CODAC HEALTH RECOVERY AND WELLNESS
1650 E FORT LOWELL ROAD SUITE 202, TUCSON, AZ 85719 www.codac.org

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Organizations Filed Purposes: CODAC PROVIDES TOOLS, SUPPORT AND SERVICES TO INDIVIDUALS, FAMILIES, AND COMMUNITIES SO THEY MAY LIVE WITH DIGNITY, FREE FROM THE HARMFUL EFFECTS OF MENTAL ILLNESS, SUBSTANCE USE DISORDERS AND TRAUMA.

INTEGGRATED MENTAL AND PHYSICAL HEALTH OUTPATIENT SERVICES: INTEGRATED OUTPATIENT SERVICES ARE AVAILABLE FOR ADULTS AND CHILDREN (AGES 6+) WITH GENERAL MENTAL HEALTH CONCERNS (SUCH AS GRIEF, DEPRESSION, ANXIETY, AND RELATIONSHIP TROUBLES); SUBSTANCE USE DISORDERS (DRUG AND ALCOHOL USE); SERIOUS MENTAL ILLNESSES (SUCH AS SCHIZOPHRENIA, BIPOLAR DISORDER, PTSD) AND TRAUMA. OUR INTEGRATED OUTPATIENT SERVICES INCLUDE ON-SITE COORDINATION AND PROVIDE MENTAL, EMOTIONAL AND BEHAVIORAL HEALTH CARE AS WELL AS PHYSICAL HEALTH CARE. WE OFFER A FULL CONTINUUM OF CARE INCLUDING CARE COORDINATION, PEER SUPPORT, PSYCHIATRY, THERAPY, COUNSELING, HEALTH PROMOTION, EMPLOYMENT ASSISTANCE, PHYSICAL HEALTH CARE, AND WELLNESS SUPPORT FOCUSING ON INDIVIDUAL STRENGTHS AND COMMUNITY SUPPORT TO PROMOTE LONG-TERM RECOVERY AND PREVENT RELAPSE. CODAC'S INTEGRATED OUTPATIENT PROGRAMS SERVE CULTURALLY DIVERSE ADULTS, CHILDREN AND FAMILIES AND COMMUNITY MEMBERS WITH A VARIETY OF MENTAL HEALTH AND PHYSICAL HEALTH CONDITIONS. OUR COMPREHENSIVE, INTEGRATED PROGRAMMING IS DESIGNED WITH THE AIM TO INCREASE PATIENT SATISFACTION, DECREASE HEALTH COSTS AND IMPROVE HEALTH OUTCOMES WHILE DECREASING THE HARMFUL EFFECTS OF SUICIDE, OVERDOSE AND UNEMPLOYMENT IN OUR GREATER COMMUNITY. WE PROVIDE EVIDENCE-BASED (EB) CURRICULUM AND SERVICES TO ENSURE OUR MEMBERS RECEIVE THE HIGHEST QUALITY OF CARE WHILE INTEGRATED TEAMS PROMOTE HEALTH AND WELLNESS ACTIVITIES, SUPPORT SOBRIETY, REUNIFY MEMBERS WITH THEIR FAMILIES OR FAMILIES OF CHOICE AND SECURE GAINFUL PART AND FULL-TIME EMPLOYMENT. THESE EVIDENCED-BASED GROUPS INCLUDE, BUT ARE NOT LIMITED TO: SEEKING SAFETY: PTSD AND SUBSTANCE ABUSE, CELEBRATING FAMILIES, INTENSIVE OUTPATIENT PROGRAMMING (IOP) AND HEALTHY RELATIONSHIPS. IN 2020, WE STRIVE TO BUILD STRONG RELATIONSHIPS WITH COMMUNITY WIDE STAKEHOLDERS WHILE CONTINUING TO ADD TO OUR INTEGRATED MILIEU OF COMPREHENSIVE SERVICES. MORE SPECIFICALLY, IT IS OUR GOAL TO ADD ADDITIONAL PROGRAMMING INCLUDING A CERTIFIED HEALTH COACH (HEALTH, WELLNESS AND NUTRITION), CERTIFIED PERSONAL TRAINERS (PHYSICAL ACTIVITY) AS WELL AS HEALTH, WELLNESS AND FITNESS SERVICES. WE ARE ALSO EXPLORING THE NEED FOR A COMPREHENSIVE RE-ENTRY FAMILY PROGRAMMING FOR OUR COMMUNITY MEMBERS AND FAMILIES IMPACTED BY INCARCERATION, JUVENILE/ADULT DETENTION, AND/OR PRISON. ULTIMATELY, WE WANT TO CONTINUE TO POSITIVELY IMPACT, INFLUENCE AND SAVE LIVES ACROSS OUR INTEGRATED HEALTH COMMUNITY.

