DUI MAT Providers Share Best Practices for the DUI MAT Integration/Outreach Project
The DUI MAT Southern California Summit was held on June 12, 2020, on Zoom. All DUI MAT Partners in Southern California, as well as County Representatives from Los Angeles and Orange Counties, were in attendance. Barbara Aday-Garcia, Executive Director of CADTP and Glenda Pinney, DUI Program Manager – Los Angeles County Department of Public Health opened the meeting. Ms. Garcia thanked Ms. Pinney, “A special thank you for to Los Angeles County for their collaboration with DUI MAT Providers. As a result of their commitment to the DUI MAT project we are here today to bring everyone together.” Ms. Aday Garcia then shared an overview of the project followed by Michealine Flower, DUI MAT Program Liaison who provided an overview of challenges and opportunities. All DUI Program leaders then shared their Best Practices for DUI MAT, including what has worked best during the COVID-19 crisis. Janice Forbes, DUI MAT Project Manager ended the meeting with a review of the session.
ECS ACCORD • San Diego County • Stacie Perez, Director of Housing and Clinical Services and Theresa Gamez, Lead DUI Counselor and Case Manager for DUI MAT
In East San Diego there is a lot of poly SUD. During the COVID-19 crisis, we are conducting telehealth and still offering services. However, we have a shortage of residential treatment beds in the area. It is very frustrating when people are ready for treatment, but there is not a bed available. Since COVID, treatment centers that are full are having to limit their intakes. However, with persistence and dedication, we have been able to locate treatment and medication for clients in the DUI MAT program. DUI MAT Best Practices include:
- Reinstatements: When clients are reinstated, they receive a lot of extra help. We find that they are more open at this time.
- Face to Face Sessions: Our clients at orientation receive a lot of information and that can be overwhelming. We make sure to continuously remind counselors of DUI MAT so that when they get to face to face sessions, they are trained to think about whether the person in front of them could benefit from the DUI MAT.
- Warm Handoffs: When we do a warm handoff, it seems to go really well. Otherwise, clients leave and we don’t know how they are doing. A warm handoff allows us, and the client, to have a clear plan for aftercare and we are able to follow up.
High Road Program Riverside • Riverside County • Greg Burks, Program Director, and Sally Zarate, Assistant Director
At High Road Program, we’ve always been seeking treatment for people and the DUI MAT Project helped support that effort. We haven’t had any problems with integration as we had this mindset prior to the project. We have a lot of teamwork and our staff is amazing. We communicate everything so the counselors don’t feel like they are in the dark. A lot of people who come here come from word of mouth. Being upfront and transparent with clients is powerful. They know that the door is open, and they know they can get access when they want it. It’s great to see DUI support treatment for SUD. DUI MAT Best Practices include:
- Education: We find that the more we talk about this project; the more people understand. That goes for clients and staff. We educate all the time through various methods.
- Insurance: There are challenges are around money and paying for treatment. Services are hard to access if someone doesn’t have insurance. Sally was able to have conversations with insurance companies and found that some didn’t really know about MAT. She was able to open doors through these phone calls.
- Long Waiting Lists: County services have long waiting lists. It’s a long process to get a bed and that can be overwhelming when participants have to call over and over again to see if treatment has opened up for them. We provide support for DUI MAT clients by making some of those calls for them. We feel that the added support in reaching out to treatment providers on behalf of the clients helps them to continue being open and ready.
The Awareness Group • Riverside County • Jeff Davied, Operations Director
We have had to overcome some of the stigmas of MAT. Barriers have been insurance. Also, clients don’t want to talk to their primary physician. We work to overcome that in face to face with Motivational Interviewing skills. The success stories we have heard today and recently have been a good help! DUI MAT Best Practices include:
- MAT Toolkit Quiz: We created a quiz to support the MAT Toolkit. Staff completes the quiz after learning the Toolkits and it helps them to retain the information.
- Video Education: We have included 14 minutes in the education class with a Ted Talk. The lived experience in the video has really been a big help.
OHS-MHN San Marcos • San Diego County • Jennifer Strother, Manager, OHS Chemical Dependency Programs
Our counselors were doing this work already, however, it has allowed us to train the staff to discuss drugs. Previously, we focused mainly on alcohol and did not look at past or current use. Clients were reluctant to discuss drug use since we generally only talked about alcohol. When we started talking about substance use more often, they were more willing to share. We have done what the project has asked by full integration. Every process and every conversation have the DUI MAT integrated into it. Trying to break out the funding separately just for the MAT has been a challenge because we are so fully integrated. Overall, the project has enhanced our DUI program and DUI counselors. DUI MAT Best Practices include:
- File Reviews: We do an individual and group file review of those who tragically died from an overdose or other situation. With confidentiality in place, we review the file with the entire staff and see where we might have missed and if we did everything we could have. Learning from an actual case makes it very real.
- File Notes: Counselors make a note in the notes section of any other substance besides alcohol. They write a little note so they or the next counselor can remember to re-check in with the client. It’s been very helpful.
