Integration of substance use treatment and medical care: A special issue of JSAT

Walley, Alexander Y.; Tetrault, Jeanette M.; Friedmann, Peter D.

doi:10.1016/j.jsat.2012.09.002

Cited by 9 publications

(10 citation statements)

References 41 publications

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“…“Integration is a key feature of health system reform that promises to improve the access, quality and value of care for all patients…” (Walley, Tetrault & Friedman, 2012). Presently, the integrative care approach has focused on incorporating substance abuse and mental health services within primary care settings (Padwa, Teruya, Tran et al, 2016; Walley, Tetrault & Friedman, 2012).…”

Section: Challenges In Integrating Preventive Interventions Within Prmentioning

confidence: 99%

Advances in EBI Development for Diverse Populations: Towards a Science of Intervention Adaptation

Castro

Yasui

2017

Prev Sci

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This introduction examines major issues and challenges as presented in this special issue of Prevention Science, “Challenges to the Dissemination and Implementation of Evidence Based Prevention Interventions for Diverse Populations.” We describe the Fidelity-Adaptation Dilemma that became the origin of dynamic tensions in prevention science. It generated controversies and debates and new perspectives on the dissemination and implementation of evidence-based interventions (EBIs) within diverse populations. The five articles in this special issue address many of these challenges. These dynamic tensions have culminated in a reframing of this dilemma, that now argues that fidelity and adaptation are both equally important imperatives. These five articles also examine the abiding challenges of engagement and sustainability. Also, two commentaries from expert research investigators reflect on these five articles and their contributions to prevention science. The current introduction describes this “second generation” of EBI’s as they may contribute towards a reduction of the health disparities and inequities that disproportionately affect sectors of the major ethnocultural populations in the U.S. We also present a systems analysis of approaches and challenges in the dissemination and implementation of EBI’s within the contemporary integrative care environment. Finally, we mention an initiative for, “building a science of intervention adaptation,” that proposes systematic research and the creation of an archive of scientific data on the benefits and problems of intervention adaptation. Collectively these new directions can integrate scientific rigor and sensitivity to cultural factors, for enhancing the effectiveness and reach of this second generation of evidence-based interventions with diverse ethnocultural populations.

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Section: Challenges In Integrating Preventive Interventions Within Prmentioning

confidence: 99%

Advances in EBI Development for Diverse Populations: Towards a Science of Intervention Adaptation

Castro

Yasui

2017

Prev Sci

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“…48,49 Truly coordinated and integrated medical care and substance use disorder treatment programs offer a mechanism to provide unmet medical and addiction services in one setting. 50 Integrated programs provide increased screening, mental health services, communication between providers, facilitated access to services, enhanced medical treatment, and improved outcomes. 44,51 Linked services have been associated with decreased use of emergency and inpatient hospital services.…”

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confidence: 99%

Patient Perspectives of an Integrated Program of Medical Care and Substance Use Treatment

Drainoni

Farrell²,

Sorensen-Alawad³

et al. 2014

AIDS Patient Care and STDs

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The benefits of integrating primary care and substance use disorder treatment are well known, yet true integration is difficult. We developed and evaluated a team-based model of integrated care within the primary care setting for HIV-infected substance users and substance users at risk for contracting HIV. Qualitative data were gathered via focus groups and satisfaction surveys to assess patients' views of the program, evaluate key elements for success, and provide recommendations for other programs. Key themes related to preferences for the convenience and efficiency of integrated care; support for a team-based model of care; a feeling that the program requirements offered needed structure; the importance of counseling and education; and how provision of concrete services improved overall well-being and quality of life. For patients who received buprenorphine/naloxone for opioid dependence, this was viewed as a major benefit. Our results support other studies that theorize integrated care could be of significant value for hard-to-reach populations and indicate that having a clinical team dedicated to providing substance use disorder treatment, HIV risk reduction, and case management services integrated into primary care clinics has the potential to greatly enhance the ability to serve a challenging population with unmet treatment needs.

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“…The normalization of collaboration among providers and coordination of care serving patients in treatment for addiction, as we have tried to move forward here, should improve health service quality and efficiency. 65,66 Such normalization will be fostered as American healthcare overcomes the barriers entailed by behavioral and medical health providers operating in separate silos, as if biomedical and psychosocial concerns are distinct and parallel domains. 51,67 The merge of medical and SUD/mental health funding streams would greatly accelerate the development and implementation of innovative strategies to transition patients to settings in which the full range of their care needs can be met.…”

Section: Directions For Future Researchmentioning

confidence: 99%

Enhancing Transitions from Addiction Treatment to Primary Care

Cucciare

Coleman

Saitz

et al. 2014

Journal of Addictive Diseases

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Despite long-standing recommendations that patients with substance use disorders receive primary care, only one-half of patients with substance use disorders receive such care. This article presents a conceptual model to facilitate the transition of patients from addiction treatment to primary care. A narrative review of the healthcare transition literature was conducted with an emphasis on identifying substance use disorder-specific model elements. The resulting model is intended to guide addiction treatment and primary care providers and researchers in understanding factors that impact care coordination between addiction treatment and primary care and to provide an overview of evidence-based methods for supporting this care transition.

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Integration of substance use treatment and medical care: A special issue of JSAT

Cited by 9 publications

References 41 publications

Advances in EBI Development for Diverse Populations: Towards a Science of Intervention Adaptation

Advances in EBI Development for Diverse Populations: Towards a Science of Intervention Adaptation

Patient Perspectives of an Integrated Program of Medical Care and Substance Use Treatment

Enhancing Transitions from Addiction Treatment to Primary Care

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