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DADS has expanded its services for dually diagnosed clients; i.e., those with multiple issues around substance abuse and mental health. Since July, here are some of the latest developments in our spectrum of Adult Managed Care services: �
Ali Alkoraishi, M.D., provides psychiatric consultations and �
ARH Recovery Homes coordinates with Mental Health Day �
DADS has two full-time case managers to assist its providers
with �
The Quality Improvement Team continues to consult with its Until
recently, dual-diagnosis clients--especially the underserved--fell
through the cracks between DADS and Mental Health. Now, there
are two levels of care for this population: Culturally competent,
intensive outpatient treatment at Catholic Charities and Asian Americans
for Community Involvement; and residential services at ARH/Benny McKeown
Center. To obtain any of these services, please call Gateway,
the central screening, information, and referral unit for DADS Adult
Managed Care. For more information on dual-diagnosis services,
call Marie Louise Bosin at 408-299-6141. GATEWAY
PROGRAM ASSURES PROMPT, PRECISE ACCESS TO DADS ADULT MANAGED CARE
The Gateway Program is the entry point to the full spectrum of DADS Adult Managed-Care Services. Prospective clients call 1-800-488-9919 to get screening and prompt authorization for treatment. Gateway provides information and referrals twenty-four hours a day; and conducts pre-screenings for assessment appointments 8 a.m.-10 p.m., Monday-Friday only, except holidays. Gateway is staffed by a highly skilled multi-disciplinary team with Spanish and Vietnamese language capabilities. Most callers seek information and referrals to self-help groups, prevention resources, and other local medical and mental health agencies. Callers who need treatment answer preliminary questions, including a brief tuberculosis screening, crisis assessment, medical history, and substance abuse screening to identify their drugs of choice. Screeners then ask about previous treatment and current motivation to get help, and obtain callers’consent to give all the preceding information to the treatment provider. After callers complete this twenty-minute pre-screening, clinicians determine which services are most appropriate, and callers get an appointment for a more detailed assessment within seventy-two hours of this first call to Gateway. All treatment providers conduct assessments at sites located conveniently throughout the county. The staff makes every attempt to provide linguistically and culturally sensitive information and service. Gateway
is committed to collaborating with the Heath & Hospital System,
Social Services Agency, the Criminal Justice System, local service
providers, and DADS managed-care providers to provide high-quality
service and care to the entire community. For more information,
please call Robin Daniels at 408-885-6482. DADS LEARNING INSTITUTE: WINTER/SPRING CALENDAR DADS Learning Institute (formerly the Training Institute) offers educational opportunities for HHS staff, other professionals, and the community. Please make a note of these exciting events and dates: Jan.
11-12 Engaging Clients into
Recovery Jan.
20
Stress Reduction and Health Enhancement Mar.
9-10 Twelve-Step
Facilitation Therapy Apr.
11
Psychopharmacology Apr.
27-28 Prevention Conference Jun.
1-2
Dual Diagnosis & Systems Conference To be placed on the mailing list or to request a catalogue of all events, please call 408-374-3754 or fax us at 408-374-3694. Back
to the Top Substance-abusing women in Dependency Court may qualify for the Dependency Drug Treatment Court (DDTC) program, which began in January 1999. The objective of this program is to help substance-abusing women both to become drug free and to regain custody of their children. Prospective participants are nominated by their attorneys. If a nominee agrees to the treatment plan developed by her review team, she is accepted into this one-year program. Participation involves intensive case-monitoring and support, and requires regular check-ins with the judge. The Review Team consists of members of the District Attorney’s Office, County Counsel, the woman’s own attorney, DADS, the DDTC social worker, and--most importantly--Judge Leonard Edwards, who presides over DDTC. A nominee may be ineligible if she has previously failed Family Reunification, if her child is age three or under (and the case is being bypassed), or if she is involved in a contested hearing. Clients must attend DDTC every two weeks, remain drug free, and comply with their formal treatment plan. Depending on the severity of her addiction, the participant may be required to live in a residential treatment program or in transitional housing; or to attend an intensive outpatient treatment program. DDTC currently uses two Rainbow Recovery houses (two facilities, totaling twenty beds), and will soon have an additional 36 beds available. A Public Health Nurse and childcare services will be available for DDTC clients in early 2000. For
