Founded in 1970, the APT Foundation Inc.’s mission is to promote health and recovery for those who live with substance use disorders and/or mental illness.
1. Strengthened the fund balance
2. Developed and implemented a long term Facilities Use Plan
3. Replaced patient medical records and billing system with SMART electronic medial records system.
4. Standardized policies, practices and procedures across programs
5. Engaged and retained individuals in services while employing strategies to assist in understanding and embracing substance use disorder and mental health issues as chronic diseases.
The APT Foundation Inc's top five goals for the current year include:
1. Evaluate client and community needs to ensure appropriate clinical programming exists throughout APT
2. Expand services provided at Central Medical Unit (primary care clinic for adults) with consideration of services such as immunizations, Hep C/HIV identification and treatment.
3. Evaluate specific programming for young adults (18-25).
4. Improve co-occurring disorder treatment capacity.
5. Expand Buprenorphine treatment.
(1) Currently, the APT Foundation has seen an increasing number of low-income clients who have barriers to access traditional food supports (food kitchens) in need of food/meal supports. While we have worked to address this need by implementing a snack program comprised of donated food items, it recognizes that to sufficiently meet its clients' food and nutritional needs it must develop a formal meal program. Our clients basic needs must be met, before they can fully benefit from mental health and substance use counseling services. The goals of the client meal program are three-fold: Foster retention of our clients in treatment; Demonstrate client improvement on Basis-24 (a rating scale for acuity of symptoms); and reduce the number of meals missed per week by our clients
(2) Explore options for other residential programs (i.e. sober housing, transitional living) as a step down for our clients transition from our inpatient residential treatment facility to outpatient level of care
(3) Improve funder relationships so we can expand the number of non-clinical services we provide to clients
(4) Strengthen and develop appropriate partnerships with community member sin order to meet client treatment life- goals
(5) Develop and implement a social media/marketing plan
The APT Foundation continues to grow our programs, increase our census, and stay true to our mission. This growth makes it possible for more persons in our community affected by substance use disorders and mental illness to enter and grow in recovery while also ensuring that the organization can survive, even during the tough economic times that are challenging us now. By providing an open access to treatment model, the Foundation has worked hard to eliminate a major barrier to engaging clients in services by collapsing multiple service entry points, making APT able to meet the greater demand in our community. In 2015 we served 7,068 unique clients and provided 217,026 clinical events/encounters.
Our ongoing vision is to continue to improve access to and retention in treatment, as well as the way we provide treatment services by developing an accessible, less restrictive and non-stigmatizing, environment within a coordinated system of care that successfully cross shares our resources (financial and staff) and encourages a peer-to-peer recovery support system.
In keeping with the Foundation’s pioneering history, we moved APT into many new and innovative directions. With the opening of the Access Center (the "first of its kind" open access and central admissions point of service facility in the State of CT) we were able to reduce wait time and no shows, and improved access and retention rates, allowing us to grow the company by 250% between 2007-2015. We developed an Overdose Prevention Initiative; developed a standardized free Hepatitis C screening and A& B vaccination program; instituted Trauma Informed Care; utilized the Basis 24 client self-assessment tool to assess client progress as well as consumer satisfaction; we implemented the SMART electronic medical records system; and we automated the client medicating process.
I am honored to serve as CEO of the APT Foundation and privileged to have the opportunity to work with committed caregivers, as compassion is a rare and wonderful gift and I am proud to share that there is always an abundance of it at APT.
Since its founding in 1970, the APT Foundation has worked tirelessly to fulfill its mission, “to promote the health and recovery for those who live with substance abuse disorders and/or mental illness”. This mission has brought the Foundation into the lives of thousands of individuals and families in the greater New Haven area who have been struggling to confront these challenges in their lives. While the mission of the Foundation has not changed over the years, the range and complexity of the issues confronting our clients has. APT serves an ever more challenging array of needs brought to us by those who seek our assistance and support in their recovery. We are able to address these needs because of the commitment and competence of our extraordinary staff. In the changing economic times in which we live it seems that as resources are stressed the needs and the numbers of those seeking access to our treatment resources constantly grows. While this changing “playing field” is one of our greatest challenges, one of our greatest joys is to watch our staff and programs offer flexible and compassionate treatment to our clients as we form a partnership for recovery in their lives.
