1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

NEW MEXICO DEPARTMENT OF HEALTH

TURQUOISE LODGE HOSPITAL Presented to the Behavioral Health Collaborative

Shauna Hartley, LCSW, Hospital Administrator Babak Mirin, MD, Medical Director

March, 2017

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

EPIDEMIOLOGY OF MENTAL ILLNESS AND SUBSTANCE USE

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

NM DOH FACILITIES NMBHI, LAS VEGAS

FORT BAYARD, SILVER CITY

VETERAN’S HOME, T OR C

NMRC, ROSWELL

LOS LUNAS COMMUNITY PROGRAM, LOS LUNAS

SEQUOYAH ADOLESCENT TREATMENT CENTER, ALBUQUERQUE

TURQUOISE LODGE HOSPITAL, ALBUQUERQUE

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

TURQUOISE LODGE HOSPITAL (TLH) ESTABLISHED IN 1952

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

TLH SERVICE PROVISION MEDICAL DETOX Medical model inpatient service for adults who are interested in detoxing from drugs and/or alcohol in a safe hospital setting. The length of stay ranges from 1-6 days. SOCIAL MODEL REHABILITATION Social model inpatient services for adults who are exploring recovery options through daily programming with a multidisciplinary team approach. The length of stay is approximately 21 days. MEDICAL OBSERVATION TREATMENT UNIT (MOTU) Turquoise Lodge medical team provides assessment and treatment to adults who have been admitted into the Bernalillo County Metropolitan Assessment and Treatment (MATS) program. Clinic hours are 7:30am – 4:30pm, 365 days per year.

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

TLH INNOVATIVE RECOVERY OPPORTUNITIES

UNIVERSITY OF NEW MEXICO – • 2014 – 2016: NIDA STUDY – Extended-Release Naltrexone vs. Buprenorphine

for Opioid Treatment • 2016-2017: MINDFULNESS DISSERTATION - providing tools for mindfulness • 2017: B-FIT- Utilizing Brief therapy for relationship engagement

OTHER REGULARLY SCHEDULED OPPORTUNITIES 12-step meetings DBSA/Laugh it Off Housing Programs Spiritual Services Salsa Dancing, yoga, weightlifting, line dancing, flash mob, walking club, gardening, talent show Graduation Ceremony

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

TLH PARTNERSHIPS FOR CONTINUITY OF CARE

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

PATIENT DOES NOT HAVE TO TELL THEIR STORY MULTIPLE TIMES EVERYBODY GETS THE SAME INFORMATION SHORTER TIME FROM APPROVAL TO FIRST SCHEDULING CALL SHORTER WAIT TIMES BENEFITS INFILTRATE THROUGHOUT THE PROGRAM

ACCESS SYSTEM DESIGNED TO BETTER SERVE CUSTOMER NEEDS THEN. . . 1-2 ADMISSIONS PER DAY WAIT LIST WAS 8-10 WEEKS

NOW. . . 3-5 ADMISSIONS PER DAY WAIT LIST IS 1-2 WEEKS

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

INDIVIDUAL CAN CHOOSE WHETHER THEY WANT MORE THAN DETOX INDIVIDUAL CAN ACCESS THEIR OWN COMMUNITY HEALTH PROVIDERS TLH CAN ASSESS FOR READINESS TO CHANGE PRIOR TO ADMITTING TO REHAB PROGRAM ROBUST THERAPEUTIC COMMUNITY AT TLH

INPATIENT PROGRAM DESIGN TO BETTER SERVE CUSTOMER NEEDS THEN. . .

PATIENTS ASSESSED AND ADMITTED

FOR DETOX AND REHAB

NOW . . . ASSESS AND ADMIT FOR DETOX ASSESS AND ADMIT FOR REHAB

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

OUTPATIENT PROGRAM REDESIGN TO BETTER SERVE CUSTOMER NEEDS THEN. . . VISIT #1 ASSESSMENT, DIAGNOSIS,

TREATMENT ACUTE PATIENTS PROVIDED OBSERVATION

IN CLINIC

NOW . . . VISIT #1 ASSESSMENT, DIAGNOSIS, TREATMENT VISIT #2-3+ CONTINUED MONITORING ACUTE PATIENTS ARE ADMITTED TO TLH

INCREASED QUALITY OF SERVICE IMPROVED PATIENT OVERSIGHT IMPROVED SAFETY OF OUTPATIENT DETOX PROCESS IMPROVED MATS/MOTU TEAMWORK

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

0

200

400

600

800

1000

1200

ADULT INPATIENT ADMISSIONS HAVE INCREASED BY 500%

FY13 FY14 FY15 FY16

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

HANDOFF

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

SUICIDE

NEW ILLNESS – THREE “DISEASES” OF DESPAIR DRUGS

DRINKING

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

PREDISPOSING FACTORS

PREDICTOR VARIABLES

MEDIATOR VARIABLES

OUTCOME VARIABLES

OTHER RISK FACTORS

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

MANAGEMENT – BIOPSYCHOSOCIAL APPROACH

MENTAL HEALTH INPATIENT AND OUTPATIENT SERVICES

PSYCHOPHARMACOLOGY

THERAPY

SOCIAL SUPPORT

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

MANAGEMENT – BIOPSYCHOSOCIAL APPROACH

MEDICAL

INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH CARE

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

MANAGEMENT – BIOPSYCHOSOCIAL APPROACH

SUBSTANCE USE DETOX

REHAB

INTENSIVE OUTPATIENT (IOP)

MEDICATION ASSISTED TREATMENT (MAT)

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

MANAGEMENT – BIOPSYCHOSOCIAL APPROACH

COORDINATION OF CARE JAIL/PRISON

CYFD

ER/URGENT CARE

OTHER COMMUNITY SERVICES

CASE MANAGEMENT

OTHER . . . .

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

ASSESSMENT OF NEEDS BY NM DOH

COMPREHENSIVE SYSTEM

EFFICIENT

AVAILABLE

OTHER . . . .

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

TURQUOISE LODGE HOSPITAL MISSION STATEMENT

We strive to provide the opportunity for those struggling with substance use to begin healing in a safe environment with compassion and kindness.

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

IOP SERVICES: Using the Matrix Model, will provide time-limited, outpatient treatment service for individuals who require structure and support to achieve and sustain recovery while living in their community.

INCREASE IN DETOX BEDS

NETWORKING

GRANTS

ACCREDITATION

NEXT STEPS FOR TLH