http://ifi-wikis.com/IFI-OpioidCrisis/api.php?action=feedcontributions&user=K.castelo&feedformat=atomMedia Wiki - User contributions [en]2024-03-28T14:30:45ZUser contributionsMediaWiki 1.30.1http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Expand_Steps_to_Minimize_Substance_Use_During_Pregnancy_or_Pregnancy_During_Substance_Use&diff=21042Expand Steps to Minimize Substance Use During Pregnancy or Pregnancy During Substance Use2022-01-27T02:21:08Z<p>K.castelo: </p>
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Brief Description<br />
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= Introductory Paragraph =<br />
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Substance use in pregnant women is on the rise<ref>https://www.recoveryanswers.org/resource/women-in-recovery/ </ref>, compounded by the opioid crises and challenges resulting from the Coronavirus.&nbsp; Pregnancy adds significant obstacles to an already complex condition of substance use disorder (SUD). Developing strategies to decrease substance use during pregnancy involves a multifaceted approach to address complex, overlapping issues, and extenuating circumstances.<br />
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Pregnant women with substance abuse disorder face multiple social and situational challenges and obstacles, including social, mental health, legal, environmental, cultural, economic, and geographic. In addition, many pregnant substance abusers are victims of domestic abuse, are homeless, have unsafe/inadequate housing, lack reliable transportation and, do not possess health insurance or the means to pay for medical care. Lack of access to medical care, ineffective collaboration among social service systems, stigma, and fear of punishment further compound the issue.<ref>https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4426.pdf</ref><br />
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Current research suggests that a collaborative, integrated approach to managing SUD in pregnant women provides the best chance to counteract obstacles and minimize or eliminate substance use.&nbsp; A wraparound, comprehensive approach based on evidential research including social, family, criminal justice, social service, medical, and mental health professionals. The risk for substance abuse and its consequences and optimal processes for treatment and recovery differ by gender, race, ethnicity, sexual orientation, education, economic status, geographic location, and other factors. Understanding group differences across segments of the population of women is critical to designing and implementing effective substance abuse treatment programs for women.<ref>http://www.fasd-evaluation.ca/wp-content/uploads/2021/03/FINAL-CCE_Executive-Summary_Mar-10-for-web.pdf</ref><br/> &nbsp;<br />
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Women who are misusing opioids or who have opioid use disorder (OUD) may have many obstacles to getting treatment, family planning, or prenatal care. A strategy to minimize unintentional pregnancies for these women should include plans to help them overcome obstacles to receiving these services. The obstacles include:<br />
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⦁ Transportation<br />
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⦁ Childcare<br />
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⦁ Employment conflicts<br />
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⦁ Unsupportive living environments<br />
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⦁ Unstable living environments<br />
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⦁ Homelessness<br />
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⦁ Partner with a substance use disorder<br />
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⦁ Stigma and/or guilt<br />
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⦁ Fear of losing the child<br />
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⦁ Fear of incarceration<br />
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⦁ Fear of being discovered about misusing substances (by family, employer, etc.)<br />
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= Key Information =<br />
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According to recent data, women are at their highest risk for developing SUDs during reproductive years. &nbsp;Polysubstance use is common among pregnant women with SUD, and the unintended pregnancy rate among women with SUD is ~80%. <ref>https://www.ndsu.edu/fileadmin/centers/americanindianhealth/files/Maternal_Health_Learning_Collaborative_Session_2.pdf</ref><br />
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Studies <ref>https://www.cdc.gov/mmwr/volumes/69/wr/mm6931a1.htm?s_cid=mm6931a1_w</ref>suggest that pregnancy provides a unique opportunity for women to embrace recovery options.&nbsp;<br />
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Women, pregnant or not, have unique needs that should be addressed during substance use disorder treatment. &nbsp;Effective treatment should incorporate approaches that recognize sex and gender differences, understand the types of trauma women sometimes face, provide added support for women with child care needs, and use evidence-based approaches for the treatment of pregnant women. <ref>https://www.drugabuse.gov/publications/research-reports/substance-use-in-women/summary</ref><br />
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Substance use during pregnancy is frequently associated with a host of issues including intimate partner violence, trauma and intergenerational trauma, unsafe/inadequate housing, poverty, food insecurity, mental health issues, mother-child separation, racism, and colonization.<ref> http://www.fasd-evaluation.ca/wp-content/uploads/2021/03/FINAL-CCE_Report_Mar-8-for-web.pdf</ref><br />
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'''Prevalence'''<br />
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Between 2015 to 2018, about half of all pregnant respondents that reported drinking in the past 30 days (9.8%) also reported binge drinking (4.5%). &nbsp;Of the pregnant respondents who reported drinking in the past 30 days, 38.2% also stated they were currently using at least one other substance (tobacco, marijuana, opioids, etc.).<ref> https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6931a1-H.pdf</ref><br />
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In 2016, 91,800 births – or 24.3 per 1,000 hospital stays for birth – had an SUD&nbsp;diagnosis involving opioids, cocaine and other stimulants. <ref>https://www.hcup-us.ahrq.gov/reports/statbriefs/sb254-Delivery-Hospitalizations-Substance-Use-Clinical-Outcomes-2016.pdf</ref><br />
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'''Barriers to Seeking Treatment'''<br />
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Quitting substance use, especially when an individual has SUD, can be difficult. Pregnant women might find quitting more difficult due to fears of potential legal and social consequences if they ask for help. Lacking child care when receiving treatment also may deter mothers from seeking help. Women in treatment may need help with handling the burdens of work, home and child care, and other family responsibilities.<ref>https://www.drugabuse.gov/publications/drugfacts/substance-use-in-women</ref><br />
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'''Stigma&nbsp;'''<br />
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A large barrier to treatment and recovery is stigma. &nbsp;The societal stigma toward women who abuse substances tends to be greater than that toward men, and the stigma amplifies significantly for pregnant drug users. &nbsp;Women's ascribed role and the expectations placed on them influences societal perceptions and reactions towards women with SUDs. &nbsp;Women who use alcohol and illicit drugs regularly feel shame and guilt, and they also often suffer from low levels of self-esteem and self-efficacy. <ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5151516/</ref><br />
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'''Culture'''<br />
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The intricate relationship between culture and health—and the influence of differing attitudes, definitions, and beliefs about health and substance use among cultural groups—affects the psychosocial development of women and their substance use and abuse, resulting in further stigmatization of substance use.&nbsp;<br />
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'''Gender'''<br />
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Gender&nbsp;differences in use and treatment approach women and men sometimes use drugs for different reasons and respond to them differently. Additionally, substance use disorders can manifest differently in women than in men. <ref>https://www.drugabuse.gov/publications/drugfacts/substance-use-in-women</ref>&nbsp; In&nbsp;the past, women were not included in most clinical research.<ref> https://www.drugabuse.gov/publications/research-reports/substance-use-in-women/importance-including-women-in-research</ref><br />
