Intensive Treatment and Recovery Services
History and Background
Addiction is a chronic, relapsing condition requiring life long management. As with other chronic diseases such as diabetes, hypertension and asthma the journey to stabilization and management includes treatment for acute symptoms, on-going self and peer care during periods of stability and extra support during times of exacerbation.
Treatment for parents of children removed from the home due to parental substance use disorders plays a critical role in when the child can safely return to their home. However, since 2000 the unmet treatment needs for this population increased from 30 to 50 percent.
As a response to this need the 2007 legislature appropriated resources to support Children, Adults and Families (CAF) and the Addiction and Mental Health Division in the journey to create a system of collaboration with an emphasis on hope and rebuilding.
The Intensive Treatment and Recovery Services initiative has and continues to change our current system for child welfare parents and is helping to create a recovery oriented system of care.
A recovery oriented system of care is based on:
- Healing and rebuilding
- Holistic approach
- Evidence based practice such as the Safer Model (Screening and Assessment for Family Engagement in Recovery) and Motivational Interviewing
- Recovery support services (peer delivered services, recovery mentors, recovery coaches, housing, jobs and transportation supports)
- Client centered wraparound services ( collaboration with early childhood partners, community housing advocates)
AMH issued a request for plan amendment to each county and participating tribes emphasizing a recovery oriented system of care for the following services:
- Intensive Outpatient treatment (IOP): A formula, created jointly by CAF and AMH was developed for allocation of funds specific to intensive outpatient treatment for all non Oregon Health Plan parents assessed by substance use disorder treatment providers as needing treatment services.
- $7.9 million is allocated for OP services to serve 2251 CAF parents statewide.
- Residential treatment: AMH convened residential treatment providers and developed a resource allocation strategy. An additional 34 adult placements and 24 dependent placements were shared among twelve residential providers.
- Contracts were developed, signed and funds were disbursed.
The specifics of the program have been jointly created and implemented by CAF and AMH. These include a standardized substance use disorders referral form used by all CAF field staff. The form emphasizes client strengths, problem indicators and potential barriers to treatment. AMH and CAF staff visited all 36 Oregon counties meeting with County Mental Health Program representatives, treatment providers, early childhood partners and child welfare and self-sufficiency representatives to assist in the implementation of these new and innovative services. Staff continues to provide technical assistance as requested by partners.
Data and Reports
Stories of Recovery
For additional information, contact:
April Johnson, Intensive Treatment and Recovery Services Coordinator