more information about DDTC, please call Leiam Rodarte at 408-441-5128. AGENCY
PROFILES Asian Americans for Community Involvement (AACI) specializes in providing culturally appropriate, linguistically accessible services for Asian/Pacific Islanders throughout Santa Clara County. The agency serves nearly 5,000 yearly, many of whom are low-income immigrants and refugees. Our staff speak Khmer, Lao Mien, Laotian, Chinese (several dialects), Vietnamese, Thai, Korean, Japanese, Hindi, Tagalog, and Ilocano. AACI also has staff who speak Bosnian, Serbian, and Croatian to serve Southeastern European refugees. Together with Catholic Charities, AACI now provides dual-diagnosis counseling services for Vietnamese-speaking adults as part of the “Connections Collaborative.” AACI also partners with Catholic Charities and Economic and Social Opportunities in the “Golden Opportunity” (GO) program, which provides dual-diagnosis services to Vietnamese and Cambodian CalWORKs clients. Counseling components include assessment; individual, group, and family counseling; psycho-education classes; relapse prevention; and case management. AACI offers a range of other services: mental health and substance-abuse counseling; domestic-violence prevention/treatment and shelter programs; drinking-driver classes; and gang/drug prevention and employment training for youth. AACI also provides general health screenings and a nutrition program for the elderly; and English as a Second Language and citizenship classes for refugees and immigrants. ASIAN
AMERICANS FOR COMMUNITY INVOLVEMENT CATHOLIC
CHARITIES: MULTI-SERVICE AGENCY Catholic Charities of San Jose (CCSJ) is a lead agency for two new DADS projects. The “Connections Collaborative” provides outpatient services to men and women with co-existing psychiatric and addictive disorders (“dual diagnosis”). CCSJ staff have provided dual-diagnosis services this past year and have years of additional experience helping those with mental health issues. Asian Americans for Community Involvement (AACI) is CCSJ’s partner in this effort. CCSJ is also the lead agency in the CalWORKs Health Alliance “Golden Opportunity” (GO) Collaborative. AACI and Economic and Social Opportunities, Inc. are the other partners. The CalWORKs Health Alliance Multi-Disciplinary Teams (MDT) identify and assist CalWORKs clients in vocational programs who are having trouble achieving their goals due to emotional and substance-abuse barriers. Using Minkoff’s model of service delivery for these dual-diagnosis and CalWORKs populations, experienced CCSJ therapists provide client-focused, individual and group counseling and psycho-education based on American Society of Addiction Medicine criteria. Treatment focuses on providing clients with concrete tools for daily decision-making about consequences, relapse prevention, medication management, and life skills. Many clients have learning disabilities, literacy difficulties, and experience with the Criminal Justice system. CCSJ also contracts with the Department of Mental Health. Older adults, adults, adolescents, and children receive counseling, case management, crisis intervention, and/or medication support to deal with the daily realities of mental health disorders. Counseling services are also available in some parochial schools and parish churches. Additionally, Focus for Work is CCSJ’s employment program for helping adults with mental health disorders prepare for, find, and keep employment. CCSJ’s multi-services also include immigration, naturalization, and employment services for refugees and immigrants; foster grandparents; kinship support; long-term care ombudsman; neighborhood centers serving primarily Vietnamese, Chinese, Latino, and Filipino older adults; senior nutrition programs; gang intervention; restorative justice, pregnancy prevention, and support services for Latino and Vietnamese youth; Martha’s Kitchen; and shared housing, housing case-management, construction, and facilities management. CATHOLIC
CHARITIES NEW
RESOURCES: The DADS Marketing Team distributed nearly 600,000 modality cards last spring to HHS, DADS contractors, Valley Health Plan, Catholic Archdiocese of San Jose, and key Criminal Justice and Social Services Agency contacts. Modality cards describe each of the six different types of treatment and services DADS offers and are available in Spanish/English and Vietnamese/English editions for each type of card. If your office would like to receive these cards, call Flash Tarbell at 408-378-7402. ATTENTION: Internships for CAADAC certificates or other practicums are available at Horizon South, a provider of residential treatment and detoxification services for men. If interested, please fax a cover letter and r�sum� to Lee Bennett, Program Director, at 408-295-8544. Hold March 17 open for a Pathway Society fundraiser featuring Claudia Black. HOMELESS
