1. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Substance Use Disorders Integral Care Community Forum June 17, 2014

2. Agenda Welcome Background Short-Term Plan to Address Substance Use Disorders Long-Term Plan to Address Substance Use Disorders Discussion

3. Substance Use Disorders Task Force Formed December 2013 Members included leadership from: Austin Travis County Integral Care Austin/Travis County Health and Human Services Department Downtown Austin Community Court Travis County Health and Human Services & Veterans Service Department Travis County Criminal Justice Planning Department Central Health

4. Task Force Goals Identify critical gaps in services for substance use disorder Develop recommendations for local public sector investment in substance use services for fiscal year 2014-15 Lay the foundation to develop a long-term community plan to address substance use disorders

5. Process Task Force met four times Adopted guiding principles Reviewed data Conducted a preliminary gap analysis Discussed best practices Developed short-term recommendations

6. Guiding Philosophy “Recovery from substance use disorders is a process of change through which individuals improve their health and wellness, live a self- directed life, and strive to reach their full potential.”

7. Task Force Decision-Making Criteria Build on existing successful programming and infrastructure components Address populations that have a demonstrated need for additional substance use services Build on existing public entity investments Divert individuals from more expensive services Leverage other community efforts Incorporate best practices, including recovery- oriented supports

8. Task Force Accomplishments Partnered with Dell Children’s Hospital research team to produce a substance use disorders inventory Adapted the mental health continuum to include substance use, creating a behavioral health continuum Developed short-term recommendations

9. Scope of the Substance Use Disorder Challenge in Travis County Estimated that 74,357 (8.9%) of adults in Travis County are alcohol or drug dependent and in need of treatment (SAMHSA) Travis County has a binge drinking rate (20.7%) significantly higher than the state (15.2%) (CHA) In 2012, Austin/Travis County EMS spent 2,717 hours transporting individuals primarily due to alcohol or drug abuse, resulting in ambulance charges of approximately $2.4 million SAMHSA estimates that only 11% of those that seek treatment are able to access treatment

10. Texas Substance Use Trends Alcohol still the most abused substance Increases in heroin use in adults and youth Increases in prescription drug abuse in adults and youth

11. Key Service Gaps in Travis County Treatment for women with children/families Treatment for individuals with co-occurring mental illness Detox facilities, especially for adolescents, for whom there are currently no facilities Inpatient treatment for adolescent girls Recovery support that is affordable or free for low- income populations Stable, affordable housing options Culturally competent services and providers

12. Those Most Impacted by Lack of Services in Travis County Women with children Homeless individuals Individuals with severe mental illness Veterans Youth

13. Short-Term Recommendations 1. Increase investment in treatment and recovery supports for: Women and their children engaged in Travis County Family Drug Treatment Court Women with children Homeless individuals involved with Downtown Austin Community Court with complex treatment and recovery needs 2. Increase the number of credentialed providers and create flexibility for recovery supports in the Managed Services Organization (MSO) 3. Create a long-term strategic plan for substance use disorder

14. Long-Term Plan Develop plan by March 2015 Leadership Team & Operations Team being formed Increase focus on prevention and intervention Increase input from consumers

15. Ideal Components of a Behavioral Health Continuum of Care in Travis County

17. Discussion and Questions

18. Questions What is working well in our community to address substance use disorders? What are the key gaps? What do you think is needed to improve access to services and/or functionality of the system for substance use disorders? Who needs to be engaged in the process?