Subcommittee Priorities

As announced in January, 2017, the purpose of the WNC SU Alliance is to formulate a comprehensive SU strategic plan, reflective of the grass root, community efforts across the twenty-three (23) counties.  The WNC SU Alliance Steering Committee will provide oversight and guidance for 4 subcommittees.  The Alliance will leverage existing efforts and work to create or replicate solutions across the region in order to address substance use from a regional perspective.  The four subcommittees will identify up to 5 priorities to be integrated into a comprehensive regional SU strategic plan.  The following lists the subcommittees’ initial draft of the priorities submitted at the February 28th Steering Committee as their first deliverable to the WNC SU Alliance Steering Committee.  As the work continues, these priorities will continue to be fine-tuned.  In addition, the Alliance will utilize a results based accountability framework to guide the development of the strategies and planning.

Safe Opioid Prescribing and Medication Assisted Treatment Subcommittee Priorities DRAFT
1)      Safe Opioid (Pain) Stewardship across health and behavioral care
2)      System of Care Redesign to Better Treat Pain with Less Opioids
3)      Culture Change for treatment of SUD using evidence based medicine
4)      Increase Capacity and Access to Care for MAT
5)      Increase access to Naloxone
Adult SU Treatment/Crisis Continuum Subcommittee Priorities DRAFT
1)      Develop MAT treatment groups across all 23 counties.
2)      Identify alternative sustainable funding sources to maintain further development of short and long term residential treatment options.
3)      Develop regional training on the Recovery/Resiliency model for SU providers in the 23 county region, addressing recovery and relapse as part of treatment.
4)      Work collaboratively with the community  to develop targeted community education campaigns around substance use and recovery (grass roots type education in churches, community centers, )
5)      Develop connections with in the treatment community to leverage efficiencies already in the system.
Child SU Treatment/Prevention Continuum Subcommittee Priorities DRAFT
1)      Increase community level understanding, across multiple sectors, of child continuum model (promotion-recovery)-what is out there already, who is it for, how does it help? (simple questions many are not sure community can answer)
2)      Applying continuum to types of services across other sectors and developing shared language and context across these other systems
3)      Further understanding of pay/funding structure and process for referral (internal/external) (de-institutionalizing/disentangling/) Un-muddy the waters
4)      Shared data warehouse of child SU use and risk and protective factors
5)      Identification and analysis of any current Child SU prevention/tx activity (promotion-recovery) in primary health care in region including assessing practice is in alignment with evidence based models
Women & Perinatal SU Treatment Subcommittee Priorities DRAFT
1)      Create culture of acceptance for perinatal women with substance use through standardized education models for consistency and whole person care to include but are not limited to;

a.       gender specific, trauma informed care

b.      basics of addiction medicine

c.       SBIRT

d.      Motivation Interviewing

e.      MAT options

f.        ASAM levels of care

g.       Pain co-morbidity

h.      Care for the Caregiver to support people working with these complex family scenarios that is multi-agency and transdisciplinary

Target training(s) to the following audiences:

a.       Providers and community agencies who may be first contact (ED/Mobile Crisis/Harm Reduction coalitions)

b.      OB/GYN providers and clinic staff

c.       Prescribers who provide MAT- education specific to pregnancy

d.      Community members interested in serving this population

2)      Increase engagement with women who are pregnant or could become pregnant and using substances. Engagement needs to be non-judgmental, respectful, using a motivational enhancing approach for any perinatal woman who identifies anywhere in the system.  Engagement deliverables to include:

a.       Identification and awareness of opportunities for engagement

b.      Develop navigator process to focus on availability and consistency across stakeholders and perinatal spectrum

c.       Women and men with substance use disorders of child bearing age- education and access regarding family planning as well as obstetric services

d.      Process mapping, gap analysis, and continued review of collaborative system communication pathway

3)      Promote regional development of an integrated whole person continuum of care across the perinatal spectrum;

a.       Regional Care Model structure will include:

  • Project CARA model (Perinatal Hub and Spokes)
  • Gender specific, trauma informed substance use treatment
  • Harm reduction and prevention

b.      Family Centered Regional Care Model to include but are not limited to:

  • Coordination of services along continuum of care with regional focus
  • Shared database along the continuum to track services, outcomes and areas of underservice.
  • Process of agency handoff of services to create a true continuum of care without duplication
  • Family owned plan of care that gets shared with multiple agencies.
  • Focus on  areas in region without comprehensive services to connect services to marginalized underserved families
  • Integrated Prenatal care and SA treatment
  • Early perinatal SUD identification and engagement
  • Early gestational age at entry into care system
  • Increase participation in adequate prenatal care
  • Increase percentage of all mother’s positively screened for SUD who are in recovery at time of delivery
  • Decreased unanticipated NAS
  • Appropriate Length of Stay for NAS babies
  • Maintaining mother –baby dyad at 3,6, and 12 months post-partum
  • DSS involvement in prenatal planning
  • Mother baby dyad intact at 12 months

The next deliverables to be presented to the WNC SU Steering Committee by the subcommittees are:

  • Subcommittees will confirm the 5 priorities for each group, and begin to identify strategies to address the priorities across the 23 counties
  • Subcommittees will report on existing efforts/initiatives across the 23 counties that address the subcommittee priorities

Call 1-800-849-6127 toll free 24/7 to obtain services and support for mental health, developmental disabilities and substance abuse. Members can request materials in Spanish or English.

Llamar al número gratuito 1-800-849-6127 24/7 para obtener servicios y apoyo a la salud mental, discapacidades de desarrollo y abuso de sustancias. Los miembros pueden solicitar materiales en español o Inglés.