July 18, 2016 SHARE TWEET Meet Jane – A Center of Excellence Patient Like Governor Tom Wolf on Facebook: Facebook.com/GovernorWolf Substance Use Disorder, The Blog Centers of Excellence help ensure that people with opioid-related substance use disorder stay in treatment to receive follow-up care and are supported within their communities. Care management teams coordinate care and provide warm transitions to new parts of the treatment process.A common misconception about the Centers of Excellence is that they are only physical locations where people can walk in and receive treatment. While most of the centers will provide direct treatment, in reality when we use the term “center” we are referring to a central, efficient hub around which treatment revolves. These centers will have navigators to assist people with opioid-related substance use disorders though the medical system, and ensure they receive behavioral and physical health care, as well as any evidence-based medication-assisted treatment needed.To better explain how Centers of Excellence work, let’s use an example.Meet Jane. Jane is suffering from opioid use disorder. When she decided to get treatment for her illness, she sought initial help at a health care facility – like a hospital, her primary care physician, or with a behavioral health specialist. Let’s say Jane went to her primary care physician – Dr. Smith.With informed consent, Dr. Smith notifies the Center of Excellence team that Jane is seeking treatment. A Center of Excellence health team professional – let’s call this person Tim – arrives on site and completes an assessment of Jane to determine her specific needs. Tim then develops a treatment plan for Jane that recommends the appropriate level of care.Tim then ensures coordination of Jane’s care with a Center of Excellence team. If Jane consents, her family can also be involved in Jane’s care. Other members of her Center of Excellence team may include behavioral and physical health care providers, community-based care navigators, and community-based resources that can help Jane obtain food, housing, and apply for jobs.Tim sets Jane up with Dr. Mansfield – a drug and alcohol (D&A) provider that will help Jane with her opioid use disorder. But in addition to her opioid use disorder, Jane also has anxiety and asthma. In order to help treat Jane as a whole person, Tim connects Jane with Dr. Boyer, a mental health provider that can help treat Jane’s anxiety, and Dr. Nolan, a physical health provider that can help treat Jane’s asthma.Behavioral health providers include mental health providers as well as D&A providers. D&A providers – like Dr. Mansfield – help provide evidence-based treatment which would include recovery supports, cognitive behavioral therapy, drug and alcohol counseling, rehabilitation services, and detoxification. Mental health providers – like Dr. Boyer – would provide evidence based treatment consisting of counseling or talking therapies and medications for conditions such as anxiety, severe depression, bipolar disorder, and schizophrenia.Physical health providers – like Dr. Nolan – would provide treatment for conditions such as diabetes, high blood pressure, asthma, heart attack, and seizures but could also treat anxiety and depression.Both physical health and behavioral health physicians that have specific training can provide medication assisted treatment for opioid use disorder with medications such as methadone and buprenorphine.Jane will receive all available supports coordinated by her Centers for Excellence team such as referral to employment services, housing support, legal support, and faith based resources. The care team, which is led and coordinated by Tim, oversees everything from the evaluation to the referral process, through follow-up care.This is how Jane receives the treatment she needs and starts on the path to recovery through the Centers of Excellence. Working with Tim, her family, Dr. Smith, Dr. Mansfield, Dr. Boyer, and Dr. Nolan, Jane is able to get the care that she needs.Investing in Addiction TreatmentGovernor Wolf’s 2016-2017 budget included $10 million in behavioral health funding and $5 million in Medical Assistance funding, totaling $15 million. This will allow DHS to draw down $5.4 million in federal funding for an overall total of $20.4 million.This critical funding will enable the Department of Human Services, during phase one, to implement 20 Opioid Use Disorder (OUD) Centers of Excellence that will treat approximately 4,500 people like Jane that currently are not able to access treatment.The Department is also working with its actuaries to determine the number of additional centers that can be funded with the $5 million in state Medical Assistance funds and $5.4 million in federal funds by analyzing the impact they will have on Medicaid managed care rates. The Department of Human Services will announce any additional Medicaid-funded OUD Centers of Excellence in August. By: Sarah Galbally, Secretary of Policy and Planning SHARE Email Facebook Twitter
By Jeremy Fox MARSHALLTOWN, Iowa (June 20) – Brandon Williams was not to be denied his first win of the season Friday at Motown.Tom Rawlins and then Shawn Simatovich led early in the Karl Chevrolet Northern SportMod feature before Williams took charge.Sam Wieben tried several times to take the lead away but finish in the runner-up position. Luellen, Jenae Gustin, Carter VanDenBerg and Taylor Musselman rounded out the top five.Luke Wanninger caught rookie Joel Rust for the lead on the 21st circuit and led to the IMCA Xtreme motor Sports Modified checkers. Donavon Smith raced to his seventh local IMCA Sunoco Stock Car checkers of the season. Eric Stanton was fastest by the width of his bumper in the IMCA Sunoco Hobby Stock main. David Moorman was the Mach-1 Sport Compact winner.
