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UPDATE:  The main number for DBH has changed as of July 1, 2009.

We've changed our name!!!   Click here for details.

Welcome.  

Take a few minutes to acquaint yourself with the new look and feel of our website.   The basic structure is the same as our previous site.   The main sections for The Alcohol and Drug Abuse Division (ADAD) are on the top 6 tabs, starting left to right, with 'Latest News', and ending with 'ADAD Homepage'.

On the left side of the page, going from top to bottom, you will see the 'Services' section, and underneath that, the 'Resources' section.   We hope you find the new format easy to navigate.

Thanks.

 

If you have any specific comments or suggestions about this site, you may contact us at webmaster.   Thanks again.

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Federal Substance Abuse Prevention &
Treatment Block Grant Application & Synar Report

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Federal Fiscal Year (FFY) 2010

Invitation For Public Comment

The Alcohol and Drug Abuse Division (ADAD)/Division of Behavioral Health, Colorado Department of Human Services, has applied for continued funding through a federal block grant for alcohol and other drug abuse/dependence prevention and treatment in Colorado. The block grant funding comprises more than 50% of DBH’s substance abuse revenue, including dollars to operate prevention and treatment programs throughout Colorado.

In compliance with federal regulations HHS CFR Title 45, the public is invited to submit comments for the application.

Any comments or questions about the posted FY 2009 application or the 2010 application currently being prepared may be directed to Mary McCann by email at Mary.McCann@state.co.us or by mail sent to 3824 W. Princeton Circle, Denver, CO 80236.

This year's application is available for review:

The 2009 Block Grant Application is available online for your review at https://bgas.samhsa.gov/2009/. Use the Username: citizenco and the Password: denver43.

You may also download a copy of either the 2009 Block Grant Application or the 2009 Synar Report below.

FFY 2009 Substance Abuse Prevention and Treatment Block Grant Application
FFY 2009 Synar Report

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HB 1023 Restrictions on Public Benefit

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Under the provisions of C. R. S. 24-76.5 (also known as House Bill 06S-1023) in the State of Colorado, individuals who are 18 years of age or older and are applying for a public benefit must establish their lawful presence in the United States. This is accomplished by (1) submitting a signed affidavit (DR 4679) and (2)providing certain types of identification. Please review the attached documents, specifically Department of Revenue Restrictions on Public Benefits, for alternate forms of identification that will be accepted only until March 1, 2007. Legislative changes would be needed to continue utilizing these alternative forms of identification beyond March 1, 2007. 

The federal Substance Abuse and Mental Health Services Administration (SAMHSA) has determined that the State Statute, House Bill 06S-1023, the provisions of C. R. S. 24-76.5 are not applicable to services funded in whole or in part by the federal Community Mental Health Services (CMHS) and/or Substance Abuse Prevention and Treatment (SAPT) Block Grants services. Any programs funded with these monies will not be required to comply with the provisions of HB 1023.

Services provided in emergency situations are exempt from these requirements.  Examples are psychiatric emergency, detox, etc.

Select below for additional resources.

General Information

Emergency Rules

DR 4679: Affidavit

DR 4678: Request for Waiver

HB 06S-1023

Frequently Asked Questions regarding HB – 1023

Decision Tree for Compliance with 24-4-103 (HB06s-1023) for Substance Use Disorder Treatment Agencies 

 

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Colorado Access to Recovery

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Colorado Access to Recovery (ATR) is a federally funded initiative expanding access to substance abuse treatment and recovery support services to over 6000 people over a three-year period. The Colorado Office of the Governor in conjunction with Alcohol and Drug Abuse Division (ADAD) have been awarded a three-year grant by the Center for Substance Abuse Treatment[1] to expand existing treatment capacity, increase client choice of treatment provider, and enhance the participation of community and faith based organizations in providing support for individuals with substance abuse problems.

