Thursday, December 17, 2009

GCASA's units of service increase regularly for years and then level off.

GCASA's clinical treatment services have seen decreases in deficit funding over the last ten years. Orleans and Genesee Counties have cut their contributions and New York State Office of Alcoholism and Substance Abuse Services (OASAS) has done likewise.

Also, there has been no increase in insurance payment for a unit of service in over 10 years. How is it then that GCASA has increased its units of service?

Increased staff productivity and better management.

Having achieved this improvement though, it appears that the system has been maximized and that further increases in productivity are not possible with current treatment modalities.

As New York State moves from a criminal justice approach of incarceration for substance abusers to treatment which in general is far more effective and cost efficient, the resources have not also moved from the criminal justice system to the treatment system.

If costs $35,000 per year to keep a person in State prison. The same person can be treated by GCASA in outpatient treatment and 3 or 4 months at GCASA's Community Residence for about $4,500.00

Here is a chart showing the increase in units of service in Genesee and Orleans County clinics over the last 5 years.

Click on image for easer reading.

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