DASA provides alcohol and drug related services to help people recover from alcoholism and drug addiction. DASA contracts with counties and service agencies to provide services to clients who cannot pay for the full cost of treatment.
(1) DASA pays counties to provide ADATSA Assessments and Outpatient Treatment. The amount paid to individual counties is based on an allocation formula which takes into account demographic factors associated with the incidence of substance abuse. The counties contract with private agencies to provide services. (2) DASA also contracts directly with service agencies to provide Residential Treatment services. DASA does not provide any direct client services.
DASA ServicesIncluded in this presentation:
Excluded in this presentation:
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Detoxification: Detoxification
is a short-term residential service for persons withdrawing from the
effects of excessive or prolonged alcohol or drug consumption. Services
continue only until the client recovers from the transitory effects
of acute intoxication. Detoxification always includes supervision, and
may also include counseling and/or medical care. Some counties provide
detoxification in specialized freestanding facilities. In other counties,
community hospitals provide detoxification.
ADATSA Assessments: The Alcohol
and Drug Addiction Treatment and Support Act (ADATSA) establishes a
discrete mode of treatment for indigent, unemployable alcoholics and
drug addicts as a constructive alternative to maintaining these persons
on the public assistance rolls. Clients determined both financially
indigent and clinically eligible may receive ADATSA Assessment services
from contracted assessment centers. An assessment includes a diagnostic
evaluation of alcohol or other drug addiction; a determination of employability;
and, if the applicant elects treatment, a determination of the proper
access point to the continuum and course of treatment for that client.
Residential Treatment: DASA
contracts directly with private agencies to provide the following services:
Intensive Inpatient Treatment, Long-term Residential Drug Treatment,
and Recovery House Care. Specialized Residential Care is provided for
populations with co-occurring disorders (mental health issues). Residential
Treatment also includes Involuntary Chemical Dependency Treatment (ICDT)
provided at the Pioneer North facility. Residential facilities provide
treatment to both ADATSA and regular DASA clients, pregnant and parenting
women, and youth.
Outpatient Treatment: Counties
contract with private agencies to provide a variety of diagnostic and
treatment services in a non-residential setting according to a prescribed
treatment plan. Outpatient Treatment patients include ADATSA, Medical
Assistance-eligible, and low-income adults and adolescents. Treatment
services provided by outpatient facilities include: non-ADATSA assessments
and urinalysis screening of Medical Assistance-eligible clients. Outpatient
treatment for ADATSA clients includes vocational counseling and other
efforts to help clients regain employment. Outpatient Treatment services
also include assessments and treatment activities provided through Group
Care Enhancement contracts with JRA Group Homes. Specialized assessment
and treatment are also provided to targeted client groups including
DCFS-referred adults, pregnant and parenting women, youth, Native Americans,
and TANF participants.
Opiate Substitution Treatment: Contracted
Opiate Substitution Treatment agencies provide outpatient service for
both Medicaid eligible and non-Medicaid eligible clients addicted to
heroin or other opiates. Opiate Substitution Treatment includes counseling
and daily, or near daily, administration of methadone or other approved
substitute drugs.
ADATSA Stipend: ADATSA clients receive
a stipend to cover food and housing costs while in outpatient treatment
or a small personal/incidental grant while in residential treatment.
Additional Services in Program Total
Some services are small and unlike other services. Programs may choose to include these in the program total only, rather than include them with dissimilar services.
Client counts and expenditures for the following services appear in the program total only:
- Parenting Education services for Pregnant and Parenting Women:
- Other Miscellaneous services for Pregnant and Parenting Women:
- DASA Therapeutic Child Care: The Childhaven agency provides child care for children affected by alcohol and/or drugs during their mother's pregnancy. DASA Therapeutic Child Care is provided while the mother is in outpatient treatment.
- DASA Child Care: DASA also pays for non-therapeutic Child Care while the mother is in outpatient treatment.
- Case Management for Medicaid-eligible Youth:
- Intensive Case Management for Medicaid-eligible Youth:
- Protective Payee Payments for ADATSA shelter clients:
- Transitional Housing: DASA contracts with private agencies to provide individual or group living for Parenting Women in a drug free environment.
Changes from the Needs Assessment Data Base (NADB) produced for Fiscal Year 94:
- NADB Fiscal Year 94 reports included Drug Screenings performed for Medical Assistance-eligible Washington state residents at the DART facility in Portland, OR. CSDB Fiscal Year 99 reports do not include Drug Screenings.
- NADB Fiscal Year 94 reports did not include Protective Payee Payments for ADATSA Shelter Clients. CSDB Fiscal Year 99 reports these in the program total only for DASA.
- Also, specialized outpatient assessment and treatment services were not included in NADB Fiscal Year 94 but are reported in CSDB Fiscal Year 99. These services are targeted towards the following priority populations: 1. DCFS-referred adults, 2. TANF participants, 3. Native Americans, 4. Pregnant/Parenting Women, and 5. Youth.
- Mentally Ill Chemical Abuser (MICA) Treatment services are provided at the Pioneer Center North Facility under a contract paid jointly by DASA and the Mental Health Division (MHD). NADB for Fiscal Year 94 reported clients receiving MICA services under both DASA and MHD. NADB for Fiscal Year 94 allocated expenditures for the jointly contracted services between DASA and MHD according to each program's share of the total contract. CSDB for Fiscal Year 99 reports clients receiving MICA services under DASA only. CSDB Fiscal Year 99 allocates expenditures between DASA and MHD according to each program's share of the total contract. Applicable costs are then reported for each of the two programs.
Changes from CSDB for Fiscal Year 99
- CSDB for Fiscal Year 99 reported client counts for Mentally Ill Chemical Abuser (MICA) Treatment at the Pioneer Center North Facility under the DASA results while expenditures were reported under both DASA and MHD. CSDB for Fiscal Year 00 does not report data for this service due to the elimination of MICA at Pioneer North.
Source: CSDB - State Fiscal Year 2000
