Addiction is a disease - let’s treat it that way!

Mission NCADD-New Jersey works in partnership with and on behalf of individuals, families, and communities affected by alcoholism and drug dependence and promotes recovery through excellence in prevention and treatment initiatives.

Dear Friends and Supporters, The National Council on Alcoholism and Drug Dependence-New Jersey (NCADD-NJ) has continued to expand on the services that it provides in order to further its mission of promoting recovery through excellence in advocacy, prevention and treatment. We have expanded our Substance Abuse Initiative in seven counties to better serve those with primary mental health issues. This allows us to promote recovery on an individual level more effectively for those who are both addiction and mental health clients. In the time that we have been providing the Behavioral Health Initiative in those counties, we have more than doubled the number of individuals assessed and referred into mental health treatment. We also have worked more closely with the recovery community in providing organized advocacy by training and supporting individuals in those activities. By providing a voice for the recovery community we can assist in making an impact on policies and laws in order to promote recovery at the environmental level.

Our work to promote excellence in prevention and treatment has been enhanced by the establishment of a Division of Research and Program Evaluation. This has allowed us to participate in the evaluation of the effectiveness of new treatment initiatives in order to determine their efficacy for the future. This is consistent with our vision to make NCADD-NJ a center of excellence for policy, advocacy, services and supports for individuals, families and communities affected by substance use disorders. None of our work would be possible without the collaboration of funders, other institutions, and recovering individuals; and, the hard work of our dedicated staff. As we move ahead to realize our vision of a system that is responsive to the needs of affected individuals and has no discrimination or systemic barriers to impede access to treatment, we invite you to participate in our efforts to make that vision a reality. Wayne Wirta President and CEO

Vision To be the center of excellence in New Jersey addressing alcoholism and drug dependence and to serve as the premier advocacy organization for individuals, families, and communities affected by these chronic diseases. To maintain a reputation for expertise and the pursuit of excellence in public policy and education, care coordination, and recovery leadership, as well as through the advancement of progressive treatment approaches that are outcome- and evidencebased. Through the organization’s leadership, evidence-based alcoholism and drug dependence treatment will be integrated into a continuum of care that is responsive to the needs of affected individuals. Furthermore, laws and public policies will be established and enforced that promote recovery, eliminate discrimination, and remove systemic barriers that impede ready access to treatment.

Dear Friends and Supporters,

Value Statement

What’s In a Logo? Marty Mann, NCADD founder and first woman to stay sober in Alcoholics Anonymous, developed the symbol used in its logo. It combines the medical caduceus (health) and a key (to unlock the doors of understanding). The wings on the key also have been interpreted as the wings of the Phoenix, that mythical bird which, like so many persons in recovery from alcoholism and other drug addictions, rose again from the ashes of its own destruction. The symbol, then, represents the key to recovery, education, and understanding. The caduceus and key figure prominently in the NCADD-NJ logo to strengthen its identification with the national organization’s history. An image of New Jersey is firmly placed at the base of the key to symbolize the agency’s work in bringing recovery, education, and understanding to the State.

Organizational

Milestones

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NCADD-NJ was incorporated as “The Alliance of Councils” in 1982 to promote the prevention, treatment, and recovery from alcoholism and drug dependence through advocacy and education.

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In 1988, the organization had 1.5 staff and a budget of $90,000.

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The organization’s professional news journal, Perspectives, was first published in 1991. Also in that year, the agency established a statewide addiction training program to assist treatment and prevention professionals in becoming Certified Alcoholism and Drug Abuse Counselors and Certified Prevention Specialists.

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In 1993, the organization had six staff and a budget of $500,000.

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The organization changed its name in 1997 to “NCADD-New Jersey” in order to strengthen identification with the national organization.

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NCADD-NJ was awarded a grant by the NJ Division of Addiction Services in 1998 to manage the addiction care of individuals in New Jersey’s Work First welfare reform program. This was the start of the organization’s largest program, the Substance Abuse Initiative (SAI).

