FRS Conseling accomplished:

• Developed the infrastructure of partial hospitalization by hiring a clinical, administrative and teaching staff. On-site psychiatric services were eventually secured with an increase in grant funds which greatly enhanced the clinical outcomes of the program. The program obtained Ohio Department of Mental Health Certification and CARF Accreditation. Staff were trained. A clinical review process and administrative tasks were established. Building renovation was completed by August 2005.
• Provided educational and treatment services for at-risk SED students in Highland County at the beginning of school year 2005-2006 with a total of eleven students being served that first year and sixteen students were served during the 2006-2007 school year.
• A Medicaid contract was approved with the Paint Valley ADAMH Board, and Medicaid billing for school year 2005-2006 generated $78,400 in revenue. These Medicaid funds were utilized to sustain the program in school year 2006-2007 and the program generated an income of $301,300 in fiscal year 2006-2007, including ancillary services. The program billed Medicaid for over 90% of the students served. Contracts were executed with the Hillsboro City School District for the educational program, and educational agreements were executed with six additional school districts for eight students.

The outcomes for this grant were:

• There were 0% out of home placements for 2005-2006.
• 100% of HCSD-referred serious emotional disturbance (SED) students received educational services within the county for the 2005-2006 school year.
• Ohio Scales were administered to SED students but data from these scales will not be available until early FY2008. The HCSD Special Education Director reported that problem behaviors have greatly decreased.
• In 2005-2006, SED student attendance improved by 93% from the previous year.
• SED student suspensions decreased 100% in 2005-2006 from the previous year.

FRS Conseling accomplished:

• Through an assessment of the agencies practices it was determined that a treatment program that met the following criteria would best complement the agency's current practices:
  • The program engages teens and has a high completion rate.
  • The program successfully integrates and involves the youths' families.
  • Completion of the program results in low relapse and recidivism rates.
  • The program integrates practices that are effective with a low income, poorly educated, rural population.
  • The program can be implemented with existing staff or reasonable staff increases. (The assessment included surveys of staff, current client clients, past clients and families as well as interviews with current clients and families.)
• Staff attended the Health Foundation's grantee meetings. Staff attended the JMATE conference to investigate adolescent treatment models, specifically ATM and Global Appraisal of Individual Needs (GAIN) assessment tool. Through an internet search FRS Counseling reviewed the following EBT's: the Seven Challenges, Multi-Dimensional Family Therapy (MDFT), Motivational Interviewing (MI) and Motivational Enhancement Therapy (MET), Chestnut Health Systems' ATM and GAIN.
• The Texas Christian University (TCU) Survey was administered to staff and the director, scored and compiled. The results of the survey were used to assess these factors.
• The staff attended the Seven Challenges Training at the Health Foundation, hosted training about MI and MET; and visited Clermont Recovery Service to learn about MDFT. After reviewing and discussing these models staff decided to visit Chestnut Health Systems to examine the Adolescent Treatment Model (ATM) and the Gain.
• Management staff attended the Change Management Workshop offered by PROSCI. They also participated in the review and evaluation of the TCU Survey and information obtained through other surveys and interviews. The scores and information collected reflected the readiness to continue with plans to implement an EBT model.
• FRS has created an environment in which staff are ready to change and has identified the human and other resources needed to support the adoption of a new treatment protocol for its adolescents. With an implementation grant, FRS will be able to build on this readiness foundation and further develop the necessary infrastructure for implementation, including adding additional staff with flexible hours to accommodate youth and families and with case management experience and the ability to conduct home visits.
• FRS produced an acceptable final report.

The primary outcome of the project was to determine the agency's readiness to provide evidence-based adolescent substance abuse treatment. This goal was accomplished.