Chicago City Partners DEMAND TREATMENT!
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Chicago City Partners DEMAND TREATMENT!
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ABOUT DEMAND TREATMENT
“Demand Treatment!” is a new nationwide campaign organized by Join Together to increase the number of people who get alcohol and drug brief intervention and quality treatment in American communities. Substance abuse is a chronic, relapsing – and treatable – disease that has become the nation’s number one health problem. Too many people with this disease face significant barriers and discrimination in trying to access health services for their addiction. Demand Treatment builds on Join Together’s experience working with communities and using the Internet to support community leaders and consumers. Join Together is primarily funded by a grant from the Robert Wood Johnson Foundation to the Boston University School of Public Health.
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Chicago City Partners
City Partners
Demand Treatment! created “City Partners” as a two to five year partnership with 12 cities or counties. Demand Treatment! and its co-sponsors will work with the city partners to:
· Develop and implement strategies to achieve measurable increases in the number of people getting effective brief interventions and quality treatment.
· Improve access to and expand the local specialized alcohol and drug treatment system through the implementation of evidence-based standards of care such as the Principles of Drug Addiction Treatment published by the National Institute on Drug Abuse.
· Identify and take steps to remove discriminatory barriers to treatment.
December 2000
Chicago City Partners first convened on December 11, 2000, to discuss how it could respond to a request for proposal to further Join Together’s Demand Treatment! initiative. Coalesced by Recovery Communities United (RCU), with the Mayor’s Office of Substance Abuse Policy, membership included prominent stakeholders in the substance abuse treatment field, listed at the end of this report. The group selected RCU as the lead agency for this effort.
January 2001
A subsequent meeting held January 4, 2001, followed by shared e-mail revisions, produced a five-page proposal outlining societal and institutional changes that the Partners resolved were necessary, and feasible. Out of some 90 applicants, the Chicago City Partners was among 16 and has the distinction of representing the largest metropolitan.
February 2001
In February, Chicago City Partners assembled again to devise an initial strategy for its proposed Demand Treatment! agenda. Shared e-mail revisions ensued, and quickly constructed a workbook outline. However, it was clear that the Partners needed greater impetus to consolidate efforts. Given the magnitude of this endeavor, and the diversity of the Partners, a suggestion was made upon notification of the award to engage Facilitator David M. Fetterman, Stanford University, to assist in formulating a strategic plan of action.
April 2001
During the April 12 luncheon meeting, the decision was made to utilize Dr. Fetterman.
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Empowerment Evaluation Workshop
May 2001
Dr. Fetterman’s Empowerment Evaluation Workshop took place at the Harold Washington Library on May 24 and half-day May 25. His facilitation format, and knowledge of substance abuse treatment and recovery issues, guided the Partners through three distinct phases of empowerment.
The first step involved creating a mission statement. Fetterman described it as a “wish list” of what the Partners would like to accomplish, regardless of currently available resources. Within two hours, the Partners developed a statement of its mission and values, which requires mere editing for language and flow. Given the group’s capacity for joint e-mail tweaking, this should be completed soon.
Phase One: Developing a Mission, Vision, or Unifying Purpose
The following free flowing thoughts will be developed into the mission statement:
- Increase demand for treatment
- Expand capacity for treatment
- De-stigmatize by increasing acceptance into and of the medical model
- Awareness of availability and effectiveness of treatment
- Build bridges between 3rd party payers, substance abuse providers, and traditional medical model
- Educate public about substance abuse
- Expose reality of recovery – it is effective
- Treatment and recovery
- Primary care physicians and treatment providers in the community
- Encourage efficient and effective use of existing resources
- Educate policy makers and identify key stake holders
- Partnership cooperation with current stake holders
- Identify gaps within service delivery systems
- Sustainability of existing processes
- Eradicating the problem
- Enhance existing procedures as well as bring up to scale
- Change health care providers and the organizations they work in behaviors and values when handling and meeting the needs of substance abusers
- Change assumptions about healthcare
- Change how society perceives and understands alcohol and drug harms and problems
- Public health awareness
- Increase and legitimize treatment
- Reconsider and reorganize how services are delivered and make them client oriented (user friendly) as well as client specific, ex: adolescent vs. adults
- Incorporate evidence based medical model
- Quality assurance and standards
- Bring together the medical model and substance abuse as one collaborative
- Educate about addiction not being voluntary, recognizing it as a disease and shifting away from punishment
- Raise voice, awareness, and consciousness; through experience of people effected by the use of drug and alcohol – the addicted or the one in recovery – heroism of people fighting the disease
- Increasing self determination
- Multi-cultural sensitivity
The second step of the process consisted of listing the issues surrounding and activities needed to accomplish the mission, what Fetterman calls “taking stock.” Participants dialogued some 20 items, then democratically prioritized them by an intriguing “dot” technique.
