Les Sperling, CEO Recovery PRN, LLC May 28, 2019

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There’s an APP for That!Les Sperling, CEORecovery PRN, LLCMay 28, 2019

Working with communities toaddress the opioid crisis² SAMHSA’s State Targeted Response Technical Assistance(STR-TA) grant created the Opioid Response Network toassist STR grantees, individuals and other organizations byproviding the resources and technical assistance they needlocally to address the opioid crisis .² Technical assistance is available to support the evidence-based prevention, treatment, and recovery of opioid usedisorders.Funding for this initiative was made possible (in part) by grant no. 6H79TI080816 from SAMHSA. Theviews expressed in written conference materials or publications and by speakers and moderators do notnecessarily reflect the official policies of the Department of Health and Human Services; nor does mentionof trade names, commercial practices, or organizations imply endorsement by the U.S. Government.2

Working with communities toaddress the opioid crisis² The Opioid Response Network (ORN) provides local,experienced consultants in prevention, treatment andrecovery to communities and organizations to help addressthis opioid crisis.² The ORN accepts requests for education and training.² Each state/territory has a designated team, led by a regionalTechnology Transfer Specialist (TTS), who is an expert inimplementing evidence-based practices.3

Contact the Opioid ResponseNetwork² To ask questions or submit a request for technicalassistance: Visit www.OpioidResponseNetwork.org Email orn@aaap.org Call 401-270-59004

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Equation for SUD IntegrationSuccess² (SBIRT CDM MAT) x (C DNH) IPO2(E x IATC) x T² (SBIRT Chronic Disease Management Medication Assisted Treatment) x (Competence Do No Harm) /Engagement x Immediate Access to Care xTechnology Improved Patient OutcomesSource: Les Sperling, Strategic plan foracute medical care integra6on, 20147

Help is AvailableSubstance Abuse and Mental Health ServicesAdministration (SAMHSA)www.samhsa.govTreatment Improvement Protocol (TIP)Using Technology-Based Therapeutic Tools inBehavioral Health Services- TIP h-Services/SMA15-49248

Mobile or Handheld Technologies² Global penetration of mobile cellular subscriptionshas reached 87%² Over 6 billion mobile phone subscriptionsSource: SAMHSA TIP 609

Technology-Based Therapeutic ToolsAcross Technological Categories² Telephone/Audio conferencing² Video/Web conferencing² Self-directed, web based tools² Email² Internet Chat² Mobile phone text messaging² Mobile/Handheld device tools² Additional Emerging TechnologiesSource: SAMHSA TIP 6010

Technologies Applied toBehavioral Health² Mobile Data Collection– Tools to obtain data in real time related emotionalstates and behavior² Short Messaging Services (SMS)– Text messaging to encourage client engagement inhealth promotion or treatment² Applications embedded on Mobile Devices– In the moment interventions and recovery support² Emerging Technologies– Sensors to assess physiological statesSource: SAMHSA TIP 6011

Case Study²²²²²²²²²²²CKF Addiction TreatmentSalina, KansasPathfinder Peer Recovery Center6 FTE Kansas Certified Peer MentorsWalk in center-immediate access to carePeer Mentors initiate implementation of Chess Mobile Health AppPeer Mentors co-facilitate outpatient group with Licensed AddictionCounselorsPeer Mentors and counselors provide team based careUtilize CHESS dashboard for patient monitoringProvide telehealth recovery support for OUD patientsProvide assistance with life skills, health, housing, employment, andrecovery12

KANRECOVER PROGRAMUtilizing Technology to Prevent RelapseA-CHESS is a relapse prevention systemavailable as a Mobile app for AndroidSmartphones, iPhone, and iPad. Developedby researchers at the University ofWisconsin-Madison, A-CHESS, is helpingpeople build skills to maintain lastingrecovery. In partnership with CKF The app features: Network of support Daily Check-In and Sobriety Counter A weekly survey to help you stay on trackA-CHESS provides aSafety Net for the newlyrecovering; providingimmediate access to asupport network. with your recovery planRecovery Tools to help you deal with difficultor tempting situationsDiscussion/Support groupsReal time access to CKF staffAudio podcasts of recovery stories andrelated topicsLatest information on recovery related newsand eventsA Panic Button to reach out for help

