Bridgestone Behavioral Health Center: Cost-Volume-Profit (CVP) Analysis
INTRODUCTION
In June of the current year Dr. Thomas Russell, Executive Director, and Susan Smyth, Accountant, at the Bridgestone Behavioral Health Center were discussing the necessity of gaining a better understanding of how to monitor the Center’s operating and financial performance. Located in Cleveland, Ohio, Bridgestone provides prevention, intervention, and treatment services for individuals with substance abuse problems. Bridgestone’s management is concerned about its financial performance after realizing a loss in the prior year although a small profit was projected. Despite management’s concern and attention of Bridgestone’s profitability troubles, the
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The road to recovery was not an easy road back. I still do the same elementary things today that I had to do to achieve recovery. I realized that honesty and open-mindedness was a must. I had to surrender all—I wanted real success.”
Behavioral Health and Addiction Services
Bridgestone offers 10 services designed to treat a large array of substance dependencies from the point of detoxification to supporting long-term sobriety and preventing relapses.
Patient Assessment – Patient assessment is performed by an addiction counselor who uses a number of methods to determine if an alcohol or drug use problem truly exists. If such a diagnosis is established, it is necessary to determine the extent or severity of disease, if there is a need for medical detoxification, and the services or level of care required to safely and successfully achieve sobriety.
Lab Urinalysis – Laboratory urinalysis services are performed for screening and intervention purposes. This is aimed at helping the patient withstand urges to use drugs. Such monitoring also can provide early evidence of drug use so that the individual’s treatment plan can be properly adjusted.
Case Management – Case management serves to monitor patient progress and compliance with recommended addiction treatment plans. Reports to outside parties such as courts, children’s protective services, licensing boards, and employers are provided as
After having done a detailed study of the projected financial statements for the upcoming year, we have been able to identify a few glaring financial pitfalls the center has to beware of. The center has a lot of government aid provided to it but it also faces a host of
In mental health the concept of recovery is a contrast to the medical context to which we are accustomed to. Individuals experiencing mental illnesses have expressed recovery to be “elusive, not perfectly linear… erratic, we flatter, slide back and regroup…establish a sense of integrity and purpose” (Roads to recovery, n.d.), which reflects
Our facility in (location) has a strong reputation for successfully helping patients regain their footing in life, allowing them to go on to live happy and productive lives. This is accomplished by providing them access to a full service treatment program that addresses all aspects of their addiction.
Some of these considerations include whether or whether not the patient should be put into the questioning/assessment at that specific moment in time. Another consideration includes being able to have an idea of what test the client will need based on what they have told you before the assessment starts. By doing this you will lower the number of assessments that you would have to choose from. Another consideration would be taking more than one test to see if you get the same result as you did in the pervious test. “Several factors should be considered before choosing an assessment instrument, including the purpose of the assessment, type of assessment outcomes, methodology, resource availability, and audience expectations (Bresciani, Zelna, & Anderson, 2004; Palomba & Banta, 1999; Schuh & Upcraft, 2001).” You must know the best outcome to suit the client and the client’s problems. With doing this it will help the patient be more comfortable in the environment in which, will help with the answers you may get from the individual during the assessment. If you do this it may help with the overall performance of the client and also give you an accurate
Substance abuse and addiction can impact every aspect of a person’s daily life, relationships, employment, and can have a profound impact on the user’s overall health. The certified professionals at the addiction treatment centers in Silver Spring, Maryland are uniquely qualified to mitigate the physical aspects of detox and withdrawl, but also help the individual to work through and resolve the many issues that evolve out of addiction. The addiction treatment centers in Baltimore, Maryland, and the surrounding area, offer inpatient services, outpatient care, and residential treatment options.
Drug courts offer intensive supervision, and intensive care. Drugs/alcohol offenders come under the court's administration immediately after their arrest and, throughout the phases of the program. Defendants/Offenders are expected to attend treatment meetings, undergo strict drugs/alcohol testing, before meeting judge regularly to determine whether their intensity needs to be increased or reduced after they have demonstrated significant and consistent progress in the treatment program. Those who fail are given the chance to undergo the program again or be incarcerated.