- Posters: We have posters in all common areas, and they have been very helpful.
ABC Traffic • Orange County • Secilia Manzo, Program Coordinator
The only challenge in Orange County is not having a Hub & Spoke. Finding treatment for clients was challenging in the beginning. With Michealine Flower’s help, we have been able to find additional resources to build relationships with them for clients that need or want additional resources. It’s gotten much better now. DUI MAT Best Practices include:
- Reinforcing the Messaging: The constant referencing and reminders to clients that additional services are available if they need it.
- Mailing Flyers: During the COVID-19, we mailed flyers to high-risk clients and are doing phone calls to remind them that additional services are available.
KC Services • Orange County • Louis Hinzo, Office Manager
The only office we have open is Fullerton. We are doing everything online with the exception of enrollments. We have several people who have completed the program. DUI MAT Best Practices include:
- Education: The most important thing we do is educate our counselors to make sure they are fully integrated.
- Enrollment: At the time of enrollment when we present the program to clients with the handouts.
- DAST Review: At the first Face to Face session we go over the DAST with them individually.
- Follow up: We do follow up with MAT clients and at-risk clients. If at-risk clients don’t want to do the program, we keep the door open.
Safety Consultants and School Ten • Los Angeles and Orange Counties • Gloria Mullendore, CEO
Safety Consultants in LA County rolled out DUI MAT at all five locations. We have conducted 3,076 DAST prescreens and have six active DUI MAT clients. Technical assistance and support from CADTP have been outstanding at every phase of the project. Glenda Pinney and her team at Substance Abuse Prevention and Control took “the bull by the horns” and provided the foundational support we needed. Glenda’s leadership helped us to establish the program. The biggest challenge was a steep learning curve on the content of the project. School Ten in Orange County conducted 3,479 DAST prescreens and has two active clients. We have had the most success with reengagement. At different times we were also able to help with Spanish translations of the DUI MAT materials. DUI MAT Best Practices include:
- DUI MAT Notebooks: We developed our own DUI MAT notebook and convened all program directors for training. This happened at the first meeting and they have held ongoing staff training throughout the project.
- Communication: Ongoing communication is key. COVID made that more difficult.
- Teamwork: The project energized the whole team and we are proud to be able to say we are DUI MAT providers.
High Road Program • Los Angeles County • Elaine Hansen, Counselor
Missing in-person meetings! Happy to have this opportunity to meet up virtually. Cost is a barrier for people as well as available treatment options. The window is small when someone is ready. Our staff has been great here. We reinforce the project in staff meetings with education. We’re looking forward to finishing strong with this project and hope to participate in SOR 2. DUI MAT Best Practices include:
- Group Presentations: Early on we came up with a strategy. In addition to the materials provided, Elaine went to every group and gave a presentation on the project/program.
- Treatment Providers: The opportunity is reaching out and making connections with treatment providers. This has allowed us to better understand their enrollment processes, insurance, detox procedures. This has helped DUI MAT clients to get the services they need.
- Follow up: COVID has allowed Elaine to make a lot of phone calls to those who have scored high on the DAST.
- Mailing Flyers: We also created a multiple page mailing with a cover letter and the handouts to remind people during the crisis that we are still here and if they need, help is still available.
Zona Seca • Santa Barbara County • Diana Banales, DUI Program Coordinator
We did not have a Hub & Spoke at the beginning of the project. With the help of Michealine, we were able to create one. What we found was that we had providers out there. We had never compiled the treatment resources like that, so it has been very helpful. Everyone is okay with taking the DAST, but they are still not taking advantage. We’ve had two in the program. One completed successfully. The other was just not ready. Thank you to Michealine for the training and constant checking in. She keeps her up to date with changes and other things. DUI MAT Best Practices include:
- DAST revisit: Because of COVID-19 we missed some prescreens, so we are going back to the DAST after they have had a few telehealth sessions. We are getting better responses because they now understand that we are there to help (not law enforcement). We also look at the completed DAST and revisit those who score high.
- Telehealth: We are including the information in our telehealth sessions.
- Posters: We turned our handouts into posters and hung those in the office.
- Enrollment Packets: We include handouts in the enrollment packet of materials.
County of San Luis Obispo • Annika Michetti, Behavioral Health Program Supervisor
It’s going well! We have a decent number of clients and we are happy about that. Our DUI Program is run by County staff. MAT is very close to us and it’s helpful to be so close to treatment. Our primary referral is with County programs, so we are able to get them intakes for treatment. And we are able to get treatments outside the County system if its right for the client. We have an excellent MAT lead who does a great job of following up. Our team is working very well, and we see an increase in clients being referred to the project. DUI MAT Best Practices include:
- DAST Review: We have a staff member who does a really good job of reviewing DASTs individually with clients.
- Reinforcement: Encourage counselors to be aware of those who may need DUI MAT. They are good about letting the MAT case manager know.
- Email Handouts: We are providing handouts in email since we are doing remote services.
- Education: We talk about MAT during meetings and one-on-one with Counselors.