MEDICATION ASSISTED TREATMENT OUTPATIENT CLINIC: CODAC'S MEDICATION ASSISTED TREATMENT (MAT) CLINIC PROVIDES TREATMENT FOR OPIOID SUBSTANCE USE DISORDERS TO ANY RESIDENT OF THE COMMUNITY. IN RESPONSE TO COMMUNITY NEED DURING THE OPIOID USE EPIDEMIC, CODAC OPENED SOUTHERN ARIZONA'S ONLY 24/7 OPIOID TREATMENT PROGRAM. COMMUNITY MEMBERS CAN PRESENT ANY TIME OF DAY OR NIGHT TO BEGIN TREATMENT, INCLUDING INDUCTION TO MAT. RECOGNIZING THAT SUBSTANCE USE AFFECTS MANY ASPECTS OF A PERSON'S TREATMENT CONCURRENTLY ADDRESSES MULTIPLE DIMENSIONS OF WELLNESS INCLUDING SOCIAL, EMOTIONAL, OCCUPATIONAL, PHYSICAL, ENVIRONMENTAL AND FINANCIAL HEALTH. SAMHSA HAS ALSO IDENTIFIED CODAC AS THE FIRST FULLY INTEGRATED MAT CLINIC. SERVICES INCLUDE: PRIMARY CARE, OB-GYN SPECIALTY, PSYCHIATRIC, ACUPUNCTURE, EMPLOYMENT COUNSELING, JOB PLACEMENT, INTENSIVE OUTPATIENT AND STANDARD OUTPATIENT TREATMENT, THERAPY (INDIVIDUAL, FAMILY AND GROUP), FAMILY GROUPS, PEER LED SERVICES, CASE MANAGEMENT, CARE COORDINATION, JAIL BASED SERVICES, COMMUNITY OUTREACH AND HOSPITAL COORDINATION. THERE ARE CURRENTLY 2,252 MEMBERS IN THE MAT PROGRAM, WITH 1,372 MEMBERS RECEIVING METHADONE SERVICES AND 238 MEMBERS ENROLLED IN BUPRENORPHINE TREATMENT. COMMUNITY PARTNERSHIPS TO ADDRESS OPIOID USE INCLUDES COLLABORATION WITH THE TUCSON POLICE DEPARTMENT, SEVERAL EMERGENCY DEPARTMENTS INCLUDING TUCSON MEDICAL CENTER AND BANNER UNIVERSITY MEDICAL CENTER, THE PIMA COUNTY SAFETY AND JUSTICE COMMISSION JAIL REDUCTION PROGRAM, HOUSING PROGRAMS INCLUDING OLD PUEBLO COMMUNITY SERVICES AND THE PIMA COUNTY HEALTH DEPARTMENT. IN 2019 ALONE, THE PARTNERSHIP WITH TUCSON POLICE DEPARTMENT RESULTED IN 50 INDIVIDUALS PER MONTH DIVERTED FROM JAIL TO SUBSTANCE USE DISORDER TREATMENT AFTER BEING PICKED UP FOR MISDEMEANORS. WITH A FOCUS ON TREATING THE WHOLE PERSON, MEMBERS ARE ENCOURAGED TO PARTICIPATE IN CONCURRENT AND COLLABORATIVE MEDICAL SERVICES. INTEGRATED HEALTH SERVICES PROVIDED AT THE MAT CLINIC IN 2019 INCLUDE: 692 INDIVIDUALS RECEIVING AN ANNUAL PCP PHYSICAL 746 ELECTROCARDIOGRAMS 269 VACCINATIONS 119 CASES OF HEPATITIS C TREATED 113 MEMBERS WITH