Alcohol Treatment Facility FY-02 Business Plan

I. Mission and Responsibilities:

Mission: The mission of the Alcohol Treatment Facility (ATF) is to support operational readiness by providing quality substance abuse evaluation and rehabilitation services to support the Armed Forces and others eligible for care. The ultimate goal for the ATF is to maximize operational readiness for the commands we serve. Responsibilities: To ensure our patients receive timely, individualized, professional and compassionate substance abuse services. To support the military commands and positively impact mission readiness by accurately assessing patients for substance abuse disorders, determining amenability for change, providing treatment interventions, and coordinating follow-up care. To provide ATF staff a progressive employment environment, which promotes professional and personal development and growth. To support the overall mission of Naval Hospital Camp Lejeune: We are a Community Health System advancing Force Protection through Operational Readiness and Quality Health Services

II. Goals
A. Force Protection 1. Goal: Command Satisfaction/Operational Readiness 2. Objectives: 1. Increase timely access to all levels of care. 2. Decrease the % of screening no-shows to < 15% 3. Develop screening package/process to reduce patient interview time. 3. Metrics: 1. Monitor daily stats & maintain database for backlog/no-show rates 2. Breakdown stats by command 3. Routinely solicit satisfaction feedback from commands
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4. Action Steps: 1. Increase staffing 2. Programming changes 3. Documentation changes 4. Standby appointment 5. Notify Commanding General 6. Reminder e-mail, phone calls to commands 7. No show letters to commands 8. SACO Training 9. SACO report cards B. Health Benefit (Health Care Quality) 1. Goal a. Implement Drug Treatment program within the comprehensive continuum of care. 2. Objectives: a. Conduct staff training to increase competencies in the best treatment practices for substance use. b. Assure individuals with Drug Related Incidents (DRIs) are afforded services prior to return to duty or discharge. c. Treat drug population within all levels of care at ATF vs. Medevac. 3. Metrics: a. Percentage of staff trained in drug-specific issues b. Numbers of in-services on drug issues & number of staff attending c. Maintain database of # of patients treated for DRI 4. Action Steps: a. Schedule expert speakers to present workshop/in-services on drugs b. Annual week training at ATF; (partnership with AHEC) c. Program Director accepted to serve on AHEC committee d. Pre-approved NC Board Hours for Certification and Re-cert. e. Incorporate drug therapy and education in programming patient evaluations. C. Health Benefit (Patient Satisfaction) 1. a. Goal: Staff Satisfaction Objectives: To provide quality, comprehensive substance abuse services
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b. To educate patients on how to correct dysfunctional behaviors related to substance disorder. Metrics: Patient evaluations Feedback from SACOs and commands Outcome studies Action Steps: Revise patient evaluation scales and monitor performance indicators. Program adjustments to include patient suggestions. Community Representative Implement additional levels of care for individualized patient needs SACO training/monthly-quarterlyOfficer Training Customer Service Training Building Improvements D. Staff Satisfaction Goal: Staff Satisfaction Objectives: To provide quality, comprehensive substance abuse services b. To educate patients on how to correct dysfunctional behaviors related to substance disorder. Metrics: Patient evaluations Feedback from SACOs and commands Outcome studies Action Steps: Revise patient evaluation scales and monitor performance indicators. Program adjustments to include patient suggestions. Community Representative Implement additional levels of care for individualized patient needs SACO training/monthly-quarterlyOfficer Training Customer Service Training Building Improvements E. Optimization Goal: a. Maximize utilization of Resources to Impact Substance Abuse

2. b. c. d. e.

Objectives: a. Documentation procedures to encompass ASAM 12 Core Function /JCAHO Optimize use of Resources (staff, equipment, and training) Purchase new equipment and resources for patient education Implement new drug treatment services Programming changes to strengthen levels of care Metrics: Quality Assurance (QA) Review of 100% of patient files Patient/Staff Evaluations Performance Indicators Action Steps: a. Review and revise all documentation for compliance with JCAHO and ASAM requirements and programming changes. Programming changes (i.e., expansion of levels of treatment services). Budget planning for resources. III.