Eligibility

In order to receive a voucher for substance abuse treatment or recovery support services, individuals must meet all of the following criteria:

(1) have a substance abuse or dependence problem requiring treatment

(2) Meet at least one of the following three criteria:

• Aged 25 or younger
  
  
• Have used methamphetamines in the past 30 days or if institutionalized, in the 30 days prior to institutionalization
  
  
• Be referred by an SBIRT health educator

(3) Have no private or public health insurance covering substance abuse treatment or inadequate insurance coverage for the substance abuse services needed

(4) If court-ordered to treatment, the referring agency or court must allow the ATR assessment to dictate the level of care and allow the client to choose a provider

(5) Reside in the ATR service area or be willing to receive services in the service area

(6) Be referred for treatment rather than education or prevention services (not seeking services solely to satisfy Driving Under the Influence or Minor in Possession requirements)

(7) Participate in an independent assessment of treatment needs conducted by Mines and Associates and if under the age of 18, a parent or guardian must also attend assessment

Primary Partners

Colorado ATR is a collaboration involving a number of partners. ADAD is responsible for oversight of the project. Mines and Associates (Mines) conducts the telephone screening, face to face assessment, and referral to treatment. Connect Care oversees the provider enrollment and payment processes and issues vouchers for assessment, treatment, recovery support and follow-up services. OMNI Institute (OMNI) coordinates the administrative aspects of the project including data collection and reporting. Other partners include Advocates for Recovery, Peer Assistance Services, Colorado Screening Brief Intervention, Referral, and Treatment, and the Colorado Association of Alcohol and Drug Service Providers.

OMNI will be hiring a Substance Abuse Treatment Coordinator for this grant.

Click here to see the job posting on their website.

Screening and Assessment

Mines completes an eligibility screening of individuals seeking services from Colorado ATR and schedules a face to face appointment with a Mines Affiliate. During the face to face appointment, a clinician administers the Addiction Severity Index, or Teen Addiction Severity Index. Determination of the appropriate level of treatment is completed using the American Society of Addiction Medicine (ASAM) placement criteria. Further assessment of the individual's need for supportive services such as transportation, childcare, peer support, and basic needs is also conducted at this time.

Choosing Service Providers

Upon completion of the assessment, the Mines Affiliate contacts Connect Care and based on the client's place of residence, treatment need, and other preferences, the client chooses a treatment provider. Vouchers are issued to pay for treatment services along with other recovery support service needs. Clients must be free to choose their treatment provider and therefore clients ordered by courts or other agencies to a specific treatment provider or modality of care are not eligible for ATR.

Provider Enrollment

Any Colorado licensed substance abuse treatment provider who completed an enrollment form and agrees to accept Colorado ATR rates and reporting requirements is eligible to provide services. Providers of recovery support services such as peer support, transportation, and child care are screened based on industry standards in their field and must agree to Colorado ATR rates and reporting requirements.

ATR Service Areas

The initial service areas include the Metropolitan Denver area and El Paso and Teller Counties. Phase II implementation will begin in the fall of 2008 and include the I-70 corridor from Summit County to Grand Junction. Other service areas may be added later in the implementation period.

[1] This project is funded by the US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration grant number: H79TI019433.

Colorado Access to Recovery

303-953-4053

atrta@omni.org

www.atrcolorado.org

 

 

 

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SBIRT Colorado

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The impact of hazardous alcohol and substance abuse can exacerbate medical, mental health, and social problems, resulting in significant public health costs. Research indicates that universal screening and brief intervention (SBI) in healthcare settings (primary care, trauma centers, hospital emergency departments, ambulatory medical practices, etc.) can substantially reduce health and other problems associated with hazardous substance use.

Colorado’s Sceening Brief Intervention and Referral to Treatment program (SBIRT Colorado) is a federally funded initiative directed at expanding the state’s continuum of care by integrating SBIRT procedures and services into the standard of care practices of primary healthcare settings around the State. In September 2006, the Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment [1] awarded a five-year grant to the Colorado Office of the Governor in conjunction with the Division of Behavioral Health (DBH, formerly Alcohol and Drug Abuse Division (ADAD), and in collaboration with the Colorado Department of Public Health and Environment (CDPHE), to implement SBIRT practices and procedures in Colorado. The Division of Behavioral Health has contracted Peer Assistance Services, Inc., to manage implementation of the grant throughout the State.