I am pleased to serve as the Chair of the Board of the APT Foundation. It is a continuation of my commitment to serving others as a Priest and as a substance use counselor and I have the chance to work with our staff of committed care givers and other Board members as together we seek to respond to the needs of our clients in these challenging times.
The Rev. David C. Parachini
Chair, APT Board of Directors
The APT Foundation’s outpatient programming provides
comprehensive treatment for individuals with substance abuse, mental health,
and co-occurring substance abuse and mental health issues. A unique open access system is in place at
all APT Foundation outpatient service locations. The program recognizes that individuals entering treatment have
different needs and varying levels of commitment to treatment. Based on information gathered during the
evaluation process, clients in collaboration with the admitting clinician
discuss and agree upon a treatment modality and frequency of attendance.
Available services include traditional outpatient, intensive outpatient,
methadone maintenance and treatment with Suboxone. Through the use of a motivational-based treatment
philosophy, clinicians work closely together to continually monitor progress on
individual recovery plans and assist clients to obtain their individual
treatment goals. Length of stay varies
based on client need and treatment modality. Groups are process oriented, designed at providing education on a
range of topics. These topics include
but are not limited to coping skills, relapse prevention, managing emotions,
biology of addiction, co-occurring disorders, goal setting, health topics, and
weekend planning. In addition to the
above topics the program offers both a Men’s Trauma and Women’s Trauma
group. In addition to providing
comprehensive group therapy program, which promotes education and discussion,
the program provides individual therapy as needed. On-site individual psychiatric services are
also available for assessment and medication management. Clients with psychiatric conditions may
benefit from medications are treated with the appropriate pharmacological
agents prescribed and monitored by appropriately licensed Medical staff. Vocational services and primary care are also
available in our outpatient programming.
By improving access to treatment and retention in our Programs within the city of New Haven, using the Rapid Cycle Performance Improvement methodology and an approach for improving treatment promoted by NIATx, we increase our census and increase the number outpatient services we provide.
It has been suggested that the way treatment services are currently delivered is a barrier to both access to and retention in treatment. Although statistics have shown that nineteen million Americans need substance use treatment, only twenty-five percent are able to access treatment and only fifty percent of those in treatment successfully complete it. (SAMHSA) The ultimate changes that will result from this program is increased access, reducing waiting time and no shows, and improving access and retention rates, while simultaneously increasing our revenue, while maintaining our commitment to providing services and specific programming that meets the changing needs, improves the quality of care, and provides a positive treatment experience for our clients and the community.
Some samples of data collected from BASIS-24 : Client self report: how responsive has staff been to questions regarding your treatment and medication? (Select Positive (+) and Negative (-) Client Comments) + “Personable staff and they don’t stereotype just because you’re here receiving treatment.” - “If abiding by rules and completing classes and tasks allow a quicker take home method.” + “I like all the groups provided and that you can pick and chose your days and hours.” - “Call in prescriptions more accurately and in a timely manner.” + “I like the fact that my doctor makes me feel better about life and was with me every step of the way to help me.” - “Be better on timing. Timing is the only issue you hear a lot about in the waiting area.”
Client self-report: since entering treatment, how well do you think you are doing? (Select Positive (+) and Negative (-) Client Comments) + “i was a serious addict my normal self for a long time. I’m thankful for this medication because it saved my life.” - “very tired, driving down here everyday is so tough for me, but very scared to detox.” + “i have struggled for years with my opiate addiction and i have finally found the help i need here.” - “i really try hard to stay clean by my mental state needs to be looked at.” + “i do truly try and care. I think its because the staff does.” - “i still need a lot of help with my treatment.”
All clients admitted to the program will complete an intake process
90% clients residing in the program will agree to a substance use free lifestyle, with subsequent toxicology tests showing a drop in nanogram levels
All clients will develop a discharge plan as part of their treatment plan upon admission.
