Integrating Prevention & Treatment of Substance Use Disorders with Primary Care Webinar – June 19, 2013 Patrick Gauthier AHP Healthcare Solutions. Problem. Fragmentation Marginalization Discrimination High Costs Poor Quality and Outcomes High Morbidity and Mortality High Societal Costs
Integrating Prevention & Treatment of Substance Use Disorders with Primary Care
Webinar – June 19, 2013
AHP Healthcare Solutions
Average spending on healthper capita ($US PPP)
Total health expenditures aspercent of GDP
Notes: PPP = purchasing power parity; GDP = gross domestic product.
Source: Commonwealth Fund, based on OECD Health Data 2012.
Distribution of health expenditures for the U.S. population, by magnitude of expenditure, 2009
Annual mean expenditure
Source: Agency for Healthcare Research and Quality analysis of 2009 Medical Expenditure Panel Survey.
N Engl J Med. 2007 Sep 20;357(12):1221-8.
Applying the Chronic Care Model in Integrated Practice
There are over 400 recognized ACOs today.
More than 30 in California
“the field concerned with the development of behavioral science knowledge and techniques relevant to the understanding of physical health and illness and the application of this knowledge and techniques to prevention, diagnosis, treatment, and rehabilitation”
Yale Conference on Behavioral Medicine
Lifestyle Changes Improve nutrition, increase physical activity, stop smoking, use medications appropriately, practice safer sex, prevent and reduce alcohol and drug abuse.Training Coping, relaxation, self-monitoring, stress management, time management, pain management, problem-solving, communication skills, time management, priority-setting.Social Support Group education, caretaker support and training, health counseling, community-based sports events
Improve the Coordination of Behavioral Health Services with Primary Care and Supportive Services and Maximize the Use of Available Resources to Effectively Address Behavioral Healthcare Needs by Reducing Fragmentation and Ensuring a Full Spectrum of Care
Source: Taking Integration to the Next Level: The Role of New Service Delivery Models in Behavioral Health. 2012 - Cornerstones for Behavioral Healthcare Resource Series. Joel E. Miller, Senior Director of Policy and Healthcare Reform National Association of State Mental Health Program Directors (NASMHPD)
Source: Mady Chalk, TRI