CARBON-MONROE-PIKE DRUG ALCOHOL COMMISSION NC...

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October 30, 2008

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This project made possible through a contract with the PA Department of Health’s Bureau of Drug & Alcohol Programs (BDAP). The Department specifically disclaims responsibility for any analysis, interpretations or conclusions herein.

2

THE CARBON-MONROE-PIKE SINGLE COUNTY AUTHORITY (SCA) MISSION STATEMENT:

The SCA’s primary mission is the assessment of the local drug & alcohol prevention, intervention and treatment service need, as well as the planning for and funding of the local continuum of services for the tri-county community (The 2007-08 Treatment Needs Assessment & Treatment Plan in its entirety can be found at the Commission’s Website: www.cmpda.cog.pa.us ). Additional missions the Commission has adopted since its incorporation include HIV/AIDS Prevention and Case Management service provider for both Carbon and Monroe Counties, and for Tobacco Prevention/Cessation services in the tri-county area. The Commission receives its primary funding from the Pennsylvania Department of Health, however additional allocations are received annually from the PA Department of Welfare (DPW), AIDSNET, County funding, local grants and the Wayne County SCA. The Commission also receives funds form third party insurance companies fees, Consumer fees and public donations.

BACKGROUND:

TYPE OF SCA: The CMP D&A Commission, as currently organized, was initially incorporated in December of l985, as a non-profit charitable and educational institution under the name of Carbon-Monroe-Pike Counties Drug and Alcohol Commission, Inc. The SCA is organized as an Executive Commission, as designated by the publicly elected Commissioners of Carbon, Monroe and Pike Counties OVERSIGHT: The governing body of this SCA is an eleven (11) member independent Board of Directors appointed by the Commissioners of Carbon, Monroe and Pike counties. THE BOARD OF DIRECTORS SFY 2007/08:

• Christine Papson, Chair, Monroe County

• Sharon Kelly, Vice-Chair, Pike County

• Theresa Croushore, Secretary, Monroe County

• Mertice Shane, Treasurer, Monroe County

• Jack Finnegan, Carbon County

• Gregory Mousseau, Esq, Carbon County

• Brian Morgan, Carbon County

• Vivian Morris, Monroe County

• Thomas Crowley, Monroe County

• Mary Stanley, Pike County

• Robert McLaughlin, Pike County

The Board of Directors provide governance to the Commission and is involved in all aspects of the Commission

ranging from ATOD needs assessment through the oversight and evaluation of the established service delivery

system. Members serve on various sub-committees, including Personnel, Legal & Finance, and Nominating

Committees.

DESCRIPTION OF IN-HOUSE SCA FUNCTIONS: Since its inception, the Commission has been both an administrative

body and direct service provider, hiring its own employees to maintain “functional” prevention, intervention, case

management and outpatient treatment units. All other treatment services within the C-M-P treatment continuum of

care are purchased through fee-for-service contracts with various residential hospital/non-hospital detoxification,

rehabilitation, halfway house, medication assisted treatment and outpatient treatment providers from across the

State.

Case Management

C-M

Prevention

C-M

PHAST

C-M

Cessation & Prevention

Tobacco Control Program

C-M-P

ICM

C-M-P

Assessment

C-M-P

Referral Center

C-M-P

Case

Management

C-M-P

AHSP

C-M-P

Partial Hospitalization

M

Intensive Outatient

C-M-P-W

Outpatient

C-M-P-W

SAP

C-M-P

Education/ Information

C-M-P

Prevention/ Intervention

C-M-P

Administration(SCA)

Contracted Services:Hospital Detox. & Rehab., Non-Hospital Detox. & Rehab.

Halfway House, Methadone MaintenanceOutpatient & Intensive Outpatient.

3

SCA INFORMATION:

• SCA NAME: Carbon-Monroe-Pike Drug & Alcohol Commission, Inc.

