1. Behavioral Health – Primary Care Integration

2. Odyssey House Overview Established in 1971 Integrated System of Care Substance Use Disorder Treatment Psychiatric and Mental Health Treatment Primary Care Populations Teens Adults Mothers with Dependent Children Fathers with Dependent Children

3. Odyssey House Levels of Care Dual Diagnosis Enhanced Modified Therapeutic Communities spanning 14 facilities Residential (ASAM III.5, III.3, III.1) PHP (II.5) Intensive Outpatient (II.1) Standard Outpatient (I.0) Service Supported Housing (II.1, I.0) Correctional Setting Treatment (II.5, I.0) Medication Assisted Therapies Therapeutic Day Treatment for Children (II.5)

4. Odyssey House Scope of Service Behavioral Health Client Capacity Adult Residential: 116 Beds Parents with Children Residential 23 Adult Parents 35 Children Adolescent Residential: 52 Beds Outpatient: 300 Slots Service Supported Housing: 75 Beds Correctional Services: 162 Beds

5. Odyssey House Overview 2011 – Decided to add Primary Care Services To decrease ED use Give access to patients who do not normally have access to primary care Over-prescription of opiates Patient convenience National data showing decreased lifespan for chronically mentally ill due to chronic untreated primary care issues National data showing positive outcomes for integrating primary care with behavioral health

6. Odyssey House Clinic Development Clinic Startup: Contracted with Medical Director and PA Consulted with Intermountain Healthcare Consulted with AUCH Visited and consulted with local clinics – Midtown, Meliheh, 4 th Street, Marillac Clinic (Co) Remodel space Panel with commercial insurance and Medicaid ACOs Substantial gift from the Martindale family

7. Odyssey House Martindale Clinic Goals To provide a medical home for the behavioral health population Provide evidence based integrated care that improves patient outcomes Reduction in incidents of chronic diseases (diabetes, etc.) Reduction in relapse Reduction in recidivism Reduction in lengths of stay Reduction in mental illness symptoms Reduction in psycho-somatic symptoms

8. Odyssey House Martindale Clinic Patient Overview Present with significant deferred medical conditions Chronic diseases as a result of their behavioral health condition (diabetes, heart problems, etc.) Have minimal history accessing medical care Typically use the ED as their primary care provider Have limited or no access to medications to treat medical or behavioral conditions

9. Odyssey House Martindale Clinic Clinical Overview New patient physicals Acute care – Sprains, Infections, etc. Chronic Care – High blood pressure, High Cholesterol, Diabetes, etc. Psychiatric Evaluation and Medication Management Referral to behavioral health programming Wellness – Smoking Cessation, Physical Activity Education on appropriate accessing medical care

10. Odyssey House Martindale Clinic Integration Addresses physical, mental health, and substance abuse needs across the organization A truly multi-disciplinary treatment team that is able to provide universal holistic care: Medical informs behavioral health treatment teams Behavioral health treatment teams inform medical team

11. Odyssey House Martindale Clinic Outcomes Chronic disease management and prevention Reduction in length of stay in higher levels of care Increased use of medications To treat mental health conditions Medication Assisted Therapies for SUD Medical conditions High patient satisfaction

12. Contact Information Adam Cohen, CEO Odyssey House 801-428-3449 acohen@odysseyhouse.org