Organization Name: MaineGeneral Community Care

Program Name: Outpatient Counseling

Program Contact: Jeffrey Janell LCPC, CCS, Manager, Outpatient Services
Email: jeffrey.janell@mainegeneral.org     Phone: (207) 621-3723

UWMM has funded this program for 13 years.

Amount Requested: $1750
Is this an increase from what your program received for the current funding cycle? 
No

Twenty-five word summary of this program’s purpose:

Outpatient Plus is a new program developed by MaineGeneral to deliver MAT along with group and individual counseling. 

How your program is uniquely important to the community:

OPP is a collaboration between MaineGeneral Medical Center and MaineGeneral Community Care.  Doctors are trained in MAT and prescribe in an individual and group setting, while counselors work side by side to provide individual and group services to support recovery and address any other mental health or substance use related needs.  OPP is a newly developed level of care that fits within an expanding network of levels of care within MaineGeneral delivering MAT services, ranging from Emergency Dept, inpatient, intensive outpatient, and primary care practices.  Patients are matched with the appropriate level of care based on their clinical needs, with the goal that they are eventually able to “step down” to receiving prescriptions from their primary care doctor along with any counseling indicated.  While MaineGeneral has been delivering MAT through its Seton Center, this year we are implementing the OPP model at Seton Center to increase service capacity and intake flexibility.  MaineGeneral Community care is working in collaboration at the Seton Center to provide the counseling services to support his program.  We have found this model to be a flexible responsive model that has gotten state wide recognition. 

Program Updates

Since last report (or in past two years):

See above paragraph for specific MAT/OPP program updates.  In other parts of the MGCC counseling program, we have moved our base of operations from the Hathaway Building to the Thayer Center for Health in the past year.  This transition has allowed us a better fit and collaborative opportunities with other health care programs within the center.  We continue to offer individual and group counseling services for mental health and substance use issues, providing co-occurring and trauma-informed approach. 

Expected in the coming year:

We are planning to maintain our high level of efficiency in providing rapid access to medication assisted treatment and counseling for patients in need of the OPP level of care.  We have the benefit of working within a system of care that allows for referrals to both higher and less intensive levels of care. 

Outcome your program most contributes to:
Health: All individuals in Mid-Maine are in safe and healthy environments with access to health supports and services.

How program contributes:
Provides a direct service in behavioral and/or physical health areas

Define your year: July 1, 2017- June 30, 2018

How much did we do? 325 (Total number served)

How well did we do it?

Performance measure: Average time from referral to assessment
Most recent year’s data: %4.5Days
Previous year’s data: %4.5Days

What was the difference made?

Performance measure: Percent of clients who report a decrease or elimination in substance use
Most recent year’s data: 68%
Previous year’s data: 75%

Action Plan

Objectives for current year:

Develop more effective tracking measures for clinical effectiveness of our SUD and OPP programs.  we currently maintain data in multiple areas that is more difficult to consolidate and will try to bring together effectiveness measures across sites and programs. 

We will expand OPP  to the Seton Center with a target of up to 6 groups serving up to 10 patients at a time.  We will also expand individual counseling to that setting to provide 1-1 counseling to individual MAT  clients, or OPP group clients requiring more support. 

We will continue to provide quality OP mental health and substance use counseling services in our Thayer OPC office as well as in primary care offices throughout the area. 

Objectives and results from last year:

Last year we focused on outcome measures that focused on maintaining a positive therapeutic alliance, retaining clients in treatment, and effectiveness in reaching treatment goals.  With the exception of a dip in treatment alliance one quarter, we were successful in meeting those goals. 

In addition to those performance indicators, we also were in the process of moving our offices to the Thayer Center for Health and to expand our opiate treatment resources.  We have been successful in both of those areas, and this year’s request is focusing on filling in gaps in funding for initial treatment with MAT  to allow for rapid access into our program. 


Success Stories


“ I know I can come in here every week and meet with you or (prescriber’s name) or the other counselors and you’ll help me out. Usually I don’t like to deal with anybody, I just stay in my house or try to work and just get mad, things don’t get better but I can’t deal with it.  You guys listen to what’s going on and help me get things straightened out.  The people in the group understand me too, most places I go I worry about what people think.”


Client didn’t want to be named but is a 29 year old male with a hospitalization from a suicide attempt earlier this year, who has been able to safely stay in the community, work part time, and engage in treatment to not use opiates for over half a year. He has struggled with accessing insurance and paying for care but is finally getting that set up. 


Previous Year Actual Income and Expenditures

Government Funding UWMM Funding Other UWs Funding Fees/Dues Funding Other Sources Funding Total Income
328208 1750 7500 0 497084 834542

Total Actual Expenditures: $825460

Current Year Budgeted Income and Expenditures

Government Funding UWMM Funding Other UWs Funding Fees/Dues Funding Other Sources Funding Total Income
376461 1750 7500 0 543218 928929

Total Budgeted Expenditures: $928929

Anything remarkable about your program’s budget:

Last year we faced challenges in being understaffed to meet the demands on our program.  We focused resources on our OPP and Matrix programs to address the acute needs of the opiate crisis, but that led to underperformance in other parts of our counseling program, which caused some of the discrepancy in anticipated revenue.  We also faced potential challenge to our budget from the state Office of Substance Abuse, which was considering changing the reimbursement mechanism to one that would not have been sustainable.  This has since been resolved and solidified with the new administration.  This year we have hired and are continuing to hire more specialists to work with substance use disorder to expand services as outlined above and to meet budget revenue targets.

 
What else you’d like reviewers to know:

This new program model is needed in the Waterville area to most effectively deliver medication assisted treatment and counseling to the many local people dealing with opiate use disorder.  Our program places a strong emphasis on group and individual counseling to promote lasting recovery skills, as well as an effective step down to primary care practices in the community to meet ongoing medication and health care needs. 

 

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