Return to the main page | Previous document | Next document


Program B: Prevention and Treatment

Program Authorization: Act 353 of 1952; Acts 33 & 121 of 1958; Act 786 of 1978; Act 20 of 1979; Act 899 of 1984; Act 1 of First Extraordinary Session of 1988; and Act 159 of 1989

PROGRAM DESCRIPTION

The mission of the Prevention and Treatment Program is to address the individual, interpersonal and social, and environmental influences that cause an individual to abuse alcohol and other drugs. Prevention program activities must include three of the six strategies: information dissemination, education, alternatives, problem identification and referral, community-based process, and environmental. This program has 49 contract prevention programs.

It is also the mission of this program to provide a continuum of treatment services: detoxification, inpatient, community-based, residential and outpatient. These treatment services provide assessment, diagnosis and treatment of alcohol abuse, alcoholism, drug abuse, drug addiction, and other addictions, such as gambling. In addition, the Office of Alcohol and Drug Abuse provides services in five special programs: Methadone, Pre-Release Criminal Justice Program (Blue Walters), Drug Courts, Compulsive Gambling, and DWI treatment. Federal funding mandates require that the OADA provide specialized services to pregnant women, women with dependent children, intravenous drug users and those infected with HIV.

The goals of the Prevention and Treatment Program are:

1. Provide the highest quality of alcohol and drug abuse and gambling treatment which is clinically effective, delivered in the most efficient manner, and responsive to client’s needs.

2. Assist in the development and provision of research-based prevention programs throughout the state that support a comprehensive prevention system to reduce the use and abuse of alcohol, tobacco and other drugs.

Major activities of this program include Primary Prevention, Synar Amendment (activities targeted to comply with the prohibition of tobacco sales to individuals under 18 years), Detoxification Services, Primary Inpatient Adult, Inpatient Adolescent, Community-Based Adult, Community-Based Adolescent, Outpatient, Pre-Release/Criminal Justice, Drug Court, and Compulsive Gambling.

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).

 

 

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The Office of Alcohol and Drug Abuse Prevention and Treatment Program is funded from General Fund, Interagency Transfers, Fees and Self-generated Revenue, Statutory Dedications, and Federal Funds. Interagency Transfer means of financing represents Title XIX reimbursement for services provided to Medicaid eligible patients received from the Department of Health and Hospitals, Medical Vendor Payments Program. Fees and Self-generated Revenues include fees from patients for services provided based on a sliding fee scale, DWI fees paid for prevention and treatment services provided to DWI offenders, reimbursement for meals provided to employees and visitors at inpatient treatment facilities, and co-payments on urine drug screens. Statutory Dedications means of financing are available in accordance with Act 1215 of 1995 and Act 585 of 1997. Act 1215 established the Compulsive and Problem Gaming Fund. Act 585 increased the fund amounts to $500,000 each from Lottery, River Boat Gambling and Video Poker (Per R.S. 39:32B.(8), see table below for a listing of expenditures out of each statutory dedication fund). Federal Funds include Title XVIII for services provided to Medicare eligible patients, funds provided by the Bureau of Prisons, and the following grants: Office of Alcohol and Drug Abuse Block Grant, Needs Assessment grants, Shelter Plus grant, Women with Dependent Children grant, and Underage Drinking grant.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$14,393,177

$46,488,564

476

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$64,828

0

 

Carry Forward

$0

$0

(5)

 

Transfer of one position to Administration Program; one position to Greenwell Springs; and three positions to Feliciana Forensic

$0

$216,735

0

 

New grant from U.S. Department of Justice – Office of Justice Programs for the "Drug Court Multi-jurisdictional Enhancement Initiative" to develop a computerized Management Information System

 

 

 

 

 

$14,393,177

$46,770,127

471

 

EXISTING OPERATING BUDGET – November 20, 1998

 

 

 

 

 

$0

$255,183

0

 

Annualization of FY 1998-1999 Classified State Employees Merit Increase

$0

$260,246

0

 

