Problem Gambling Services Treatment Regional Trainings: Fall 2018
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Problem Gambling Services Treatment Regional Trainings: Fall 2018
- 1. PGS Treatment Regional Trainings Summer/Fall 2018
- 2. 2 Legs of your chair: Keys to stability! In Reach & Referral Pathways Maximize Encountering Integrate & Diversify Dialogue with PGS system Quality Improvement Processes
- 3. 3 This Afternoon’s Stuff! • Getting You Full Credit (Maximize Encountering)!!
- 4. 4 Legs of your chair: Keys to stability! In Reach & Referral Pathways Maximize Encountering Integrate & Diversify Dialogue with PGS system Quality Improvement Processes
- 5. 5 This Afternoon’s Stuff! • Developing Quality Improvement Processes! This Photo by Unknown Author is licensed under CC BY
- 6. 6 Legs of your chair: Keys to stability! In Reach & Referral Pathways Maximize Encountering Integrate & Diversify Dialogue with PGS system Quality Improvement Processes
- 7. 7 This Afternoon’s Stuff! • Integration & Diversification This Photo by Unknown Author is licensed under CC BY-ND
- 8. 8 Legs of your chair: Keys to stability! In Reach & Referral Pathways Maximize Encountering Integrate & Diversify Dialogue with PGS system Quality Improvement Processes
- 9. 9 This Afternoon’s Stuff! • Increasing Client Census in Your Program – GBIRT Train the Trainer – In Reach and Referral Pathways This Photo by Unknown Author is licensed under CC BY-NC-SA
- 10. 10 Legs of your chair: Keys to stability! In Reach & Referral Pathways Maximize Encountering Integrate & Diversify Dialogue with PGS system Quality Improvement Processes
- 11. 11 This Afternoon’s Stuff! • Create Community! (Dialogue with the PGS System) This Photo by Unknown Author is licensed under CC BY-NC
- 12. 12 Legs of your chair: Keys to stability! In Reach & Referral Pathways Maximize Encountering Integrate & Diversify Dialogue with PGS system Quality Improvement Processes
- 13. 13 PGS System: Residential and Respite Treatment • Salem -- Bridgeway Residential • Grants Pass -- Options Respite • Baker City – New Directions Respite This Photo by Unknown Author is licensed under CC BY-NC-SA
- 14. 14 Legs of your chair: Keys to stability! In Reach & Referral Pathways Maximize Encountering Integrate & Diversify Dialogue with PGS system Quality Improvement Processes
- 15. 15 Billing and Initial Engagement • Screening and Outreach – 50D – T1023 PGS Rates Updated
- 16. 16 Non Client Billing • Outreach Codes • FLEX Codes – Client FLEX – Workforce FLEX PGS Rates Updated
- 17. 17 New Co-Occurring Codes! • Assessments • Individual Sessions • Group Sessions • PGS Rates Updated
- 18. 18 Quality Improvement: Access Wait Times –First appointment offered within five business days. Appointment…. Offered…
- 19. 19 Quality Improvement: Successful Completions • “A successful problem gambling treatment completion is defined as the Individuals: (a) who have achieved of at least [75]% of short-term treatment goals; (b) who have completed a continued wellness plan (i.e., relapse prevention plan); and (c) who have lacked engagement in problem gambling behaviors for at least [30] consecutive days prior to successful completion of A&D 81 Services.”
- 20. 20 Quality Improvement: Length of Stay Variances • New Form and Process – Stream line process – Focus on treatment completion, engagement, risk acuity. – Opportunity for reflection/pause. • New LOS Variance Request
- 21. 21 Integration & Diversification – Integrating with program staff in your agency • Do staff in other agency programs know about gambling? • Do staff in other agency programs know how to identify and refer people dealing with gambling disorder? – Integrating clinical services in your agency • Do clients in other agency programs receive psychoeducation about gambling disorder? • Do clients in your gambling programming have access to services “outside” of gambling programming?
- 22. 22 Integration & Diversification – Diversifying services available • Does your program have capacity to provide specialty services? – recovery mentor, – group therapy, – couples and family therapy, – SUD’s treatment, – Mental Health Treatment (including medication), – Medical Treatment, – Case Management? – Diversifying staff involvement • Are staff in other programs ready to work with gamblers?