HYPERTENSION IN TREATMENT 104 MEMBERS WITH HIGH CHOLESTEROL 74 CASES OF ASTHMA ADDITIONALLY, 45% OF MEMBERS ARE TREATED FOR A CONCURRENT MOOD DISORDER, 34% FOR AN ANXIETY DISORDER AND 27% FOR A PTSD DISORDER. POSITIVE OUTCOMES INCLUDE SEEING A 75% REDUCTION IN UTILIZATION OF INPATIENT DETOXIFICATION PROGRAMS AFTER INVOLVEMENT IN MAT. IN THE NEXT YEAR THE CLINIC WILL FOCUS ON CONTINUED EXPANSION OF ON-SITE MEDICAL SERVICES AND ALTERNATIVE TREATMENT. YOGA FOR CHRONIC PAIN MANAGEMENT WILL BE IMPLEMENTED ON-SITE. ADDITIONAL INTERVENTIONS TO IMPROVE OUTCOMES AMONG MEMBERS WITH A CONCURRENT STIMULANT USE DISORDER (METHAMPHETAMINE, AMPHETAMINE OR COCAINE USE) AND OPIOID USE DISORDER WILL BE A PARTICULAR FOCUS.

CODAC HAS THREE TRANSITIONAL LIVING PROGRAMS. ADULT TRANSITIONAL LIVING (ATL) PROGRAM IS A SEMI-INDEPENDENT LIVING SETTING THAT SERVES ADULTS WITH SERIOUS MENTAL ILLNESSES, SUCH AS SCHIZOAFFECTIVE, BIPOLAR, AND POST-TRAUMATIC STRESS DISORDER. THE ATL IS DESIGNED TO PROVIDE OPPORTUNITIES FOR OUR MEMBERS TO IMPROVE THEIR INDEPENDENT LIVING SKILLS AND THRIVE IN THEIR COMMUNITIES. ON AVERAGE, THERE ARE 40 -45 INDIVIDUALS ENROLLED IN THE ATL PROGRAM AT ANY GIVEN TIME. A TOTAL OF 26 MEMBERS HAVE GRADUATED SUCCESSFULLY FROM OUR PROGRAM AND MOVED ON TO A MORE INDEPENDENT SETTING. WE CONTINUE TO FIND WAYS TO HELP MEMBERS FOCUS ON ACCOMPLISHING THEIR TREATMENT GOALS AND TO IMPROVE INDEPENDENT LIVING SKILLS. CONNIE HILLMAN HOUSING TRANSITIONAL LIVING IS A SOBER LIVING PROGRAM FOR WOMEN AND THEIR CHILDREN. PARTICIPANTS ARE EITHER PREGNANT, POSTPARTUM OR ALREADY PARENTING YOUNG CHILDREN. WE HAVE SERVED APPROXIMATELY 35 FAMILIES SINCE THE PROGRAM BEGAN. OUT OF THE PAST 25 DISCHARGES, 17 WERE SUCCESSFUL, WHERE THE MOM/CHILD TRANSITIONED BACK WITH THEIR FAMILY OR TO LIVING INDEPENDENTLY. OUR GOAL IS TO CONTINUE TO PROVIDE THESE CRITICAL SERVICES AND SUPPORT IN ORDER TO GIVE THE MOTHERS A FOUNDATION TO RAISE HEALTHY CHILDREN WHILE FURTHERING THEIR RECOVERY. 