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In 1999, NCADD-NJ was awarded a grant by the NJ Division of Addiction Services to provide specialized basic and advanced training in the use of the Addiction Severity Index (ASI) and the American Society of Addiction Medicine Patient Placement Criteria (ASAMPPC II).

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In 2000, NCADD-NJ facilitated the creation of Friends of Addiction Recovery-NJ and was awarded a federal SAMHSA grant a year later to support the organizing of recovering individuals, family members, and others to become advocates and to reduce the stigma associated with addiction.

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In 2002, NCADD-NJ had 90 employees and a budget of $7.2 million.

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In 2003, NCADD-NJ was awarded a contract to provide clinical assessments for youth offenders under the supervision of the Juvenile Justice Commission.

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NCADD-NJ won a grant award in 2005 to serve as the Lead Fiscal Agent of the State’s Driving Under the Influence Initiative (DUII). The purpose of DUII is to facilitate the treatment of convicted drunken drivers.

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In 2005, NCADD-NJ was also awarded a grant from the Robert Wood Johnson Foundation – New Jersey Health Initiatives to provide a three-year project demonstrating the effectiveness of the Client Directed/Outcome Informed clinical approach.

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NCADD-NJ became the Voucher Manager for the Montana Wyoming Tribal Leaders Council’s “Rocky Mountain Tribal Access to Recovery” (RMT-ATR) project in 2007. The agency developed a Web-based system to issue and track client vouchers and to make payments to participating providers.

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In 2007, NCADD-NJ received a grant from the Fund for New Jersey to support the activities of Friends of Addiction Recovery – NJ.

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In 2008, NCADD-NJ entered into a contract with the National Center on Addiction and Substance Abuse (CASA) at Columbia University to assist in a research project involving New Jersey’s Medication Assisted Treatment Initiative (MATI).

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In 2008, NCADD-NJ was also awarded a grant from the Open Society Institute to carry out the Closing the Addiction Treatment Gap Project in New Jersey.

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In 2009-10, NCADD-NJ had 135 employees and a budget of $9.5 million.

PROJECT RMT-ATR

PROGRAM MATI

ROCKY MOUNTAIN TRIBAL ACCESS TO RECOVERY PROJECT NCADD-NJ is the voucher manager for the Rocky Mountain Tribal Access to Recovery (RMT-ATR) project. Under a subcontract from the Montana Wyoming Tribal Leaders Council, NCADD-NJ has developed and operates a Web-based voucher management and payment system, managing up to $2 million in treatment funding annually. RMT-ATR is funded by the Center for Substance Abuse Treatment (CSAT) of the U.S. Department of Health and Human Services. The basic goal of RMT-ATR is to expand addiction treatment options for members of ten Native American tribes located in Montana and Wyoming, including the Northern Cheyenne, Blackfeet Tribe, and the Crow Nation. Eligible clients are issued vouchers for services that range from traditional drug and alcohol treatment services to non-traditional services such as sweat lodges, talking circles, and other spiritual support. Vouchers are also issued for recovery support services such as child care and transportation assistance.

MEDICATION ASSISTED TREATMENT INITIATIVE NCADD-NJ is working with the National Center on Addiction and Substance Abuse (CASA) at Columbia University to evaluate the Medication Assisted Treatment Initiative (MATI) on behalf of the New Jersey Division of Addiction Services (DAS). Among other goals, the four-year research project aims to evaluate the clinical and social functioning client outcomes and to determine the comparative cost effectiveness of the MATI compared to traditional care or the absence of care. Another aim of the research project is to describe the population being served by the MATI. NCADD-NJ’s role in the project includes providing staff to conduct in-depth interviews of MATI clients. The agency is also responsible for collecting and managing the data needed by CASA researchers. This agency project is led by Dr. MerriBeth Adams. Three components of the MATI are being studied: 1) Six treatment outreach programs that offer a range of client services, 2) Two supportive housing programs, and 3) Two sub-acute medical detoxification programs. The project treatment sites are located at various sites in New Jersey, including Atlantic City, Trenton, and Newark. Two years of the research project have been completed.