• ADDRESS: 724A Phillips Street, Stroudsburg, PA 18360

• TELEPHONE & FAX NUMBER: (570) 421-1960 Fax (570) 421-3548

• WEBSITE ADDRESS: www.cmpda.cog.pa.us E-MAIL ADDRESS: [email protected]

• CHAIRPERSONS OF THE CMP COMMISSIONERS DURING SFY 2007-08: o Mr. William O’Gurek, Carbon County o Ms. Suzanne F. McCool, Monroe County o Mr. Richard Caridi, Pike County

• CHAIRPERSON OF THE COMMISSION’S BOARD OF DIRECTORS DURING SFY 2007-08: o Ms. Christine Papson

Carbon-Monroe-Pike Drug & Alcohol Commission, Inc. Organizational Chart (06/09/08)

M CT II

C/M CT II

M CT II

Lead Fiscal Asst

QA Program Rep

C DAPS

M DAPS

M DAPS

C DAPS

M DAPS

P DAPS

M Lead DAPS DAPS - Tob

DAPS Supervisor

Asst Administrator

Medical Director

M DACMS

M Lead HIV CM

M DACMS

M DACMS

M AHSP

M DACMS

M Lead DACMS

M DATS

M DATS

M DATS

M DATS

DATS

M Lead DATS

DATS Supervisor

C DATS

C DATS

C DATST

C Clerk 1

C AHSP

C DATS

C DATS

C CT II

C Lead DACMS M Lead DACMS

W CT II

W DATST

DATS

DATS

DATS Lead

Tx Program Mgr

Fiscal Tech

M Lead CT II

Chief Fiscal Officer

Executive Director

Carbon-Monroe-Pike D&A Commission Board of Directors

4

MAJOR ACCOMPLISHMENTS OF THE SCA:

ADMINISTRATION

• The Administrative unit effectively maintained oversight of all aspects of the Commission’s business and at the same time was able to maintain administrative costs at 6%.

• In July of 2007, the Commission participated in a Quality Assurance audit of its contract which did not net any findings by the Department of Health.

• In August of 2007 the SCA participated in a successful OMB circular a-133 audit of all of its funds, and a Program Specific Audit required for the Tobacco Control Program, for the SFY 2006-07. There was no material weakness found in any of its program accounts.

• The SCA and the Carbon-Monroe-Pike MH/MR program, on behalf of the three Boards of County Commissioners, was granted the “Right of First Opportunity” by the PA Department of Welfare for its participation in the Department’s HealthChoices project which began July 2007. The agency has now completed a successful year for the provision of services in the HealthChoices Network.

• In September 2007 The Commission created a new position to serve as Quality Manager to the Commission and to the local HealthChoices Department.

• The SCA continued the data tracking, authorization management system, “Client Suite”

• In April of 2008 the SCA filed its Provider Monitoring report in the BDAP Service Provider Monitoring Report System.

• The SCA was actively involved, throughout the fiscal year, in maintaining partnerships throughout the tri-county area. Maintaining an active leadership role in both the Pocono Healthy Communities Alliance and the Carbon County Partners for Progress, which are the local State Health Improvement Plan (SHIP) affiliates, the Commission continued partnership activities with the Carbon County Criminal Justice System ,the Pike County Correctional Facility, County ICSP Committees, and HealthChoices Advisory Committees.

INTERVENTION

• Intervention services expanded in the Alcohol Highway Safety Program (AHSP) and the Treatment Intervention Group (TIG).

• In July of 2007 the SCA was informed that, it received United Way funds to support Student Assistance Programming, to include funding for residential rehabilitation services for eligible adolescent patients who meet the ASAM placement criteria for that level of care.

CASE MANAGMENT/TREATMENT

• The SCA during FY 07-08 continued to carve out dollars from its residential treatment program budget to continue a Medication Assisted Treatment project using the agent Buprenorphine (Suboxone) in a public/private partnership with a local Physicians and Pharmacies. A new Buprenorphine Coordinator position was created in September 2007 to manage the increased case management needs. As well, in June 2008 the Commission was awarded a Community Award for the program by NCAC.

• In June of 2008 the SCA exhausted it residential rehabilitation budget, however it was able to maintain a pool of funds necessary to keep emergency detoxification services available to its patients though the end of the fiscal year.

