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P006: Office of Facilities Management (FY18 Parent)

P006: Percent of priority Request for Treatment clients who are admitted to the program (TLH)

Current Value

43.0 %

FY 2017

Definition

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Story Behind the Curve

  • In 2015, New Mexico had the eighth highest total drug overdose death rate in the nation, down from second in 2014. For the past 15 years, New Mexico’s death rate from alcohol-related chronic disease has consistently been first or second in the nation.
  • Turquoise Lodge Hospital (TLH) provides safety net services for consumers in New Mexico who are seeking detoxification from drugs and/or alcohol. TLH prioritizes admission for pregnant injecting drug users, pregnant substance users, other injecting drug users, women with dependent children, parenting women, and men and women seeking to regain custody of children. TLH has the potential to impact New Mexico's drug overdose and alcohol death rate through active engagement of priority populations.
  • In FY17, TLH modified their electronic call system to flag priority populations and implemented an engaging pre-scheduling telephone call that occurs within one business day of approval for treatment.  This intervention moved the timeliness of first contacting a consumer from an average of 4.96 days in FY17 Q1-2 to an average of 1.3 days in FY17-Q3-4. 
  • To determine whether increased contact was effective in increasing engagement, TLH evaluated the historical baseline of priority individuals who were admitted: FY15: 26%, FY16: 41%, and FY17: 43%.  In FY18 Q1-Q3, we have exceeded our milestone with 61% of approved priority patients YTD admitted to the hospital.
  • The plan for FY18 Q4 is to develop a Crystal Reporting tool to link admissions data with call management data, improving our ability to monitor the engagement intervention.

Partners

  • Human Services Department, Behavioral Health Services Division
  • Children, Youth and Families Department
  • University of New Mexico Addiction and Substance Abuse (ASAP) Program
  • Medicaid
  • State and Federal probation officers
  • Managed care organizations
  • New Mexico Department of Health, Office of Facilities Management

What Works

  • Actively engage with and support individuals to enter treatment by increasing the number of informative contacts to the person requesting treatment.
  • Studies have shown that rapid response and assignment to treatment, including cutting down the time between application for treatment and first contact, can significantly improve retention (Baekeland and Lundwall 1975; Leigh et al. 1984; Stark et al. 1990).

Strategy

  • Implement one additional informative telephone scheduling contact prior to admission to the hospital.

Action Plan

  • Q1: Monitor the pre-scheduling intervention implemented in FY17 to ensure that one informative telephone scheduling contact is made within one day of approval for treatment for priority populations. Completed.
  • Q1: Monitor the outcome of the pre-scheduling call intervention on a monthly basis to ensure that increased engagement has occurred. Completed.
  • Q3: Develop a Crystal Reporting tool to link admissions data with call management data. Not completed.
  • Q3-Q4: Implement action as necessary based on monitoring from Q1 and Q2.

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