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 excessi/ms/rdave 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 Assessments: Counties
contract with private agencies to provide a variety of diagnostic services
in a non-residential setting. Outpatient Assessment patients include
Medical Assistance-eligible and low-income adults and adolescents. Outpatient
Assessment services also include assessment activities provided through
Group Care Enhancement contracts with JRA Group Homes. Specialized assessment
services are also provided to targeted client groups including DCFS-referred
adults, pregnant and parenting women, youth, Native Americans, and TANF
participants.
Outpatient Treatment: Counties
contract with private agencies to provide a variety of 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. Outpatient treatment for ADATSA
clients includes vocational counseling and other efforts to help clients
regain employment. Outpatient Treatment services also include treatment
activities provided through Group Care Enhancement contracts with JRA
Group Homes. Specialized treatment is 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. Expenditures for this service are under-reported in
CSDB for Fiscal Year 2001.
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.
- Stipend payments for ADATSA clients to cover food and housing costs while in outpatient treatment or a small personal/incidental grant while in residential treatment.
- Transitional Housing: DASA contracts with private agencies to provide individual or group living for Parenting Women in a drug free environment.
- Urinalysis: DASA pays for screening of Medical Assistance-eligible clients.
Changes from the Needs Assessment Data Base (NADB) from NADB-Fiscal Year 94 to CSDB-Fiscal Year 99
- NADB for Fiscal Year 94 reports included Drug Screenings performed for Medical Assistance-eligible Washington state residents at the DART facility in Portland, OR. CSDB for Fiscal Year 99 does not include Drug Screenings.
- NADB for Fiscal Year 94 reports did not include Protective Payee Payments for ADATSA Shelter Clients. CSDB for Fiscal Year 99 reports these in theprogram total only for DASA.
- Also, specialized outpatient assessment and treatment services were not included in NADB for Fiscal Year 94 but are reported in CSDB for Fiscal Year 99. These services are targeted towards the following priority populations:
- DCFS-referred adults,
- TANF participants,
- Native Americans,
- Pregnant/Parenting Women, and
- 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.
Changes from CSDB-Fiscal Year 99 to CSDB-Fiscal Year 00
- 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.
Changes from CSDB-Fiscal Year 00 to CSDB-Fiscal Year 01
- CSDB for Fiscal Year 00 reported client counts for ADATSA Shelter clients who received Protective Payee Payments. CSDB for Fiscal Year 01 does not report data for this service due to DASA's shift to a new system for administering this service in July of 2000.
- CSDB for Fiscal Year 00 reported clients counts for Outpatient Treatment that included both assessment and treatment services. CSDB for Fiscal Year 01 breaks this into 2 reporting categories:
a) Outpatient Assessment which includes only non-ADATSA assessment services.
b) Outpatient Treatment which includes only treatment-related services.
- CSDB for Fiscal Year 00 reported Urinalysis services under the Outpatient Treatment reporting category. CSDB for Fiscal Year 01 reports Urinalysis in the program total only.