• In September 2007 The Commission created a new position of Treatment Program Manager to oversee the functional units of the Commission and all contracted treatment providers.

• In April of 2008 the Commission’s Outpatient Units participated in the annual four-day licensing review visit conducted by the Department of Health’s Division of Program Licensing. All of the Commission’s functional units were granted full licenses. Details of the visit and how the Commission did in comparison to other like facilities can be found on the PA Department of Health’s Website at: http://app2.health.state.pa.us/commonpoc/Content/PublicWeb/DAFind.aspx

5

SCA CASE MANAGEMENT SERVICES:

D&A SCREENING:

The Commission’s Telephone Referral Center serves as the central point of contact for local residents wishing to access drug & alcohol services and/or HIV/AIDS case management services. This unit conducts a telephone screening interview to rule in-or-out the need for emergent care, and refers the individual for a face-to-face level of care assessment within 24 hrs of their call, if deemed emergent, or within seven days if the call is deemed routine.

C-M-P D&A REFERRAL CENTER

TOLL FREE: 1-866-824-3578

STROUDSBURG AREA: 570-420-8297

D&A LEVEL OF CARE ASSESSMENT

A comprehensive assessment is conducted during a 90-minute face-to-face interview, following which, the

Pennsylvania Client Placement Criteria (PCPC) or the American Society of Addiction Medicine (ASAM) criteria

are utilized to determine the appropriate level of care referral.

PRIORITY TREATMENT POPULATION STATEMENT

The Commission’s Case Managers and treatment provider network are required through its contract with the PA Department of Health to supply “priority treatment” for: Pregnant Injection Drug Users, Pregnant Substance Abusers and Injection Drug Users. Pregnant Women and Women who have recently given birth are entitled to Preferential Services through the Commission. Individuals in these populations can expect to be given top priority when seeking D&A treatment services and, if by chance treatment waiting lists are being employed, their name will be immediately moved to the top of the list. Each of these individuals will be provided special interim services information should they need to wait for a treatment slot. INTENSIVE CASE MANAGEMENT SERVICE ELIGIBILITY DETERMINATION:

The primary goal of the Case Management Unit is to provide ancillary support services for those individuals who are deemed eligible to participate. The CMP assessment tool contains questions designed to correlate with the domains of the Inventory of Support Services (ISS) for adults. When the assessor identifies a need in six or more of the ISS domains the client must be offered a referral to ICM services.

Healthcare Insurance Coverage Status

Other

8%

No Insurance

54%

BC/BS

11%

1st Priority

3% MA

24%

6

*During SFY 2007-08, Due to errors in reporting regarding client choice and staffing concerns , the Case Management Unit was not always offering level of care Assessment within the seven-day time BDAP frame at all contracted providers locations.