Program

Highlights

RMT-ATR HIGHLIGHTS

$1.3 million - The amount NCADD-NJ managed in ATR treatment funding during the year.

2,000 - The number of Native Americans that received ATR assistance in 2010.

2,956 - The number of vouchers that were issued in 2010 for treatment and recovery support services.

MATI HIGHLIGHTS MATI research staff set up and trained provider staff from five Mobile Medication Units (MMU), one brick & mortar and two supportive housing units. MATI research staff recruited and completed interviews for 542 (MMU) clients and 71 supportive housing clients. Database information was completed and forwarded to CASA for all baseline and six month follow up interviews with the research team maintaining an 85% interview retention rate over time. Multiple data presentations were made to the New Jersey-Division of Addiction Services as well as the National AATOD conference in Chicago on the baseline report.

First New Jersey SAI and BHI Work

WORK FIRST NEW JERSEY SAI AND BHI NCADD-NJ operates both the Work First New Jersey Substance Abuse Initiative (SAI) and the Behavioral Health Initiative (BHI). The SAI is a statewide program that seeks to remove substance abuse as a barrier to participation in work activities among New Jersey’s welfare-to-work recipients. Program services include comprehensive clinical assessments, treatment placement, and ongoing case management. In addition, SAI care coordinators pre-approve clinical services, provide utilization reviews, and authorize payment for services provided by licensed treatment providers across the State. The SAI also provides care coordination services to WFNJ clients involved in the Division of Youth and Family Services (DYFS) with the goal of reducing the risk of child abuse and neglect due to substance abuse. Formerly called the Work First New Jersey Mental Health Initiative, the BHI is intended to provide clinical assessments and referral services to WFNJ clients with mental health issues. The BHI is located in seven New Jersey counties (Atlantic, Camden, Mercer, Union, Essex, Hudson, and Passaic). Both the SAI and BHI are funded by the New Jersey Division of Family Development.

71. 2% of clients referred to WFNJ-SAI/BHI were assessed . 87. 2% of clients assessed were placed in treatment, and the referral-to-treatment placement ratio was 62%.

Program

Highlights 11,410 clients referred to WFNJ-SAI/BHI. 8,129 clients assessed by WFNJ-SAI/BHI. 7,092 clients placed into treatment by WFNJ-SAI/BHI. $18,238,332

worth of treatment services authorized for WFNJ-SAI/BHI clients.

At the inception of the new Behavioral Health Initiative (BHI) early in 2009, the expectation was that the average caseload would not exceed 40 to 45 clients. During the first full year, however, caseloads in the seven BHI counties exceeded that limit and averaged between 55-60 clients. BHI clients who are assessed to have both substance abuse and less severe mental health issues are referred to SAI treatment providers for cooccurring care; however, clients who are assessed to have primary mental health diagnoses are referred to the BHI network of treatment providers for services. The BHI network has expanded from 59 providers to 95 providers during the first full year of operation. This network includes outpatient, intensive outpatient, and partial hospitalization programs. The BHI Mental Health Care Coordinators (MHCCs) do not pre-approve or authorize payment for services; payment to the treatment provider is authorized through the clients’ Medicaid benefits. Beginning in July 2009, the BHI in Passaic County implemented a pilot initiative with Legal Services of New Jersey (LSNJ). In this collaboration, the MHCCs identify all clients on their caseloads who have been “medically deferred” from a work activity for one year or longer, or who have a chronic and persistent medical or psychiatric condition that will prohibit them from participating in employment-directed activities. The MHCCs will make a direct referral to Legal Services of

