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Addiction is a brain disease characterized by:

Inability to consistently abstain
Impairment in behavioral control
Significant problems in relationships, employment, and
physical and emotional health.
Often leads to involvement in the criminal justice system.

Like other chronic diseases, addiction often involves

cycles of relapse and remission. Without treatment or
engagement in recovery activities, addiction is
progressive and will result in disability and/or death.

American Society of Addiction Medicine

Council on Chemical Abuse

Since 1972, COCA has been designated as

the Single County Authority (SCA) and is
responsible for the administration and
management of publicly funded alcohol and
drug prevention, intervention, treatment, and
recovery services.
Council on Chemical Abuse

Cornerstones of our
Prevention and Intervention
Countywide School Based Prevention for Youth
and Parents
Community Presentations and Task Force
Summer Prevention Programs for Youth
Public Awareness
Gambling and Technology Addiction Education
Website and Social Media
Tobacco Education and Enforcement
Tobacco Cessation
Underage Drinking Program
Warm Hand Off
Naloxone Distribution
Treatment Services
Levels of Care
Residential Treatment
Partial Hospitalization
Intensive Outpatient Treatment
Outpatient Treatment
Programs and Services
Specialty Courts
Jail Based Treatment
Medication Assisted Treatment
Treatment Quality Monitoring
Case/Care Management
Treatment Access
Student Assistance Program Assessment
Urine Drug Testing
Utilization Review
Intensive Case Management Special
Pregnant Women
Women with Children
Recovery Services

Individual Recovery Support

Early Recovery Support Groups
Recovery Housing
800 - 1,000 individuals received these
services during FY 15/16
Fiscal Year 2015/2016

Other Council Fees and Federal

27% Total Revenues


Fiscal Year 2015/2016

Case/Care Total Expenditures

Intervention 4%
Recovery Housing
Prevention 23%


1920s Prohibition
1930s Refer Madness
1950s Scare Tactics
1960s Knowledge Based
1970s Self-Esteem Movement
1980s Just Say No
2000s Evidenced Based
Evidence based prevention, carried out
before the need for treatment, is critical to:
Prevent or delay onset of substance use
Stop the progression from use to problematic use
Avoid costly individual, social, and public health
consequences associated with substance use
and addiction
Cost Benefit studies indicate that $1 spent on
substance abuse prevention can result in $10
of long-term savings.
Hahn-Smith, S. (2011). Substance Abuse Prevention: Benefits Outweigh Costs
Spreading the Message Where It Counts. Prevention Tactics, (9.7).
School Based Prevention
Prevention presentations
98 classrooms
6,151 students
LifeSkills Curriculum
68 classrooms
1,412 students
Red Ribbon
All School Districts
44,830 ribbons distributed
to students
School Based Prevention
Teens and Technology
Makes the connection
between technology
use, gaming and
How technology and
gaming affect us
Problem gambling
Gambling Addiction is a
brain disease
1,379 students served
in FY 15/16
School Is OutPrevention Continues
Summer Programs
FY 15/16
Youth targeted at
organized playground
programs and camps
Highly interactive
Brain games, refusal
skills, natural highs
12 Playgrounds
48 Sessions
415 youth participated
Youth Intervention
FY 15/16
Student Assistance Program (SAP)
1,078 assessments
85% admitted to at least one intervention or
Underage Drinking Program
204 participants
Tobacco Checks
566 Retailer Checks
Warm Hand Off
Designed to intervene with individuals who survive an
opioid overdose or present to an Emergency Room in
severe opioid withdrawal
Intervention is provided by a Certified Recovery
Specialist with personal long term recovery
Began as a 24/7 on call service
In May 2017 the Warm Hand Off initiative was
expanded through funding from COCA, the Reading
Health System Center of Excellence and Community
Care Behavioral Health
Certified Recovery Specialists (CRS) are now based at
Readings Emergency Room
While opioid overdose survivors have priority, CRS will
assist people with any substance use disorder to
access immediate treatment
Warm Hand Off Intervention Impacts
December 2015 May 2017
Severe Opioid
Opioid Withdrawal and
Overdose Other Drugs - No
Survivors Overdose Total
Total 87 139 226
Refused Treatment 22 25 47
Accepted Treatment 65 114 179
Admitted to Treatment 57 81 138
Not Admitted - No Beds, Mental
Health, Medical or Other
Complications 8 33 41
79% of people seen accepted treatment
Of those that accepted treatment 77% were able to be admitted
Drug treatment is intended to help addicted
individuals stop compulsive drug seeking and
Treatment can occur in a variety of settings,
take many different forms, and last for
different lengths of time.
For many, treatment is a long-term process
that involves multiple interventions and
regular monitoring.
Drug treatment can include behavioral
therapy, medications, or their combination.
National Institute on Drug Abuse
Treatment and Case Management
FY 15/16
Individuals Funded for Treatment 1704

Total Treatment Episodes 2318

Outpatient Treatment 808
Medication Assisted Treatment 146
Intensive Outpatient 266
Partial Hospitalization 138
Detoxification 316
Residential Treatment 287
Recovery Housing 357

Intensive Case Management

Pregnant Women/Women With Children 174
Recovery Housing Residents 357
Treatment Access
Treatment Access and Services Center
Licensed Drug and Alcohol Central Intake
3,753 Requests for Treatment Access in FY 15/16
Eligibility Requirements
Berks County Resident
No other Private or Public Insurance
Liability Assessment
Case Manager
Assists individuals in applying for Medical
Assistance (MA) Benefits to pay for treatment
FY 15/16: Assisted with 243 MA applications of
which 170 were approved for benefits
Estimated Treatment Costs FY 15/16 =
Medical Assistance (MA) Jail
MA Jail Project Case Manager
Assists inmates in need of residential treatment in
applying for MA benefits
Coordinates with Probation, Jail Staff and Treatment
Facilities to arrange Residential Treatment Admission
on the same day as release from the Jail.
215 individuals released from the Jail directly into
residential treatment in FY 15/16
81% of individuals successfully discharged from
April 2017 follow-up of 174 individuals who were
admitted to treatment through this project during
calendar year 2016 showed 86% had no re-arrest
following treatment
Estimated Treatment Costs FY 15/16: $2,912,696
Recovery is a process of
change through which
individuals improve their
health and wellness, live
self-directed lives, and
strive to reach their full
- Substance Abuse and Mental Health
Services Administration
Recovery Services
Individual Recovery Support Services
Assist individuals establish connections with
supports and resources in the community that will
facilitate initiation and on-going engagement in the
recovery process.
Early Recovery Support Groups
Provide the necessary guidance, assistance and
encouragement to individuals as they become
established in their personal recovery program.
Recovery Housing
Provides a sobriety-based living environment
complemented with a variety of supportive
services to individuals in early recovery
Recovery Housing Impacts
Stayed Stayed at Stayed at
All Less than 90 -179 Least 6
Admission Discharges 90 Days Days Months
N=255 N=255 N=127 N=70 N=58

Sober 0 78% 72% 81% 91%

Stable 9% 68% 53% 74% 88%


Source of 27% 77% 57% 83% 90%


Incarcerated 22% 3% 5% 2% 2%
Long Term Impacts
According to several conservative estimates,
every dollar invested in addiction treatment
programs yields a return of between $4 and $7 in
reduced drug-related crime and criminal justice
When savings related to healthcare are included,
total savings can exceed costs by a ratio of 12 to
Major savings to the individual and to society also
stem from fewer interpersonal conflicts; greater
workplace productivity; and fewer drug-related
accidents, including overdoses and deaths.

National Institute on Drug Abuse

Recovery Housing
Case/Care Management