Improving M/SU Treatment Effectiveness & Efficiency . David Gustafson PhD NIATx Director, University of Wisconsin-Madison. Reduce Waiting & No-Shows Increase Admissions & Continuation. The Network for the Improvement of Addiction Treatment (NIATx): a partnership of.
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Improving M/SU Treatment Effectiveness & Efficiency
David Gustafson PhD
NIATx Director, University of Wisconsin-Madison
Reduce Waiting & No-Shows Increase Admissions & Continuation
The Center for Substance Abuse Treatment
Strengthening Treatment Access and Retention
The Robert Wood Johnson Foundation
Paths to Recovery
Clear, precise aims
Reduce Waiting Times
Increase Continuation Rates
*Change cycle data
Lessons from Acadia Hospital(Mental Illness + Addiction Treatment)
Lynn M. Madden, MPA, CHE
Clients fitting clinical profile (phone or ED) offered evaluation @ 7:30 next AM.
Evaluated clients start treatment same day
Continued growth in admissions(project implemented in March 2003)
Serve more clients & operate more efficiently
Restraints per 1000 bed days
Tx Agency Processes
Lessons from Oklahoma
Terry Cline, PhD
Oklahoma Department of Mental Health and Substance Abuse Services
Technology can improve treatment of mental illness & addiction.
Electronic Medical Records are key AND . . .
Monitor w surveys & physiology. Immediate rewards w increasing payments. Social support.
Increasing lifestyle imbalance & desire for gratification
No coping response
Prepare to quit w trial quit attempts. Train SOs
Analyze the situation & options
Show relapse effects
Break into sub-tasks
See as gaining skills Stress mgmt, Relaxation training,
See as mistake
Remind how to
cope w lapse.
Contract: no more
ID high-risk people
Set up plan
Remov craving causes
Remove symptoms Know warning sign
Ways to avoid & cope
Online stress mgt
Problem knowledge couplers.
Note: Smart phone will be key communication device.