“I thought it was normal”, those are the words of Nigel, at age eight, describing his family members passing drugs (heroin and cocaine) around the living room all day, every day. He said it wasn’t until he visited his friends’ homes that “I knew it wasn’t normal”. He says after that, he didn’t feel like he fit in with the kids his age and by the age of 14 had joined his family members in the living room abusing drugs. For the next thirty years, he bought, sold and used drugs “as much as I could get and as often as I could use”. He spent his mid-twenties to mid-thirties in and out of jail and treatment facilities. He moved from the Bronx to Connecticut with his aunt. “I had hoped to make some changes in my life” with the move. Nigel came to APT newly diagnosed with HIV and “scared to death that I wouldn’t be able to stop using drugs”. For the first few years, he engaged minimally in treatment and then says, “The light bulb went on”. His health was poor and he was not actively involved in his medical treatment. The change became dramatic. He sought help from every agency and social resource he could find and became fully engaged in his treatment at APT. He has since successfully discharged from treatment and still calls monthly to state he is doing well. He reminds staff at APT that I am still on his “A team”. He remains drug free and fully engaged in his community, though his health is deteriorating from the natural progression of AIDS. He often states that he would have been dead by now if the APT program hadn’t been so supportive of him and his time to work through his own process. We have to remind him that we provided the arena but he did all of the work.
The APT Foundation provides primary health care services to adult clients and their families from all APT substance use and mental health treatment clinics and the greater New Haven community. We offer medical screening, primary and preventive health care, HIV/AIDS and Hepatitis education with counseling and testing, and Suboxone (Buprenorphine) maintenance. Sick care is routinely administered along with scheduled physical exams. In 2015 7,769 medical visits were completed. Typical health care needs for patients involve the usual substance abuse related problems of liver and kidney disease, gynecological infections, cellulitis, and abscesses from infections. In addition, the routine problems of hypertension, diabetes, high cholesterol, obesity resulting from poor diets, and infections such as bronchitis, pneumonia and strep are treated. Our primary care services fills an important gap in treatment for individuals as private physicians, and many other clinics, avoid treating these patients or are not prepared to address their special service needs. Approximately 75 to 80 percent of the patients treated are insured through Charter Oak, Medicaid, and Medicare. Those with no insurance are treated for free or on a sliding scale fee basis. Our licensed practitioners are affiliated with Yale New Haven Hospital. The office is a clinical site for medical, nurse practitioner and phlebotomy students and various medical and substance abuse research protocols. Our setting allows increased access to clients for the treatment of their substance problems and the engagement of substance users for medical care within a non-judgmental atmosphere.
To address the healthcare needs of patients achieving wellness concurrent with recovery. We will measure this using an outcome of 75 % of clients will show improved and or stabilized living situation as result of accessing CMU medical services at 6 months and 12 months. Indicator will be the number of clients who self -report an improvement or stabilization in living situation on their BASIS 24 at treatment plan review. 80% clients will receive Hepatitis screen and rapid HIV testing 75% of those who test positive for Hepatitis/HIV will receive appropriate medical treatment
Date of test:
Results (by date):
Date of referral:
“Patients are wonderfully cooperative, appreciative and very grateful to have the medical care.” Susan Henry, RN, CMU Director. CMU fills an important gap in services. Private physicians, and many other clinics, avoid treating these patients or are not prepared to address their special service needs. Approximately 75 to 80 percent of the patients treated at CMU are insured through State Medicaid and Medicare. Those with no insurance are treated on a sliding scale fee basis.The reality is that, were it not for clinics like CMU, many of the patients would not seek medical care at all. Because of their addictions many have either had poor medical experiences in the past or have encountered doctors unfamiliar with addiction. Frequently, either patients are reluctant to admit their addictions, or physicians have little or no knowledge of the impact of prescribed medications people in treatment. By coming to CMU for primary care, there is no pretense about addictive histories; follow-up treatment is generally more successful, thereby keeping clients out of hospitals and emergency rooms. At CMU, there is always a medical doctor on staff who is aware of necessary restrictions and ready to prescribe medications that are compatible with treatment.
