1. All-member discussion: Developing an SUD continuum of care for youth Paula Wilhelm, Senior Policy Analyst October 12, 2017

2. Agenda
Overview and discussion: DHCS’s Youth Advisory Group & Draft Needs Assessment
Save-the-date: Adolescent Early Intervention & Treatment Summit
Harbage Consulting Presentation: California’s Public SUD System for Youth
County questions, perspectives & discussion

3. Quick Stats
Past year dependence or abuse of illicit drugs or alcohol (CA):
12-17 year-olds: 4.06 percent (drugs), 2.75 percent (alcohol)
18-25 year-olds: 7.52 percent (drugs), percent (alcohol)
26 and older: 1.70 percent (drugs), 5.98 percent (alcohol)
12 and up: 2.74 (drugs), 6.65 (alcohol)
Needing but not receiving treatment (CA):
12-17 year-olds: 3.85 percent (drugs), 2.73 percent (alcohol)
18-25 year-olds: 6.79 percent (drugs), percent (alcohol)
26 and older: 1.51 percent (drugs), 5.64 percent (alcohol)
12 and up: 2.47 percent (drugs), 6.35%
CA numbers largely comparable to national averages
SOURCE: National Survey on Drug Use and Health,

4. DHCS’s Youth Advisory Group (YAG)
Purpose: collaborate with DHCS to develop and implement an SUD system of care for youth
Revised Youth Services Policy Manual (YSPM) to be released by end of 2017
Three workgroups:
Workforce
Access to care
Standardized assessments
Youth Needs Assessment - data report developed to help identify challenges
Next meeting: January 11, 2018
See:

5. DHCS Needs Assessment: The Data
Data from CalOMS Tx, fiscal years and
Self-report from treatment programs receiving either SAPT block grant or Medi-Cal funds – includes data on all clients to (not limited to Medi-Cal)
Does not address prevention, early intervention, recovery
Numbers are unique clients
Some ability to stratify by geography, race/ethnicity, economic status
unable to reliably depict other variables of interest, e.g. homelessness, foster youth, undocumented, LGBTQI
Some differences in available data points for adolescents ages and TAY ages 18-24
Number of programs/providers reporting not specified

6. DHCS Needs Assessment: Select Findings
Youth ages 17 & under
TAY ages 18-24
Numbers admitted to Tx:
15,000 ( ) 12,000 ( )
10-11% under eleven years old
>60% report first use at yrs. old
Primary drug at admission:
Marijuana/hash: 77-78%
Alcohol: 13-15%
Methamphetamine: 6%
All others, including heroin: <1%
Numbers admitted to Tx:
20,000 ( ) 22,000 ( )
Primary drug at admission:
Heroin: 29%
Methamphetamine: 29%
Marijuana/hash: 21%
Alcohol: 12%
Source: California Department of Health Care Services, “DRAFT Youth Substance Use Disorder Treatment Services Needs Assessment,” July 2017, as distributed to DHCS Youth Advisory Group.

7. DHCS Needs Assessment: Select Findings
Youth ages 17 & under
TAY ages 18-24
Primary referral sources* FY 14-15:
Criminal justice: 30%
Schools: 27%
Individual: 23%*
Residential programs FY 14-15:
7% of total treated (900/12,120)
Length of stay: 15% <7 days; 38% for 8-30 days; 18% for 120 or more
193 beds; 21 programs; 11 counties
Primary referral sources* FY 14-15:
Individual: 49%
Criminal justice: 18%
Other/community: 12%*
Residential programs FY 14-15:
35% of total treated (7600/22,000)
Length of stay: 40% for <7 days; 23% for 8-30 days; 8% for 120 or more
*No ability to cross-reference with CalOMS Prevention database
Source: California Department of Health Care Services, “DRAFT Youth Substance Use Disorder Treatment Services Needs Assessment,” July 2017, as distributed to DHCS Youth Advisory Group.

8. County perspectives and discussion

9. Audience: county teams of five
BH leadership, plus leaders of partner agencies (e.g., education, criminal justice, health plan)
Sample sessions:
CSAM’s BluePrint for Adolescent Treatment - Tim Cermak, CSAM
Adolescent Development & Substance Use – Paula Riggs, University of Colorado
Cannabis Legalization and Adolescents – Beau Kilmer, Rand Corporation
Registration deadline: Tuesday, October 31
Currently open only to county teams; remaining seats available to the general public on Friday, October 27
Contact: Paige D’Angelo,

10. Contact Information:
Paula Wilhelm