PROGRAM SERVES THOSE MOST IN NEED A booming economy; specialized nutrition, medical, and mental health services; yet on any given day, about 1,500 homeless people are on the streets of San Jose and this number has been stable for the past five years. The Silicon Valley boom has made housing costs skyrocket ($1,400/month for a one-bedroom apartment in San Jose is common). Even renting has become out of reach for those on fixed incomes or in low-wage jobs, and few homeless have the skills to join the high-tech workforce. Joyce Huckaby is one exception to this rule. As featured in the Feb. 1, 1999, edition of Newsweek, Joyce is a single mother of three who lived in a shelter when she first came to the DADS Homeless Program. With the help of her counselor, Joe Alcala, she contacted the Shelter Plus Care program (a federally funded program for disabled homeless people) and was accepted into one of their subsidized housing units. This gave her a stable base for continuing her training in fixing high-tech equipment, and when she graduated from Heald Vocational School, she soon got a $30 thousand a year job. She is now off all public assistance and is saving money to buy a house. Not all client stories have such happy endings, but the Homeless Program’s counselors have developed personal relationships with many clients and are always available to get them into one of the many outpatient or residential programs in the Adult Managed-Care System. The staff gives weekly educational presentations about alcohol and other drugs at all the shelters and provides ongoing case-management support to clients who qualify for Shelter Plus Care or other publicly funded programs. For more information about Homeless Program services, please call 408-299-6507 and ask for Joe Alcala, Ken Dickens, Laverne Morrissey, or Steve Maggetti. COUNTY’S
HIV/AIDS PROGRAM OFFERS PREVENTION, EDUCATION, TREATMENT, AND TESTING Santa Clara County’s HIV/AIDS Prevention and Control Program (HAP) administers contracts for prevention/education and care/treatment services with various community agencies. Prevention/education offers outreach, HIVtesting information, and counseling in the county’s six public-health regions through the Community Public Health Specialist Team. The team does one-on-one consulting, holds workshops, and participates in health fairs and special events. Together with other agencies and regional public-health offices, they also provide testing information and referrals--using a mobile testing van, health fairs, and general outreach. Care/treatment contract services range from case management to outpatient primary care. Substance-abuse behaviors like needle-sharing, trading sex for drugs, and the inability to practice safe sex consistently put many DADS clients at risk for HIV infection. those clients should be encouraged to get tested. HIV+ clients can be offered more and better treatment now, which means a longer and more productive life. HAP conducts HIV testing at sites throughout the county, using their mobile testing van to serve hard-to-reach areas. Free anonymous and confidential testing is available at their drop-in clinic at 2400 Moorpark Avenue, Suite 316A, in San Jose. For information on testing, call 408-885-7000. To learn more about other HAP services, call 408-885-7700. Back
to the Top The National Institutes of Health, through the National Institute on Drug Abuse, has funded a five-year study comparing Santa Clara County’s Alcohol & Drug Adult Managed-Care Services to the treatment systems in San Bernardino and Sacramento counties. Project IMPACT will compare access to services, treatment outcomes, costs, and client satisfaction across the three counties. The study will explore the different approaches used by each county through County- and provider-staff interviews, questionnaires administered to randomly selected clients, drug testing of a smaller number of participants, and the review of treatment utilization records. Department of Alcohol & Drug Services’ (DADS) managed-care providers, with the exception of methadone, detoxification, and drug-court programs, can expect to see Project IMPACT field staff soon. Three hundred sixty clients will be recruited over a twelve-month period, beginning March 2000. These clients will be interviewed in person when first entering treatment, and reinterviewed by phone six and twelve months later. Selected treatment providers will be asked to participate in detailed interviews with their administrative, budget, and/or clinical personnel. Project IMPACT findings will contribute to a greater understanding of policy-decision outcomes as counties address the challenges to public substance-abuse treatment systems in the rapidly changing health-care arena. Martha Beattie, Ph.D., Research Evaluator for DADS and a Scientist with the Alcohol Research Group in Berkeley, is the Principal Investigator for Project IMPACT. Archives of Previous
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