19

56

4 2 4 3 48

0

20

40

60

Percentage of

clients referred

Referral Source

Admissions by Referral Source

Referral Source 19 56 4 2 4 3 4 8

SelfLegal

System

Family/F

riendSchool

Mental

Health

Medical

Provider

C&Y

ServicesOther

Reasons why clients recommended

for treatment did not receive the

recommended type of service D

&A

Scr

een

ing

C

all

com

ple

ted

by

th

e

Ref

erra

l C

ente

r &

PC

SS

To

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Pa

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ts A

sses

sed

for

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re p

lace

men

t

Ass

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d w

ith

in 7

da

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of

Scr

een

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Wa

ited

lo

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da

ys

po

st

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een

ing

fo

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smen

ts

Rec

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men

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fo

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tien

ts

refe

rred

th

at

rec

eiv

ed t

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of

ser

vic

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com

men

ded

Pa

tien

ts r

efer

red

th

at

did

n't

rec

eiv

e

the

typ

e o

f se

rvic

e

Fu

nd

ing

Ca

pa

city

Iss

ues

Pro

vid

er s

taff

ing c

on

cern

s

Pro

xim

ity

La

ck o

f a

pp

rop

ria

te s

erv

ice

Cli

ent

Ch

oic

e

Oth

er

3167

2054

1041

1013 1184

1080

104 0 0 0 0 0 48 56

51% 49%

58% 91%

9% 0% 0% 0% 0% 0% 46% 54%

7

0

10

20

30

40

50

60

70

80

90

Number of Clients

SFY 07-08 SCA Funded Inpatient Services Report

Males

Females

Total

Males 57 0 53 0 1

Females 28 0 22 1 0

Total 85 0 75 1 1

Medically Monitored Detox

Medically Managed Detox

Medically Monitored Short Term Rehab

Medically Managed Inpatient Rehab

Medically Monitored Long Term Rehab

Inpatient Drug of Cholice

Other

5% Alcohol

34%

Stimulants

5%

Marijuana

5%

Opiates

51%

8

0

50

100

150

200

250

300

350

400

Number of Clients

SFY 07-08 Carbon County Admits, Discharges, and Census Report

Carbon

Carbon 396 355 152

Admits Discharges Census

0

5 0

1 0 0

1 5 0

2 0 0

2 5 0

3 0 0

3 5 0

4 0 0

4 5 0

5 0 0

N u m b e r o f C l ie n t s

S F Y 0 7 -0 8 J u l y t h r u J u n e O u t p a ti e n t A d m i ts , D i s c h a r g e s , a n d C e n s u s

