Clients do not have someone to facilitate the journey through addiction treatment and provide support during transitions from one level of care to the next.
Stay in touch with clients during their transition from another level of care to outpatient treatment by using the telephone.
NRI Community Services in Woonsocket, Rhode Island offers a continuing care/recovery support management program to clients using a telephone support system. The clinician calls the client, rather than depending on the client to call the clinician. The routine phone contact makes it possible to assess relapse and other risk factors and arrange for case management services and face-to-face contacts as needed. Once the client attends the first intensive outpatient appointment, the telephone contacts end. For more information, see the NRI Clinician Manual and Participant Workbook.
Jim Taliaferro Community Mental Health Center in Lawton, Oklahoma uses telemedicine for staffings and consultations between clients and satellite clinics.
Fayette Companies in Peoria, Illinois has their recovery coaches use the telephone to stay in contact with clients. They find it helpful for clients who have declined other types of services (or don’t feel the need for these services) or for clients who have recently disengaged from treatment and are not ready to return.
Women’s Recovery Association in Burlingame, California found that having clients stay in contact with Recovery Coaches weekly increased continuation. Also, after a relapse, clients who had Recovery Coaches returned to using recovery support services sooner than clients who did not have a Recovery Coach. They bought cell phones for clients to help stay in contact wherever they were. Email also helped them stay in contact with transient clients. See the Recovery Management Continuing Care Protocol and Pilot Program Weekly Risk Assessment & Progress Notes for the method they used to assess a client risk.
Percentage of referred clients who were admitted
Data Collection Forms
If this change was not an improvement and you can’t make it work, abandon this practice and test other promising practices that might be more successful in your setting.