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Agenda

Learn about the Federal Substance Abuse Block Grant requirement for Independent Peer Review, the importance of Young Adults in treatment programs, and the process of Self-Study, Chart Review, and Peer Reviews. Also, explore NIATx change projects and optional tools. Questions and next steps will be discussed.

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Agenda

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Presentation Transcript

  1. Agenda • Overview of the Peer Review project – 5 min • What we know about Young Adults – 5 min • Self-study and Chart Review– 7 min • Peer Reviews and Group Discussion – 3 min • NIATx change projects and optional tools (Walk-through as YA, Nominal Group Technique for staff discussion) – 5 min • Questions and next steps – 5 min

  2. Overview • Independent Peer Review is a requirement of the Federal Substance Abuse Block Grant • 5% sample every year • Efficacy, Appropriateness, Quality of Service • Independent of licensing or evaluation by state • Expertise – match by modality • NIATx principles used since 2006 – walk-throughs, process mapping, sociograms, NGT • Data gathering through Chart Review and Self-Study • Mutual Reviews on 5/16 will use all the material in written and in person format – conversation is key

  3. Calendar • Now! Kickoff Call • February 12 - April 15, 2014: Chart Review visits and Self-studies • April 15 - May 16: sift through material, prepare to do Reviews • May 16, 2014, 10 am - 2 pm: in-person Reviews, Group Discussion

  4. Young Adults • Young Adults are a growing part of the population served by BSAS-funded treatment programs: over 20% of clients • Starting younger (90% <18 yo, 50% <15 yo; 14 avg age 1st alcohol) • 77% report at least 1 prior tx admission • Unique developmental stage apart from Adolescence • Higher sexuality, prescription drug, opiate usage (52% report prior needle use, almost double since 2004) • Educational and vocational support needs • Housing and homeless issues • Co-occurring MH conditions (underreported/underdiagnosed) • Higher media usage • More programming needed to avoid boredom • DYS (21%) other CJ, DMH, DCF (2.6%) Read further in the 2011 BSAS report

  5. Self-Study • Answer based on your understanding of your staff’s experience (except for the staff discussion at end) • Flex to meet your needs and fit your program • Options: • Consider Nominal Group Technique for generating ideas and ensuring participation in staff discussion • Consider imagining each step in engagement and treatment as if you were 18-25. • Staff Discussion – What do we do well? What could we do better? What change would we like to try? • Submit via unique Survey Monkey links; PDF will be sent to you partner

  6. Chart Review • Confidentiality • Agency-specific forms as required • BSAS Peer Review Confidentiality form • Send a copy to Deborah Strod at DMA Health • Review the questions first so you have them in mind as you read through the chart • Consider the format, and what each chart shows about the care given

  7. Peer Reviews and Group Discussion May 16th • Peer reviewer will discuss with the reviewee • Self-study documentation including process map • Chart Review results • Complete Reviewer Feedback form on reviewed program • After about an hour roles will switch, and the reviewer becomes the reviewee for the second hour • Lunch will follow the reviews • Group Discussion about the review: Common issues? Common strengths? What surprised you? What did you learn? • An aggregated report summarizing the strengths and opportunities, without identifiers, will be prepared for the Block Grant Application, and shared with participants who request it

  8. NIATx Change Projects • Gather a team • Pick something that matters • Select a small change, with measurable effects • Collect baseline data • Try it out! Briefly • Look at your data • If it worked, spread it further; if it didn’t, either modify or just go back to what you were doing. For more info see www.niatx.net

  9. Optional NIATx Tools • Walk-through – Experience your program through the eyes, ears, smells, touches, tastes, and social experiences of your clients • Nominal Group Technique – Ensure participation and idea generation

  10. Next Steps • Contact your partner to schedule the Chart Review visits • Your review of their charts • Their review of your charts • Begin your own Self-Study • Join the online group if you have not already! • Add "info@careersofsubstance.org" to your address book so emails from the online group don't get filtered as spam.

  11. Questions? If you have questions, contact Deborah Strod DMA Health Strategies 339-970-0302 deborahs@dmahealth.com Michael A. Ellis Bureau of Substance Abuse Services 617-624-5097 Michael.Ellis@state.ma.us

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