bureau of Drug and Alcohol Programs (BDAP) conducts an annual Quality Assurance Assessment (QAA) to review the operating system of the SCA and the delivery of drug and alcohol services within Westmoreland County. The SCA achieved a standard of full compliance with all of BDAP’s regulations and requirements and received no findings for 2008-2009. Westmoreland County tobacco retailers had a 99% compliance rate for the sale of tobacco to minors. The Tobacco Enforcement program conducted compliance checks at 1,089 retailers. There were 1068 no sales and 21 citations. The Smoke Free Air Affair (SFAA) is a fun way for kids and families to learn about staying healthy and safe from tobacco smoke pollution. The event also provides an opportunity for Teens Against Tobacco Use (T.A.T.U.) members to demonstrate leadership skills and advocate for smoke free families, homes, cars and public places. Cessation information to help individuals quit tobacco was provided at a “Cessation Station” hosted by Westmoreland County tobacco dependence treatment specialists. This year the Smoke Free Air Affair was held on June 26, 2009 at Idlewild Park in Ligonier involving more than 400 youth and adult volunteers representing 10 counties in Southwestern Pennsylvania making it the largest event in its seven-year history. Westmoreland County T.A.T.U. involved over 160 youth and adult volunteers at the SFAA who conducted several activities to support the smoke free homes and families’ message. The local communities represented included Derry, Greensburg, Hempfield, Kiski, Latrobe, Ligonier, Monessen, Mount Pleasant, New Kensington and Trafford. These activities included puppet shows, crafts, traveling costumed characters, face painting, games, and a tobacco trivia contest. Winners of the Westmoreland World No Tobacco Day Essay Contest were invited to read their essays at the closing ceremony. Throughout the day, T.A.T.U. members reported live from the event through WCNS radio. 5 PREVENTION Community Prevention Services of Westmoreland (CPSW) provides alcohol, tobacco and other drug (ATOD) prevention services for schools and communities throughout Westmoreland County. The 11th annual Red Ribbon Kickoff Rally for Westmoreland County was held on October 24, 2008 at a Hempfield Area High School football game. ATOD education materials and ribbons were disseminated. In addition, over 20,000 Red Ribbons were given out to local students throughout the county during Red Ribbon Week. A proclamation was issued by the Westmoreland County Commissioners, designating the week of October 24-31 as “Red Ribbon Week” in Westmoreland County. During the 2008-2009 year, CPSW conducted over 674 community-based events and disseminated 64,454 pieces of prevention literature. CPSW provided ATOD educational programs and literature reaching over 14,109 members of the community from pre-school to senior citizens at After School Programs, Senior Centers, college and youth groups, the general public and local businesses. CPSW continued their partnership with the Westmoreland Drug and Alcohol Commission, Inc. (WeDAC) and the Liquor Control Board (LCB) for the purpose of conducting "Sticker Shock" environmental prevention campaigns to combat underage drinking. Youth volunteers affixed over 24,000 stickers advising that "It is Illegal to Buy or Provide Alcohol for Anyone Under 21" to cases of beer at Westmoreland County Beer Distributorships. The events received local newspaper and television coverage. CPSW provided STD and HIV/AIDS outreach education to injecting drug abusers regarding drug use and the spread of STD, HIV/AIDS and other communicable diseases through brochures, videos and discussion with over 400 residents. Other efforts included disseminating posters highlighting National HIV testing day on June 27, 2009. CPSW provided continuing support and technical assistance to the REALITY TOUR program than began in Westmoreland County in 2006. CPSW continued the "Parents Who Host, Lose the Most" campaign aimed at informing parents of the legal consequences of being a party to underage drinking. Three thousand (3,000) pieces of literature promoting the program were distributed to local high schools to coincide with proms and graduations. CPSW in collaboration with Med-Tech and other agencies participated in the Westmoreland County celebration of Recovery Month in September, 2008. The event was observed with 12 step speakers, treatment professionals, interested citizens and family members. A proclamation was issued by the Westmoreland County Commissioners Office. CPSW disseminated One thousand eight hundred twelve (1,812) items of information identifying Fetal Alcohol Spectrum Disorder. The information consisted of handing out literature, FASD t-shirts and baby t-shirts to clinics, WIC offices and beer distributors. 