Classified State Employees Merit Increases for FY 1999-2000

($115,290)

($109,647)

0

 

Risk Management Adjustment

$0

$233,255

0

 

Acquisitions and Major Repairs

($409,800)

($409,800)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($64,828)

0

 

Nonrecurring Carry Forwards

$0

$623,893

0

 

Salary Base Adjustment

$0

($627,433)

0

 

Attrition Adjustment

$0

($511,889)

0

 

Salary Funding from Other Line Items

($474,432)

$0

0

 

Means of Financing Substitution - Replace general fund with federal funds to free general fund to equal maintenance of effort requirements

$0

$399,996

0

 

New grant initiative from U.S. Department of Justice – Office of Justice Programs for "Combating Underage Drinking". The goal of this project is to reduce underage drinking and to prohibit the sale of alcohol beverages to minors in Hammond, Covington, and Thibodaux

$0

$11,748

0

 

Workload - Increase in clinic footage due to the increase in the number of counselors (3) and the average service (700/month)

$0

$4,250

0

 

New and Expanded Adjustments – Drug testing of new applicants and existing employees

$0

$389,084

0

 

New and Expanded Adjustments - Medical detox expansion of 20 beds in New Orleans and 5 beds in Shreveport to provide expanded coverage due to increased demand and reduced legal liability

$0

$547,500

0

 

New and Expanded adjustments - Adult inpatient 21 day treatment enhanced by 20 beds in a new state fund built facility in Lafayette

$0

$493,274

0

 

New and Expanded Adjustments - To maintain federal requirement that 20% of block grant be spent on prevention programs

 

 

 

 

 

$13,393,655

$48,264,959

471

 

TOTAL RECOMMENDED

         

($999,522)

$1,494,832

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 103.2% of the existing operating budget. It represents 78.8% of the total request ($61,273,749) for this program. The major changes reflected in the analysis of recommendation include: full funding has been provided for all 471 recommended positions and an adjustment to reflect an anticipated attrition factor of 4%; a net decrease in Risk Management premiums of $109,647 ($115,290 reduction in general fund and $5,643 increase in federal funds); a net decrease in acquisitions and major repairs of $176,545 ($409,800 decrease in general fund and $233,255 increase in federal fund); a decrease of $64,828 in federal funds carry forward from prior years for acquisitions and major repairs; an $11,748 workload adjustment for an increase in clinic footage due to increases in the number of counselors and average services; a $399,996 increase in federal funds for a new grant initiative from U.S. Department of Justice – Office of Justice Programs for "Combating Underage Drinking" the goal of which is to reduce underage drinking and to prohibit the sale of alcohol beverages to minors in Hammond, Covington and Thibodaux; a $389,084 increase in federal funds for medical detox expansion of 20 beds in New Orleans and 5 beds in Shreveport to provide expanded coverage due to increased demand and reduced legal liability; a $547,500 increase in federal funds for an adult inpatient 21 day treatment enhanced by 20 beds in a new state fund built facility in Lafayette; and a $493,274 increase in federal funds to maintain federal requirements that 20% of block grants be spend on prevention programs.

PROFESSIONAL SERVICES

$288,537

 

Contracts with physicians to provide medical services at a given facility to patients and provides medical consultation to staff of the specified facility. The medical services provided may vary from facility but primarily they include routine physicals of clients enrolled in the program.

$161,202

 

Primarily Psychiatric services to patients of Alcohol and Drug Abuse Clinics. Also provide formulation and authorization of Treatment plan, Medical Management and consultation to members of the staff of the clinics.

$108,327

 

Contracts with nurses and phlebotomists who assist staff with HIV/TB Counseling/Testing and phlebotomy services including Sexually Transmitted Disease (STD) education and Venereal Disease Research Laboratory for Syphilis (VDRLS). These providers will also do TB skin testing on IV drug user clients and HIV positive clients. These type of contracts will also provide direct observed therapy on-site when appropriate in collaboration with the Louisiana AIDS Program and the TB Control Program.

