CouncilsCouncils

To Reduce or Prevent: ~ Alcohol/drug abuse

~ Alcoholism/chemical dependency

~ Social problems cause by abuse/dependency

But in Reality….But in Reality….

Councils try to Build Stronger Families

and Healthier Communities….

And try to increase Protective Factors and reduce Risk Factors contributing to a variety of social problems.

Major Differences between Councils Major Differences between Councils and other ATOD Programsand other ATOD Programs

(1) Most programs are “stand alone”

focused or targeted efforts at a single

problem…

ex.: a Detox program does detox and release

an EAP Program does screening & referral

a Halfway House for residence & support

But Councils are “Catch-All” Programs –But Councils are “Catch-All” Programs – i.e. multi-faceted, multi-purpose, multi-task i.e. multi-faceted, multi-purpose, multi-task

oriented, responsive to the changing oriented, responsive to the changing needs of the community needs of the community

In fact, Councils have as many as 21 In fact, Councils have as many as 21 different types of services:different types of services:

~ Orientation/Public Awareness ~ Consultation ~ Assembly Program ~ Trainings/Staff

Development~ Classroom Presentation ~ Community Workshops~ Tutorial/Homework Assistance ~ Positive Alternatives ~ Vocational Assistance ~ Community Linkages~ Discussion/Rap Group ~ One-to-One Contact ~ Peer Leadership ~ Other

~ Individual Counseling ~ Crisis Counseling ~ Group Counseling ~ Assessment~ Family Counseling ~ Other~ Referral

... the NCADD vision as established by Marty Mann is alive to this very day.

o work to educate America on the disease of Addiction; o help the suffering alcoholic recover from his/her disease; o work to prevent alcoholism/addiction; o encourage scientific investigation on alcoholism/addiction; o and “fight stigma, fight stigma, fight stigma.”

The Affiliate Survey Report from NCADD shows the power of the Councils by virtue of our numbers and services... 400,000 Units-of-Service rendered to 1,681,585 individuals through our Community Education Programs, Media Campaigns, Information/Helplines, Assessment and Referral Programs, Mentoring Programs, Workplace Trainings, Interventions, etc. Another 200,000 Units were provided by those Councils offering Treatment Services. And this did not fully represent the total Council network across the country - but only some 46 affiliates.

Councils need to be fluid, flexible,

and especially responsive to the community’s needs

(both real and perceived!)

And this is a second major And this is a second major difference:difference:

(2) Councils are Community-focused….

In fact, of all these proposed “Community Mobilization” efforts, everyone has failed to see that the original and only long-lasting CAG or SICA or SIGe, is the Council!

(All others are subordinate, and work best in those communities which do not have Councils!)

Another Difference:(3) Councils are the primary Advocacy Programs…

we are the “movers and shakers.”

Ex: They tried to close our local detox… we started a petition to keep it open, and Won!

When Gov Pataki closed all the state ATCs, we gathered 3,000 names and hand delivered the petition to our state legislators to keelp the ATCs and the Field Offices open!

-- Keg Registration Bill… -- Timothy’s Law… -- State Budget

Another Difference:

(4) Councils follow the “Disease Model”

and are “Recovery Focused.”

We are the step-children of the health-care system….

But we have proven that this is a medical -- as much if not more thana psyco-social disease, and have gone a long way in integrating this into the health community.

.

Another Difference…..Another Difference…..

(5) But as such, Councils also promote

the fellowship of A.A., and an “abstinence-based recovery program…

(and many other professionals do not!)

(6) Another difference, it is up to the (6) Another difference, it is up to the Councils to meet and face the Challenges to Councils to meet and face the Challenges to

the Fieldthe FieldCouncils are at the Forefront of the many, many

challenges to the Field!Political Idiosyncrasies & Personal Preferences Techno theories… Addiction Psycho-babble Funding restrictions and reversals and new funding priorities!

Many mistakes are made at levels of local government, state government, state administration and operations, and even in Research!And these mistakes can KILL alcoholics!

~ Years of transitions between several Commissioners, and periods with no Commissioners or leadership for OASAS or the profession.~ The advent of Managed Care (with the health insurance reconfiguration and consequent reductions in level of care and length of care, and resultant discrimination to our clients and patients;~ The Consolidation of DSAS with DAAA (and new Chemical Dependency Regulations);~ The Welfare Reform and Welfare-to-Work regulations;~ The Criminal Justice Reform;~ The Mental Health System Reform (integration of Co-morbidity into treatment programs);~ Medicaid Reform;~ The Health Insurance Portability and Accountability Act (HIPAA) of 1996;~ Fiscal Re-engineering;~ The new CBR/CFR fiscal reporting system;~ Additional regulations from staffing-to-program management;~ New, unfunded program initiatives;~ A lack of COLAs or new money for infra-structure and operational support for ten years;~ The transition to workplans and evidence-based programming;~ Transition into on-line reporting systems;~ The new OASAS Performance Management Oversight System;~ The new OASAS focus on eliminating “Waste, Fraud and Abuse in the OASAS System”;~ Even the restructuring and framework(s) of the new federal and state grant authorizations.~ Pro-Legalization debates.