6 Saint Vincent College Prevention Projects (SVCPP) provided three federal Center for Substance Abuse Prevention (CSAP) Evidence-Based prevention programs: Project Success, Project ALERT, and Project Towards No Drug Abuse (TND). Project Success serviced over 450 at-risk secondary students making 2322 contacts to these students in Westmoreland County schools. Of the Project Success students involved in more intensive services, 56% reported that they were getting along better with others and 42% reported that that their grades had improved, while 47% reported that they were doing better in school overall. With regard to discipline, 90% reported no further out-ofschool suspensions while involved in Project Success and 100% reported no ATOD policy violations since beginning the program. Project ALERT was presented to over 2,450 students in 10 school districts. Students participating in Project ALERT showed a gain in knowledge of over 30% on their posttest scores, using the instrument specifically developed for Project ALERT by the RAND Corporation. Project ALERT Booster Lessons were presented to 2,261 students in the 10 participating school districts. These students showed an average gain of knowledge of 14% over their pre-test scores. Project Towards No Drug Abuse (TND) was presented in two school districts to over 400 students. The students participating in TND showed a gain in knowledge on their posttest scores using the proprietary pre and post test approved by the program’s developers. These instrument results are entered into the statewide data collection system. During the 2008-2009 school year, the Prevention Projects provided 376 days of elementary in-class instruction, reaching over 17,300 students in 16 Westmoreland County School Districts, utilizing the Prevention Projects’ proprietary program, R.E.A.L. (Realistic Education About Life). In addition, over 750 educators in the county were provided with updated ATOD information and resources. The RADAR Information Center was extremely successful in acquiring and distributing over 45,000 pieces of ATOD informational literature. During the past year, more than 65 various organizations and community groups were provided outreach literature for events held throughout Westmoreland County. During the 2007-08 year the Prevention Projects again had the privilege of working in consultation with the Pennsylvania Department of Health’s Bureau of Information Technology in the ongoing upgrade of the Performance-Based Prevention System of data collection. This work resulted in significant improvements and greater efficiency for prevention providers throughout the state. 7 INTERVENTION 8 Student Assistance Program (SAP) coordination and consultation was provided to all 17 Westmoreland County public school districts and the Westmoreland County schools of the Diocese of Greensburg. There were 236 separate consultations to county SAP and Elementary SAP (ESAP) core teams. Team maintenance activities were provided to 40 SAP and ESAP teams. The SAP liaisons provided assessment screenings for 809 students, an 11% decrease over the 2007-2008 school year. Forty five school policy reviews were conducted. Three SAP Thematic Workshops were held at Saint Vincent College and were attended by over 349 SAP/ESAP team members and agency personnel. The Saint Vincent College Prevention Projects is responsible for the publication and distribution of the Educational Support Team Update, a newsletter distributed to SAP and ESAP core team members and adjunct personnel supporting the student assistance effort. During 2008- 2009, 8 issues, for a total of 9,456 copies were distributed to school and agency personnel by mail. TREATMENT SERVICES The Westmoreland SCA contracts with numerous facilities for treatment services. The network includes licensed providers within and outside of Westmoreland County. Westmoreland County clients have a continuum of drug-free treatment services available to them at licensed agencies that provide various levels of care. The services include outpatient, intensive outpatient, partial hospitalization, non-hospitalization residential treatment, detoxification, halfway house, hospital based treatment/detoxification and methadone maintenance. The Pennsylvania Client Placement Criteria (PCPC) is the tool used by the Case Management Unit to determine the appropriate level of care for our clients. Targeted populations include pregnant women, women with children and intravenous drug abusers. Subcontracted providers are required by the SCA to give first priority for admission to pregnant women. Pregnant women, therefore, could be admitted immediately to either the specialized outpatient program at SPHS Behavioral