1. Block Grant Independent Peer Review 2014 Project Overview and Introduction to Young Adults February 12, 2014

2. Page 2 Peer Review 2014 Agenda Overview of the Peer Review project – 5 min What we know about Young Adults – 5 min Self-study and Chart Review– 7 min Peer Reviews and Group Discussion – 3 min NIATx change projects and optional tools (Walk-through as YA, Nominal Group Technique for staff discussion) – 5 min Questions and next steps – 5 min

3. Overview Independent Peer Review is a requirement of the Federal Substance Abuse Block Grant 5% sample every year Efficacy, Appropriateness, Quality of Service Independent of licensing or evaluation by state Expertise – match by modality NIATx principles used since 2006 – walk-throughs, process mapping, sociograms, NGT Data gathering through Chart Review and Self-Study Mutual Reviews on 5/16 will use all the material in written and in person format – conversation is key Page 3 Peer Review 2014

4. Calendar Now! Kickoff Call February 12 - April 15, 2014: Chart Review visits and Self-studies April 15 - May 16: sift through material, prepare to do Reviews May 16, 2014, 10 am - 2 pm: in-person Reviews, Group Discussion Page 4 Peer Review 2014

5. Young Adults Young Adults are a growing part of the population served by BSAS-funded treatment programs: over 20% of clients Starting younger (90% <18 yo, 50% <15 yo; 14 avg age 1 st alcohol) 77% report at least 1 prior tx admission Unique developmental stage apart from Adolescence Higher sexuality, prescription drug, opiate usage (52% report prior needle use, almost double since 2004) Educational and vocational support needs Housing and homeless issues Co-occurring MH conditions (underreported/underdiagnosed) Higher media usage More programming needed to avoid boredom DYS (21%) other CJ, DMH, DCF (2.6%) Read further in the 2011 BSAS report Page 5 Peer Review 2014

6. Self-Study Answer based on your understanding of your staff’s experience (except for the staff discussion at end) Flex to meet your needs and fit your program Options: –Consider Nominal Group Technique for generating ideas and ensuring participation in staff discussion –Consider imagining each step in engagement and treatment as if you were 18-25. Staff Discussion – What do we do well? What could we do better? What change would we like to try? Submit via unique Survey Monkey links; PDF will be sent to you partner Page 6 Peer Review 2014

7. Chart Review Confidentiality –Agency-specific forms as required –BSAS Peer Review Confidentiality form »Send a copy to Deborah Strod at DMA Health Review the questions first so you have them in mind as you read through the chart Consider the format, and what each chart shows about the care given Page 7 Peer Review 2014

8. Peer Reviews and Group Discussion May 16th Peer reviewer will discuss with the reviewee –Self-study documentation including process map –Chart Review results –Complete Reviewer Feedback form on reviewed program After about an hour roles will switch, and the reviewer becomes the reviewee for the second hour Lunch will follow the reviews Group Discussion about the review: Common issues? Common strengths? What surprised you? What did you learn? An aggregated report summarizing the strengths and opportunities, without identifiers, will be prepared for the Block Grant Application, and shared with participants who request it Page 8 Peer Review 2014

9. Page 9 Peer Review 2014 NIATx Change Projects 1.Gather a team 2.Pick something that matters 3.Select a small change, with measurable effects 4.Collect baseline data 5.Try it out! Briefly 6.Look at your data 7.If it worked, spread it further; if it didn’t, either modify or just go back to what you were doing. For more info see www.niatx.net

10. Optional NIATx Tools Walk-through – Experience your program through the eyes, ears, smells, touches, tastes, and social experiences of your clients Nominal Group Technique – Ensure participation and idea generation Page 10 Peer Review 2014

11. Next Steps Contact your partner to schedule the Chart Review visits –Your review of their charts –Their review of your charts Begin your own Self-Study Join the online group if you have not already! Add "info@careersofsubstance.org" to your address book so emails from the online group don't get filtered as spam. Page 11 Peer Review 2014

12. Page 12 Peer Review 2014 Questions? If you have questions, contact Deborah Strod DMA Health Strategies 339-970-0302 deborahs@dmahealth.com Michael A. Ellis Bureau of Substance Abuse Services 617-624-5097 Michael.Ellis@state.ma.us