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31 August 2015

Service Gap Filled for Individuals with Co-Occurring Substance Use and Behavioral Health Disorders

Written by

Care Plus NJ

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The “Partnership in Recovery” is awarded SAMHSA grant to integrate primary health care into substance abuse services.

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On August 13th the “Partnership in Recovery” (Partnership) established by Care Plus NJ, Inc. (Care Plus NJ) and Turning Point, Inc. (Turning Point) was awarded the Primary and Behavioral Health Care Integration (PBHCI) grant from the Substance Abuse and Behavioral Health Services Administration (SAMHSA) for the purpose of establishing primary care coordination for individuals with serious mental illness and co-occurring substance use disorder.

Care Plus NJ was a grantee for the PBHCI program when SAMHSA first offered the competitive opportunity in 2009, which has led to Care Plus NJ recently being designated as the first Behavioral Health Home in New Jersey. Through this experience, the organization has gained insight and established strong connections with local primary care providers, specialty practices, and community partners.

“We saw great success with our first PBHCI grant program,” remarked Joe Masciandaro, CEO at Care Plus NJ. “As we established this Partnership, we knew that we wanted to head in this direction to benefit Turning Point clients through the integration of primary care into their treatment.”

When applying for PBHCI the second time around, Care Plus NJ proposed a new project at a different location, which would expand the reach of care coordination to those who struggle with substance abuse, and strengthen the Partnership with Turning Point. The project is scheduled to begin on September 30th, 2015.

The Partnership, officially launched in March of 2015, consists of a compilation of “Turning Point at Care Plus NJ” programs created to serve adolescents and adults who face issues involving substance use and Behavioral Health. The Partnership allows for both organizations to benefit from complementary expertise.

“Many of our clients experience a dangerous gap in services, especially when it comes to physical health needs,” stated Chris Barton, Acting CEO at Turning Point. “We are excited because this project is an expansion on our already solidified partnership with Care Plus NJ.”

The goal of the grant-funded program is to better serve adults with co-occurring Behavioral Health and substance use disorders, typically those who use heroin or other opiates. These same individuals often abuse alcohol and use tobacco regularly, which can exacerbate physical health problems.

A majority of these individuals have little or no income and face a number of obstacles when seeking care. Some of the issues include transportation, insurance coverage, stigma, and navigating the health care system. These challenges, and lack of primary care treatment, often result in a delayed or absent diagnosis, costly hospitalization, and premature mortality.

“The ability to receive primary health care in an integrated setting will be a great resource for Turning Point clients,” Barton added. “Providing this care coordination is bound to reduce frustrations and increase positive outcomes for these individuals.”

To fill this gap in service, the Partnership will work to establish coordinated primary and specialty care services on-site at Turning Point, with a treatment team that will act as a “health home” that also provides linkage to wraparound services. The treatment team will model the “Health Management Solutions” team established at Care Plus NJ, which is working to expand the reach of Behavioral Health Home services so that more individuals can benefit from primary and behavioral care coordination.

“The implementation of the Health Management Solutions team at Care Plus NJ is an important project,” Masciandaro explained. “We are optimistic that our efforts will result in improved health and an enhanced experience of care for those that we serve. We are also confident that this model will help to reduce the overall cost of treatment and services for our clients.”

Turning Point headquarters is currently located at the former Barnert Hospital, in which many offices are occupied by specialty practices. The vision is to establish relationships with these organizations so that clients will have access to these services “on-site”.

Individuals will engage in the coordinated care through the Sub-Acute Detoxification and Short Term Residential Treatment Programs at Turning Point, which will act as a gateway into the outpatient continuum of care. Until the space at Turning Point is licensed, the existing clinic at Care Plus NJ in Paramus will be used for primary care.

The grant is projected to be a four-year process, during which $400,000 will be awarded per year. Continuation of the funding will be dependent on availability and satisfactory progress.

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Belief

Belief refers to the confidence, faith, and conviction that individuals have in their ability to overcome addiction, make positive changes in their lives, and maintain long-term recovery. In substance use recovery learning self efficacy (self-belief), challenging negative beliefs, creating a positive mindset, and investing in new values gained from addressing one’s substance use disorder and Behavioral Health issues – improves oneself, relationships, and the future.

Every patient at Care Plus NJ has access to Behavioral Health professionals, including psychiatrists, and psychologists. In addition, each is assigned a case manager, drug and alcohol counselor, and peer recovery specialist who play a pivotal role in the treatment process.

As a Behavioral Health professional, they guide education, group therapy and support groups and other Behavioral Health services as indicated based on each persons needs.

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Motivation refers to the internal drive, desire, and commitment of an individual to initiate and sustain positive changes in their behavior, lifestyle, and overall well-being. It is a crucial factor in the C.L.I.M.B. recovery process, as overcoming addiction often requires significant effort, perseverance, and a genuine commitment to change.

Motivated individuals in recovery set clear and realistic goals for themselves. Utilizing the stages of change model, Care Plus NJ walks patients through various stages of a substance use disorder, including precontemplation, contemplation, preparation, action, maintenance, and relapse prevention. Understanding these stages helps individuals navigate their unique recovery journey.

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Insight involves exploring the underlying issues that may contribute to drug abuse, such as past severe psychological distresss, Behavioral Health issues, or unresolved emotional challenges. Addressing these root causes is essential for long-term recovery.

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Love plays a significant and multifaceted role in the process of recovery from drug and substance abuse. Having a network of supportive and understanding family members, friends, or partners is immensely valuable during the recovery journey. Community, fellowship and support groups emphasize the importance of connection with others who understand the challenges of addiction. Repairing relationships damaged by substance use often involves acts of love, forgiveness, and rebuilding trust.

In essence, love in the context of substance use recovery encompasses self-love, support from others, understanding, accountability, community, rebuilding relationships, and a renewed appreciation for life.

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