A d m its

D is c h a r g e s

C e n s u s

A d m it s 3 9 6 5 0 0 2 0 3 2 2 6

D i s c h a r g e s 3 5 5 4 8 7 1 6 4 2 1 5

C e n s u s 1 5 2 1 8 4 4 5 5 0

C a r b o n M o n r o e P i k e W a y n e

9

0

50

100

150

200

250

300

350

400

450

500

Number of Clients

SFY 07-08 Monroe County Admits, Discharges, and Census Report

Monroe

Monroe 500 487 184


0

5 0

10 0

15 0

20 0

25 0

N u m b er o f C lien ts

SFY 0 7-08 P ik e C ou nty Ad m its , D isc ha rge s, a nd C ens us Re por t

Pike

P ik e 203 1 64 45

Ad m it s D is ch arges C ens us

10

0

50

100

150

200

250

Number of Clients

SFY 07-08 Wayne County Admits, Discharges, and Census Report

Wayne

Wayne 226 215 50


0

5

10

15

20

25

30

35

40

45

50

Percentage of ClientsDischarged

SFY 07-08 Type of Discharge Report

Carbon

Monroe

Wayne

Pike

Carbon 27.32 5.6 1.97 39.72 5.35 2.25 6.24 5.91 0.57 0.57 0 4.5

Monroe 37.91 2.61 2.61 46.1 1.02 2.5 1.03 3.7 0.67 0.82 0 1.03

Wayne 45.11 8.37 2.8 26.05 1.4 2.32 2.32 8.37 0.94 2.32 0 0

Pike 48.17 3.66 2.43 25.61 3.05 3.66 5.49 5.49 1.83 0 0.61 0

Complete

No Use

Complete Some Use

Relocatio

n

Non-complianc

e

With Facility Advice

Against Facility Advice

Referred to another

facility Jailed Medical

Administr

ativeDeceased Other

11

0

50

100

150

200

250

300

350

400

450

500

Number of Clients

SFY 07-08 July thru June Drug of Choice Report

Carbon

Monroe

Pike

Wayne

Carbon 141 68 138 46 3 396

Monroe 255 82 99 64 0 500

Pike 92 52 45 9 5 203

Wayne 136 43 30 17 0 226

Alcohol Cannabis Opiates Stimulants Other Total

0

50

100

150

200

250

300

350

400

Number of Clients

SFY 07-08 Carbon County Drug of Choice Report

Carbon

Carbon 141 68 138 46 3 396


12

0

50

100

150

200

250

300

350

400

450

500

Number of Clients

SFY 07-08 Monroe County Drug of Choice Report

Monroe

Monroe 255 82 99 64 0 500


0

50

100

150

200

250

Number of Clients

SFY 07-08 Pike County Drug of Choice Report

Pike

Pike 92 52 45 9 5 203


13

0

50

100

150

200

250

Number of Clients

SFY 07-08 Wayne County Drug of Choice Report

Wayne

Wayne 136 43 30 17 0 226


0102030405060708090

100110120130140150160170180190200210220230240250260270280290300310320330340350

Number of clients by admission

SFY 07-08 Age Range and Gender Report

Female

Male

Total

Female 18 95 112 143 22 0

Male 62 174 176 201 43 11

Total 80 269 288 344 65 11

<18 18-24 25-34 35-50 51-64 65>

14

0

10

20

30

40

50

60

70

80

90

100

110

120


SFY 07-08 Carbon County Age Range and Gender Report

Female

Male

Total

Female 5 47 44 52 6 0

Male 30 73 60 65 11 3

Total 35 120 104 117 17 3

<18 18-24 25-34 35-50 51-64 65>

0

10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180


SFY 07-08 Monroe County Age Range and Gender Report

Female

Male

Total

Female 10 39 56 64 16 0

Male 16 70 90 110 31 8

Total 26 109 146 174 47 8

<18 18-24 25-34 35-50 51-64 65>

15

0

10

20

30

40

50

60

Number of clients by

admission

SFY 07-08 Pike County Age Range and Gender Report

Female

Male

Total

Female 3 9 12 27 0 0

Male 16 31 26 26 1 0

Total 19 40 38 53 1 0

<18 18-24 25-34 35-50 51-64 65>

0

50

100

150

200

250

300

350

400

450

500

Number of Clients

SFY 07-08 Race Report by County

Carbon

Monroe

Pike

Wayne

Carbon 12 12 2 0 1 369 396

Monroe 36 28 1 1 2 432 500

Pike 1 7 0 41 0 154 203

Wayne 4 9 0 1 1 211 226

Black HispanicNative

AmericanNot Provided Other White Total

16

0

50

100

150

200

250

300

350

400

Number of Clients

SFY 07-08 Carbon County Race Report

Carbon

Carbon 12 12 2 0 1 369 396



0

50

100

150

200

250

300

350

400

450

500

Number of Clients

SFY 07-08 Monroe County Race Report

Monroe

Monroe 36 28 1 1 2 432 500



17

0

50

100

150

200

250

Number of Clients

SFY 0708 Pike County Race Report

Pike

Pike 1 7 0 41 0 154 203



0

50

100

150

200

250

Number of Clients

SFY 07-08 Wayne County Race Report

Wayne

Wayne 4 9 0 1 1 211 226



18

0

50

100

150

200

250

300

350

400

450

500

550

600

SFY 07-08 DUI Statistics

CRNS Completed

Out of County Referrals to AHSP

AHSP Completions

CRNS Completed 246 572 100

Out of County Referrals to AHSP 66 98 20

AHSP Completions 248 543 93

Carbon Monroe Pike

19

Methadone

Suboxone

Number of Clients0

10

20

30

40

50

60

70

Number of New Admissions

in Year

Type of Medication

SFY07-08 Medication Assisted Treatment Report

Number of Clients

Number of Clients 8 66

Methadone Suboxone

MAT Report SFY 07-08

� As a result of the growth in buprenorphine program a Buprenorphine Coordinator position was created in September 2007 to serve as liaison between the physician, pharmacy, counselor and to provide case management services to the clients involved

� The Commission was granted the Exception from licensing for the Carbon and Monroe County offices � The Commission is recognized by Reckitt Benckiser as a model for program implementation � The Commission was honored by the NCAC with a Community Award in the Health Category in June

2008 � The Commission has plans to add a new physician in the Monroe County Office to begin in SFY 08-09 � In SFY 07-08 the Commission provided targeted Community Education to the County School Nurses,

Retired Teachers, CCBH, Board of County Commissioners, and Wayne County SCA � The Commission reallocated funds from the inpatient budget into the buprenorphine program totaling

close to $100,000 which is a significant increase over the prior fiscal year

20

SCA PREVENTION: The goal of the Commission's prevention/intervention units is to provide services that are designed to preclude or reduce the negative impact of drug abuse on children, families and the community at large. The Prevention Unit has maintained the BDAP Performance Based Prevention

