Quality Control and Efficient use of Resources…
Our Mission remains to offer hope to adults by providing an effective continuum of high quality, valuable, and compassionate behavioral health treatment services.
Our philosophy is based on person-centered treatment planning which means the individual receiving services is the most important part of the treatment team planning. The treatment plan will be created to address each person’s specific needs. We believe the only things necessary for a person to achieve sobriety are honesty, open-mindedness, and willingness to take risks toward trusting the process, surrendering to program, and committing to change.
We believe in the disease-model approach which treats a substance use disorder as a chronic disease that can be managed to improve a person’s physical, mental, emotional, and spiritual well-being. Recovery takes time, dedication, and support. The staff of Harbor House is committed to offering support, compassion, and effective tools for change so those we serve can be set free from the bondage of addiction to live a life worth living.
- We provide access to treatment in a community setting.
- We promote a client- and family-centered therapeutic environment.
- We provide a continuum of care.
- We operate using management practices and decision-making processes that are transparent.
- We invest in our most important asset – our employees.
- We partner with health care, social service, and vocational providers to augment our capabilities.
- We utilize data and information to make informed decisions.
- We play a leadership role in community education on substance abuse.
- We serve as responsible stewards of organizational resources.
SUMMARY of SERVICES
Recovery from addiction depends on more than just not using alcohol and other drugs. The decision to enter residential treatment depends on more than just whether you are using alcohol and other drugs. Each person admitted into Harbor House will participate in a comprehensive intake assessment based on the ASAM Level of Care Placement Criteria (American Society of Addiction Medicine). The assessment includes evaluation of the following six life dimensions together to ensure that residential treatment ASAM Level 3.5 or 3.1 is the best option for the person.
- Acute Intoxication and/or Withdrawal Potential
- Biomedical Conditions and Complications
- Emotional, Behavioral, or Cognitive Conditions and Complications
- Readiness To Change
- Relapse, Continued Use, Or Continued Problem Potential
- Recovery/Living Environment
The results of the ASAM assessment are used to create person-centered individual treatment plans based on personal needs, goals and objectives that consider a person’s age, gender, race, ethnicity, language, literacy, spirituality, culture, trauma history and co-occurring physical and mental health issues.
Harbor House offers Level 3.5 Residential care with includes 24/7 staff monitoring and supervision. This level of care provides a minimum of 20 hours of group therapy and one (1) hour of individual therapy per week. Clients in this level do not leave the campus for any reason other than outside 12-step meetings, urgent outside medical appointments or other emergency situations that cannot be delayed until discharge from this level of care. In addition, Harbor House offers Level 3.1 Residential care that allows outside supportive employment opportunity and job training as well as a minimum of four (4) hours of group therapy and one (1) hour of individual therapy per week.
Medication-assisted Treatment (MAT)
MAT is the use of medications combined with counseling and behavioral therapies to treat substance use disorders and prevent opioid overdose and overdose death. MAT is primarily used to treat addiction to opioids such as heroin and prescription pain killers that contain opiates by reducing cravings while allowing the brain and body time to gradually return to a balanced state. Harbor House only uses medications approved by the Food and Drug Administration for this type of treatment.
The goal of MAT is full recovery, which includes the ability to live a life free of drug seeking behavior and full of emotional, mental, physical, and spiritual well-being. MAT is founded on the chronic disease management model like diabetes, asthma and hypertension which rely on medications to reduce symptoms and allow persons to improve their health and wellness, live self-directed lives, and strive to reach their full potential.
Many people in and out of the recovery community join in the debate of whether medication-assisted treatment is swapping one addiction for another. At Harbor House, we believe in keeping a person alive long enough to make that decision for themselves. Not everyone who uses an opioid is appropriate for MAT. However, for those individuals who are appropriate for MAT, it can be their only life-saving and life-giving option.
Recovery Support Services
Harbor House realizes that Residential Treatment is only the beginning to long term recovery. Recovery Support Services (RSS) provides ongoing peer support for individuals with a weekly meeting facilitated by a Certified Peer Support Specialist (CPSS). Prior to completing residential treatment, each client will work with a CPSS to develop a personal recovery support plan. These plans include each person’s recovery goals which might include employment, social, family, or educational goals. Clients are expected to attend the weekly RSS groups and report back to the group about their progress and seek guidance from the CPSS and other participants to achieve their personal goals. RSS group adds another level of accountability in addition to regular attendance at 12-Step recovery meetings, which is strongly suggested. RSS Group is offered to all Harbor House residential and MAT clients as well as persons in recovery who have completed other residential or outpatient treatment programs.
- Experienced and dedicated staff
- Co-occurring competency
- Positive reputation and name brand recognition
- Long-term annuity revenue and growth in referral and revenue streams
- Fixed revenue rates with no opportunity for increase until 2024
- Negative macro and micro economic trends continue (inflation and labor market)
- Shortage of qualified job candidates in behavioral health workforce
- Financial margin compression
- Expansion of Medication-assisted treatment program
- Expansion of services for Low-intensity (transitional services) program
- Unsolicited offers from universities to contribute services for intern and research programs
- Cost-savings from new Electronic Health Record (EHR) and accounting platforms
- Competing providers continue to recruit staff for higher salaries
- Unforeseen natural disaster or infrastructure repair costs
- Continued inflation risk for variable expenses (food, fuel, commodities)
- Lack of depth in management experience for succession planning
RESOURCE ALLOCATION – FINANCIAL
- The agency has secured funding in 2022 to hire a new Co-occurring Disorder Specialist whose primary role is to become competent in and disseminate clinical evidence-based programs among agency staff to improve quality of client care and subsequent client outcomes.
- Lastly, the agency was awarded new funding in 2022 to cover the program costs associated with the expansion of Low-intensity residential services as well as MAT telehealth services.
RESOURCE ALLOCATION – WORKFORCE
- During FY22, the agency hired a new Clinical Operations Director and Co-occurring Disorder Specialist who work closely to train direct care staff in crisis response, trauma-informed care, and other related evidence-based clinical and non-clinical interventions. Both staff will be instrumental in the implementation and training of the new EHR platform.
- The agency expanded its number of Certified Peer Support Specialists (CPSS) from two (2) in FY21 to seven (7) by November 2022. CPSS staff lead the Recovery Support Services including linkage to community-based housing, employment, and social service resources to improve client retention and related recovery outcomes.
- During FY22, the agency has been formalizing role definition and lines of authority to maximize staff performance and improve financial controls with separation of duties and internal approval processes.
- Continuous assessment of quality of client care to improve client outcomes
- Continuous assessment of expenses to decrease waste and increase spending efficiency
- Continuous assessment of workforce compensation to retain valuable talented staff
- Training agency-wide to operate as a trauma-informed organization
- Initiation of newly designed Low-intensity residential services and expand MAT telehealth
- Tightening of financial controls and increase separation of duties with new accounting platform to achieve cost savings wherever possible
- Implementation new EHR platform to improve golden thread documentation and achieve electronic billing capabilities and cost synergies from reduction of labor hours from manual billing and reporting
- Expansion and diversification of revenue streams including direct federal grants, corporation donations and state and local partners
KEY PERFORMANCE INDICATORS
- Number of client episode completions
- Profit and loss statements by program and customer
- Completion of EHR implementation
- Employee turnover ratio / staff vacancies
- New program expansion status