$11,934

 

Provide psychological testing, consultation and assessment on personality characteristics of alcohol and drug abuse clients.

$77,745

 

Interpreting service for hearing impaired clients. In compliance with the ADA Act of 1990, OADA is required to provide treatment outcome.

$580,303

 

Other service contracts for dietitian, consulting, computer and software specialist, counselors, training and other non-medical services

 

 

 

$1,228,048

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$3,941,570

 

Outpatient treatment services provides an array of services to substance abusing individuals and their families at the community level that is least restrictive, less costly to access than formalized inpatient treatment services. These services are designed to bring the addictive process to remission and to support individual and family growth to sustain recovery. Standardized core services this component include: Individual, family, group and couples counseling; intensive day treatment, medical services, educational services; drug screens; case management and aftercare services to both children/youth and adults statewide.

$4,086,721

 

Residential treatment services provides a therapeutic environment for citizens diagnosed with substance abuse disorders (chemical dependency, addiction, etc.) who are due to the severity of the disorder, cannot achieve recovery in a less restrictive environment. Services are provided to both adolescents and adults, including specialized programming to addicted pregnant women, women with dependent children. These services are either short-term (standard 28 day program or long-term (3-6 months) for the more chronic individuals).

$2,829,798

 

Halfway house services provides a structured, community-based supportive living environment for both adult and adolescent males and females, after completing a formalized primary care treatment program. This component of care allows the client/patient an opportunity to continue to work toward recovery, as reflected by his/her individualized treatment plans; provides individuals and group counseling; 12 Steps AA/NA meetings and other self-help support group and personal growth services in a safe, drug-free setting that is supportive, and peer generated, while reintegrating into the community. The length of stay ranges from (2-6) months during which time the resident is either employed, seeking employment or enrolled in vocational/educational activities.

$1,435,302

 

Acute care detox services provides medical or medically supervised support services to persons undergoing detoxification after a prolonged period of alcohol and/or drug abuse where the forward motion of the addictive process can be halted and the individual can begin the screening and assessment for the development of an appropriate treatment plan. Services included are aftercare planning and referrals to appropriate component in the continuum of care. Each program has a specific number of inpatient beds assigned based on population. Services provided during the inpatient stay may include, in addition to the supervision of the detoxification process, group, individual and family counseling; introduction to and participation in self-help groups, and other information meeting and referral groups. These contractual programs provide over 36,000 patient days per year.

$2,999,521

 

Prevention Services the most cost effective approach for achieving success in the war against drugs in to lessen the demand for the substance. The aim of prevention contracts is to create a social environment in which substance abuse is unacceptable. Focus is on those at highest risk, which includes youth in high crime and drug abuse areas, school dropouts and those experiencing difficulty in school, parents of those children, young adults and pregnant women. This task can be accomplished by assembling the resources of all the citizens of this state in a sustained and well-organized effort to alter the attitudes and behavior that encourage substance abuse. Prevention contracts are required for awareness and education to the effects of alcohol, tobacco, and other drugs of abuse, within the youth and general population of the State of Louisiana.

$1,267,758

 

The New Orleans Target cities Demonstration Project is a $11.5 million cooperative agreement between the Office of Alcohol and Drug Abuse (OADA) and the funding agency, the Center for Substance Abuse Treatment (CAST). The award is for five (5) years and covers three areas: System improvement, treatment and Criminal Justice Linkage. System improvement includes coordination of public and privately funded substance abuse treatment providers, creation Units (CIU'S) with a standardized objective assessment protocol, an automated management information system that allows for patient treatment matching, a unified unduplicated waiting list, treatment slot management and patient tracking across treatment system. The New Orleans Substance Abuse Treatment System will receive funds to enhance and expand treatment services. This project improves the linkages between the substance abuse treatment community and the criminal justice system.

