State of California Department of Alcohol and Drug Programs Continuum of Services System Re-Engineering Taskforce Phase II Planning Meeting December 6, 2006 Michael Cunningham Deputy Director, Program Services Division

State of California Department of Alcohol and Drug Programs AOD Services Re-Engineering

State of California Department of Alcohol and Drug Programs A comprehensive and integrated continuum of alcohol and other drug services. The services are effective, high quality, client and community centered, sustainable and culturally competent. They have the capacity and resources to facilitate holistic health and promote wellness. Destination

State of California Department of Alcohol and Drug Programs AOD Services Re-Engineering Gaps & Needs Principles Recommendations Who, What, When, Where & How Communication Plan Logic Model Goals, Objectives, Outcomes

State of California Department of Alcohol and Drug Programs System Improvement Model * Adapted from the Chronic Care Model, Improving Chronic Illness Care Program Alcohol & Other Drug Risk, Abuse & Dependency

State of California Department of Alcohol and Drug Programs System Improvement Model for the Continuum of Services COMMUNITY -Resources & Policy - Community Partnerships AOD SYSTEM - Service System Design - Leadership/ Administrative Support PRINCIPLES - Client/community centered - Evidence based - Comprehensive, integrated, efficient & effective Prevention and Recovery Support Workforce Development IMPROVED OUTCOMES FOR CLIENTS AND COMMUNITIES

State of California Department of Alcohol and Drug Programs Overarching Goal of Continuum of Services System Re-Engineering Through the use of the System Improvement Model (SIM), develop and implement a comprehensive and integrated continuum of services (COS) system that delivers high quality and effective alcohol and other drug (AOD) services.

State of California Department of Alcohol and Drug Programs Desired Outcome Ensure that individuals and communities receive high quality, effective, and efficient services along a service continuum that addresses the potential risk, and the acute and chronic nature of alcohol and other drug problems.

State of California Department of Alcohol and Drug Programs Continuum of Services System Re-Engineering Goals Develop a comprehensive, integrated, effective, and efficient AOD services system Develop an organizational culture and infrastructure, including information systems that promote comprehensive, integrated, effective, and efficient AOD services Develop and implement policies and resources that support system- wide effective outcomes Insure linkages between AOD and other community systems and partners to promote effective outcomes for communities and individuals Empower and prepare individuals and communities to prevent, reduce, or manage their AOD risks and recovery Ensure that the AOD workforce is prepared to deliver effective services to support the prevention, treatment, and recovery needs of communities and individuals

State of California Department of Alcohol and Drug Programs Theory of Change Theory of Change Articulates the Logic at the Big Picture Level

State of California Department of Alcohol and Drug Programs Logic at the Big Picture Level What Action With what people (Target Population) In what setting or context Using what strategies Results in what long range outcomes

State of California Department of Alcohol and Drug Programs What Action Re-engineering the System from an acute to chronic condition model

State of California Department of Alcohol and Drug Programs With What People (Target Population) With ADP, Counties, AOD providers and Other Stakeholders, including those in recovery and family members

State of California Department of Alcohol and Drug Programs In What Setting or Context In incremental but meaningful ways with leadership and support for an organizational culture and infrastructure, including information systems to assist a data-driven effective and efficient service system

State of California Department of Alcohol and Drug Programs Using What Strategies Developing a system of services design that is comprehensive, integrated, effective and efficient Developing, recruiting and retaining a prepared workforce Removing funding barriers, developing resources and establishing policies for system and between systems Developing and maintaining a diverse set of community partnerships to ensure critical linkages

State of California Department of Alcohol and Drug Programs Results in What Long Range Outcomes Empowered and prepared individuals, families and communities as active partners to prevent, reduce and manage AOD risks & recovery Individuals and communities routinely receive high quality, effective and efficient services along a service continuum that addresses the potential risk, acute and chronic nature of alcohol and other drug problems

State of California Department of Alcohol and Drug Programs COSSR Phase II Subcommittees System of Services DesignSystem of Services Design Leadership & Administrative SupportLeadership & Administrative Support Resources and PolicyResources and Policy Community PartnershipsCommunity Partnerships Prevention and Recovery SupportPrevention and Recovery Support Workforce DevelopmentWorkforce Development