HIGH POINT TREATMENT CENTER High Point Treatment Center’s (H.P.T.C.) mission is to prevent and treat chemical dependency and provide therapeutic services for mental health issues. Our goal is to help an individual achieve personal change and accept responsibility toward an improved quality of life. H.P.T.C. will be accomplishing its mission when it is: 1

OUR VISION offering a full continuum of care for addictive disorders which would successfully transition the patient back into the community; a leader in the prevention and education for chemical dependency and related issues; a major community resource; AND, once it is recognized for: the conscientious utilization of community resources; being culturally and ethnically diversified; improving its quality of services offered through outcome studies and research; providing an atmosphere which encourages professional growth and recognizes the individual as possessing their own unique skills. 2

IN THE BEGINNING (Plymouth Campus) 3 A Small SUDs Detox (10 Beds) A Large SUDs Rehab (50 Beds)

Today (Plymouth Campus) 4 Inpatient Psychiatric Unit (16 Beds) Dual-Diagnosis Detox Unit (24 Beds) SUDs Rehab Unit (16 Beds) SUDs Detox Unit (30 Beds) Outpatient Services Dual-Diagnosis Rehab Unit (16 Beds)

Why the changes in bed configuration? As substance abuse services moved from block grant funding to 3 rd party insurance funding; insurance companies became the primary payer and began managing the care of clients significantly reducing access and length of stay for SUDs Rehab Services. It became necessary to greatly expand SUDs Detox Services to support the SUDs Rehab Services. 5

Why a Dual Diagnosis Unit and a Inpatient Psychiatric Unit? Insurance Companies began purchasing free- standing specialized Dual Diagnosis Unit instead of Hospital Based Programs to reduce costs and to serve clients in a less restrictive level of care. With the addition of the Dual Diagnosis Unit adding an Inpatient Psychiatric Unit allowed us to better meet the needs of our clients and brought additional value to our continuum of care. 6

HISTORY OF OUR OUTPATIENT SERVICES Began with a small SUDs clinic on our Plymouth Campus. Today we operate six Outpatient Clinics located in multiple communities in our region. – Why? – To build a stronger continuum of care. – To bring more value to our Payer Relationships. – To improve client treatment outcomes. 7

Services offered by Outpatient The clinic’s are now licensed for both Substance Use Disorders & Mental Health Disorders. SUD’s Day Treatment Intensive Outpatient Treatment Individual & Group SUDs & Mental Health Counseling Psychiatry 8

More Services Offered by Outpatient First Offender Drunk Driving Programs Second Offender Drunk Driving Programs Suboxone Treatment Vivirtol Treatment Certified Batterers Programs Family Counseling Adolescent Counseling Criminal Justice Services 9

New Initiatives in Outpatient Services Recently moved one clinic into downtown campus of a Federally Qualified Community Health Center In our newest clinic built exam rooms and nurses station for primary services. Have applied in conjunction with a Federally Qualified Community Health Center to open a joint clinic in one of our Cities Housing Projects. 10

Other new Initiatives in Outpatient Services Community Support Services – Designed to assist clients in their transition from Inpatient Services to Community Based Services to achieve their recovery goals including: Assist clients in aftercare attendance Assist clients in engaging in Primary Care Services Assist clients in initiation in self-help groups Assist clients in arranging other services as needed 11

Residential Services Men’s & Women’s Licensed Half-Way Houses Supportive Housing (housing with intensive case management) Graduate Housing (housing with minimum case management) Housing First Program for the Chronically Homeless HUD Funded Permanent Housing 12

Current Staffing Challenges – Need for more licensed staff to be eligible for some insurance reimbursement (with a shortage of available candidates) – More staff time used doing utilization review instead of providing direct care – Increased documentation required by payers – Aging workforce with decreasing graduates entering the field 13

More Challenges Shorter length of stays in 24 hour care programs causing staff burn-out and the need for a higher number of admissions to support the programs The need to collect more data for outcome measures and continuous quality improvement 14

Financial Challenges Funding for Electronic Medical Records Collection of Co-Pays and Deductibles Inadequate Reimbursement Contacting and billing complexities due to large amount of payers Clients losing benefits while in treatment Still a significant number of uninsured clients seeking services 15

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