$748,747

 

The State Demand and Need Assessment Grant is a cooperative agreement between the Office of Alcohol Drug Abuse (OADA) and funding agency, the Center for Substance Abuse Treatment (CAST). The award is for three (3) years, September 1997 through September 2000, with the objective of assessing the demand and need for substance abuse prevention services at the State and sub-state level ($347,463 Prevention and $401,284 Treatment).

$535,153

 

The Shelter Plus Grant represents a unique partnership between two major collaborative efforts underway in the City of New Orleans: UNITY for the Homeless and the New Orleans Target Cities Project. By proposing Shelter Plus Care sponsor-based renewal assistance for the homeless substance abusing population, the project seeks to address in a comprehensive manner the continuum of care needs of a significant segment of the city's homeless population

$1,189,478

 

Included in Other Contracted Services are SYNAR (Tobacco enforcement), blood work, Management Information Services contracts and HIV, Phlebotomy, Urine Screen, Gambling, Conference Co-Sponsorship, matching Grants Funds, Statewide Training and Employment contracts.

$780,444

 

This grant is funded by the Substance Abuse and Mental Health Services Administration to provide residential treatment services for women and their dependent children. This is a demonstration grant in region three (3) at the present time. The award is for five (5) years from September 1995 through September 2000.

$1,500,000

 

Provide inpatient and outpatient gambling services to problem gamblers as provided by the Compulsive and Problem Gaming Fund

$360,000

 

Federal grant from Office of Juvenile Justice and Delinquency Prevention for the use in reduction of underage drinking. "College Initiatives" will develop community college initiatives in each of the 10 regions and to other community groups to develop and implement underage drinking reduction programs and activities

$216,735

 

Federal grant for the Drug Court Multi-jurisdictional Enhancement Initiative to develop a computerized management information system. Grant will be used to develop a system for the state’s drug courts, design a drug court evaluation process, and develop a training curriculum for drug court personnel.

$349,996

 

Federal grant from Office of Justice Program to reduce underage drinking and to prohibit the sale of alcohol beverages to – or the consumption of alcohol beverages by – minors in Hammond, Covington and Thibodaux. These cities were selected because of receptiveness to the progress, involvement of colleges and the magnitude of the drinking problem and high fatal crash rate

     

$22,241,223

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$363,300

 

Central Louisiana State Hospital for operating expenses of the Red River Treatment Center inpatient facility with payments made via monthly billing of actual cost incurred including utilities, dietary services, maintenance, etc.

$73,200

 

Central Louisiana State Hospital for operating expenses of the Alexandria/Pineville Outpatient Clinic

$5,000

 

Northwest Louisiana Development Center for supplies provided to Pines Treatment Center and the Alcohol and Drug Unit

$722,000

 

Southeast Louisiana Hospital for operating expenses of the Fountainbleau Treatment Center and the Alcohol and Drug Unit

$4,485,068

 

Capital Area Human Services District to perform community-based functions related to the care, diagnosis, training, treatment and education of alcohol and drug abusers and prevention of alcohol and drug abuse

$43,325

 

DSS/Office of the Secretary for printing of letterhead, envelopes and manuals for statewide use, office and medical supplies

$132,918

 

Greenwell Springs Hospital for operating expenses of the Spring of Recovery, adolescent girls unit

$6,744

 

East Louisiana State Hospital for operating expenses of the space occupied by the Office of Alcohol and Drug Abuse

 $170,000

 

Office of Revenue for compliance audits to prevent underage access to tobacco products

$65,000

 

W.O. Moss Hospital for dietary services provided to the Joseph Brisco Treatment Center which is operated by the Office of Alcohol and Drug Abuse in Lake Charles

$55,858

 

Office of Women’s Services for education, alternative activities and referrals

$77,000

 

Special School District #1 for adolescent girls unit located at Greenwell Springs Hospital

     

$6,199,413

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$233,255

 

Recommended level of funding for the replacement and repairs of obsolete inoperable or damaged equipment and buildings

 

 

 

$233,255

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


Return to the main page | Previous document | Next document