System (PBPS) software, which will be used to measure the effectiveness of our prevention programming in relation to the Unit’s established goals and objectives. PBPS Prevention Objectives SFY 2007-2008 Achieved

Educate 35 youth and Parents with the Strengthening Families Program. 97% *

Disseminate 3000 pieces of ATOD Literature Yes

Educate 100 community members on ATOD awareness issues. Yes

Identify 25 families for appropriate support services. 52% **

Attend 25 community coalition groups to reduce ATOD use/ abuse in the community. Yes

Provide 100 youth and adults with D&A free alterative activities. Yes

Attend 250 SAP core team meetings to identify at-risk youth. Yes

Identify & Refer 750 youth to appropriate support services. Yes

Conduct 250 SAP team referrals for youth evaluation. Yes

Educate 500 youth with the BABES program. Yes

Conduct 120 prevention risks/ needs assessments with key community informants. Yes

Educate 70 youth with the anger management group. Yes

Educate 200 youth with ATOD education group. Yes

Educate 50 youth with the Positive Action program. Yes

*- Objective was missed by one participant. One subcontractor was unable to provide the program for their county this fiscal year. **- The majorities of referrals were for the individual and did not necessitate a family referral. SCA STUDENT ASSISTANCE PROGRAM (SAP) SERVICES: Student Assistance Programs have become a cardinal component of our local school districts response to student substance abuse/addiction problems. SAP teams, made up of key members of the administrative, faculty and support staff of the districts, convene regular team meetings with various “Agency Consultants” to develop intervention plans for those identified students who demonstrate some type of problematic behaviors. Currently the PA Department of Education’s SAP model endorses the use of expert consultants from the local drug

& alcohol, mental health, children & youth and juvenile probation offices. The key to the SAP programs success is the existence of strong K through 12 prevention/education programs and the consistent adherence to a District wide, community supported, alcohol, tobacco and other drug use (ATOD) policy. The Carbon-Monroe-Pike SCA has designated its functional prevention unit as the lead agent for the delivery of services for this very important project. SAP services include a wide array of school based programming including SAP team consultation services, early intervention activities which include D&A screenings/assessments for students referred by the team, early intervention counseling for students in both individual and group formats and primary prevention/education programming for the general student population.

Individual Students Seen for Intervention Services (Screening/Assessment)

Male Female White Black Hispanic Asian American

Indian Other Total

104 66 149 8 12 1 0 0 170

Resulting Referral (Intervention/Treatment/Other/None) Intervention Group Treatment Other None