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'''Discrimination'''<br />
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Women may experience varying&nbsp;levels of discrimination in both healthcare and criminal justice —based on gender, race, ethnicity, religion, language, culture, socioeconomic status, sexual orientation, age, HIV status, and disability—that affect their substance use and may affect their recovery.&nbsp;Some women use substances to cope with the further stresses of discrimination. Pregnant women using substances, particularly women of color and women in lower socioeconomic brackets, deal with increased surveillance and may face consequences like but not limited to arrest and child removal.<ref>https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=23</ref><br />
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'''Environmental'''<br />
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Many women with SUDs have experienced trauma in the past that was perpetrated by someone close to them. This contributes to these women’s treatment needs.&nbsp;<ref>https://www.sciencedirect.com/science/article/abs/pii/S0091743520303273</ref><br />
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'''Geography'''<br />
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Rural women are 9% more likely than urban women to face&nbsp;severe maternal morbidity mortality. They are also&nbsp;59% more likely than urban women to have an SUD diagnosis at the time of birth.&nbsp;<ref>https://www.nationalpartnership.org/our-work/resources/health-care/maternity-care-in-the-united.pdf</ref> &nbsp; &nbsp;<br />
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Rates of substance use during pregnancy are typically higher in rural communities than in urban ones.&nbsp; Rural communities often have limited resources for prevention and treatment and lack the resources needed to provide services to parents dealing with substance use.&nbsp; For instance, more opioids are prescribed in rural communities than in urban ones. This has led to prescription opioids being the most common type of drug abused by rural pregnant women. Despite being vulnerable, a majority of the research on the prevalence, prevention, and treatment of substance abuse during pregnancy has focused on urban areas.&nbsp;<br />
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Noteworthy characteristics that make rural living more challenging are the lack of economic opportunity, transportation, and technological limitations.<ref>https://www.hcup-us.ahrq.gov/reports/statbriefs/sb254-Delivery-Hospitalizations-Substance-Use-Clinical-Outcomes-2016.pdf</ref><br />
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'''Financial/socioeconomic&nbsp;'''<br />
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Women dealing with SUD who struggle financially may have to deal with low-income unstable housing, lack of access to transportation and medical care, as well as poor nutrition. Less access to health care, and difficulty in funding treatment due to a lack of health insurance, can result in later referral for substance abuse treatment.<br />
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'''Legal&nbsp;&nbsp;'''<br />
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Pregnant women who misuse substances are situated at the intersection of public health and criminal justice intervention. Their substance use affects their health and the health of their fetuses. Public health professionals are concerned about this since the field is committed to improving maternal and infant health. In the last 30 years, prenatal substance use has become a criminal justice issue since the fetal protectionism movement encouraged greater use of criminal sanctions for mothers who use substances.<br />
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In addition to being a public health concern, substance use during pregnancy presents legal challenges and the threat of punishment<br />
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Reporting requirements and administrative policies prevent additional obstacles, including mandatory involvement with child protective services, loss of child custody, or other legal consequences, fear of criminal prosecution, and legal requirements for medical professionals to report them.<br />
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For women seeking help, there is often a fear of judgment. Many are afraid they will be arrested, forced to have an abortion, asked to leave a prenatal care program, and reported to child protective services.<br />
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Some states have broadened their civil child-welfare requirements to add prenatal substance use so that prenatal drug exposure can lead to the termination of parental rights due to claims of child abuse or neglect. Several states demand healthcare providers test for prenatal drug exposure, and if necessary report it. These findings can serve as evidence in child-welfare proceedings. To be awarded federal child abuse prevention funds, states must make providers notify child protective services if they look after an infant affected by illegal substance use.&nbsp;<br />
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Public policy is catching up to this idea although there are many challenges with state legislature depending on geography and federal grants give states the power to decide how to implement key elements. Even though a number of states have adopted policies focused on the importance of treatment for pregnant women who are abusing drugs and of the accessibility of prenatal care, other States have approached this issue from a criminality standpoint (e.g., with child welfare and criminal laws) in the past few decades.<br />
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In one study, the pregnant participant’s stories demonstrated how they controlled the risk of health or criminal justice authorities detecting substance use, including isolating themselves from others, skipping treatment appointments, or avoiding treatment altogether. <ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5151516/</ref><br />
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'''Co-occurring Conditions'''<br />
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Women with substance abuse issues often have high levels of comorbid psychopathology, personality problems, and mental health issues. SUDs and mental disorders have a bidirectional relationship. Having a mental disorder may contribute to the beginning or growth of an SUD. Correspondingly, the existence of an SUD may begin the beginning or growth of a mental disorder.<ref>https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-07-01-001-PDF.pdf</ref><br />
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Women are more prone to co-occurring disorders. In 2019, 34.3M adult women had a mental illness and/or SUD.<ref>https://www.samhsa.gov/data/data-we-collect/nsduh-national-survey-drug-use-and-health</ref>&nbsp;&nbsp;&nbsp;There is also an increased risk for suicidality among women.<ref>https://www.ndsu.edu/fileadmin/centers/americanindianhealth/files/Maternal_Health_Learning_Collaborative_Session_2.pdf</ref><br />
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&nbsp;~30% of&nbsp;pregnant women enrolled in SUD treatment screen positive for depression;<br />
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~40% report postpartum depression<br />
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'''Lack of Adequate Medical Resources&nbsp;'''<br />
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In one study, the pregnant respondents reported several barriers to treatment and healthcare. Some of these were having insufficient treatment options and difficulty locating and entering treatment. Residential treatment facilities are limited. &nbsp;In 2019<ref>https://www.samhsa.gov/data/quick-statisticsresults?qs_type=nssats&state=United%20States&year=2019</ref>, only 3,875 out of 15,961&nbsp;facilities had treatment programs tailored to pregnant women, accounting for only 24.3% including private non-profit, private for-profit, local, county, or community government, state government, tribal government.&nbsp;<ref>https://ncsacw.samhsa.gov/topics/pregnant-postpartum-women.aspx#sup-1-bottom</ref><br />
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'''Relapse Prevention/ Continuing Treatment Post-Partum'''<br />
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Despite pregnancy motivating some women to begin treatment, several studies indicate that pregnant women do not remain in treatment as long. Researchers have also linked retention to the stage of pregnancy and if the individual has co-occurring psychiatric disorders.<br />
