OSR TrainingConference

Outreach, Screening and Referral (OSR): 

Outreach, Screening and Referral (OSR) Prepared by Training and Technical Assistance Division of TCADA

Purpose of Training: 

Purpose of Training Objective: To help OSR service providers better understand the OSR activities and more accurately report performance and activity measures.

OSR (Rule 144.456) Consists of the following components: 

OSR (Rule 144.456) Consists of the following components Outreach, Screening, Referral Service providers are community based organizations that provide alcohol, tobacco and other drug prevention and intervention services to the community at large in their identified catchment area.

Slide4: 

OUTREACH Pro-Active Face-to- Participant Dissemination Join & Community Face Identification of Participate Involvement With Information in Participants Coalitions

 OUTREACH : 

OUTREACH Activities directed toward finding individuals who might not use services due to lack of awareness or avoidance and who would otherwise be ignored or underserved.

 In the OUTREACH component : 

In the OUTREACH component Outreach Efforts: The provider is to: Establish strategies and procedures for outreach activities such as : Media Blitz/Quarterly Press Release Dissemination of Information Setting up tables at malls, etc. for hand outs Collaborate with other community agencies in community activities to include joining coalitions.

Crisis Intervention144.456 (e)(1-5): 

Crisis Intervention 144.456 (e)(1-5) Crisis intervention services shall be provided for the purpose of responding to individuals and/or families in need of immediate services. Single contact or short series of contacts Must be provided by a QCC, graduate, or counselor intern working under direct supervision.

 Screening : 

Screening A brief interview conducted in person or by phone to determine if there is a potential addiction problem. Must be performed by a trained staff person.* * 144.456 (f) (2) The screening process shall be conducted by qualified credentialed counselors (QCC), graduates, or counselor interns working under direction of supervision.

Screening: 

Screening The OSR providers are required to conduct a screening for basic information and to determine service need. BHIPS screening should take no more than 45 minutes (screenings usually take 10 to 20 minutes). Identify addiction problems and social functioning problems. Treatment providers conduct clinical assessments. The OSR program may administer all or part of an assessment instrument as needed to make an appropriate referral.

Screening: Detail Information: 

Screening: Detail Information “If logistics or emergency circumstances prevent an in-person interview, the screening process may be conducted by telephone.” 144.456 (f)(1) Use the client profile and screening tool in Behavioral Health Integrated Provider System (BHIPS). Print BHIPS screening tool for field work.

 Referrals  : 

Referrals The process of identifying appropriate services needed by the participant and providing the assistance needed to access them. OSR linking the participant to the community service providers. Referrals are the onset of the Continuum of Care.

Follow-up:: 

Follow-up: Timeline (set by agency) with intervals of contact through phone, mail or face-to-face, which ever is feasible and most appropriate.

Motivational Interviewing144.456 (g): 

Motivational Interviewing 144.456 (g) The program may provide motivational interviewing and brief interventions and therapies to motivate and prepare individuals for treatment, or, for self-directed change in behavior when treatment is not indicated.

Memorandum of Agreement: 

Memorandum of Agreement 144.445 (d) When the program coordinates services with another provider, there must be a written letter of agreement that is renewed annually (by signature or other documented contact) and includes: (1) names of the providers entering into the agreement; (2) services or activities each provider will provide; (3) signatures of authorized representatives; and (4) dates of action and expiration.

Memorandum of Agreement (Continued): 

Memorandum of Agreement (Continued) 144.456 (f) (5) The OSR shall maintain written agreements with treatment providers outlining how individuals that go through the screening process are admitted to treatment.

 Manuals: 

Manuals The OSR Provider shall {Rule 144. 321 and 144.456 (i & j)} Maintain a resource manual Develop and implement written procedures to identify and provide appropriate referrals Comply with 144.321 which details TCADA expectations of policy and procedure manuals

Prevention Presentations of Minors and Tobacco: 

Prevention Presentations of Minors and Tobacco Public presentations must include: Tobacco use and abuse Addiction to tobacco Harmful effects Information on state law

Documentation for Presentations144.445 : 

Documentation for Presentations 144.445 Documentation of community process activities shall include, as applicable: (1) date, time, and duration of activity; (2) key contact persons/providers involved; (3) purpose and goal of activity; (4) further action steps needed; and (5) action or change achieved. For the monthly measures count the number of presentations.

