Treatment Goals and Key Activities

Goal

To ensure that high quality substance abuse treatment is available, accessible, and affordable to all Vermonters in need of services.

Strategies

Manage Treatment System: design and implement the system of "preferred" treatment providers to ensure that high quality services are available throughout the state.

Quality Assurance: set quality standards for substance abuse treatment programs and counselors, and assure compliance with standards by monitoring programs and licensing counselors. See Rules & Standards here. (Hit back button to return.)

Intervention: develop and support programs serving substance abusers as a means of identifying and referring those who would benefit from treatment.

Key Activities

Restructure the Treatment System: The system for the delivery of treatment services throughout Vermont is expected to change dramatically over the next year. As a result of funding cuts and the shift toward managed care, treatment providers are likely to be consolidated or regionalized around lead agencies. Managed care will require an outcome-based reporting system, which will require evaluating treatment services for effectiveness and cost efficiency. Treatment providers will be held accountable not merely for delivering services, but for producing positive results for clients.

To facilitate this process, the Treatment Unit convened an Advisory Board consisting of providers and staff from SRS, the Office of Vermont Health Access, and other Agency of Human Services departments. The goal is to design and implement a treatment system which is based on managed care principles and is flexible and responsive to changing funding patterns.

Performance Monitoring of Treatment Providers: Using state general funds and federal block grant funds, the Treatment Unit purchases services from 18 nonprofit treatment providers throughout Vermont. These services include eight residential programs, nine intensive outpatient programs, and 22 outpatient programs. The Treatment Unit ensures treatment quality by setting performance standards and by monitoring compliance. For example, providers must admit persons seeking treatment within seven days of their request for services. Also, providers must maintain a minimum utilization rate of 90% or face financial penalties: i.e., they must deliver at least 90% of the services ADAP purchased during any three month period.

Drinking-Driver Rehabilitation Program: Treatment staff administer the assessment, referral, and treatment of DUI offenders. All persons convicted of drinking and driving are assessed to determine their need for driver education (CRASH school), treatment, or both. Individuals must complete the CRASH school and/or treatment in order to reinstate their licenses. more...

Public Inebriate Program: This program intervenes with intoxicated people who are a danger to themselves or others. It provides temporary supervised shelter, assessment services, and if warranted, referral to treatment. It is designed to divert people from jails and hospital emergency rooms when less costly alternatives suffice. The Treatment Unit ensures that assessments and referrals are appropriate and timely. This program is currently being redesigned.