Another Difference….Another Difference….(7) Councils take the lead in all Media Initiatives: (mass education and support) (the power of the media!!!!) - Public Service Announcements - Air or Print (Cable TV, newspapers, radio) - Media Advocacy - Social Marketing - Social Norming - Media Literacy - Literature dissemination

Another Difference…Another Difference…(8) Councils take the lead in ALL new Initiatives: - FASD - Alcoholism and the Elderly - Public Health Social Marketing Initiative - the NYS Collegiate Task Force - Drug Courts or Jail Programs - FOR (Friends of Recovery) - Environmental Prevention Initiatives - Underage Drinking (Compliance Checks, etc.)

Except….Except….When a new Initiative has money backing it…

Then it’s often “put out for bid” to other agencies competing with Councils, and which overall weakens a Council’s

credibility as the County’s Expert Prevention Agency!

So, when there is No Money, OASAS comes to us…. when there is money available, OASAS often diverts it to other agencies!

Marty Mann passed away in 1980 !!!

CANYSCANYS• The Council on Addictions of New York State (CANYS) is an

organization of prevention, education, intervention and treatment agencies throughout New York State that meets to address concerns and issues that both affect the practice of prevention, intervention and treatment of alcoholism and drug abuse, as well as of organizational efficiency including administrative, managerial, programmatic, fiscal, Staff and Board concerns.

• The CANYS mission, overall, is to effectively address alcohol, tobacco, and drug use problems in our local communities as well as regionally and statewide.

• CANYS is also committed to advocating for education about alcohol, tobacco and other drugs and their associated problems.

• Our approach is community-based, and our commitment often translates into a call to action for effective social and health care policies and laws, and to change cultural norms throughout our society.

• Alcoholism and drug abuse remain the NUMBER ONE Public Health Problem in America. Each day, over 1,500 Americans DIE because of alcohol, tobacco or other drugs, and many thousands more find themselves in hospitals, in mental institutions, jails and prisons, or in family or divorce court because of the far reaching and devastating effects.

Alcoholism and Chemical Dependency continues to affect1-in-every 4 New York State Families!!!

I. VISION

We envision a world where health, safety, and wellness are the norm; one in which science-based alcohol, tobacco, other drugs, and violence prevention services are regularly and effectively provided in every settings and domain and to all age groups; where alcohol and other drug problems are minimal; where recovery is a celebrated, commonplace reality; and appropriate intervention and treatment are readily accessible to all who are in need.

II. MISSION & MEMBERSHIP

The Council on Addictions of New York State (CANYS) is an organization of prevention education, intervention and treatment agencies throughout New York State that meets to address concerns and issues affecting the practice of prevention, intervention and treatment as well as issues of organizational efficiency including administrative, managerial, programmatic, fiscal and Board and staff concerns.

Councils have evolved from Marty Mann’s vision of the National Council onAlcoholism. Our Mission is to keep that vision alive by collectively and, incollaboration with all key stakeholders, effectively addressing alcohol, tobaccoand drug use problems in our local communities as well as regionally andstatewide. CANYS exists to further the individual and collective missions ofCouncils and other prevention, intervention and treatment efforts.

CANYS is committed to advocating for:~ Education about alcohol, tobacco and other drugs and their associated problems~ Prevention of alcoholism and other addictions, since prevention is the most cost-

effective and humane approach to alcohol and drug problems in our communities~ Promotion of intervention because it saves live and saves money~ Recognition that treatment is effective and recovery is a reality~ Adequate resources for an effective continuum of prevention, intervention,

treatment and aftercare services~ Reducing Stigma…….~ Advocating on local, regional, state and national levels in support of Councils

and their mission(s); ~ By helping to promote public awareness of Councils as the cornerstone for community alcohol and drug services; and, ~ By collaboration and providing support for each other through information sharing. Our commitment translates into the provision of effective evidence-based preventioneducation, intervention and treatment services. It is a call to action to advocate for effectivesocial and health care policies and constituency empowerment.

