Six Figure Rehab
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The situation in Ballarat is "dire", he says.
With no nearby rehab facility, he can only offer one-on-one counselling or facilitation into a day withdrawal unit. Fenton says it can take anywhere between one to six months to get off ice, with no assurances treatment will be successful. The state's drug and alcohol sector went through the first stage of a reform process in September under the former Liberal government. The reform is yet to touch residential rehabilitation services, but workers, consumers and industry experts are already reporting they have made access to treatment even more difficult.
The first stage of reform has involved the tendering out of non-residential services, such as counselling and outpatient programs that were previously government run. Many not-for-profits have won contracts for previously government run services.
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The Age has spoken to many public drug and alcohol workers who say privately they have deep concerns with about the new system, but cannot speak on the record for fear of losing their jobs or funding. One of the main gripes is with a new telephone intake and assessment process, which categorises problem drug and alcohol users into five tiers from low to high risk, that was meant to make the system easier to navigate.
But workers say the under-resourced phone line is blowing out waiting times to get into public rehabs, causing people to fall through the cracks, and they are losing coalface interaction with clients. Under the previous intake system, people rang individual withdrawal and rehab services directly and then went in for face-to-face assessments. Sam Biondo, the CEO of the Victoria Alcohol and Drug Association, says there appears to be "overwhelming" demand for rehab beds and underinvestment by the former Coalition government.
Biondo points out that while alcohol and drug services can be expensive, funding of rehab beds is "substantially under the level of investment that goes into prison beds". The other problem, he says is that the rehab system was built around dealing with heroin use and treating ice addicts required prolonged psychosocial support. The Age has obtained a letter from senior drug and alcohol clinicians at Barwon Health to management, which calls the service's new centralised phone system a "disaster waiting to happen", with "widespread confusion and frustration" at how to access help.
Barwon Health has lost 16 per cent of its clinical staff and approximately half of its funding in the shake up, with tenders going to a consortium of not-for-profit service providers. The letter details increased delays in directing people into treatment because of a reduction in assessors. Stage two of the reform was a plan to overhaul the rehab system, but with the change of government, its status is uncertain. The Age asked Minister for Mental Health Martin Foley whether stage two of the reforms would go ahead, but he declined to answer.
He says the former Coalition government had "botched" the mental health system and calls the new drug and alcohol phone line "impersonal". However, Foley did not say whether his government would fix the phone line problems.
He also did not respond to questions about whether rehabilitation beds would be increased or waiting times tackled. He says Labor is taking a "holistic approach" to the "ice crisis" by funding "grassroots community action groups".
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Foley says the government is on track to deliver its "ice action plan" within its first days, as promised. A member taskforce, including mental health expert Professor Patrick McGorry, Dandenong drug court magistrate Tony Parsons and the police deputy commissioner, will develop the plan. The software allows for a more detailed, granular approach in which each asset has a risk score calculated as a combination of probability and consequence of failure calculations.
Multiple risk scenarios can be modeled with results that can be observed visually in ArcGIS to review high-risk areas, as well as which areas can provide the most risk reduction.
Lastly, utilities need to maximize public funds to meet growing needs for the rehabilitation of their existing networks. As systems near the end of their useful life, utilities run the risk of making costly emergency repairs on pipes that may fail or exceed capacity. With multiple asset management methodologies and frameworks available, such as the International Organization for Standardization ISO and Publicly Available Specification PAS 55, utilities have multiple options available to understand the needs of their water systems potable water, wastewater, and reclaimed water individually.
These same methodologies and frameworks can be applied to many of the different GIS-based asset types. Asset management evaluations are typically based on physical characteristics of an asset; however, there are many other factors hydraulic, environmental, and inspection that impact the proper rehabilitation action required for an individual asset.
Understanding how these multiple data sources can be utilized in risk-based evaluation is critical in understanding how each asset performs in its ability to ensure a level-of-service standard. The software is a key tool that allows all these separate data streams to be integrated into one software and be evaluated.
Article: Modern Techniques for Prioritizing Asset Rehabilitation and Capital Plans
With all of this information tied to the root asset in one database and software, decision makers can make more-informed rehabilitation or capital improvement project CIP decisions. This also opens the project database and software analysis results for easy access and publishing on ArcGIS Online.
Finding the causal good and bad relationships for each asset type is key to identifying the proper rehabilitation method and maximizing the budgets required to proactively maintain level-of-service standards. The software enables a user to evaluate pipe material, age, number of CCTV defects, type and number of associated work orders, and hydraulic capacity side by side. Its ability to integrate with multiple data sources helps to uncover these causal relationships and the multitude of different factors that lead to more easily predicting asset failure.
Two examples experienced by existing users include:. These examples of causal relationships can be utilized as a multicriteria likelihood of failure in a risk-based evaluation to prioritize similar assets for faster replacement. With all of this information in one place, it becomes much easier for organizations to create reports, charts, and graphs showing the relationships among the many factors that might lead to asset failure.
Figure 1shows a graph displaying how the overall risk for the network may increase, as a factor of pipe age for example. A more statistical way to identify trends and causal relationships may be accomplished through statistical deterioration. Once a set number of failures have been identified and joined to an asset, users can select several variables, such as material, diameter, slope, CCTV scores, or risk results and use a linear regression analysis to determine if the variables are correlated to pipe failure or not.
Linear regression analyses are calibrated with a coefficient to either make it more or less lenient in terms of finding variables, which might correlate to overall asset failure. In Figure 2, material, diameter, and peak score from CCTV , and the created likelihood of failure LOF 2 were determined to be significant factors in a particular model, while slope, risk score 1, and length were not significant factors.
In this simple but powerful example, software users can get a statistical sense of what variables might be most important to them as they decide how to prioritize and plan rehabilitation projects. If no women who are HIV-positive apply, the spots funded by that grant may not be filled. Even if your loved one could qualify for a space in an inpatient drug rehab program for free, it may not be the right program for him.
Most free programs do not have the resources necessary to provide the most in-depth treatment possible. Free or not, if the treatment program does not provide the correct level and style of treatment, then it could be a waste of time and money. Learn more about the type of program that will help your loved one begin the healing process today. Call the number above now.