RCPA Member Gaudenzia Tells DEA How Telemedicine Combats Opioid Crisis
SAMHSA Updates Assertive Community Treatment Toolkit
In 2008, the Substance Abuse and Mental Health Services Administration (SAMHSA) published the ACT Evidence-Based Practices KIT (hereinafter referred to as SAMHSA’s 2008 ACT Toolkit), a toolkit to help mental health agencies and teams implement ACT. The toolkit also includes information on fidelity: the extent to which an intervention is delivered as conceived. Both the toolkit and fidelity tools have received widespread use throughout the United States, and ACT principles remain consistent with the 2008 publication.
However, there is growing interest in extending ACT to certain populations and settings, including youth, justice-involved clients, immigrants and refugees, and rural communities. Driven by a need to deliver contextually responsive and culturally relevant services, these extensions often necessitate modifications, making it especially important to monitor fidelity. Research consistently demonstrates that higher fidelity to the ACT model produces better outcomes.
This follow-up and companion product Maintaining Fidelity to ACT: Current Issues and Innovations in Implementation reviews ACT principles, summarizes contemporary issues impacting ACT teams, and examines aspects of ACT implementation when extending the model to specific populations and settings. The goal of this guide is to ensure continued efficacy of ACT by reaffirming its principles while promoting awareness of new developments that providers may want to consider when implementing the model.
RCPA will be following up with the Office of Mental Health and Substance Abuse Services (OMHSAS) on the implementation and the integration of the new toolkit. If you have any questions, please contact RCPA Policy Director Jim Sharp.
RCPA Submits Comments on CMS’ CY 2024 Physician Fee Schedule
Seats Are Filling Up, So Don’t Delay! Register for the 2023 RCPA Annual Conference Today!
Don’t wait before it’s too late to register and claim your seat and more for the 2023 RCPA Annual Conference A Decade of Unity! By registering today, you will reserve your spot in exciting, engaging workshops for CE credits. In addition, we will once again be launching our conference mobile app, which will allow you to create your schedule, begin networking, and interact with sponsors and exhibitors up to a week prior to the first day of conference! View the registration brochure for full details on workshops, keynote speakers, entertainment, and more so that you can begin planning your week with us at the Hershey Lodge! Note that hotel rooms are quickly filling, so if you have difficulties making your reservation, please contact Carol Ferenz.
Register today!
In addition to an impressive roster of speakers, our 2023 Conference will have an exciting array of sponsors and exhibitors. We thank those who have signed on thus far! **NOTE: EXHIBIT BOOTHS ARE SOLD OUT.** If you are interested in sponsoring, visit here for more details or contact Carol Ferenz, Conference Coordinator, with any questions you may have. Keep up-to-date and register today for #rcpaconf!
Governor Shapiro Announces Juvenile Justice Week Proclamation
The Juvenile Justice Week proclamation, signed by Governor Shapiro, designates October 1–7, 2023, as Juvenile Justice Week, calling on Pennsylvanians, government agencies, institutions, and schools to raise awareness and understanding of juvenile justice. The proclamation highlights the mission and principles of Pennsylvania’s juvenile justice system. It emphasizes the importance of providing balanced attention to community protection, offender accountability, and the rehabilitation of juveniles within the system. The proclamation also underscores the principles of restorative justice, with a focus on repairing harm to crime victims and communities and ensuring that all parties involved, including victims and offenders, receive tangible benefits from their interactions with the juvenile justice system. Lastly, it emphasizes fair and unbiased treatment in all aspects within the system.
Overdoses Soared Even as Prescription Pain Pills Plunged
RCPA Submits Regulatory Reform Recommendations for CRR Services
On behalf of the RCPA Community Residential Rehabilitation (CRR) service providers and the individuals of Pennsylvania that they serve, RCPA submits our CRR Regulatory Reform Recommendations to the Office of Mental Health and Substance Abuse Services (OMHSAS). The current lack of access to care is a result of the workforce crisis and operational requirements of implementing the regulations. We feel these access issues and individuals waiting for services are compelling reasons, in the interest of the public, to merit a review of the regulations based on section 8.1 of the Regulatory Review Act (71 P.S. § 745.8a).
