Consulting Department

Introducing the consulting component of Bob Tyler Recovery Services.  Having worked in the profession since 1990 in inpatient, residential, and intensive outpatient (IOP) settings, Bob brings years of practical experience to this role.

Areas of Expertise:

Client Engagement and Retention

  • Staff Training on Client Engagement and Retention
    • Implement proven strategies to increase client engagement and retention
    • Increase treatment effectiveness while increasing the bottom line
    • Becomes a key performance indicator for the agency’s Quality Assurance Program

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Perhaps the greatest impact of our consulting services can be found in the areas of “engagement” and “retention.”  The expected results of consulting in these areas are rapid increases in per-call admission percentage and patient length of stay in the program. This improves both the quality of clinical services and the bottom line.  Such increases should easily cover the cost of consulting services in a very short period of time.  Consulting in these vital areas is effective for both existing and start-up programs.  Here is a brief look at the services in these two vital areas.

Engagement: It is ironic that this often-neglected area has such profound implications to a program’s bottom-line and its ability to do what it sets out to do: change lives.  We have learned invaluable information over the years employing and testing systems that have allowed the programs we’ve managed to become efficient in increasing per-call admission percentage.

Here is a thumbnail sketch of the process to increase per call admission percentage:

  1. Installation of tracking systems to measure quality indicators (i.e. per call assessment %, per call admission %) in the inquiry reception process.  Tracking systems employed allow for baseline and follow-up measurement to aid in identification of program and individual staff training needs.
  2. Specialized training for intake staff and installation of engagement systems specific to needs identified above.
  3. Quality indicators are re-measured against baseline numbers to determine outcomes and guide further training and direction.
  4. This process becomes a key performance indicator in the agency’s Quality Assurance Program.

Retention: This is another often-neglected area in treatment with direct implications on mission fulfillment and bottom line. As with engagement strategies, increasing program completion percentage is also accomplished through installation of quality indicator tracking systems and counselor training.

Install quality indicator tracking systems (i.e. completion %, average session # at discharge) in the treatment process.  Again, tracking systems employed allow for baseline and follow-up measurement to aid in identification of program and individual staff training needs.

  1. Specialized counselor training and installation of engagement procedures specific to identified needs above. Emphasis is placed on “therapeutic alliance” which has been found to be the single greatest indicator of treatment success (Mee-Lee, D., McLellan, A.T., Miller, S.D. – 2010).
  2. Quality indicators are re-measured against baseline numbers to determine outcomes and to guide further training and direction.
  3. This process also becomes a key performance indicator in the agency’s Quality Assurance Program.

Again, consulting to improve Engagement and Retention should justify the expenditure with minimal financial investment. Consulting in these two areas can be done concurrently or separately in accordance with program needs and budget.

Clinical Supervisor/Counselor Training

  • Group Facilitation/Evaluation training
    • Quantifiable Group Evaluation tool implemented to measure ongoing improvement
    • Group Facilitation In-service
    • Group Evaluation > Action Plan > Outcome processes implemented
    • Becomes key performance indicator for Quality Assurance Program
  • Clinical Record Review Training
    • Quantitative and Qualitative measures introduced and implemented
      • Quantifiable evaluation tools implemented to measure ongoing improvement
    • Treatment Planning In-service
    • Evaluation > Action Plan > Outcome Measurement process implemented
    • This, too, becomes a key performance indicator for Quality Assurance Program

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Having facilitated and supervised chemical dependence groups for nearly 3 decades, Bob brings a wealth of experience to this area.  Over this time, he has developed a group evaluation tool that measures 23 areas of performance.

The process starts by conducting group evaluations utilizing Bob’s evaluation tool while training the clinical supervisor on the tool.  The tool rates the 23 performance areas utilizing a 5-point Likert Scale.  Common areas of weakness are reviewed, and an action plan implemented – which will include 1:1 supervision sessions (these 1:1 supervision sessions are also implemented if not a consistent process at the agency) and a group facilitation in-service is conducted by Bob addressing the common areas of weakness.

Time frames between group evaluations are established and subsequent evaluations are measured against baseline numbers to determine outcomes.  This process continues and becomes a key performance indicator in the agency’s Quality Assurance program.

The clinical record review process is conducted in a similar manner.  Bob’s trains the Clinical Supervisor on his 9-point Qualitative Record Review Form, which is also scored using a 5-point Likert Scale.  Areas of weakness are identified, action plan implemented, and outcomes measured.  This process also becomes a key performance indicator in the agency’s Quality Assurance Program.

This above training process has a direct impact on quality of care, quality of supervision and becomes a major part of the agency’s Quality Improvement Program.

Other areas of expertise:

  • CARF and JCAHO accreditation and re-accreditation
  • Program start-up, development, and operations
  • Building and navigating managed care processes

Please call to discuss how our services can best serve your program at (714) 981-9096.