Phase Two: Taking stock, which consisted of the following substeps:
1. Brainstorming a list of key activities associated with the project
2. Prioritizing the list of key activities
3. Rating each activity (on a 1-10 point scale)
4. Discuss what the rating meant
TAKING STOCK
1. Developing Resources
2. Mobilize Recovery Community
3. Train Medical Community
4. Public Education
5. Meet People Where They Are
6. Expand Partnership
7. Advocacy Training
8. Culturally Appropriate and Community Specific
9. Networking with Community Based Organizations
10. Assessment of Existing Programs
11. Information Network – Hotline
12. Marketing Product – Medical
13. Marketing Product – Public Education
14. Marketing Product – Government Agency
15. Educating ourselves with tools on existing resources
16. Community Health Provider Symposium
17. Guidelines for stating Best Practice
18. Making substance abuse (like diabetes) part of the framework
19. Information statistics – Chicagoland
20. Reporting
21. Celebrating and recognizing group
Each Partner received five sticky dots to “spend on” the activities each felt were the most important. The result was a quick, graphic consensus of 10 priorities in order of significance. “Taking stock” further rated and evaluated where each Partner felt the group now stands regarding those issues. From there, a survey and discussion of participants’ optimism/pessimism emerged, which allowed Partners to get to know more about each other.
At the conclusion of the one-and-a-half-day workshop, Partners volunteered to serve on goal-forming subcommittees of their choice.
Develop Resources – Peter Gaumond & Susan & Maureen
Mobilize Recovery Community – Don & Ray Roberson
Train Medical Community – Susan & Deepak & Carl
Public Education – Jamie & Susan
Meeting people where they are – Raymond Hall
Culturally/Community Appropriate – Raymond Hall
Expand Partnership – Jen, Deepak, Susan
Training & Educating for advocacy – Angela Bowman
Network for CBO – Gloria
Assessment Existing Programs – Raymond & Deepak
Phase Three: Identify specific goals, strategies, and forms of evidence to document change over time – for each activity.
Goal One Develop Resources
(Defined as: Funding for treatment related resources, ex: recovery homes, halfway houses, aftercare programs. New as well as build up existing)
Strategies – Educate philanthropic community
Advocate with state and federal legislators
Contact 12-step community, public health, and behavioral health
Harnessing medical community
MacArthur proposal for specific population for services
Evidence – Demographic data
Documentation (agenda’s) for meetings
Partnership agreements (memorandums of agreements)
Funding increase
Goal Two - Mobilization of Recovery Community
(Defined as: Invite People in Recovery to Participate and Support Demand Treatment!)
– Energize
Put face on recovery
How recovery works
Fostering pride
Strategies – Grow and support RCU as a statewide organization
Link to National Movement
Get representation
Invite recovery consumer side to engage in dialogue
Keep in contact with similar organizations, ex: ISAM, IADDA
Educate ourselves about RCU
Invite recovery folks here
Identify existing organizations and develop relationships with them
Evidence – (to be determined)
All acknowledged an imperative to hold monthly meetings to share subcommittee progress and to obtain feedback from all Partners. The following dates were programmed into Palm Pilots:
Friday, June 15th 9 am – 5:00 pm
Friday, July 6th 9 am – 11:30 am
Friday, August 17th 9 am – 11:30 am
Friday, September 21st 9 am – 11:30 am
Friday, October 19th 9 am – 11:30 am
November 9-11 is set-aside for a tentative “retreat” weekend.
Current make up of Chicago City Partners:
Carl James Alaimo Sr., PsyD, Chief Psychologist,
Cermak Health Services of the Cook County, Department of Mental Health Services, an affiliate of the Cook County Bureau of Health Services (CCBHS), Join Together Fellow
Jamie Binder, MS, Manager of Communications & Marketing, TASC, Inc.
James E. Bloyd, MPH, Assistant Health Officer, Cook County Department of Public Health, affiliate of CCBHS
Angela Bowman, Executive Director, Illinois Association of Alcoholism and Drug Dependence
Seth Eisenberg, Medical Director, CARITAS, an OASA licensed service provider
Raymond Hall, Project Consultant
William Heffernan, Northern Illinois Employee Assistance Professionals Association
Join Together Fellow
Deepak Kapoor, MD, Chairman, Dept. of Psychiatry, Cook County Hospital
Barbara Lokaitis, BA, Behavioral Healthcare Associate
Community Behavioral Healthcare Association of Illinois
*Donald E. Malec, MS, CADC, Director, Recovery Communities United, Inc./NCADD-Illinois, lead agency for Chicago City Partners
Maureen McDonnell, Deputy Director, TASC, Inc.
Linda Nicholas, BA, Program Developer, Great Lakes Addiction Technology Transfer Center (GLATTC)
Ray Roberson, Cook County Hospital
Allen Sandusky, South Suburban Council on Alcohol and Substance Abuse
*Jennifer G. Smith, MD, Associate Chief, Division of General Medicine, Cook County Hospital
Robert Woods Johnson Fellow, Developing Leadership in Reducing Substance Abuse
Theodora Binion Taylor, Director, Behavioral Health, Chicago Department of Public Health
Sidney Thomas, MSW, Director of Operations, Ambulatory and Community Health Network of CCBHS, 30 ambulatory health care sites throughout Chicago and the surrounding areas of Cook County
Sherri D. Tonozzi, Mayor’s Office of Substance Abuse Policy, City of Chicago
*Susan Weed, Director, Mayor’s Office of Substance Abuse Policy, City of Chicago
Join Together Fellow
Gloria Wright, Cook County Hospital
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