PROGRAM DESCRIPTION

The Addictions Case Management Project (MATS) provides Intensive Case Management services to chronic alcoholics and substance abusers who have realized little sustained benefit from traditional services. The program, one of a handful being piloted in NYS, is designed to successfully engage clients in non-crisis services and provide the sustained support necessary for long-term recovery and self-sufficiency. The Addictions Case Management Project will serve approximately 100 individuals annually with varying lengths of stay.

PURPOSE:  Fairview's Addictions Case Management Project (MATS) proposes to offer a case management program modeled after the Office of Mental Health ICM program and Broome County's own MICA ICM program, directed specifically at two groups of clients who enjoy little sustained benefit from traditional outpatient services only. As a result of significant levels of disability and the limited availability of case management services in the ASA continuum, many of these individuals simply "don't make it". We believe that a targeted, intensive, problem solving approach - the ACM project - supported by a host of community agencies, has the potential to positively impact this hard to serve group.

In addition to reductions in substance abuse and discontinued use, we are hopeful that the ACM services will result in reduced inappropriate use of crisis and inpatient services, more sustained engagement and benefit from outpatient services, and the stability and guidance needed to become self-sufficient.

TARGET POPULATION:  Two target populations will be the focus of the project:

• individuals who over-utilize crisis services (i.e. ACC, detox, CPEP, and the hospital emergency room) and
• those with a history of non-compliance with outpatient treatment and who have been or are likely to be sanctioned by the Department of Social Services.

In addition to the description of the two target populations already stated, eligible clients must be 18 and over with a diagnosis of alcohol or substance dependence and have experienced multiple problems in accessing or complying with treatment services. Other factors, which will be considered as priorities for admission, include: 

• Pregnant women and women with children

• Intravenous drug users

• Dual diagnosed persons with alcohol/drug as primary

• Clients with history of non-compliance (multiple treatment experiences especially acute care admissions)

• Clients sanctioned or at risk of sanction by DSS for treatment or employment non-compliance

• Homelessness

CAPACITY:  The ACM (MATS) Program anticipates serving approximately 130 clients annually. Fifty of these clients will be identified through crisis/acute care settings and 80 in outpatient treatment programs. These projections are based on some amount of turnover for caseloads which we expect to be in the range of 10 to15 per ACMS at any given time.