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Some components that inspire women to remain in treatment are supportive therapy, a collaborative therapeutic alliance, onsite child care and children services, and other integrated and comprehensive treatment services.<ref>https://store.samhsa.gov/product/TIP-51-Substance-Abuse-Treatment-Addressing-the-Specific-Needs-of-Women/SMA15-4426</ref><br />
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Transitional programs and aftercare services can offer educational programs, vocational training, relapse prevention programs, childcare services, and housing options for women and their newborns to support a sustained recovery as well. Sociodemographics also play a role in treatment retention. Some studies have found that&nbsp;encouragement and engagement of significant others, being older, and having at least obtained a high school degree can improve retention.&nbsp;Women that have previously had positive experiences in other areas in life and are confident in the treatment process and result are also&nbsp;more likely to stay in treatment.&nbsp;Involvement in the criminal justice system or child protective services is linked to spending a longer time in treatment.<br />
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'''Opioid Crisis'''<br />
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Recently, the number of pregnant people using opioids has rapidly increased. &nbsp;This population’s growth rate is similar to the increase observed in the general population.&nbsp;&nbsp;<ref>https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/08/opioid-use-and-opioid-use-disorder-in-pregnancy</ref><br />
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Looking at administrative data, researchers have estimated that 14%–22% of women filled an opioid prescription during pregnancy. &nbsp;However, self-reported data on prescription opioid use during pregnancy are limited.&nbsp;&nbsp;<ref>https://www.cdc.gov/mmwr/volumes/69/wr/mm6928a1.htm</ref><br />
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'''Treatments & Best Practices'''<br />
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Women’s risks for substance abuse are understood best in the social and historical context of where the influences of gender, race and ethnicity, education, economic status, age, geographic location, sexual orientation, and other factors converge. Understanding group differences across segments of the population of women is critical to designing and implementing effective substance abuse treatment programs for women. Treatment of pregnant substance users requires a multi-pronged approach involving integrated, comprehensive, evidence-based models that treat the entire individual.&nbsp;<br />
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Offering holistic, integrated support for pregnant women with substance use concerns is an emerging best practice in how to support pregnant women with substance use concerns. These programs can be provided through various models including outreach, multi-service co-located agencies, or a network of community-based services. Research in this area has shown that integrated support models can improve maternal and fetal outcomes and successfully support women to reduce alcohol use in pregnancy.<ref>https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4426.pdf</ref><br />
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Over the last decade, researchers have increased the number of studies conducted on women with SUDs. Examples of topics that researchers have looked at are the effects of substance use on pregnancy in greater detail, best practices in SUD treatment for women, the impact of trauma and the need for trauma-informed services, and the significance of integrating a gender-responsive framework.&nbsp;&nbsp;More recently, research is burgeoning in the area of outcome variables, relapse prevention, women and child services, and specific treatment approaches.&nbsp;The idea is to address the underlying contributing factors and work to eliminate/alleviate individual factors affecting women seeking to lower their substance abuse while pregnant.<ref name="SAHMSA Advisory: ADDRESSING THE SPECIFIC NEEDS OF WOMEN FOR TREATMENT OF SUBSTANCE USE DISORDERS">https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-06-04-002.pdf</ref><br />
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Approaches to SUD treatment for women should include:<br />
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● Relational approaches that take into consideration positive and negative familial and partner influences and relationships, and promote a safe and caring treatment environment.<br />
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● Treatment programs that integrate the whole person, including family and parenting responsibilities.<br />
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● Trauma-informed approaches that include screening and assessing women for trauma history.<br />
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● A focus on identifying and addressing co-occurring substance use and mental disorders, such as mood, anxiety, and eating disorders.<br />
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● Consideration of appropriate medications for pregnant women; buprenorphine is safer than naltrexone or methadone to ensure better outcomes for newborn children.<br />
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● Provider recognition of women’s cultural expectations to help improve engagement and retention in treatment programs<br />
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'''Medication-Assisted Treatment (MAT)'''<br />
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MAT is the combination of medications alongside counseling and behavioral therapies to provide a whole-patient approach when treating SUDs. The use of MAT during pregnancy is a recommended best practice for the care of pregnant women with opioid use disorders<ref>https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/08/opioid-use-and-opioid-use-disorder-in-pregnancy</ref>. Research shows that a combination of medication and behavioral therapies is most successful for substance use disorder treatment.&nbsp;<br />
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MAT is clinically driven and focuses on individualized patient care. Medications used to treat opioid use disorders include methadone and buprenorphine. Both of these medications stop and prevent opioid withdrawal and reduce opioid cravings, allowing the person to focus on other aspects of recovery.<br />
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Comprehensive care management that includes medications for opioid use disorder (MOUD) is recommended for pregnant women with OUD. MOUD consists of opioid agonist pharmacological treatment options, such as buprenorphine (Subutex® and Suboxone®) or methadone,&nbsp;proven to be effective in reducing severe withdrawal symptoms, risk-taking behaviors, and improving adherence to treatment when combined with behavioral therapies, counseling, and prenatal care. MOUD is preferable to medically supervised withdrawal because of the high risk of relapse and adverse outcomes by 59–90% in pregnant women.&nbsp;<ref name="MODELS FOR MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER, RETENTION, AND CONTINUITY OF CARE"> https://aspe.hhs.gov/reports/models-medication-assisted-treatment-opioid-use-disorder-retention-continuity-care-0#implications</ref><br />
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An overview of available drugs for management of opioid abuse during pregnancy.&nbsp;<ref>https://mhnpjournal.biomedcentral.com/articles/10.1186/s40748-017-0044-2</ref><br />
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'''Integrated Treatment Program Integrated/Coordinated Care'''<br />
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Integrated treatment for co-occurring disorders differs from traditional approaches. Services are organized in an integrated fashion. For example, this would mean that there are assessments provided that screen for both mental illness and substance use.<ref>https://store.samhsa.gov/sites/default/files/d7/priv/ebp-kit-building-your-program-10112019.pdf</ref>&nbsp;<br />
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'''Integrated Programs for Mothers with Substance Abuse Issues'''<br />
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Integrated treatment programs (those that include on-site pregnancy-, parenting-, or child-related services with addiction services) were developed to break the intergenerational cycle of addiction, potential child maltreatment, and poor outcomes for children.<br />
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'''Care Collaboration and Support Services'''<br />
