Telephone Continuing Care: A Recovery Management Program

Over the past year, the BCI Alpha Program has been using motivational incentives as part of the Advancing Recovery project. We’re about to start our second evidence-based practice, telephone continuing care. The incentives project is not going away; in fact, we’re rolling out a new and improved procedure next month.

Telephone continuing care is intended to prevent relapse and support recovery for clients who have done well in treatment. Our clients who would be successfully discharged will now have the option to remain in extended care. If they enroll, they will call their counselor on the phone at least twice a month for 12 weeks. The counselor will ask them a series of questions to assess their risk for relapse, identify and reinforce protective factors, and assess and refer for case management needs.

The questions include: Have you used any alcohol or drugs? Have you had cravings? Have you spent time around your “people, places, and things?” How many AA/NA meetings have you gone to?

In addition, every client enrolled in extended care will have access to a recovery coach from the 1212 Club who can drive them to appointments, help them with housing, or give them any advice they need. We’re thrilled to be working with 1212 on this, and we know their strong connections to the recovering community will supplement the treatment the clients get at BCI.

As with the motivational incentives, the Delaware Division of Substance Abuse and Mental Health is working in partnership with BCI and other Delaware treatment providers to make the changes necessary so we can provide this new level of care. We’ve also had as our consultant Dr. Jim McKay of the University of Pennsylvania, who has done much research on telephone care and its benefits.

How will we know if this is successful? One measure we will look at is our readmission rate. Presently, about 32% of our admissions each month were here previously. If we can reduce recidivism, we should see this number go down. We will also see if average length of stay in the program increases from its current value of 102 days. Our long term goals are to better serve the clients while reducing repeat use of higher levels of care.