Screening and brief intervention (SBI) for alcohol and other substance use is a technique used by primary healthcare providers to identify and intervene with people who use alcohol or drugs in a harmful or hazardous way, and may be at risk for substance use-related problems or injuries. SCREENING and BRIEF INTERVENTION (SBI) targets individuals who use alcohol and other drugs who may not be abusive or dependent and could reduce their use through early intervention, generally in the healthcare setting; REFERRAL to TREATMENT (RT) provides a mechanism for providing a continuum of care to those individuals identified as having already moved beyond the at-risk threshold and may be in need of some level of substance use intervention or treatment. This approach represents a significant paradigm shift in the substance abuse treatment and healthcare systems to address addiction as a disease like any other and as a preventable healthcare issue.

Universal Screening

A different approach to substance use and health risks associated with it, universal screening treats alcohol and other substance use as the healthcare issue it is, not as a legal issue.

Standard of Care

Proven to be effective in reducing substance use and improving health, SBIRT is an evidence-based standard of care that demonstrates that one interaction can make a difference in someone’s life.

SBIRT Process

Screening all patients for alcohol and other substance using using the ASSIST, or other standardized screening tools.

Brief Intervention using motivational interviewing techniques.

Referral to the most appropriate level of care during any phase of the process.

SBIRT Colorado Facts

Universal screening requires little effort and time for the patient, healthcare provider and system, but the results are huge: better health, less crowded healthcare system, and reduced healthcare costs.

Target population is non-dependent alcohol and other drug users.

Screenings conducted by English/Spanish bilingual Health Educators

SBIRT services are available in healthcare facilities statewide

SBIRT Colorado partnered with the Colorado Clinical Guidelines
Collaborative (www.coloradoguidelines.org/guidelines/sbirt.asp) to develop and distribute a clinical guideline for Screening, Brief Intervention, and Referral to Treatment (SBIRT).

Health Insurance providers are recognizing the benefits and cost savings, encouraging SBI as a standard of care, and reimbursing for SBIRT service provision.

Eligibility

Anyone receiving medical care at one of the participating partner locations may receive SBIRT services.

NOTE: SBIRT Colorado is not intended or designed to be a treatment resource, but a method of identifying and interveneing with those persons who are at risk of encountering problems as a result of their risky alcohol or other substance use.

Healthcare Provider Partnerships

SBIRT Colorado entered its third (3rd) year of operation in September 2008, with services being provided by 11 organizations in a total of 20 clinical settings around the State. Our valued, pioneering, healthcare provider partners include:

Denver Health Medical Center
     - Emergency Department, Adult Urgent Care and STD Clinic

Littleton Adventist Hospital
     - Emergency Department and Trauma Surgery Floors

St. Anthony Central Hospital in Denver
     - Trauma Surgery Floors and Orthopedic Floor

St. Mary’s Hospital in Grand Junction
     - Emergency Department and Trauma Surgery Floors

Community Hospital in Grand Junction
     - Emergency Department and Trauma Surgery Floors

Vail Valley Medical Center
     - Emergency Department, Trauma Surgery Floors,
       Intensive Care Unit and Patient Care Unit

Avon Care Clinic, Avon

High Plains Community Clinic in Lamar

Loveland Community Health Center

Summit County Community Care Clinic in Frisco

The Monfort Family Clinic in Greeley


Other partnerships include:

Colorado Clinical Guidelines Collaborative

OMNI Institute

Colorado Department of Public Health and Environment

Colorado Association of Alcohol and Drug Service Providers

Efforts are ongoing to expand SBIRT services into other primary healthcare settings. For additional information please visit www.improvinghealthcolorado.com.

 

 

                                       SBIRT Colorado                            

                                        303-369-0039
                               Breimann@peerassist.org
                           webster.hendricks@state.co.us
                         www.improvinghealthcolorado.org


                             

[1] This project is funded by the US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment grant number 1U79TI018302-01, Revised.