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A significant suggestion is that women would benefit from comprehensive care and professional advocacy.<br />
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A multidisciplinary approach to clinical care and connection to psychosocial support services can improve the chances of treatment success for women with substance use disorders in general. Additionally, women can benefit from behavioral health referrals, services for addressing social determinants of health (eg, housing or food insecurity), and connection with peer and community supports. For more information read, Integrated programs for mothers with substance abuse issues: A systematic review of studies reporting on parenting outcomes.<ref>https://harmreductionjournal.biomedcentral.com/articles/10.1186/1477-7517-9-14</ref><br />
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Due to potential barriers, risks, and outcome implications, researchers, health care professionals, and policy makers suggest that substance abuse treatment programs confront both women and their children’s needs via comprehensive services. &nbsp;Officials acknowledging the importance of this has led to the creation of many integrated treatment programs (these programs include pregnancy-, parenting-, or child-related services with addiction services), both residential and outpatient. &nbsp;Integrated residential programs or "therapeutic communities" provide long-term (15-18 months) treatment services to women and their children. &nbsp;Both types of programs often include group and individual addiction treatment, maternal mental health services, trauma treatment, parenting education and counseling, life skills training, prenatal education, medical and nutrition services, education and employment assistance, child care, children's services, and aftercare. <ref>https://harmreductionjournal.biomedcentral.com/articles/10.1186/1477-7517-9-14</ref><br />
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'''Evidence-Based'''<br />
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Evidence-based practice (EBP) is increasingly becoming more popular in many health care disciplines. One of its main characteristics is its focus on the interaction between hard scientific evidence, clinical expertise, and patient needs and choices. Evidence-based programs have discovered there are many different methods that are effective, including traditional programs&nbsp;(which center around the pregnancy period), comprehensive treatment and home visitation, and contemporary approaches. These newer methods include motivational interviewing and contingency management and they concentrate on the mother-infant relationship, collaboration among social service systems, including child protective services and family treatment drug court, and pharmacotherapy.&nbsp;<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC226388/</ref><br />
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There are many different behavioral treatments that are backed with evidence for treating SUDs.<ref>https://www.nationalpartnership.org/our-work/resources/health-care/maternity/evidence-based-maternity-care.pdf</ref> Some examples include cognitive behavioral therapy-based approaches, contingency management, motivational interventions, mindfulness-based treatments, and marital and family therapies. Self-help organizations and mutual help groups can also be an important addition to a comprehensive recovery plan and can be a helpful complement to evidence-based psychotherapies.&nbsp;<ref> https://psycnet.apa.org/record/2018-18838-010</ref><br />
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Treatment tenants and protocols for the following SUD interventions are discussed: (1) cognitive behavioral therapy-based approaches, (2) contingency management, (3) motivational interventions, (4) mindfulness-based treatments, (5) marital and family therapies, and (6) self-help organizations/mutual help groups.&nbsp; <ref>https://www.sciencedirect.com/science/article/pii/B9780323548564000109?via%3Dihub</ref><br />
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'''Group/Peer Support'''<br />
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Mental healthcare is also an integral aspect of addiction treatment, and this includes both individual and group therapy sessions. Group sessions may take place with other pregnant women and focus on specific issues for this population. Women can work together during group skills sessions to learn parenting techniques and healthy stress coping mechanisms.&nbsp;<br />
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'''Therapy'''<br />
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Behavioral therapies help to discover what may have prompted initial drug abuse, and they can teach participants new ways of thinking that will promote future healthy behaviors and habits. Another benefit for women is that counseling can help teach them how to manage childbirth and the pain and medical concerns that might occur during pregnancy and in childbirth. Creating a plan for these potential difficulties in combination with addiction treatment can be helpful. For example, after childbirth, pain medications may need to be monitored or switched for non-habit-forming ones.<br />
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'''Online Health Communities'''<br />
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In a study using online health communities (OHC), there were five themes of self-management support needs identified. In the online communities, women looked for information regarding the potential adverse effects of gestational opioid use, protocols for self-managed withdrawal, pain management safety during pregnancy, hospital policies and legal procedures related to child protection, and strategies for navigating offline support systems. 58.5% of the pregnant women in the study expressed negative emotions, of whom only 10.2% wanted to address their emotional needs with the help of the OHC.<ref>https://onlinelibrary.wiley.com/doi/epdf/10.1111/hsc.13335</ref><br />
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'''Harm reduction should include<ref>https://www.nashp.org/wp-content/uploads/2018/10/NOSLO-Opioids-and-Women-Final.pdf</ref>:'''<br />
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*Public Health Strategies <br />
*Implementation of public health strategies (e.g., improving state prescription drug monitoring program use and enhancing provider training) can support the delivery of evidence-based care for pregnant women. <br />
*Group-based treatment <br />
*Training of service professionals <br />
*Collaborative Care Models <br />
*Evidence-based policy development<br />
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= Relevant Research =<br />
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'''CDC:<ref>https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6931a1-H.pdf</ref>'''Substance Use During Pregnancy Alcohol Use and Co-Use of Other Substances Among Pregnant Females Aged 12–44 Years — United States, 2015–2018<br />
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'''Co-Creating Evidence Evaluation Report:'''&nbsp;Stories and Outcomes of Wraparound Programs Reaching Pregnant and Parenting Women at Risk.<ref>http://www.fasd-evaluation.ca/wp-content/uploads/2021/03/FINAL-CCE_Report_Mar-8-for-web.pdf</ref><br />
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'''National Center for Biotechnology Information (NCBI)&nbsp;'''<br />
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*Pregnant women and substance use: fear, stigma, and barriers to care<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5151516/</ref> <br />
*Concurrent Opioid and Alcohol Use Among Women Who Become Pregnant: Historical, Current, and Future Perspectives<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545650/</ref> <br />
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'''Substance Abuse and Mental Health Services Administration (SAMHSA)&nbsp;'''2019 National Survey on Drug Use and Health <ref>https://www.samhsa.gov/data/sites/default/files/reports/rpt31102/2019NSDUH-Women/Women%202019%20NSDUH.pdf</ref><br />
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'''Healthcare Cost And Utilization Project (H-CUP)&nbsp;'''Obstetric Delivery Inpatient Stays Involving Substance Use Disorders and Related Clinical Outcomes, 2016<ref>https://hcup-us.ahrq.gov/reports/statbriefs/sb254-Delivery-Hospitalizations-Substance-Use-Clinical-Outcomes-2016.pdf</ref>&nbsp;<br />
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'''National Institute on Drug Abuse (NIH)'''<br />
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*Substance Use in Women Research Report<ref>https://www.drugabuse.gov/download/18910/substance-use-in-women-research-report.pdf?v=b802679e27577e5e5365092466ac42e8</ref>&nbsp; <br />
*Treating Opioid Use Disorder During Pregnancy<ref>https://www.drugabuse.gov/publications/treating-opioid-use-disorder-during-pregnancy</ref>&nbsp; <br />
