1. ADVANCED BEHAVIORAL HEALTH, INC. The Hartford Youth Project Samuel Moy, Ph.D. Robyn Anderson, LPC, LADC

2. ADVANCED BEHAVIORAL HEALTH, INC. Hartford Youth Project: Using technology to integrate assessment and clinical data in treatment selection and planning

3. 3 Hartford Youth Project: Background and Purpose l A CSAT SCY site through the Department of Children and Families l To strengthen community based substance abuse treatment for Hartford youth l Develop a multi-agency, comprehensive system of care

4. 4 Hartford Youth Project: Objectives l Develop a comprehensive and coordinated network of services l Reduce substance use behavior and related problems of youth served l Expand implementation of evidence based treatment models l Provide a continuum of treatment services l Increase treatment capacity l Increase family involvement l Improve community linkages for referrals and support services l Implement a management information system to facilitate attainment of program goals

5. Hartford Youth Project Outreach, Identification, Engagement, Referral - Urban League of Greater Hartford Outreach, Identification, Engagement, Referral - Hispanic Health Council Program Management ABH Juvenile Justice Probation, Committed Delinquents DCF Referrals Committed Youth, Voluntary and Behavioral Health Systems ADRC HBH The Village CSI Hartford Schools, Community Agencies, Primary Care Clinics, and Homeless Youth NAFI Follow-up Hispanic Health Council Follow-up Urban League of Greater Hartford

6. 6 ABH Role in HYP l Provide program management and oversight of the HYP system of care. l Develop and support a management information system to successfully implement HYP. » Facilitate collaboration and communication within the provider network. » Improve assessment and treatment planning » Support continued program analysis » Inform change recommendations for systems of care » Electronic client record » Monitor client outcomes

7. 7 HYP MIS System Features: Quick Facts 1.Custom built, user friendly program 2.VPN and Citrix Connection, accessed via the web 3.Robust security system allows only those who have permission to view or enter data 4.HIPAA compliant 5.Access to GAIN reports 6.Used as an electronic case record for assessment, care, and follow-up 7.Additional Data Collection instruments can be added 8.Very flexible and customizable

8. 8 Users of the MIS l Engagement Specialists l Community Treatment Providers l DCF HYP Program Director l ABH HYP Program Manager l UConn Research Team l ABH MIS Project Staff HYP MIS provides multi-site access and data entry for the following users:

9. 9 ABS Management Information System Client Specific data GAIN Data - Baseline GAIN Data – Follow Up ROI & Consent Data Treatment Service Tracking Data GPRA Outcome Reporting data Reports and Extracts GPRA Reports CSAT Grant - Improving Adolescent Treatment Provider and agency accessibility and interaction

10. 10 8 Modules

11. 11 Module 1 – HYP Clients Comprehensive Client Management System

12. 12 Module 1 – HYP Clients (cont.) Consent/Release of Information/GAIN data

13. 13 Module 1 – HYP Clients (cont.)

14. 14 Module 1 – HYP Clients (cont.)

15. 15 Module 1 – HYP Clients (cont.)

16. 16 Using the GAIN data

17. 17 How GAIN Clinical Data is Utilized l HYP Youth are Matched to Treatment based on the Clinical Profile and the data generated from various GAIN Scales.

18. 18 Clinical Profile Data used for Treatment Matching l Severity of Alcohol and Drug Usage l Environmental Risk Factors l Psychiatric History l Sex Offenders History l Responses to General Victimization Scale l General Conflict Tactic Index Score l Recency of Mental Distress l Internal Mental Distress

19. 19 Evidenced based Treatment Models Utilized: l MST l MDFT l MET/CBT l Family Support Network

20. 20 Lessons learned l Technology can be a major resource for systems of care »Consistent, reliable data collection is a critical need »Electronic case records can be implemented in a multi-agency structure that facilitates assessment, treatment planning, outcomes, communication, and coordination of care l Treatment and outcomes for youth and families and stakeholder involvement should drive technology (not vice versa)

21. 21 Future developments l Expansion of electronic case record and/or GAIN assessment in new projects including: »Multi-site adolescent substance abuse programs »Multi-site juvenile justice and behavioral care management and coordination programs