Anwar El Ghazi put Villa ahead with a header on the stroke of half-time before John McGinn capitalised on a goalkeeping error to score Villa’s second just shy of the hour mark.Derby substitute Jack Marriott ensured a nervous finish for Villa with a goal nine minutes from time but it could not prevent County losing in the playoffs for the fourth time in six seasons.For Smith, whose father is suffering from dementia, this was a poignant victory.“I went to see my old man on Friday and I managed to get his eyes open for two minutes and I said to him ‘next time you see me I’m going to be a Premier League manager’,” Smith told Sky Sports. “He smiled and nodded, for me that’s enough.”– ‘Have to be in Premier League’ –Going up – Aston Villa’s Jack Grealish celebrates after the final whistle © AFP / Adrian DENNISMeanwhile an elated Grealish said: “I’m speechless. It was such a hard game, but when I look around and I’ve got John, Anwar, I believe. It means the world to go up, we know where this club belongs.“I’ve stayed here and we’re back there now. I’ve led my boyhood team to the Premier League.”El Ghazi added: “We know and felt the pressure. This club has to be in the Premier League and it deserves to be there.”Rams boss Frank Lampard, in his first season as a manager, recalled former Chelsea and England team-mate Ashley Cole as well as Tom Huddlestone into his starting side.Cole replaced suspended Scott Malone at left-back, while midfielder Huddlestone took over from Duane Holmes, injured in the semi-final victory over Leeds.Villa’s Smith, made one unenforced change by bringing in winger Albert Adomah instead of Andre Green, who dropped down to the bench.Smith’s side, who had already put seven goals past Derby without reply in two regular season league meetings this season, were much the better side for the first half.And their dominance was duly rewarded a minute before the interval when a precise cross by Egypt’s Ahmed Elmohamady evaded the Derby defence and allowed Netherlands Under-21 international El Ghazi, who had lost his marker, to run in at the far post and score with a stooping header.It was a goal celebrated by the massed ranks of Villa fans at Wembley that included Britain’s Prince William.Famous fan: Britain’s Prince William celebrates with former Aston Villa forward John Carew after Villa go 1-0 ahead at Wembley © AFP / Adrian DENNISVilla doubled their lead in the 59th minute.El Ghazi’s shot was deflected high into the air and Derby goalkeeper Kelle Roos, who waited for the ball to drop so he could complete a catch instead of attempting a punch, was left floundering as McGinn steered the ball into the net.But at 2-0 down, a desperate Derby raised their game and pulled a goal back nine minutes from time.Florian Jozefzoon’s cross was nodded back in by Jayden Bogle, and substitute Marriott rolled a shot into the far corner, although Martyn Waghorn may have got the very last touch.Injuries and stoppages meant Villa, the 1982 European champions, had to come through seven minutes of additional time.But they held their nerve to join Norwich City and Sheffield United in next season’s Premier League.0Shares0000(Visited 3 times, 1 visits today) 0Shares0000Golden goal — Aston Villa’s John McGinn heads the ball past Derby goalkeeper Kelle Roos to score his side’s second in a 2-1 Championship playoff final win © AFP / Adrian DENNISLONDON, United Kingdom, May 27 – An Aston Villa side managed by one lifelong fan in Dean Smith and captained by another in Jack Grealish ended their three-year exile from the Premier League on Monday with a 2-1 win over Derby County in the Championship playoff final at Wembley.A year after losing to Fulham in the same fixture, Villa were celebrating a return to English football’s lucrative top-flight that will be worth at least £170 million (Sh21.8bn) and as much as £200 million (Sh25.7bn) to the Birmingham club.
VANCOUVER — A tree described as one of the true giants of the herbaceous plant world is bringing some tropical warmth to British Columbia.The Vancouver Park Board says a plant native to the Canary Islands and rarely grown in Canada is now flowering at the Bloedel Conservatory in Queen Elizabeth Park.The tree echium, also known as snow tower, produces white flowers on a spike up to 4.5-metres high, but horticulturalists say the blooms will only last about two months.A news release from the park board says staff acquired some seeds from the endangered plant about two year and nurtured the plant from the seedlings.The park board says common names for the stunning plant range from tower of jewels, to pine echium and even giant viper’s bugloss.Whatever the name, park board chairman Stuart Mackinnon expects the exotic, beautiful and very tall plants will excite plant lovers.“Flower buds will continue to unfurl and expand over the bloom phase, making the flower stalk wider and more impressive over time,” Mackinnon says in the release. The snow tower is expected to continue flowering into June before completing its life cycle and then dying.The park board has also acquired seeds of several other varieties of echium that aren’t as tall as the snow tower but are considered just as lovely.Tree echiums with blue flowers are already growing in another part of Queen Elizabeth Park, in Morton Park near the Laughing Men statues in downtown Vancouver and at the entrance to VanDusen Botanical Garden on Vancouver’s west side. The Canadian Press