Question #13: Can you provide a detailing of the current capacity and funding of the City’s Opioid Treatment Program? What additional funding would be required to address increasing demand?

FY 2018 Question #13: Can you provide a detailing of the current capacity and funding of the City’s Opioid Treatment Program? What additional funding would be required to address increasing demand?

Page updated on Jun 16, 2017 at 9:37 AM

Question:

Can you provide a detailing of the current capacity and funding of the City’s Opioid Treatment Program? What additional funding would be required to address increasing demand?

Response:

When fully staffed, the budgeted capacity of the program is 125-135 clients per day (up to 190 annually). Due to ongoing vacancies, the program’s current capacity is approximately 95-105 (up to 150 annually). Two vacancies have recently been filled, which will allow for expansion to 110-120 per day (up to 170 annually). We are in the process of combining two part-time Senior Therapist vacancies into one full-time Senior Therapist position (at a cost of $14,089) and once this is accomplished, anticipate being able to serve 125-135 clients per day (up to 190 annually).To expand daily capacity to 140-150 (up to 210 annually), additional staff would be required, as would capital improvements to the physical plant. In FY 2016, there were 51 individuals on the waitlist and in FY 2017 there are 54 individuals on the waitlist for the City’s opioid treatment services. 

The current capacity of the Opioid Treatment Program ranges from 95 to 105 individuals.  The potential cumulative number of individuals who could be served in a year is 150. The staffing includes 7.5 Senior Therapist and Therapist Supervisor positions equivalent to 3.0 FTE hours (approximately 120 hours per week), 1.0 FTE Case Manager and 3.0 FTE Nurses. The current cost of the program is $1,244,020.  

It would be possible to increase capacity to 125 to 135 individuals, with a potential to serve 190 individuals in a year if the program was fully staffed and by combining two part-time Senior Therapists into one FTE Senior Therapist, at an additional cost of $14,089. The current vacant positions that need to be filled (one Senior Therapist and one 30-hour nurse) should be filled soon as selections have been made for those positions. The combining of the two part-time positions has been approved.

To increase capacity to 150 individuals, with a cumulative number of 200 to 210 individuals served, additional investments would be needed, including:

  • One additional 10-hour Nurse Practitioner ($35,000)

  • One additional 1.0 FTE Senior Therapist ($102,000)

  • Additional 0.5 FTE Case Manager ($38,000)

  • Additional Pharmacist time ($24,000) 

  • Facility improvements including an additional bathroom, a reconfigured waiting and dosing area and an additional exam room. (costs TBD)

  • Funding for supplies, lab work costs, medication costs, and additional Methasoft licenses if necessary ($40,000)

The estimated staffing and operating costs to increase capacity to 150 would be $239,000 (this does not include facility improvements costs).


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