Health or to other contracted facilities throughout the state that provide long term specialized residential services for pregnant women/women with children. The following outpatient and partial providers were contracted by the SCA to provide treatment services: Gateway Greensburg provides an adult partial hospitalization program 5 days a week for 6 hours a day totaling 30 hours of on-site services per week. An adolescent partial program is also offered at 3 days per week for at least 5 hours per session. Intensive outpatient (IOP) for both adults and adolescents is offered 3 nights per week for 3 hours per session for 6 weeks. Traditional outpatient counseling is offered to clients which involves individual and/or group therapy. Sessions are scheduled on a weekly or less frequent basis, based on need and treatment planning. Greenbriar New Kensington provides an adult partial hospitalization program in three or six hour sessions during the day or evening hours. Southwestern PA Human Services (SPHS) Behavioral Health with offices in Greensburg, Latrobe, New Kensington and Monessen provide outpatient, intensive outpatient (IOP) and partial hospitalization to clients of all ages. Individual and family therapy as well as a variety of groups are offered including dual diagnosis, recovery and relapse prevention. SPHS Women and Family Services Program focuses on the gender specific issues of this population. The program is specifically designed to address the unique issues presented by this target group. Services include outpatient, intensive outpatient, partial hospitalization, adolescent therapy, Children of Alcoholics (COA) therapy and family and marital therapy as it relates to substance abuse. SPHS Intensive Outpatient Program (IOP) at the Westmoreland County Detention Center targets the jail population of clients who are serving jail sentences resulting from probation/parole revocations for failure to complete substance abuse treatment services. 9 All clients must be court ordered into the program. The program is a 6 week service with a minimum of 5 hours of treatment services per week. The following residential and methadone providers were contracted by the Westmoreland SCA to provide the full continuum of treatment services: Hospital Based Detoxification and Rehabilitation Stepping Stones-Meadville UPMC Braddock (Detox only) Non Hospital Detoxification Cove Forge Charter Gateway Rehabilitation Center Greenbriar Treatment Center Pyramid Healthcare Transitions at Wilkinsburg Turning Point Chemical Dependency Twin Lakes Center White Deer Run Non Hospital Rehabilitation (including pregnant women/ women with children, dual diagnosed and adolescents) Cove Forge Charter Gateway Rehabilitation Center Gaudenzia Fountain Springs, Concept 90 and Vantage House Greenbriar Treatment Center Pyramid Healthcare Transitions at Wilkinsburg Turning Point Chemical Dependency Twin Lakes Center White Deer Run Halfway House Abstinent Living at the Turning Point Another Way Clem-Mar House Gaudenzia Erie Community House and Dr. Daniel Snow Tom Rutter House Moffet House Lighthouse for Women Pyramid Healthcare Methadone Maintenance SPHS Torrance 10 CASE MANAGEMENT The SCA subcontracts case management services with Southwestern PA Human Services (SPHS) Behavioral Health to assess, refer and request authorization of SCA funding for the most clinically appropriate level of drug and alcohol treatment. The Case Management Unit assessed 1295 clients and, as shown in the following chart, recommended and referred 1246 clients to treatment. Referrals to Treatment # of clients Non Hospital Detoxification 242 Non Hospital Short Term Rehabilitation 95 Non Hospital Long Term Rehabilitation 22 Dual Diagnosed Rehabilitation 30 Women with Children Rehabilitation 0 Halfway House 4 Partial Hospitalization ` Intensive Outpatient 27 Outpatient 621 Methadone 23 Total Clients Referred 1246 182 The Case Management Utilization Review position continues to be responsible for reviewing all Pennsylvania Client Placement Criteria (PCPC) admissions, continued stay reviews and discharge summaries of clients in all levels of treatment. The staff position is stationed both at the SCA office and the Case Management Unit. 11 V. SCA CASE MANAGEMENT SYSTEM HOW CLIENTS ACCESS ASSESSMENT AND TREATMENT SERVICES: 12 Call for Service Request/Screening: Client and/or outside agency or hospital will call to schedule an appointment for an assessment/evaluation in order to secure funds for treatment services. Referral sources include, but are not limited to the following: local hospitals, court system, county jail, County Assistance Office, CYS, etc. Assessment Appointment Scheduled: Clients are scheduled for an appointment according to the following guidelines: "Emergent