Case management has case managers who effectively assess my healthcare needs. They also provide support systems to help me. Then, they coordinate, monitor, and evaluate my progress and the services that I receive. It promotes quality and cost-effective interventions and outcomes.
Long term, it is much easier and cheaper to perform preventive health care than to try to manage acute and/ or chronic diseases. All at risk individuals should be given education on the dangers of developing a substance abuse problem, emphasizing that it can happen to anyone- young or old, rich or poor, etc. Health care providers need to address the supposed invincibility commonly associated with those who excessive drink alcohol or use drugs. These individuals are not quite as invincible nor do most have everything as under control as they may think. Although many may know the dangers, it is important to explain that the negative health impacts may not be noticeable right away, but the damage is still being done. Additionally, these at risk patients should work with social workers or case management to set up referrals to substance abuse cessation programs within the
The program that will be discussed is call the Residential Substance Abuse Treatment but I will refer to it as RSAT for short. RSAT is a program that last at least six months but no more than twelve months if needed. The treatment program will be provided in treatment facilities set apart-in a completely separate facility or even better yet a dedicated housing unit in a facility exclusively used only by RSAT participants, keeping them separated from the general correctional population. RSAT will be focus on the substance abuse problems of the individual inmate. The program will help develop the inmate's, behavioral, cognitive, vocational, social skills, and other techniques used to help solve the substance abuse problems. Within the program they will begin or continue require proven reliable forms of drug and alcohol testing, including urinalysis for program participants and former participants while they remain in the custody of the state or local government. To decrease the chance of recidivism due to drug use or related crimes, RSAT should be limited to inmates with 6 to 12 months remaining in their time behind bars, this way they can just be
Drug use affects every sector of society, straining our economy, our healthcare and criminal justice systems, and endangering the futures of young people. This needs assessment is performed to identify what additional services might be needed to
Client was considered to be in semi-compliance with treatment during this reporting period. Client attended two secheduled groups with two absences. UA were negative for all tested substances. Client reported participating in self-help meeting regularly; verification was provided. Treatment attendance needs to be improved in 30 days.
For those who suffer from substance abuse, there are often groups and programs created to help maintain sobriety, learn life lessons, relapse avoidance, and NA/AA groups, geared to work with both the mental illness as well as the addiction. In these clinics and facilities, there are often medication evaluations and consultations available, to monitor and help maintain medication adherence, and broaden understanding of the particular medications taken by patients. This
There are many models of case management however there are four specific models which are used for cases involving substance abuse including the brokerage model, intensive case model, rehabilitation/clinical model and the strengths-based model (SAMHSA, 1998. Ridgely & Willenbring, 1992). Within these case management models there are six core functions including client identification outreach, assessment, planning, linking, monitoring, and advocacy. However these models can be differentiated by the extent of client participation, provision and involvement of the case manager (Vanderplasschen et al, 2007). Referring to this particular client the two best models to use would be the brokerage model and the rehabilitation/clinical model.
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is commonly used to identify, reduce, and prevent abuse and dependence on alcohol and banned drugs ("Screening, Brief Intervention, and Referral to Treatment (SBIRT) Health Professions Student Training," 2000). This assessment can be broken down simply by: a) conducting a screening where the clinician assesses a patient for risky substance use behaviors using standardized screening tools b) having a brief intervention where the clinician holds a short conversation, then provides feedback and offering advice c) lastly, the clinician can provide a referral to brief therapy or additional treatment for patients in need of the services ("Resource,"2000). Thus, making this a very useful
According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts” (Herdman, John W., 6th Ed.). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates, monitors and evaluates options required to meet the client’s health and human service needs. It is characterized by advocacy, communication, resource management and promotes quality cost-effective intervention outcomes. The Case Management Process centers on the client and the client’s support system. It is holistic in its approach to the management of the client’s individual and specific situation and that of the client’s support system. It is adaptive both to the case manager’s practice setting and to the healthcare setting in which the client receives services. Case management is not a profession unto itself however; it is a cross-disciplinary and interdependent specialty practice within the health and human services profession. Everyone directly or indirectly involved in healthcare benefits when healthcare professionals and