CANYS, which incorporated on December 12, 1999, grew out of the Association of Council Directors (ACD), which was organized in October, 1993. Its predecessor was the New York State Council on Alcoholism and Drug Addictions(NYSCADA) formerly the New York StateCouncil on Alcoholism (NYSCA) and previous tothat was known as the New York StateAssociation of Councils on Alcoholism(NYSACA.)

Accomplishments of CANYSAccomplishments of CANYS• OASAS Fiscal Withholding Policy;• Council Surveys (salary studies, fundraising tips, etc.• Input into Initiatives and Program Developments.• Trainings• Purchasing Consortium• Health Policy Advocacy• Identification of effective Board and Policy Management Practices• Constituency Development (Friends of Recovery)• Assembly Testimony• Keeping Prevention at forefront• Meetings with Schumer, Clinton and Lt Governor.• Wrote to Antonia Novello, Peter Jennings, Lorne Michaels – (SN Live.)• Support for Timothy’s Law, Penny a Beer Tax, OASAS Grants, Keg Bill• NEW: Constituency Response Teams !!!!!!

CANYS ACCOMPLISHMENTS - 2002o Bi-Monthly Meetings held throughout the state;o Secured CSAP 3-Year Grant for Recovery Advocacy Groups;o Supported the development of 10 “Friends of Recovery” groups across the state;o Board publication of CANYS Manual;o Resource Sharing;o Guest Speaker: OASAS CTC facilitator (9/02);o Finalized the By-Laws for CANYS (12/6/02);

CANYS ACCOMPLISHMENTS - 2003o Letter of Welcome, Acting Commissioner Robert Bruno, January 2003;o Testimony to Assembly Public Health Committee on Medical Marijuana (January,

22, 2003);o Bi-Monthly Meetings held throughout the state;o Monthly Communication Discussions with OASAS for Program Updates;o Letter of Welcome, Commissioner William Gorman, June 22, 2003;o Guest Speaker: Ray Conte on OASAS Recovery Initiative;o Implemented Year-2 of the CSAP Recovery Advocacy Grant;o Letter to Loren Michaels, Saturday Night Live, re. inappropriate Marijuana portrayal

(2/17/03);o Testimony submission for federal “Quality of Treatment” Panel;o Supported the 10 existing “Friends of Recovery” groups;o Terminated CSAP 3rd year FOR Peer-to-Peer Services Grant (6/16/3);o Helped develop and support and additional 10 “Friends of Recovery” groups across

the state;o CANYS joined as State Affiliate to the NCADD;o Letter of Support to Senator McGee for Keg Registration Bill (10/03);o Guest (and introduction) at CANYS October Meeting: Commissioner Gorman;o Presentation to CANYS By College Consortium State Steering Committee (10/03);

CANYS ACCOMPLISHMENTS – 2004

o Bi-Monthly Meetings held throughout the state;o Monthly Communication Discussions with OASAS for Program Updates;o “News and Notes” E-Newsletter for CANYS communication;o Established CANYS Website for presence and permanence; o Representation at NEATC Workforce Development Summit in New York City (1/04);o Letter to Governor Pataki to support increase in State Budget (1/04);o Letter to Monroe County Legislature calling for support of Alcoholism Budget;o Letter to 200(+) NYS Legislators against the growth of the Gambling Industry;o Collaboration with OASAS on the Recovery Initiative;o Letter of complaint to Peter Jennings and ABC TV regarding Ecstasy documentary;o Representation at the OASAS Recovery Summit;o Collaboration with NYS OASAS on the Communities That Care Initiative;o Representation at the OASAS CSAP Audit and Provider Review;o Participation in OASAS CPP/CPS Mandatory Credentialing Policy Discussion;o Letter calling for a NYS State Bill assuring Parity in COLA increases;o Letter calling for a NYS Bill prohibiting the Advertising of Gambling;o Submitted Testimony on the Budget to the NYS Senate Ways and Mean Committee (2/4/04);o Submitted Testimony on Budget the NYS Assembly Committee on Alcohol/Drugs;

(3/19/04);

For Example: Timothy’s LawFor Example: Timothy’s Law

A study of 70 health plans in 36 states, found that at least 10 major health plans in five states,

including New York, have failed to comply with state laws governing insurance coverage for

addiction.WE NEED TO EFFECTIVELY END DISCRIMINATION AGAINST THOSE

WHO SUFFER FROM ADDICTIONS AS WELL AS MENTAL ILLNESS.

"Throughout history, it has been the inaction of those who could have acted; the indifference of those who should have known better; the silence of the voice of justice when it mattered most;

that has made it possible for evil to triumph." -Haile Selassie