CHESS Health: Example of SUDTechnology² Started as ACHESS – Mobile App forpatients in treatment & recovery– Social and clinical features– Address isolation, reinforcecoping strategies, daily/weeklysurveys– Collect data on progress &outcomes² Results:– 20% increase in treatment groupattendance vs. non ACHESS users– 71% lower rate of readmissionSource: CKF internal study of 500 pa6ents 201614

CHESS Health: Digital Referrals AppGOAL: Get more individualsinto treatment !- Referral details- Motivational videos, resources- Messaging to close-the-loopText messagelink & ferral Site&MessagingReferralManagementPayerRulesPeers, CSW,CoordinatorCHESSwith Consent,E-ReferralTreatmentProviders

What is myStrength?myStrength: evidence-based, self-help resourcesoffering providers the ability to meet consumerdemand, extend access, improve outcomes andlower cost of care.16

How does myStrength help?Evidence-basedPersonaland relevantMulti-conditionand holisticInteractive,available24/7/365Webresponsive &mobile tool foryour toolboxSafe & SecureDemonstratedresultsHopefuland helpful17

How To Encourage Clients To Use, andContinue Using, Web-Based Programs² Give clear instructions about what to expect fromthe program and how to access the website² Demonstrate access and use of the program beforethe client leaves your office² Emphasize confidentiality and protection of privateinformation (e.g., via passwords)² Use a reminder system, such as text messaging,email, or an electronic calendarSource: SAMHSA TIP 6018

How To Encourage Clients To Use, andContinue Using, Web-Based Programs² Invite clients to report, in and out of the office,their successes and struggles with the program² Use secure video conferencing, encrypted email, orsecure text messages to highlight clientimprovements, and thereby promote motivationto continue using the programSource: SAMHSA TIP 6019

SAMHSA APPS20

REFERENCESEssential ResourceSAMSHA TIP 60: Using Technology-Based Therapeutic Tools inBehavioral Health l-Health-Services/SMA15-4924Technology-based interventions for the treatment and recoverymanagement of substance use disorders: a JSAT special issue.Marsch LA, Carroll KM, Kiluk BD. Journal of Subtance Abuse Treatment2014 Jan;46(1):1-4. doi: 10.1016/j.jsat.2013.08.010. Epub 2013 Sep 14.Indian Journal of Psychiatry 2018 Feb; 60 (Suppl 4): S534–S540.doi: 10.4103/psychiatry.IndianJPsychiatry 21 1821

REFERENCESLEVERAGING TECHNOLOGY TO ENHANCE ADDICTIONTREATMENT AND RECOVERYLisa A. Marsch, PhDJournal of Addictive Diseases 2012; 31(3): 313–318.doi: 10.1080/10550887.2012.694606The Role of Technology-Based Interventions for SubstanceUse Disorders in Primary Care: A Review of the Literature.Tofighi B, Abrantes A, Stein MD. Medical Clinic of North America2018 Jul;102(4):715-731. doi: 10.1016/j.mcna.2018.02.011.22

REFERENCESUse of a Smartphone Recovery Tool for Latinos withCo-Occurring Alcohol and Other Drug Disorders andMental Disorders.Muroff J, Robinson W, Chassler D, López LM, GaitanE, Lundgren L, Guauque C, Dargon-Hart S, StewartE, Dejesus D, Johnson K, Pe-Romashko K, Gustafson DH.Journal of Dual Diagnosis, 2017 Oct-Dec;13(4):280-290.doi: 10.1080/15504263.2017.1348649. Epub 2017 Jul 10.23

Contact InformationLes SperlingRecovery PRN, LLC2852 17th AvenueLindsborg, KS 67456620-242-7923lesperling@gmail.com24

Case Study ² CKF Addiction Treatment ² Salina, Kansas ² Pathfinder Peer Recovery Center ² 6 FTE Kansas Certified Peer Mentors ² Walk in center-immediate access to care ² Peer Mentors initiate implementation of Chess Mobile Health App ² Peer Mentors co-facilitate outpatient group with Licensed Addiction Counsel

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