*Substance Use While Pregnant and Breastfeeding<ref>https://www.drugabuse.gov/publications/research-reports/substance-use-in-women/substance-use-while-https://www.drugabuse.gov/publications/drugfacts/substance-use-in-womenpregnant-breastfeeding</ref> <br />
*Sex and gender differences in substance use<ref>https://www.drugabuse.gov/publications/drugfacts/substance-use-in-women</ref>&nbsp; <br />
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= Impactful Federal, State, and Local Policies =<br />
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'''Comprehensive Addiction and Recovery Act of 2016 (CARA)'''<br />
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The Comprehensive Addiction and Recovery Act (CARA) establishes a comprehensive, coordinated, balanced strategy through enhanced grant programs that would expand prevention and education efforts while also promoting treatment and recovery.&nbsp;<br />
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Applicable sections:<br />
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Title V: Addiction and Treatment Services for Women, Families, and Veterans&nbsp;<br />
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Sec. 501 – Improving Treatment for Pregnant and Postpartum Women: This section reauthorizes the Residential Treatment Program for Pregnant and Postpartum Women. It also authorizes the creation of grants within CSAT for a pilot program to enhance a State's services for women who are pregnant and postpartum while suffering from substance use disorder.<br />
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Sec. 503 – Infant Plan of Safe Care: Requires HHS to produce information concerning best practices on developing plans for the safe care of infants born with substance use disorders or showing withdrawal symptoms. This section also requires that a State plan addresses the health and SUD treatment needs of the infant, among others.&nbsp;<ref>https://www.cadca.org/comprehensive-addiction-and-recovery-act-cara</ref><br />
<br />
'''Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act) [Public Law 115–271]&nbsp;&nbsp;'''<br />
<br />
Broadly, the legislation imposes tighter oversight of opioid production and distribution; imposes additional reporting and safeguards to address fraud; and limits coverage of prescription opioids, while expanding coverage of and access to opioid addiction treatment services. The bill also authorizes a number of programs that seek to expand consumer education on opioid use and train additional providers to treat individuals with opioid use disorders.<ref>https://fas.org/sgp/crs/misc/R45405.pdf</ref><br />
<br />
'''State Child Welfare & Prenatal Substance Use'''<br />
<br />
Several states have expanded their civil child-welfare requirements to include prenatal substance use, so that prenatal drug exposure can provide grounds for terminating parental rights because of child abuse or neglect. Further, some states, under the rubric of protecting the fetus, authorize civil commitment (such as forced admission to an inpatient treatment program) of pregnant women who use drugs; these policies sometimes also apply to alcohol use or other behaviors. A number of states require health care professionals to report or test for prenatal drug exposure, which can be used as evidence in child-welfare proceedings. And in order to receive federal child abuse prevention funds, states must require health care providers to notify child protective services when the provider cares for an infant affected by illegal substance use.<ref>https://www.guttmacher.org/state-policy/explore/substance-use-during-pregnancy</ref><br />
<br />
⦁ 23 states and the District of Columbia consider substance use during pregnancy to be child abuse under civil child-welfare statutes, and 3 consider it grounds for civil commitment.<br />
<br />
⦁ 25 states and the District of Columbia require health care professionals to report suspected prenatal drug use, and 8 states require them to test for prenatal drug exposure if they suspect drug use.<br />
<br />
⦁ 19 states have either created or funded drug treatment programs specifically targeted to pregnant women, and 17 states and the District of Columbia provide pregnant women with priority access to state-funded drug treatment programs.<br />
<br />
⦁ 10 states prohibit publicly funded drug treatment programs from discriminating against pregnant women.<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= Available Tools and Resources =<br />
<br />
'''SAHMSA'''<br />
<br />
*Pregnancy Planning for Women Being Treated for Opioid Use Disorder<ref>https://store.samhsa.gov/sites/default/files/d7/priv/pre_pregnancy_factsheet_041919_508.pdf</ref>&nbsp; <br />
*Substance Abuse Treatment: Addressing the Specific Needs of Women A Treatment Improvement Protocol TIP 51&nbsp;<ref>https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4426.pdf</ref> <br />
*Tip 59 Improving Cultural Competence&nbsp;<ref>https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4849.pdf</ref> <br />
<br />
'''American Society of Addiction Medicine (ASAM)'''&nbsp;is a professional medical society representing over 6,600 physicians, clinicians, and associated professionals in the field of addiction medicine. ASAM is dedicated to increasing access and improving the quality of addiction treatment, educating physicians and the public, supporting research and prevention, and promoting the appropriate role of physicians in the care of patients with addiction.<ref>https://www.asam.org/</ref><br />
<br />
Helpful guides and downloadable resources:&nbsp;<br />
<br />
*Covid 19 Guidance and Resource Update <br />
*ASAM Physician Locator&nbsp; <br />
*Understanding Medication in Addiction Treatment for Drug Court Participants <br />
<br />
'''National Harm Reduction Coalition '''National Harm Reduction Coalition works for the Harm Reduction movement built on a belief in and respect for the rights of people who use drugs. Our strategies include building leadership among people who use drugs and supporting communities in reducing the negative consequences associated with drug use.<ref> https://harmreduction.org/</ref><br />
<br />
*Downloadable pdf guide: Pregnancy and Substance Use: A Harm Reduction Guide&nbsp; <br />
<br />
'''National Advocates for Pregnant Women''' (NAPW) NAPW works to secure the human and civil rights, health, and welfare of all people, focusing particularly on pregnant and parenting women, and those who are most likely to be targeted for state control and punishment — low-income women, women of color, and drug-using women.<ref>https://www.nationaladvocatesforpregnantwomen.org/issues/pregnancy-and-drug-and-alcohol-use/</ref><br />
<br />
'''Birthrights (BRBA)'''<br />
<br />
BRBA is a part of a growing global movement to ensure the human rights of people seeking reproductive health services, with special attention to childbirth, are respected and integrated into care provision.<ref>https://birthrightsbar.org/brba-resources</ref><br />
<br />
'''American Addictions Centers&nbsp; (AAC)<ref>https://www.apa.org/pi/women/resources/treatment-resources-pregnant-women.pdf</ref>'''&nbsp;&nbsp;Treatment centers and resources for pregnant substance-using women and girls&nbsp;<br />
<br />
'''&nbsp;Peer Support'''&nbsp;'''Resources'''<br />
<br />
*'''Rovery Self-Management And Recovery Training (SMART) '''is a global community of people and families working together to resolve addictive problems. In our free group discussion meetings, participants learn from one another using a self-empowering approach based on the most current science of recovery.&nbsp; <ref>https://www.smartrecovery.org/</ref> <br />
*'''Moderation Management (MM)&nbsp;'''provides a non-judgmental, compassionate support community for anyone who wants to change their drinking in a positive way. MM provides support through face-to-face meetings, video and phone meetings, chats, and our private online support communities, the MM Forum, the MM Listserv, and the MM Private Facebook Group. <ref>https://moderation.org/</ref> <br />
*'''HAMS '''is a peer-led and free-of-charge support and informational group for anyone who wants to change their drinking habits for the better. The acronym HAMS stands for Harm reduction, Abstinence, and Moderation Support. HAMS Harm Reduction strategies are defined in the 17 elements of HAMS. HAMS offers support via an online forum, a chat room, an email group, a Facebook group, and live meetings.<ref>https://hams.cc/</ref>&nbsp; <br />
*'''Women for Sobriety Women For Sobriety (WFS)''' is both an organization and a self-help program (also called the New Life Program) for women with Substance Use Disorders. Founded in 1975, it was the first national self-help program for addiction recovery developed to address the unique needs of women. <ref>https://womenforsobriety.org/</ref> <br />
<br />
'''Apps'''<br />
<br />