Care" clients seeking detox, inpatient and/or halfway house services are scheduled within 48 working hours. Pregnant women, IDU and clients seeking partial outpatient services are also scheduled for an assessment within 48 working hours. All other clients seeking outpatient levels of care services are scheduled within 7 working days or are given the earliest available appointment. Assessment and Securing County Funding for Treatment Services: Clients are offered appointments at the following locations throughout the county: Greensburg, Monessen and New Kensington. Emergent Care clients are also seen on-site at the psychiatric units of the local hospitals and on-site at the county jail. In order to secure county funding for detox, residential and/or halfway house services, clients must comply with all expectations of the County Assistance Office prior to a referral being made to any inpatient and/or halfway house facility. Referral to a Treatment Facility: Once a client has met all requirements for county funding, the client is referred to an SCA contracted treatment facility of their choice and a bed date or evaluation date is scheduled for the client at the time of their initial assessment. Funding Authorization Request: A Funding Authorization Request is faxed to the SCA once a bed date/evaluation date has been scheduled and the referral has been completed. VI. DEMOGRAPHICS Primary Drug of Choice # of clients % of clients Alcohol 678 46% Heroin 290 20% Marijuana 214 14% Other Opiates/Synthetics 147 10% Cocaine/Crack 142 10% All Others 13 0% No Use 3 0% Total Clients Served 1487 100% Gender # of clients % of clients Male 1115 75% Female 372 25% Total Clients Served 1487 100% Pregnant Women 10 Women with Children 52 Total Pregnant Women/Women with children 62 Age # of clients % of clients Less than 18 44 3% 19-30 772 52% 31-40 333 22% 41-50 259 17% 51-60 65 4% Over 60 14 1% Total Clients Served 1487 100% 13 VI. DEMOGRAPHICS (cont.) Referral Source # of clients % of clients Probation/Parole 901 61% Court/Judge 243 16% Self 213 14% Drug and Alcohol Provider 52 3% Other 44 3% SAP/Schools 23 2% Family/Friends 11 1% Total Clients Served 1487 100% Race # of clients % of clients Caucasian 1370 92% African American 91 6% Other 17 1% Hispanic 8 0% Native American 1 0% Total Clients Served 1487 100% Level of Treatment Provided # of clients per service Non Hospital Detoxification 125 Non Hospital Rehabilitation 209 Dual Diagnosed Rehabilitation 84 Halfway House 15 Partial Hospitalization 98 Outpatient/IOP/Methadone 1311 Total Clients Per Service 1842 14 VII. FISCAL INFORMATION PROGRAM REVENUE SOURCE REVENUE State $ 1,214,969 Federal Alcohol Prevention $ 158,425 Federal Drug Prevention $ 107,149 Federal Alcohol Treatment/Intervention $ 536,627 Federal Drug Treatment/Intervention $ 401,484 Federal Drug Free Prevention $ 20,766 Behavioral Health Special Initiative (BHSI) $ 228,851 Act 152 $ 353,384 Intergovernmental Transfer (IGT) $ 74,448 DUI Funds $ 70,641 Reinvestment $ 478,392 Other (subcontractor resources, HealthChoices, interest etc.) $ 131,978 Strategic Prevention Framework State Incentive Grant (SPF SIG) $ $38,915 TOTAL $ 3,816,029 SOURCE REVENUE Tobacco Prevention and Cessation -12 Months $ 558,313 TOTAL $ 558,313 15 VII. FISCAL INFORMATION (cont.) COST BY CATEGORY Activity Code Program Expenditure 51 Administration $ 943,513 54 Administration/Special Projects $ 7,481 61 Information Dissemination $ 301,424 62 Education $ 425,263 63 Alternative Activities $ 18,219 64 Problem Identification and Referral $ 91,473 65 Community Based Process $ 52,028 66 Environmental $ 12,198 71 Assistance Programs $ 91,588 82A Non-Hospital Detox $ 107,920 82B Non-Hospital Rehab $ 470,505 82C Halfway House $ 45,111 83A Hospital Based Detox $ 0 83B Hospital Based Rehab $ 0 85 Partial Hospitalization $ 77,089 86A1 Outpatient Drug Free $ 385,197 86A2 Outpatient Maintenance $ 30,466 86B Intensive Outpatient $ 356,166 Shelter/Transitional Living $ 0 Case Management/ICM $ 350,355 $ 3,765,996 87 88A/B TOTAL 16 Activity VII. FISCAL INFORMATION (cont.) TREATMENT EXPENDITURES Activity Code Activity 82A Detox 82B Treatment 82C Halfway House State Federal BHSI IGT Act 152 $9,855 $28,763 $9,711 $0 $59,591 $38,614 $145,896 $31,122 $0 $252,514 $8,184 $25,690 $528 $0 $10,709 Partial Hosp $13,520 $54,000 $9,569 $0 $0 86A1 OP Drug Free $25,650 $225,736 $93,736 $40,075 $0 86A2 Methadone $0 $21,241 $3,407 $5,818 $0 86B IOP $34,287 $237,624 $55,713 $28,542 $0 $130,110 $738,950 $203,786 $74,435 $322,814 85 TOTAL TOBACCO PREVENTION AND CESSATION EXPENDITURES TOBACCO PROGRAM AREAS Total Expenditures Prevention $214,178.61 Cessation $256,214.38 Exposure $86,322.61 Evaluation $3,173.66 Totals $559,889.26 17
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