Presented at the CTN Steering Committee Meeting, Bethesda, MD, September 21, 2010.
John G. Gardin II, PhD (Oregon Health & Science University, WS Node).
This presentation describes a project by the CTN community treatment program ADAPT, Inc. aiming to develop an integrated care model situated in free-standing, primary care private practices in Rosewood, OR. Barriers to integrated care are discussed, including lack of time or skills, attitudes about substance use disorder and mental health, HIPAA requirements, billing, and sustainability. After implementation, over 2,000 patients were being screened a year (20% of total annual patients), and treatment was provided to about 15%. Sixty-four percent showed significant improvement, and overall medical utilization by Medicaid patients decreased by 13%. For "frequent flyer" Medicaid patients, medical utilization decreased by 33%. This model appears to be effective in reducing costs and improving care for patients. (Presentation, PowerPoint slides, English, 2010)
Keywords: Adoption of interventions | Attitudes of health personnel | Community health services | Integrated medical and behavioral health care | CTN Steering Committee meeting, September 2010
Document No: 559
Submitted by John Gardin, PhD, OHSU, WS Node, 11/23/2010.