*'''Be Safe App'''&nbsp;&nbsp;BeSafe with people who use drugs. During the process, we learned safe(r) use isn’t as simple as calling 911; we needed to prioritize privacy, anonymity and autonomy of our callers. BYOGP has two components: the overall plan and the secret details. The overall game plan tells your supporter when they should worry<ref> https://www.thebraveapp.com/ </ref>&nbsp; <br />
*'''Never use alone'''&nbsp; &nbsp;To provide a life-saving point of contact for people who use drugs. <ref>https://neverusealone.com/</ref><br />
<br />
= Promising Practices =<br />
<br />
'''Center for Addiction and Pregnancy (CAP)''' - The Johns Hopkins Bayview Medical Center-CAP offers an innovative approach to help mothers and infants deal with the physical, emotional, and social problems caused by addiction. CAP, an outpatient program with an available overnight housing unit for patients requiring&nbsp; a recovery-oriented domicile, provides a comprehensive, coordinated, and multidisciplinary approach to one of our greatest problems today: drug-dependent mothers and their drug-affected babies.&nbsp; <ref>https://www.hopkinsmedicine.org/psychiatry/patient_information/bayview/medical_services/substance_abuse/center_addiction_pregnancy.html</ref><br />
<br />
'''Her Way Home'''&nbsp;provides non-judgmental health care and social supports for pregnant and parenting women who have a history of substance use and may also be affected by mental health issues, violence, and trauma. <ref>https://www.islandhealth.ca/learn-about-health/pregnancy-birth-babies/herway-home</ref><br />
<br />
'''Project Nurture'''&nbsp;provides prenatal care, inpatient maternity care, and postpartum care for women who struggle with addictions, as well as pediatric care for their infants.&nbsp;Nurture integrates maternity care with substance use treatment and features coordination between the health care and human services sectors. The model provides pregnant women with peer support, clinical care, and links to social services with the goal of safe and healthy parenting in an environment that patients view as respectful and nonjudgmental.&nbsp; Project Nurture Integrates Care And Services To Improve Outcomes For Opioid-Dependent Mothers And Their Children.<ref>https://www.healthshareoregon.org/health-equity/project-nurture</ref><br />
<br />
'''Project Respect&nbsp;'''''&nbsp;(Recovery, Empowerment, Social Services, Prenatal care, Education, Community and Treatment)'', is a high-risk obstetrical and addiction recovery medical home at Boston Medical Center and Boston University School of Medicine. Project RESPECT provides a unique service of comprehensive obstetric and substance use disorder treatment for pregnant women and their newborns in Massachusetts.<ref>https://www.bmc.org/obstetrics/pregnancy/addiction</ref>&nbsp;<br />
<br />
'''Project CARA&nbsp;'''<br />
<br />
Project CARA, housed at MAHEC Ob/Gyn Specialists, has supported over 800 women with substance use disorders since 2014. MAHEC first offered integrated substance use treatment services with obstetrical visits in the late 1990s. Our Project CARA team has built on this early foundation to provide comprehensive substance use care using current evidence-based practices. <ref>https://mahec.net/patient-information/ob-gyn-care/project-cara-welcome</ref><br />
<br />
&nbsp;<br />
<br />
'''''Drug treatment services linkage and referral'''''<br />
<br />
*National Partnership for Women and Families:&nbsp;Maternity Care in the United States: We Can – and Must – Do Better<ref>https://www.nationalpartnership.org/our-work/resources/health-care/maternity-care-in-the-united.pdf</ref> <br />
*Maternal, Infant and Early Childhood Home Visiting Program Funding<ref>https://mchb.hrsa.gov/maternal-child-health-initiatives/home-visiting-overview</ref> <br />
*Healthy Safe Children<ref>https://healthysafechildren.org/trending-topics</ref> <br />
*Obstetric-Fetal Pharmacology Research Centers<ref>https://www.utmb.edu/nichd-oprc/</ref> <br />
*Alliance for Innovation on Maternal Health (AIM)<ref>https://www.acog.org/practice-management/patient-safety-and-quality/partnerships/alliance-for-innovation-on-maternal-health-aim</ref> <br />
*Recovery Research Institute<ref>https://www.recoveryanswers.org/research-post/ob-gyns-say-opioid-use-disorders-pregnancy-provide-opportunities-life-changing-interventions/</ref> <br />
<br />
&nbsp;<br />
<br />
'''Child Welfare System<ref>https://www.recoveryanswers.org/research-post/using-the-child-welfare-system-to-engage-parents-with-substance-use-disorders/</ref>'''<br />
<br />
&nbsp;<br />
<br />
= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=21037Empower Parents2021-12-19T22:55:02Z<p>K.castelo: </p>
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Return to ...<br />
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<br />
Brief Description<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
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Parents have a significant influence on whether or not their children choose to use drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and possibly&nbsp;reduce the likelihood of children using&nbsp;substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future. Utilizing resources may assist parents in providing a hopeful future and eliminate risks that may be detrimental to kids' overall health and wellness <ref>https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>.&nbsp;<br />
<br />
Parents can inadvertently send messages to their children that may confuse them about the family stance and view on drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children and put them at a greater risk of using in the future <ref name="The Role of Parents in Addiction & Recovery">https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach <ref name="Prevention Education: The Role of Parents">https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>.<br />
<br />
<br />
= Key Information =<br />
<br />
'''Parents Have a Large Role in the Prevention and Recovery'''<br />
<br />
Parental influence is one of the most important factors of a child’s development. Parents have the ability to instill powerful values, create positive safety nets, and lessen the risk factors that youth face every day. Studies have&nbsp;found that&nbsp;increased parental involvement can greatly impact the life-course outcomes of children by providing a solid foundation for positive behaviors,&nbsp;limiting mental health issues,&nbsp;and preventing the&nbsp;onset of substance abuse&nbsp;<ref name="The association of parental involvement with adolescents’ well-being in Oman: evidence from the 2015 Global School Health Survey">https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-021-00677-5</ref> . Substantial research has highlighted the importance of self-control, mental health, school readiness skills, and secure attachment during the most vulnerable periods of development in childhood. While substance use usually begins in adolescents, there are known biological, psychological, social, and environmental risk factors that can begin even before birth. Parents can combat these risk factors by providing a stable home environment, adequate nutrition, physical and cognitive stimulation, and supportive parenting techniques in order to positively impact their children’s overall mental and physical health<ref>https://www.nih.gov/news-events/news-releases/childs-first-eight-years-critical-substance-abuse-prevention </ref>.<br />
<br />
Parental involvement is also a key factor in the lives of youth going through the recovery process.&nbsp; An article by Recovery First, an American Addiction Center treatment facility, states&nbsp;“ Parents play an instrumental part in the drug addiction treatment or alcohol rehabilitation of their dependent child. In fact, most rehab centers report that it is often the mother or father who initiates treatment for their minor” <ref name="The Role of Parents in Addiction Recovery">https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>.&nbsp;The parent’s support and involvement in treatment are potentially life-saving in the recovery process.<br />
<br />
'''Consistency from Parents and Community Members is Key'''<br/> Youth who believe&nbsp;their parents would strongly disapprove of their use of marijuana is far less likely to have used it in the last month than youth who don’t receive such messages from their parents <ref name="Prevention Education: The Role of Parents">https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>. The difference is 4.3 percent versus 31 percent, respectively&nbsp;<ref>https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>. When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.<br />
<br />
'''Parents Can&nbsp;Influence Use of Prescription&nbsp;Opioids'''<br />
<br />