Tobacco Retailers Contacted: 

Tobacco Retailers Contacted Purpose is to reduce minors’ access to tobacco products throughout the catchment area. What to discuss with retailers: State law Health consequences Warning signs Photo ID Employee training Disciplinary actions

Tobacco Retailers Contacted (Continued): 

Tobacco Retailers Contacted (Continued) Documentation needed to support the count of retailers contacted. State comptroller: 1-800-345-8647, is the source of educational materials. Retailer contacts may be: In-person By phone Written correspondence to retail manager

Media Contacts Concerning Minors and Tobacco: 

Media Contacts Concerning Minors and Tobacco Purpose: Increase public awareness Illegal to sell to minors and illegal for minors to buy Harmful effects on minors

Media Contacts: 

Media Contacts Examples: News articles, press releases, media blitz Information for editorials, letters to the editor Public service announcements One topic to several media companies equals 1 media contact. Three topics sent to several media contacts=3 media contacts.

Media Contacts Continued: 

Media Contacts Continued What to report: Number of retailers contacted, store location and contact person permit number warning sign distributed Number of newspapers, radio stations, televisions, etc. contacted to inform public of issues to related to minors and tobacco

Key Performance Measures : 

Key Performance Measures Community based organizational agreements Adult/Youth Identification and referral to treatment or supportive services Follow-up Screenings Retailers contacted Media contacts

Key Performance Measures (Continued): 

Key Performance Measures (Continued) Crisis Intervention Count one person for one problem type If the same person has another problem after the first problem has been resolved, then you may count the person and the problem again. Provision of immediate services to individuals/families with single contact or short series of contacts Motivational interviewing/brief interventions and therapies Prevention presentations Alcohol, Tobacco and other Drugs (ATOD) Prevention Training (PTS) and other TCADA approved training services are reported for this measure.

Key Measures Information: 

Key Measures Information Screenings can be conducted over the phone during emergencies. Participant files in BHIPS should include client profile, Screening, referrals and follow-ups in BHIPS. Follow-up can be conducted through phone calls, face-to-face and by letter (if you save a copy of the letter and have received a response).

Key Measures Information (Continued): 

Key Measures Information (Continued) What are and are not referrals: Considered Referrals: Referrals to service providers for which a follow-up can be conducted. Examples: Housing Authority Mental Health providers Addiction providers PRS

Key Measures Information (Continued): 

Key Measures Information (Continued) Not Considered Referrals: Any support group for which follow-up cannot be conducted, such as 12 step programs. These are considered information dissemination. (When a follow-up can be conducted through contact with the client, then the support group referral can be counted as a referral.)

Key Measures Information (Continued): 

Key Measures Information (Continued) Count referrals only when a follow-up has been completed. Count the number of referrals per person, and the number of persons referred (two different sections of the monthly report). Review the definitions for the measures to ensure understanding of where these numbers are reported (See TCADA website).

Reporting: : 

Reporting: Monthly Measures: Submit on or before the 20th of the month Measures are to be entered in BHIPS What does not pertain to your activities place a zero “0”

Slide31: 

OSR: Section 1. Report the community contacts made for the quarter. Percentage of Goals Document the percent of the goal attainment then explain why it is less than or more than 25% in the strengths and barriers section.

Slide32: 

OSR: Section 2. Community Involvement List the meetings and communities activities attended during the quarter.

Slide33: 

OSR: Section 3. Number of Adults/Youths screened Question #6 in the Quarterly Narrative The Tracking system refers to the procedure and time period in following up a client after the referral.

Training Requirements: 

Training Requirements Provide training on crisis telephone call policies and procedures 3 hours of mental health diagnoses

Helpful Websites: 

Helpful Websites www.tcada.state.tx.us (Click on Contractor Resources, TCADA Reports and Forms for measures definitions and narrative quarterly reports) www.health.org (National Clearinghouse for Alcohol and Drug Information www.tdh.state.tx.us/otpc (Office of Tobacco & Prevention control)

Training and Technical Assistance: 

Training and Technical Assistance Should you have any questions about this presentation please call: Program Specialist II Valerie Shown, LMSW-ACP 1-800-832-9623 1-512-349-6681 Thank You!