Alcohol and Drug Addiction Services Board of Butler County

6 South Second St.
Hamilton, OH 45011
513-867-0777

Project Title
Butler County SAMI Initiative
Grant Description
To train and provide consultation to Butler County agencies to provide integrated treatment for adults with substance abuse and mental illness
Focus Area
Joint Substance Abuse/Severe Mental Illness\Co-occurring Disorders
Region Served
Butler County, OH
Award Amount
$130,000
Year Awarded
1999
Grant Duration
2 years
Results
The mental health and alcohol/drug addiction services boards of Butler County are fortunate to be the recipients of one of the dual diagnosis program demonstration grants from the Ohio Departments of Mental Health and Alcohol and Drug Addiction Services. Prior to receiving this state grant there was no formal programming for substance abusing/mentally ill (SAMI) residents of the county even though the behavioral health providers of the county had been experiencing an increase in the prevalence of these clients in their programs for several years.

Although the state grant will allow the two county behavioral health boards an opportunity to develop the county's first model treatment program for SAMI clients, it will not cover the cost of the most crucial component needed for such an endeavor, that is, staff training in treating this population. The grant from the Health Foundation of Greater Cincinnati will allow the boards to implement training by experts in the field of dual diagnosis for three groups: The staff of the new dual diagnosis project, the staff of the alcohol and drug addiction and mental health providers based in Butler County, and a broader spectrum of professionals in the community who also deal with dual diagnosis clients such as the members of the criminal justice field.

Ten training events for 2000 have been scheduled and two have taken place. All of the experts in the field targeted in the proposal are conducting trainings. The only event not yet confirmed is a trip by the program staff to a model program in Eugene, Oregon. Detailed information on the training events can be obtained by contacting the ADAS Board of Butler County.

Project Title
Butler County Strategic Plan for Integrated Adolescent Treatment Services
Grant Description
To develop a comprehensive strategic plan to improve the integration of mental health treatment, substance abuse treatment and children's services for adolescents.
Focus Area
Joint Substance Abuse/Severe Mental Illness\Strategic Planning
Region Served
Butler County, OH
Award Amount
$107,049
Year Awarded
1999
Grant Duration
1 year
Results
Butler County, Ohio, faces the future with changing trends in demands for adolescent treatment services and the types of services needed across the entire spectrum of social and behavioral health systems. More children, specifically adolescents, are entering the care community with more complex needs. The overall demands on substance abuse, mental health, and children's services have resulted in each system dealing independently with their own administrative, legal, and financial constraints. In the absence of an operational model to correct the fragmentation of the treatment strategies and environments, the integration of multiple social and behavioral health service systems will not occur.

Working in collaboration with the Family and Children First Council, Butler County Mental Health Board, Butler County Juvenile Court, Butler County Children's Services Board, Butler County Board of Mental Retardation and Developmental Disabilities, Butler County Educational Resource Center, Care Case Management, service providers, and family and client representatives, the Alcohol and Drug Addiction Services Board is directing a strategic planning initiative to develop a comprehensive plan to improve the integration and delivery of mental health treatment, substance abuse treatment, and children's services for adolescents of Butler County.

A collaborative team of key stakeholders has been identified as the Leadership Team and the ADAS Board has hired a Project Director, effective January, 2000. In the first two months of the project, the Team and Project Director have been able to: formulate the vision, mission, and goals of the strategic plan; create an organizational structure for directing the planning process; conduct site visits to multiple service providers; identify appropriate data elements for collection and analysis; develop a data collection strategy; articulate system-wide research objectives; publish a Request for Proposals for consultant expertise in the processes of completing a needs assessment, developing a model for service delivery; conducting a feasibility study; and preparing an implementation plan with fiscal strategies; and evaluate the proposals received and determine the top two candidates to interview.

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Project Title Butler County Substance Abuse/Mental Illness Court
Grant Description to provide partial program funding as a bridge to sustainability for the SAMI Court in Butler County
Focus Area Joint Substance Abuse/Severe Mental Illness
Region Served Butler County, OH
Award Amount $13,000
Year Awarded 2003
Grant Duration 12 months
Results Because of this project, the clients of the Butler County Substance Abuse/Mental Illness (SAMI) Court Program have been able to continue receiving psychiatric assessments, ongoing psychiatric consultation, and psychiatric prescriptions to stabilize their mental health conditions. Without these services, clients would be highly unlikely to succeed in the program.

Clients of the program are mostly severely mentally disabled and alcohol and other drug dependent, as well as involved in the Common Pleas Court system. The SAMI Court Program seeks to bring together the mental health, substance abuse, and criminal justice entities dealing with the same individuals via intensive case management and counseling.

The Butler County SAMI Court Program expanded the number of clients it treats from 25 last year to 30 this year.

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Project Title
Continuing Care Services for High-Risk Substance Abusing Adolescents
Grant Description
to develop intensive home and community-based services for adolescents who are leaving or are at risk of entering residential substance abuse treatment programs
Focus Area
Substance Use Disorders
Region Served
Butler County, OH
Award Amount
$300,000
Year Awarded
2001
Grant Duration
36 months
Results
The model to be used is the Assertive Continuing Care (ACC) protocol developed by the Chestnut Health System of Bloomington, Illinois, with funding provided by the National Institute on Alcohol Abuse and Alcoholism. ACC incorporates techniques that researchers have found promising for preventing relapse, which include problem-focused strategies, strategies aimed at increasing social support and prosocial activities, and family involvement in treatment. Case managers coordinate the cross-system care needed by these multi-problem adolescents who tend to be involved in multiple service systems. ACC case managers typically meet with adolescents and their caregivers in their homes or other community locations to enhance treatment engagement and compliance.

The implementing agency is Sojourner Recovery Services of Hamilton, Ohio. Sojourner provides a broad range of treatment services and is the Butler County ADAS Board’s contracted provider for outpatient, intensive outpatient, and residential services for adolescents.

Key project staff members have been hired. On March 5 and 6, 2002, Chestnut Health Systems provided training for program staff, other Sojourner staff, and juvenile probation officers who will be working closely with the program. The program started up in mid-March.

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Project Title Medication Assisted Treatment and Primary Care for People with Substance Use Disorders in Butler County
Grant Description To provide medication assisted treatment and access to primary care for persons with substance use disorders
Focus Area Substance Use Disorders
Region Served Butler County, OH
Award Amount $231,500
Year Awarded 2007
Grant Duration 36 months

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Project Title Planning for a System of Integrated Care for Individuals with Co-occurring Mental Health and Substance Use Disorders
Grant Description To plan for a county-wide integrated system of care for persons with co-occurring mental health and substance use disorders in Butler County
Focus Area Substance Use Disorders
Region Served Butler County, OH
Award Amount $48,200
Year Awarded 2006
Grant Duration 12 months

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