The COVID-19 DHS regulatory flexibilities provided relief for providers, and OMHSAS continues to offer waivers to agencies experiencing critical staffing shortages. Providers are grateful for these temporary solutions; however, these waivers do not address the long-term impacts of the current regulatory requirements. Providers continue to struggle to hire qualified staff and contend with burdensome operational requirements, many of which negatively contribute to the efficiency of care delivery. Therefore, many of the guidelines that were allowed under the suspension of regulations and frequent waiver requests are incorporated into recommendations for permanent improvements to the regulations.
Our recommendations place focus on the care of the individuals and address the challenges and barriers CRR service providers have faced in creating the staffing infrastructures and meeting the burdensome operational protocols for regulatory compliance. The overreaching nature of the regulations, coupled with the impact of the pandemic, has caused great strain on an already depleted behavioral health workforce. These system stressors limit the ability to provide vital, quality services to individuals. Under current regulations, programs are forced to focus on administrative details that do not have a meaningful effect on the actual care of the individual.
These CRR Regulatory Recommendations will also be directed to the Governor’s Policy Office, the Department of Human Services (DHS) Secretary Arkoosh, and members of the Pennsylvania General Assembly.
RCPA would like to thank the members of the CRR Regulatory Review team for their focused and diligent efforts to make this submission possible. If you have any questions, please contact RCPA Policy Director Jim Sharp.
DDAP Releases Results From Workforce Climate Survey
The Pennsylvania Department of Drug and Alcohol Programs (DDAP) recently conducted a comprehensive survey and listening session to assess the state’s substance use disorder (SUD) workforce. The Workforce Climate Survey results reveal a substantial workforce shortage, with 84% of the nearly 500 respondents citing it as a significant problem. The vacancy rate for SUD positions averaged 18%, with notable variations based on organization size and location. Larger, well-established non-profit organizations in metropolitan areas reported higher vacancy rates, and critical positions, such as counselors, nurses, entry-level professionals, and peer specialists, were particularly challenging to fill. Recruitment and retention issues were attributed to limited applicant pools and difficulties in offering competitive compensation.
The survey participants offered recommendations for both short and long-term solutions. These recommendations included increasing reimbursement rates, reducing education and experience requirements, alleviating paperwork burdens, and expanding student loan forgiveness and tuition reimbursement programs. In response to these findings, DDAP plans to use the survey data to inform its state plan, regulatory reform, and the allocation of opioid settlement funding. The department’s future efforts will focus on increasing the supply of addiction professionals, leveraging technology, addressing workforce distribution across the state, and enhancing workforce resilience to support Pennsylvania’s SUD workforce better and mitigate the ongoing overdose crisis.
Mental Health March on Harrisburg Scheduled for September 27
March to Promote Increased Funding for Mental Health Initiatives
We are just a few weeks away from the March on Harrisburg, and we cannot wait to advocate alongside you and our partner stakeholders on Wednesday, September 27, 2023, on the Capitol steps at 10:30 am.
Please review the agenda for the day as well as march logistics regarding getting to Harrisburg, parking, and the march route. We have some amazing and inspirational speakers joining us as we all come together and raise our voices for a united message.
The flyer includes information for registering. Registration is for planning purposes (i.e., there will be limited number of t-shirts) as well as to help us understand how we can better support our CSPs and individuals who may need assistance with transportation. Everyone is encouraged to join us on the day of the event, even if you do not register. We encourage you to register here. You can also follow the Facebook event page for more information.
Stay tuned for more details about the speakers and comment cards that will be available for you to share with your legislators. We look forward to seeing you at the March on Harrisburg on Wednesday, September 27 at 10:30 am.
If you have any questions or need to arrange to attend, please contact RCPA Policy Director Jim Sharp.
ANCOR Shares Survey on Proposed Overtime Rule
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