Through the generosity of community donors we were able to expand our pilot program Life Skills Gardening group in 2014. We employed a part-time instructor with a degree in horticulture and over twenty years of experience in the field to develop projects and assist the clinical staff to develop protocols for a range of horticulture group topics. The project has been and will continue to be funded through organizational funding opportunities and utilizing community relationships connected to the horticulture industry. Although the restorative benefits of gardening have not as of yet been subjected to rigorous scientific studies, our decision to utilize horticulture therapy is based on a vast body of research discussing the benefits of gardening for a broad range of populations including those with mental health and substance use disorders. Over the past several decades horticulture therapy has been recognized as an evidence based practice. The use of a horticulture instructor paired with a clinical staff member has been well received. In 2015 our clients self-selected to attend Horticulture groups (which are conducted several times per week) over 1000 times. Groups provide participants with hands-on gardening experience through the use of “grow boxes” to cultivate vegetables and herbs. Clients have harvested their own produce and have also worked to beautify the location with a number of annual, herb, and perennial barrels. Clients have expressed a great deal of satisfaction with the program. Quotes from group participants include: “My husband gardens all the time, after this experience I think I will do this with him.” “This looks so good, look what we did!” “I have a black thumb, but I want to learn, I will be back.” “I so want to do this at home next year.”
During the past year the APT Foundation has been involved in a major effort to address the growing problem of overdose deaths that has been affecting our Connecticut communities as well much of the rest of the United States. The APT effort has been undertaken by increasing to 12 the number of APT clinical staff who are trained in providing specific overdose prevention and education services. The services these clinicians provide include teaching patients and their families how to recognize overdose, what to do in an overdose situation, how to manage a person(s) who is overdosing, what emergency techniques to perform to increase the survival, and how to administer the overdose prevention drug Narcan (naloxone) to reverse overdose and what to say when making a report to 911 emergency services. This training includes the provision of a “Narcan Kit” to the patient and their significant others to use in the event of an overdose.
Since last summer APT Foundation has given almost 600 Narcan Kits to patients and families. We also recently participated in International Overdose Awareness/Prevention activities with a week long series of events including breakfast and lunch at all locations, “Got Narcan” T-shirts, increased treatment groups focusing on overdose prevention and kit provision, and information packets regarding the issues surrounding overdose and how to prevent it.
Despite difficult financial challenges we face, we continue to grow services to all clients, regardless of payment status,in the belief that persons in recovery become more responsible over time and theorizing that an open door will position APT as the “go-to” provider in the community.
This year we continued stay true to our mission of treating all who seek care regardless of their ability to pay making it possible for persons in our community to enter treatment and grow in recovery. We provided 217,026 direct service encounters. In 2015 we served 7,068 unique individuals, completed 3,327 walk-in evaluations, and provided $1.7 Million in reduced rate/ free-care.
By systematically eliciting and analyzing the preferences of consumers we created a more accessible and effective treatment system that encourages improved efficiencies and financial performance. Agency management strategies drawn from business world are valid not for a profit motive per se; but rather in that all successful business models are customer-driven and product improvement focused.
Chief Operating Officer, Acadia Healthcare, Inc, Bangor, Maine
2006 – Present
APT serves an ever more challenging array of needs brought to us by those who seek our assistance and support in their recovery. We are able to address these needs because of the commitment and competence of our extraordinary staff. In the changing economic times in which we live it seems that as resources are stressed the needs and the numbers of those seeking access to our treatment resources constantly grows. While this changing “playing field” is one of our greatest challenges, one of our greatest joys is to watch our staff and programs offer flexible and compassionate treatment to our clients as we form a partnership for recovery in their lives.
Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.
Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.
Despite difficult financial challenges we face, we continue to grow services to all clients, regardless of payment status, in the belief that persons in recovery become more responsible over time and theorizing that an open door will position APT as the “go-to” provider in the community.
This year we continued to stay true to our mission of treating all who seek care regardless of their ability to pay making it possible for persons in our community to enter treatment and grow in recovery. In 2015 we provided 217,026 direct service encounters to 7,068 unique individuals. We completed 3,327 walk in evaluations and . We provided $1.7 Million in reduced rate/ free-care.
A healthy community is a rich community. When we enjoy good health, when we engage in wellness activities – and when we support people living with disease or disabilities -- there are profound physical and psychological benefits. Simply put, we are all stronger and happier. To support the health and wellness initiatives in your community is to put good health within reach of all.
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