1. COMS Client Outcome Measures Survey State of Maryland Alcohol and Drug Abuse Administration

2. Client Outcome Measures Survey Mandatory for ALL State Care Coordinators. COMS will be required data entry for all State Care Coordinators as a condition of award. “The grantee shall provide the ADAA with data as required by the Administration for all ADAA funded care coordination, recovery housing services, recovery community center services, and peer recovery support specialist activities.” 2

3. Client Outcome Measures Survey COMS reduce State reporting burdens and provide uniform, consistent reporting of information focusing on 10 domains:  Abstinence from drug use and alcohol abuse  Resilience and sustaining recovery, including:  Getting and keeping a job or enrolling and staying in school  Decreasing involvement with the criminal justice system  Finding safe and stable housing  Improving social connectedness to others in the community  Increased access to services  Retention in substance abuse treatment or decreased inpatient hospitalizations for mental health treatment  Quality of services provided  Client perception of care  Cost-effectiveness  Use of evidence-based treatment practices.

4. Client Outcome Measures Survey 4 Purpose of the COMS is to collect data that demonstrates the effectiveness of Care Coordination on specific measures of improved wellness and recovery status Beginning August 1, new clients enrolled into state care coordination are required to have an initial COMS completed at enrollment. Clients previously enrolled into State Care Coordination are required to receive the COMS at 6 month intervals. SMART will cue you on records that require a COM Survey. Clients enrolled in State Care Coordination for less than 6 months are only required to have the enrollment COMS.

5. Client Outcome Measures Survey Successful COMS completion tips: o COMS begins at initial enrollment of State Care Coordination o Incorporate COMS into your regular care coordination practices o Keep a good tracking record o Stay organized and know your priorities o Review client contact information at each meeting o Encourage OP treatment and transitioning into a lower level of care o Stay in touch o Communication is KEY o If you have Peer Recovery Support Specialists within your jurisdiction, know who they are and how their role can enhance care coordination.

6. SMART Recovery Plan The SMART Recovery Plan is NOT mandated by ADAA. The Recovery Plan is for you and your client’s focus on recovery. From the first point of contact, promoting and utilizing positive goals and objectives should be an upfront aspect of recovery. Recovery plans should address motivation for change.

7. SMART Recovery Plan The recovery plan is where information gathered is used to put recovery into practice. The recovery plan is a map designed to meet your client’s specific needs during their journey during abstinence from substance use. The plan’s focus is on where the client needs to be, and how they can best use available resources (personal, program- based, or criminal justice) to get there. At a minimum, the recovery plan serves as a basis of shared understanding between the client and care coordinator.

8. State Care Coordination Contact Information Leslie.woolford@maryland.gov 410-402-8673 http://adaa.dhmh.maryland.gov o State Care Coordination link