20TH STREET MEN'S HOUSE IS A 5 BED SOBER LIVING PROGRAM WHICH PRIORITIZES HOMELESS MEN IN NEED OF A SAFE ENVIRONMENT WHILE THEY ENGAGE IN INTENSIVE OUTPATIENT SUBSTANCE USE DISORDER TREATMENT. THE PROGRAM IS AVAILABLE TO MEN AGE 18 AND OLDER. MEN WHO ACCEPT ADMISSION ARE EXPECTED TO ENGAGE IN TREATMENT AND GAIN EMPLOYMENT DURING THEIR STAY. THEY WORK WITH STAFF TO SAVE THE MONEY NECESSARY TO MOVE INTO INDEPENDENT LIVING. MEN ARE GIVEN 6 MONTHS TO COMPLETE IOP AND GAIN INDEPENDENCE, AND THE AVERAGE MEMBER ACCOMPLISHES THIS GOAL WITHIN 5 MONTHS. WITHIN THE PAST YEAR, 80% OF MEMBERS WHO HAVE ENTERED THE HOUSE HAVE SUCCESSFULLY COMPLETED THE PROGRAM. CODAC HAS TWO LICENSED BEHAVIORAL HEALTH FACILITIES. LAS AMIGAS IS A 25 BED WOMEN'S SUBSTANCE USE RESIDENTIAL FACILITY WHERE WOMEN IN ACUTE RECOVERY CAN RECEIVE TREATMENT IN A STRUCTURED AND SAFE ENVIRONMENT WITH THEIR INFANTS AND YOUNG CHILDREN. OUR MEMBERS ALSO RECEIVE 1:1 THERAPY ON SITE, HAVE ACCESS TO 24 HOUR CRISIS INTERVENTION WITH OUR STAFF, MAKE THEIR OWN NUTRITIOUS MEALS (FOOD PROVIDED) AND LEARN VALUABLE COPING SKILLS TO MANAGE THEIR TRIGGERS AND CRAVINGS. IN 2019 WE HAVE SEEN AN INCREASE IN SUCCESSFUL GRADUATIONS. OUR GOAL IS TO INCREASE OUTCOMES WITH MORE GRADUATIONS AND SUCCESS STORIES, IMPROVE RELATIONSHIPS WITH OTHER HOSPITALS AND CONTINUE WATCHING THESE WOMEN STRENGTHEN THEIR SKILLS TO BE READY FOR INDEPENDENCE IN THE COMMUNITY WHERE THEY CAN BE SAFE AND SOBER. GILA HOUSE RESIDENTIAL PROVIDES 24-HOUR, SUPERVISED PROTECTIVE OVERSIGHT, TREATMENT AND COUNSELING FOR ADULTS, WITH BEHAVIORAL HEALTH CHALLENGES, INCLUDING SUBSTANCE ABUSE, COURT-ORDERED, SERIOUS MENTAL ILLNESS OR CO- OCCURRING DISORDERS. RESIDENTS ARE TREATED AND RESPECTED AS ADULTS AT ALL TIMES AND OUR STAFF IS RESPONSIBLE FOR ASSISTING EACH INDIVIDUAL IN RECOGNIZING HIS/HER RIGHTS AS ADULTS. GILA HOUSE RESIDENTIAL IS COMMITTED TO MEETING THE HIGHEST STANDARDS POSSIBLE IN OUR PROVISION OF SERVICES. OUR FACILITY SERVES AS A RESIDENTIAL FOR UP TO 10 INDIVIDUALS. OUR GOAL THIS COMING YEAR IS TO SERVE ADDITIONAL INDIVIDUALS WHO HAVE DIFFICULTY SUSTAINING THEMSELVES IN THE COMMUNITY. WE WOULD ALSO LIKE TO ENHANCE PROGRAMMING AND WORK ON MEANINGFUL BEHAVIORAL INTERVENTION PROGRAMS.

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