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Louisiana Screening, Brief Intervention, Referral, and Treatment (SBIRT)<br />

The Louisiana Department of <strong>Health</strong> and Hospitals and the American College of Obstetricians and<br />

Gynecologists – Louisiana Section has a relatively new program designed to address poor birth<br />

outcomes in Louisiana. The Louisiana Screening, Brief Intervention, Referral, and Treatment<br />

(SBIRT) – <strong>Health</strong> Babies Initiative is designed to reduce the use of alcohol, tobacco and illicit drug<br />

use during pregnancy. The program also screens and provides appropriate referral for domestic<br />

violence and depression in pregnancy. The initiative is different from, but designed to work in<br />

concert with, specialized or traditional treatment. Historically, the primary focus of specialized<br />

treatment has been targeted toward persons with more severe substance use or those who have met<br />

the criteria for a Substance Use Disorder. SBIRT, however, targets those individuals with nondependent<br />

substance use and provides effective strategies for intervention prior to the need for more<br />

extensive or specialized treatment. Mechanisms are also in place to refer those with the greatest<br />

addiction severity to specialized treatment.<br />

A pregnant woman's concern for her unborn child strongly motivates her to respond positively to<br />

her medical providers‟ advice. Therefore, the long-term goals of the Louisiana SBIRT initiative are<br />

to:<br />

Screen all pregnant Louisiana women at the site of prenatal care within both, public<br />

and private health facilities.<br />

Incorporate screening as a routine part of prenatal care.<br />

The Louisiana SBIRT-<strong>Health</strong>y Babies Initiative is a partnership with the Office of Addictive<br />

Disorders and the Office of Public <strong>Health</strong> within the Louisiana Department of <strong>Health</strong> and Hospitals,<br />

the American College of Obstetricians and Gynecologists (ACOG), March of Dimes, Fetal Infant<br />

Mortality Review and The Louisiana Campaign for Tobacco-Free Living.<br />

Previously, the Office of Addictive Disorders (OAD) has offered treatment services through fifteen<br />

inpatient/residential facilities; five social detoxification, two medical detoxification, and four<br />

medically supported facilities; seventeen community-based facilities (halfway and three-quarter<br />

houses); and sixty-eight outpatient clinics. Current and future efforts have a focus on increasing the<br />

continuity of care within the newly legislated Office of Behavioral <strong>Health</strong> and internally enhancing<br />

services within all facilities.<br />

The following are treatment facilities that specifically serve youth:<br />

The Springs of Recovery Inpatient Treatment Center provides a total of 54 adolescent (38<br />

male and 16 female) residential inpatient treatment beds, 30 intensive treatment and 8<br />

transitional beds for adolescent males, 16 intensive treatment adolescent beds for females.<br />

Forty-seven of the beds are Federal <strong>Block</strong> <strong>Grant</strong> funded and seven are funded by OAD‟s<br />

Access to Recovery <strong>Grant</strong>. Clients who complete the 45-60 day intensive treatment<br />

program may continue in the transitional program for 45 days to six months.<br />

The Inpatient Treatment - Gateway Adolescent Treatment Center - Cenla Chemical<br />

Dependency Council, Inc. provides 26 beds for adolescents aged 12-17 (20 male and 6<br />

female) funded by Federal <strong>Block</strong> <strong>Grant</strong> with inpatient chemical dependency treatment<br />

program.<br />

The Cavanaugh Center in Bossier City is an inpatient, licensed, 24 bed (allocated to males<br />

and females as needed) adolescent primary treatment unit. All beds are Federal <strong>Block</strong> <strong>Grant</strong><br />

funded. The facility provides structured, supervised, adolescent (ages 12-17) inpatient<br />

treatment. Cavanaugh Center‟s halfway house provides 20 beds funded by FBG (allocated<br />

to males and females as needed).<br />

PART C <strong>LOUISIANA</strong> FY 2011 PAGE 208<br />

SECTION III: CHILD/ YOUTH PLAN – CRITERION 1<br />

COMPREHENSIVE COMMUNITY-BASED MENTAL HEALTH SERVICES -- SYSTEM OF CARE & AVAILABLE SERVICES

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