New Jersey, on behalf of the client, for assistance with their application for SSI. The LSNJ initiative expanded to Essex County and it is expected to be in all seven counties by the end of 2011. In the Substance Abuse Initiative (SAI), the program’s client directed care management model ensures that the treatment providers are meeting the specific needs of each client and are avoiding the “one size fits all” treatment format. In 2010, the SAI’s diligent advocacy efforts to meet the multiple needs of the clients have encouraged many of the SAI network treatment providers to expand their range of services to include psychiatric services, medication monitoring, Suboxone treatment, and counseling for co-occurring disorders. All of the SAI Care Coordinators attempt to establish a positive and trusting therapeutic alliance with the client at the time of assessment. This supportive relationship is imperative in order to motivate the client to engage in treatment and to move the clients along the continuum of care. Once a client has made progress with his or her treatment goals the SAI Care Coordinator will facilitate a transfer to a step-down level of care; conversely, if a client is unsuccessful in a level of care the SAI Care Coordinator will facilitate the transition into a step-up level of care for increased services. The SAI Care Coordinators strive to facilitate a seamless transition from one level of care to another.

Policy and Education Public

PUBLIC POLICY AND EDUCATION The Public Affairs and Policy Unit is responsible for advocacy and education to expand access to addiction treatment, to improve the quality of that treatment and to confront the persistent stigma that affects people with an active addiction as well as those in recovery. The unit carries on the work of NCADD founder Marty Mann, who dedicated her life to promoting understanding of addiction as disease from which people recover and advocating for treatment. The advocacy efforts include working with lawmakers to ensure they understand the importance of addiction treatment to the state in both a fiscal hand and human terms. This is done with position papers, legislative and budget testimony, and through the agency’s website. As far as educating the general population about addiction, the agency has used traditional media – newspaper, radio and television - and increasingly new web-based vehicles such as Facebook in making known the need to treat addiction and how that will benefit society.

Lives Saved , Crime Reduced ...

...Illness Healed , Families Restored

Program

Highlights

2,000 Closing the Addiction Treatment Gap Post Cards delivered to all 90 Legislative District offices on NCADD-NJ’s Day of Advocacy (May 19, 2009). Three advocacy leaders delivered post cards to the governor’s office following a press conference.

NCADD-NJ, in partnership with Bostonbased Join Together, hosted three regional trainings in April focusing on educating the public and community leaders on important criminal justice reform. 120 leaders attended these three trainings.

NCADD-NJ released its 2010 policy agenda and delivered and mailed more than 200 copies to all legislative district offices and to all State Senator and Assembly members’ State House offices. The policy agendas were also distributed to media outlets, constituent relations in the Governor’s office, and key staff in the legislature’s majority and minority offices.

Treatment Instead of Incarceration primer was created in order to address the substance use disorders of inmates both entering the criminal justice system and returning home. Providing non-violent drug offenders with drug treatment in the community rather than incarcerating them would save tens of millions of dollars, reduce recidivism and better protect the public.

Six issues of Perspectives addiction journals distributed to 66,000 readers. Perspectives, created in 1991, is in its twentieth year of print.

FINANCIALS

Expenses

FINANCIAL

STATEMENT

Revenues

Audited by Mercadien, P.C. Certified Public Accountants Complete financial statements are available by request.

BOARD

OF DIRECTORS

MANAGEMENT

STAFF

Wayne Wirta, M.Div. President/CEO Stephen Remley, MBA Director of Operations Laura Videtti, BS Controller Robert Kocher, BS Director of Information Technology Lisa Griffith, BA, PHR Human Resources Manager MerriBeth Adams, Ph.D. Director of Research and Program Evaluation Stacey Wolff, MA, LPC, LCADC Director of Care Coordination Services Lucille Doppler, MA, LPC, LCADC Clinical Director

MAJOR

FUNDING SOURCES

NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE - NEW JERSEY www.ncaddnj.org 360 Corporate Boulevard, Robbinsville, NJ 08691