LOUISIANA Community Mental Health Services Block Grant ...

focused on re-socialization and encouragement to resume independent living and
functioning in the community.
Three-Quarter Way House Services
Less structured than a halfway house but provides a support system for the recovering
alcoholic and/or substance abuser. Clients are able to function independently in a work
situation. The three-quarter-way house functions as a source of peer support and supportive
counseling. This level of service is designed to promote the maintenance of the client‟s
level of functioning and prepare him/her for independent living.
Therapeutic Community (TC)
Highly structured environment designed to treat substance abusers that have demonstrated a
pattern of recidivism or a need for long-term residential treatment. It is a unique program in
that it relies on the social environment to foster change in the client while promoting selfreliance
and positive self-image. In general, this program requires a minimum of 12 months
duration.
Recovery Homes
Recovery homes are self-run and self-supported houses for recovering substance abusers.
OAD supports this continuum of care by contracting with Oxford House, Inc., to establish
and manage houses within designated areas of the State. In addition, OAD offers a
revolving loan program to support the houses with start-up expenses.
Gambling Services
The Office for Addictive Disorders provides services to problem and compulsive gamblers.
These services include the Compulsive Gambling Help Line, outpatient and inpatient
treatment services, and compulsive gambling prevention services. The office also provides
for research, training and program evaluation for the gambling addiction treatment and
prevention community.
Louisiana has been a recipient of one of the Co-occurring State Infrastructure Grants (COSIG)
offered through SAMHSA. In addition, Louisiana has participated as one of ten states to participate
in the first National Policy Academy on Co-Occurring Mental and Substance Abuse Disorders. The
result of these initiatives has been a strategic plan to guide the development of co-occurring
informed services throughout all service delivery inclusive of both adult and children services.
Included in the action plan is the expectation that Louisiana citizens will be provided with an cooccurring
system of healthcare that encompasses all people, who will easily access the full range of
services, in order to promote and support their sustained resilience and recovery.
Initial, critical first steps in moving toward a co-occurring system of care included the development
of a productive partnership between the Office of Mental Health and the Office of Addictive
Disorders. The Louisiana version of the statewide co-occurring initiative is the Louisiana
Integrated Treatment Model (LITS). The Louisiana Integrated Treatment Model (LITS) is
organized around nine Core Principles (see below) originally delineated by Minkoff and Cline.
According to this model, clinics are expected to adjust the delivery of their services across seven
dimensions including: Program Structure, Program Milieu, Screening & Assessment, Treatment,
Continuity of Care, Staffing, and Training.
The following nine guiding principles have been adopted to direct provision of services:
1. Dual diagnosis is an expectation, not an exception.
PART C LOUISIANA FY 2011 PAGE 114
SECTION III: ADULT PLAN – CRITERION 1
COMPREHENSIVE COMMUNITY-BASED MENTAL HEALTH SERVICES -- SYSTEM OF CARE & AVAILABLE SERVICES