School Based

Community Based

Drug & Alcohol

Outpatient

Drug & Alcohol Intensive

Outpatient

Drug & Alcohol Partial

Hospitalization

Drug & Alcohol

Residential

Mental Health

Other None

88 9 54 0 0 0 5 0 14

Breakdown by County

# of Assess. # Consult Hrs SAP Referrals Individual Interventions Group Interventions

Carbon County Subtotal 32 332 93 450 674

Monroe County Subtotal 91 565 371 842 1024

Pike County Subtotal 47 116 72 166 154

Carbon-Monroe-Pike Totals 170 1013 536 1458 1852

21

FISCAL INFORMATION SFY 2007/08

OPERATING REVENUE

DPW Act 152 $234,805

DOH AIDSNET $171,756

Assistance Program Fees $145,850

County DUI Fine Revenue $2,923

DOH BDAP Federal Block Grant $450,587

DOH BDAP State Allocation $569,552

DPW BHSI $442,469

County CSBG $29,900

County Match $63,894

Self-Pay AHSP Fees $272,853

DPW IGT $122,873

DPW Medical Assistance $215,432

DPW MH/MR Fees $29,185

Other Grants $118,967

Other Income $9,219

Outpatient Consumer Fees $233,139

Private Health Insurance Fees $58,974

DOH Tobacco Control Program Grant $332,593

DOH BDAP Wayne SCA Outpatient $124,403

TOTAL $3,629,374.00

County Match

2%

DUI Fine

0%

Federal

12%

Fees Charged

20%

Other Grants &

Income

4%

PA DPW

29%

PA DOH

33%

22

Admin

6%

Treatment

42%

Prevent

15%

Intervent

14%

Case Mgt

17%

TREATMENT FUNDS UTILIZED

Act 152 Revenue $195,088

BDAP Federal Block Grant $334,694

BDAP State Allocation $336,788

BHSI Revenue $430,111

Community Service Block Grant $29,900

County Revenue $23,282

IGT Revenue $122,873

MH/MR Fees $29,185

Other Grants $226,298

Wayne County Outpatient $124,403

TOTAL $1,852,622.00

OPERATING EXPENSE BY ACTIVITY

Administration $208,870

Assistance Programs $290,776

Case Management - BDAP $476,885

Case Management – AIDSNET $137,923

Inpatient-Non Hospital $434,413

Inpatient – Hospital $0

OP Maintenance $112,223

OP & Intensive OP $1,222,125

Other Intervention Programs $200,011

Prevention $216,230

Tobacco Control Program $332,593

TOTAL $3,632,049.00

23

Carbon County Revenue 07-08

$963,284

Outpatient Client Fees -

$124,309

13%

Bureau of HIV - $1,380

0%

BDAP Allocation - $405,233

41%

BHSI - $119,230

12%

Youth Forestry Camp -

$24,738

3%

Act 152 - $34,483

4%

County DUI Fine - $2,923

0%

Tobacco - $43,393

5%

DUI & CRN Fees - $84,615

9%Healthchoices - $4,833

1%

SAP Fees - $33,250

3%Aidsnet Prevention Grant -

$19,517

2%

IGT - $29,490

3%

Urine Fees - $20,555

2%

County Match - $15,335

2%

Carbon County Expense 07-08

$963,284

Admin - $50,129

5%

Prevention - $45,599

5%

Aidsnet Prevention - $7,680

1%

Tobacco Admin - $11,423

1%

DUI Program - $73,361

8% SAP - $97,371

10%Inpatient - $104,452

11%

Methadone Maint - $8,328

1%

Outpatient - $358,917

37%

Suboxone - $67,262

7%

Case Mgmt - $106,792

11%

Tobacco Direct - $31,970

3%

24

Monroe County Revenue 07-08

$2,029,438


2%

Aidsnet Prev - $23,748

1%

OP Client Fees - $335,134

17%

Act 152 - $154,311

8%

MCCF - $33,890

2%

Tobacco - $174,584

9%

BDAP - $447,049

22%

BHSI - $244,103

12%

CMP MHMR - $29,185

1%

IGT - $70,037

3%

SAP Fees - $85,100

4%

Other Grants - $18,420

1%

CSBG - $29,900

1%

DUI & CRN Fees - $188,328

9%

Aidsnet Case Mgmt -

$128,490

6%

Healthchoices - $11,478

1%

Monroe C&Y - $19,261

1%

Monroe County Expense 07-08

$2,029,438


4%

Aidsnet Prevention - $38,461

2%


1%

DUI Program - $126,651

6%

Suboxone - $21,621

1%

Case Mgmt - $280,170

14%

Admin - $119,056

6%


30%

Inpatient - $261,161

13%

Methadone Maint - $14,815

1%

Aidsnet Case Mgmt -

$137,923

7%


8%

SAP - $133,598

7%

25

Pike County Revenue 07-08

$454,497

Urine Fees - $6,738

1%

Tobacco - $114,616

25%

SAP Fees - $28,000

6%

IGT - $23,346

5%

HSDF - $1,500

0%

Act 152 - $29,696

7%

BHSI - $66,778

15%

Healthchoices - $3,826

1%


3%

BDAP Allocation - $167,857

37%

Pike County Expense 07-08

$454,497

Admin - $39,685

9%


7%


2%

SAP - $59,807

13%

Inpatient - $68,800

15%

Methadone Maint - $196

0%


10%

Case Mgmt - $89,923

20%


24%

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