SERVICES PROVIDED

ATF Services As the only substance Abuse Treatment Facility for the approximately, 45,000 military members and their dependents, the ATF provides comprehensive evaluation and treatment services for all substance related disorders.
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Screening for all substance use disorders. Treatment Levels: Level 0.5 (Early Intervention) IMPACT = 20 hour A/D education/prevention classes. Level I (Outpatient) = < 9 hours per week. Level II (Intensive Outpatient) = 9> hours per week. II.I = 9 - 20 hours per week, structured program II.5 = 20 - 40 hours per week, day treatment/partial hospitalization, structured program. Level III.7 (In-patient) = Medically Monitored-24 hours/day, Day Treatment. Continuing Care/Aftercare Couples Counseling group and individual sessions. Outreach = On-site drug screenings (School of Infantry/SOI, NHCL, BRIG, other CMDS) USAP = 20 hour program designed to train unit level Substance Abuse Control Officers (SACOs) and DAPAs. Torchlight = Ongoing monthly training for SACOs. Officers Training = one day officers training session.
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Community Relations = ATF staff provide educational presentations to local community agencies (i.e., Department of Social Services), local commands, and serves as duty expert on MCB Family Advocacy Case Review Committees.

III.

CLINIC PARAMETERS
A. The ATF is located at Building 326, Marine Corps Base, Camp Lejeune, North Carolina. B. The ATF is open Monday through Friday 0730 1630. C. Capacity: Screenings = 200 per month OP Treatment = 32 per month IOP Treatment = 48 per month IMPACT = 70 patients per month Continuing Care = 70 patients per month (ongoing)

iv. Provider Staffing Position Clinical Director Program Director Navy Counselors Marine Counselor Navy Corpsman Social Counselor/Admission Coordinator Social Counselor MCCS Social Counselor Social Worker Secretary Navy Automation Clerk MCSS Automation Clerk MIL/GS/Contract MIL GS-12 MIL MIL MIL GS-11 GS-09 GS-09/Contract GS-11 GS-05 GS-04 GS-04 Billets 1 1 5 9 5 1 2 4 1 1 1 1 1 1 3 6 4 1 0 4 1 1 1 1 2 vacant Temporary Filled Remarks 2 vacant 3 vacant 1 PCS in Aug 02 1 deployed

v. Other Staffing Position FAP-DIV Marine MEDEVAC Clerk MIL/GS/Contract Billets MIL 1
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Filled 1

Remarks No replacement

vi. After Hours Cover 1. There is 24-hour coverage of Substance Abuse services, by the ATF Counselor through the command Triage system. Clinical Director and Program Director are available via pager. vii. Appointment Types All active duty military, dependents, retirees viii. OPTAR 1. Fiscal responsibility is shared annually between MCCS Marine Corps Base $8,000.00 and Naval Hospital Camp Lejeune $14,000.00. Either Naval Hospital or MCCS Marine Corps Base employs civilian staff. V. SWOT ANALYSIS

Strengths Number of patients served Levels of care/services offered are in align with ASAM Program PI process/data collection; statistical/analysis -

Weaknesses Building, appearance, confidentially Funding Number of staff Certified counseling staff janitorial,

Opportunities Decrease in No Shows Decrease screening time Consolidation of forms CEUs provided monthly/training Drug Treatment continuing improvement of Alcohol and Drug Rehabilitation Improved Treatment Planning Optimization of outpatient treatment
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Threat Loss of MCCS/Navy military personnel Loss Of MCCS/Navy military counselors Loss of contract counselors Loss of Corpsman due to training/deployment.

and outpatient counselors.

Submitted:

Date:

M. J. OTT LCDR, MC, USNR DIVISION OFFICER

Approved:

Date:

J. G. SPENCER CDR, MC USN DEPT HEAD