In many cases, doctors, dentists, and oral surgeons are still prescribing opioids to teens more often. Many parents, especially parents of student-athletes, may not realize the risks. One way to mitigate this issue is to educate parents on the risks of prescription opioids and encourage parents to work with their medical providers to reduce the possibility of their children misusing prescription pain medications. Research shows found that youth who are prescribed opioids before graduating from high school are 33 percent more likely to misuse prescription opioids after graduation <ref name="Talking with Your Teen About Opioids">https://www.samhsa.gov/sites/default/files/TTHY-Opioid-Broch-2020.pdf</ref>. In 2016, 1 out of 5 deaths was&nbsp;related to opioid misuse <ref name="Talking with Your Teen About Opioids">https://www.samhsa.gov/sites/default/files/TTHY-Opioid-Broch-2020.pdf</ref>. Parents and caregivers can drastically reduce the risk of opioid misuse by having a strong,&nbsp;open, and honest relationship with their children.<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
<br />
= Available Tools and Resources =<br />
<br />
'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
<br />
'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
<br />
'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
<br />
'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
<br />
'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
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''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
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&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Safe Homes Network and App'''<br />
<br />
Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
<br />
&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
<br />
&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
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<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
<br />
Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
<br />
Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
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Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
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*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
<br />
'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
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&nbsp;<br />
<br />
= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=21036Empower Parents2021-12-19T22:48:22Z<p>K.castelo: </p>
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Return to ...<br />
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<br />
Brief Description<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
Parents have a significant influence on whether or not their children choose to use drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and possibly&nbsp;reduce the likelihood of children using&nbsp;substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future. Utilizing resources may assist parents in providing a hopeful future and eliminate risks that may be detrimental to kids' overall health and wellness <ref>https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>.&nbsp;<br />
<br />
Parents can inadvertently send messages to their children that may confuse them about the family stance and view on drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children and put them at a greater risk of using in the future <ref name="The Role of Parents in Addiction & Recovery">https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach <ref name="Prevention Education: The Role of Parents">https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>.<br />
<br />
= Key Information =<br />
<br />
'''Parents Have a Large Role in the Prevention and Recovery of Substance Use Disorders'''<br />
<br />
Parental influence is one of the most important factors of a child’s development. Parents have the ability to instill powerful values, create positive safety nets, and lessen the risk factors that youth face every day. Studies have&nbsp;found that&nbsp;increased parental involvement can greatly impact the life-course outcomes of children by providing a solid foundation for positive behaviors,&nbsp;limiting mental health issues, and the onset of substance abuse&nbsp;<ref name="The association of parental involvement with adolescents’ well-being in Oman: evidence from the 2015 Global School Health Survey">https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-021-00677-5</ref> &nbsp;. Parental involvement is also a key factor in the lives of youth going through the recovery process.&nbsp; An article by Recovery First, an American Addiction Center treatment facility, states that “ Parents play an instrumental part in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab centers report that it is often the mother or father who initiates treatment for their minor” <ref name="The Role of Parents in Addiction Recovery">https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>.&nbsp;The parent’s support and involvement in treatment are potentially life-saving in the recovery process.<br />
<br />
'''Consistency from Parents and Community Members is Key'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana is far less likely to have used it in the last month than youth who don’t receive such messages from their parents <ref name="Prevention Education: The Role of Parents">https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>. The difference is 4.3 percent versus 31 percent, respectively&nbsp;<ref>https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>. When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.<br />
<br />
'''Parents Can&nbsp;Influence Use of Prescription&nbsp;Opioids'''<br />
<br />
In many cases, doctors, dentists, and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents, especially parents of student-athletes, may not realize the risks. One way to mitigate this issue is to educate parents on the risks of prescription opioids and encourage parents to work with their medical providers to reduce the possibility of their children misusing prescription pain medications. Research shows found that youth who are prescribed opioids before graduating from high school are 33 percent more likely to misuse prescription opioids after graduation <ref name="Talking with Your Teen About Opioids">https://www.samhsa.gov/sites/default/files/TTHY-Opioid-Broch-2020.pdf</ref>. In 2016, 1 out of 5 deaths was related to opioid misuse <ref name="Talking with Your Teen About Opioids">https://www.samhsa.gov/sites/default/files/TTHY-Opioid-Broch-2020.pdf</ref>. Parents and caregivers can drastically reduce the risk of opioid misuse by having a strong, open relationship with their children. Many programs are available to the general public as well as youth and families with increased risks and vulnerabilities.&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
<br />
= Available Tools and Resources =<br />
<br />
'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
<br />
'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
<br />
'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
<br />
'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
<br />
'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
<br />
''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
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= Promising Practices =<br />
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'''Safe Homes Network and App'''<br />
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Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
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&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
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&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
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<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
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Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
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Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
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Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
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*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
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'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
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= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21035Improve Access to Quality Treatment Programs2021-12-17T17:48:43Z<p>K.castelo: </p>
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Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
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= Introductory Paragraph =<br />
