Access to Recovery: Access to Recovery Implementation Toolkit: Volume 3, Phase 3

2010·0.58 MB·English

ACCESS TO RECOVERY IMPLEMENTATION TOOLKIT
VOLUME 3 • PHASE 3
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
www.samhsa.gov

ACCESS TO RECOVERY IMPLEMENTATION TOOLKIT
VOLUME 3 • PHASE 3
U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment / Division of Services Improvement
Acknowledgements
The Access to Recovery Implementation Toolkit was prepared for the Substance Abuse and Mental Health Services
Administration (SAMHSA) by Altarum Institute, Inc., with the assistance of Palladian Partners, Inc., under
Altarum Institute Task Order No. HHSS2832007000011I/HHSS28300001T with SAMHSA, U.S. Department of
Health and Human Services (HHS). Development and production occurred under the direction of SAMHSA’s
Center for Substance Abuse Treatment (CSAT) Government Project Officers.
Disclaimer
The views, opinions, and content of this publication are those of the author and do not necessarily reflect the
views, opinion, or policies of SAMHSA or HHS.
Public Domain Notice
All material appearing in this report is in the public domain and may be reproduced or copied without permission
from SAMHSA. Citation of the source is appreciated. However, the publication may not be reproduced or distrib-
uted for a fee without the specific, written authorization of the Office of Communications, SAMHSA.
Electronic Access
This publication may be downloaded or ordered at www.samhsa.gov/shin. Or call SAMHSA’s Health Information
Network at 1-877-SAMHSA-7 (1-877-726-4727).
Recommended Citation
Substance Abuse and Mental Health Services Administration, Access to Recovery Implementation Toolkit. HHS
Publication No. (SMA) 10-4596. Rockville, MD: Center for Substance Abuse Treatment, Division of Services
Improvement, Substance Abuse and Mental Health Services Administration, 2010.
Originating Office
Division of Services Improvement, Center for Substance Abuse Treatment, Substance Abuse and Mental Health
Services Administration, 1 Choke Cherry Road, Rockville, MD 20857. HHS Publication No. (SMA) 10-4596.
Printed 2010.
Contents
Chapter 1
Actions to Sustain ATR Advances � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 3
Section 1. Systems change tasks related to continuing ATR . . . . . . . . . . . . . . . . . . . . . . . . 5
Worksheet 1. Planning to fund ATR project continuation . . . . . . . . . . . . . . . . . . . . . . . . . 6
Worksheet 2. Informing the change processes related to sustainability . . . . . . . . . . . . . . 8
Worksheet 3. Helping our providers sustain themselves after our project ends . . . . . . . . 9
Chapter 2
Closing Out Your ATR Grant � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 13
Section 1. Tracking your finances in phase 3:
Getting your books in order for closeout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Worksheet 1. Why accurate, timely financial projection becomes
more important as our grant approaches closeout . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Section 2. Overview of closeout management: Using analysis and
quick action to take charge of your day-to-day financial situation . . . . . . . . . . . . . . . . . . . .18
Worksheet 2. How will we manage our data and our finances
as we approach closeout? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Section 3. Determining how many more vouchers to issue . . . . . . . . . . . . . . . . . . . . . . . . 22
Worksheet 3. How many vouchers can the ATR project still issue? . . . . . . . . . . . . . . . . 23
Section 4. Determining the last dates for voucher issuance. . . . . . . . . . . . . . . . . . . . . . . . 26
Worksheet 4. How will we support our clients’ recoveries
while closing out our grant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Worksheet 5. Ramping down voucher issuance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Section 5. Reporting obligations during closeout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Worksheet 6. How will we ensure that we continue to meet
our reporting requirements through closeout? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Section 6. Using data to communicate during closeout . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Worksheet 7 What is our communications strategy during closeout? . . . . . . . . . . . . . . . 33
Worksheet 8. How can we facilitate communication between
our providers and the jurisdictional system of care? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Section 7. Closeout summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Appendix
ATR Grant Contributors � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 41
ATR IMPLEMENTATION TOOLKIT—PHASE 3 iii
Exhibit
Chapter 2 Exhibit:
Exhibit 1. A Scenario for Using Data to Manage Closeout . . . . . . . . . . . . . . . . . . . . . . . .19
iv ATR IMPLEMENTATION TOOLKIT—PHASE 3
1
Actions to Sustain
ATR Advances

Actions to Sustain ATR Advances
Key Concepts
• Ideally, by the beginning of phase 3 during the final year of the grant, you will be making
plans for continuing the project under different funding arrangements or implementing
ATR elements more broadly throughout your jurisdiction’s system of care.

• If you haven’t begun such activities, you might want to concentrate on sustainability dur-
ing this last phase of the grant. You may find it helpful to review chapters from volumes 1
and 2 of the Toolkit:
– Volume 1, Phase 1, Chapter 6: Sustaining ATR Advances.
– Volume 2, Phase 2, Chapter 5: Sustainability Activities in Phase 2.
• If your sustainability plans are under way, you will want to focus on assisting the manag-
ers of your jurisdictional system who are responsible for such activities as:
– Building acceptance for continuing ATR or broadly implementing elements of ATR
throughout the system.
– D isseminating data reports and information widely throughout the system to all who
will be affected by the change.
• Others will be responsible for changing financial or information management systems,
making resource decisions, revising service menus, meeting regulatory requirements, revis-
ing policies and procedures, clarifying target populations, rewriting service definitions, and
planning changes related to ATR methods and policies.
• Draw from your own systems change expertise gained in ATR to help prepare others for
change.
• Members of the project management team can provide training in ATR practices and pol-
icies to staff and providers who are not familiar with the project.
• Don’t overlook the needs of your providers who want to continue as part of the SUD sys-
tem of care. You can help them improve their sustainability options.
CHAPTER 1—ACTIONS TO SUSTAIN ATR ADVANCES 3