- 23. 23
- 24. 24 Legs of your chair: Keys to stability! In Reach & Referral Pathways Maximize Encountering Integrate & Diversify Dialogue with PGS system Quality Improvement Processes
- 25. 25 GBIRT Train the Trainer • GBIRT
- 26. 26 GBIRT Trainthe Trainer • History and Context of GBIRT – Nationally – Oregon State – Program Implementations • Purpose and Intent of GBIRT – Training of staff – Training of Community Gatekeepers – Providing a bridge from education to referral
- 27. 27 GBIRT Trainthe Trainer • Structure of THIS specific training – “Behind the Scenes” look – “Cliff Notes” on Screening and Brief Intervention
- 28. 28 Behind the Scenes of GBIRT Training • Part I: Experiential Engagement • Part II: Establishing Problem & Prevalence • Part III: Establishing and defining how the specific audience interfaces with Problem Gambling. • Part IV: Screening • Parts V&VI: Brief Intervention and Referral to Treatment
- 29. 29 Let’s Look at Some GBIRT Slides • GBIRT Slides
- 30. 30
- 31. 31 Referral Pathways: Principles of a Program • Principle #1: At risk groups and gatekeepers must be specifically identified. This Photo by Unknown Author is licensed under CC BY-SA
- 32. 32 Referral Pathways: Principles of a Program • Principle #2: Outreach efforts to at risk groups and gatekeepers must be regular. This Photo by Unknown Author is licensed under CC BY-SA
- 33. 33 Referral Pathways: Principles of a Program • Principle #3: Outreach efforts to at risk groups and gatekeepers must be repetitive. This Photo by Unknown Author is licensed under CC BY-SA
- 34. 34 Referral Pathways: Principles of a Program • Principle #4: Outreach efforts to at risk groups is best done by peer mentors. This Photo by Unknown Author is licensed under CC BY-SA
- 35. 35 Referral Pathways: Principles of a Program • Principle #5: Create a detailed plan and stick to it. This Photo by Unknown Author is licensed under CC BY-SA
- 36. 36 Referral Pathways: Phases of a Plan • Phase I. Within the Agency • Provide Gambling Informed Training to all staff – utilize GBIRT model – Front desk – Physical Health Providers (if part of agency services) – Mental Health Providers – Addiction Treatment Providers • Establish clear processes for screening and referral to treatment
- 37. 37 Referral Pathways: Phases of a Plan • Phase I. Within the Agency • Conduct ongoing trainings on a regular schedule – Refreshers – New Employee Training • Outreach Education presentations to at risk clients and patients served by the agency – Regularly scheduled – Conducted by Peers if possible
- 38. 38 Referral Pathways: Phases of a Plan • Phase II. Outside Healthcare, Addiction and Mental Health Service Providers in the Community • Provide Gambling Informed Training to all staff – utilize GBIRT model – Front desk – Physical Health Providers (if part of agency services) – Mental Health Providers • Establish clear processes for screening and referral to treatment
- 39. 39 Referral Pathways: Phases of a Plan • Phase II. Outside Healthcare, Addiction and Mental Health Service Providers in the Community • Conduct ongoing trainings on a regular schedule – Refreshers – New Employee Training • Outreach Education presentations to at risk clients and patients served by the agency – Regularly scheduled – Conducted by Peers if possible
- 40. 40 Referral Pathways: Phases of a Plan • Phase III. Criminal Justice System • Identify available groups within community – Judges and Courts – Including Treatment Courts – District Attorneys – Defense Attorneys – Parole and Probation Officers – Jails • Provide Gambling Informed Training to all staff – utilize GBIRT model
- 41. 41 Referral Pathways: Phases of a Plan • Phase III. Criminal Justice System • Establish clear processes for screening and referral to treatment • Conduct ongoing trainings on a regular schedule – Refreshers – New Employee Training • Outreach Education presentations to at risk offenders at P&P and Jails – Regularly scheduled – Conducted by Peers if possible
- 42. 42 Referral Pathways: Phases of a Plan • Phase IV: Community Gatekeepers (Potentially high frequency of contact with Problem Gamblers) • Identify non-clinical gatekeepers (examples) – DHS case workers – DV/IPV agencies – Senior Services Agencies – Veteran’s Services – Who Else?
- 43. 43 Referral Pathways: Phases of a Plan • Phase IV: Community Gatekeepers (Potentially high frequency of contact with Problem Gamblers) • Provide Gambling Informed Training to all staff – utilize GBIRT model • Establish clear processes for screening and referral to treatment • Conduct ongoing trainings on a regular schedule – Refreshers – New Employee Training • Ongoing regular contact (eg. newsletter, electronic newsletter)
- 44. 44
- 45. 45 Create Community! (Dialogue with the PGS System) – Dialogue – Program Development Opportunities – Technical Assistance Pilot Project – Monthly Meetings and Events – Workforce Development – Other ways to collaborate This Photo by Unknown Author is licensed under CC BY-NC-SA
- 46. 46 Program Development Opportunities?!? In Reach & Referral Pathways Maximize Encountering Integrate & Diversify Dialogue with PGS system Quality Improvement Processes
- 47. 47 Program Development Opportunities?!? • GBIRT Training (G) • Referral Pathways Planning (R) • Maximizing Your Encountering (E) • Integration and Diversification (I) • Quality Improvement (Q) This Photo by Unknown Author is licensed under CC BY-ND
- 48. 48 Technical Assistance Pilot Project • Program Self Assessment • Review with David • Dialogue with staff • Dialogue with clients • Create Development Plan • Follow Up Quarterly
- 49. 49 Meetings & Events • Treatment Calls • All Provider Webinars • Case Consults This Photo by Unknown Author is licensed under CC BY-NC
- 50. 50 Workforce Development: Notes from Survey and Project •Changing System – Seasoned Gambling Counselors – New Gambling Counselors This Photo by Unknown Author is licensed under CC BY This Photo by Unknown Author is licensed under CC BY-NC-ND
- 51. 51 Workforce Development: Notes from Survey and Project Priority Areas: Recruit new talent into the field Strengthen the core workforce Broaden the concept of the workforce Create structures to support the workforce
- 52. 52 Workforce Development: Notes from Survey and Project
- 53. 53 Other Ways to Collaborate?!?
- 54. 54