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<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Over 20 million Americans ages 12 and old are&nbsp;addicted to drugs or alcohol&nbsp;yet only about 11% received treatment&nbsp;<ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref>. There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs.&nbsp;</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals to receive the care they need. The small population in rural communities, for example, can not support the specialized treatment or trained primary care practitioners who are willing to treat individuals living with addiction. This leads to many individuals either going without care or joining waitlists for treatment<ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.&nbsp;&nbsp;<br />
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This particular population, those living with substance use disorders, are among the highest cost of healthcare users <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
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= Key Information =<br />
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Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
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'''Available Treatment Options'''<br />
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Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
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Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
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'''Implementing treatment in the Primary Care Setting'''<br />
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Primary care providers are highly likely to come in contact with individuals who are struggling with substance use disorders however, only about 3,600 physicians are board-certified in treating addiction. About 4% of all physicians nationwide are certified to prescribe medication for opioid use disorder. A majority of individuals must obtain their medication from methadone clinics. While methadone clinics are helpful in assisting people in getting their medication, it is difficult for specialty clinics to meet the demand for services. This calls for more primary care providers to obtain the training and certifications to treat complex cases of substance use disorders. One possible solution for getting more primary care physicians to assist in this issue is to incentivize the screening and treatment of addiction <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. There are many challenges that primary care providers may face when choosing to treat addiction patients; there is a stigma and concern for the complexity of this population and the reimbursement for services typically does not compensate the providers and staff for the additional time and frustrations that come with this population <ref name="Common Wealth Fund - Expanding Access to Addiction Treatment Through Primary Care">https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.&nbsp;<br />
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&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
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Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
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MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
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The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
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= Relevant Research =<br />
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'''Cost of Rehab'''<br />
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Drug treatment programs are known&nbsp;for being expensive and difficult to find for some individuals. When people are able to finally enroll in treatment, current research suggests that the benefits have an impact not only on individuals living with a substance use disorder but, also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement&nbsp;&nbsp;<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. This data and the overwhelming amount of research regarding the cost of healthcare costs due to&nbsp;substance use&nbsp;suggest taxpayer dollars and government resources can be spared. It also&nbsp;highlights&nbsp;the importance of implementing&nbsp;accessible,&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
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= Impactful Federal, State, and Local Policies =<br />
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In 2014, the state of California passed Prop 47: The Safe Neighborhoods and Schools Act. This act reclassified certain&nbsp;theft and drug charges from felonies to misdemeanors&nbsp;enabling focus on more violent crimes and serious offenses. This resulted in monetary savings being used for things such as school programs, victim services, mental health, and most importantly the creation and funding&nbsp;of new&nbsp;drug treatment programs in California<ref>https://www.courts.ca.gov/documents/prop47-report-Early-Impacts-of-Proposition-47-on-the-Courts.pdf</ref>.&nbsp;<br />
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= Available Tools and Resources =<br />
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'''Assistance navigating Insurance for Treatment'''<br />
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[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
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'''myStrength'''<br />
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[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
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'''Telepsychiatry'''<br />
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Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
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= Promising Practices =<br />
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'''Mobile App reSET-O'''<br />
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[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
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'''My Life Recovery Program'''<br />
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'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
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'''Baltimore, MD'''<br />
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*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
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*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
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*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
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*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
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'''Boston Medical Center'''<br />
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Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
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'''Using County Jails as Treatment Centers'''<br />
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In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
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= <br/> Sources =<br />
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[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=21034Empower Parents2021-12-14T16:51:07Z<p>K.castelo: </p>
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Brief Description<br />
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= Introductory Paragraph =<br />
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Parents have a significant influence on whether or not their children choose to use drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and possibly&nbsp;reduce the likelihood of children using&nbsp;substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future. Utilizing resources may assist parents in providing a hopeful future and eliminate risks that may be detrimental to kids' overall health and wellness <ref>https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>.&nbsp;<br />
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Characterizing “good” and “bad” parenting styles can be challenging and subjective depending on a number of factors. Parents can inadvertently send messages to their children that may confuse them about the family stance and view on drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children and put them at a greater risk of using in the future <ref name="The Role of Parents in Addiction & Recovery">https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach <ref name="Prevention Education: The Role of Parents">https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>.<br />
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= Key Information =<br />
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'''Parents Have a Large Role in the Prevention and Recovery of Substance Use Disorders'''<br />
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Parental influence is one of the most important factors of a child’s development. Parents have the ability to instill powerful values, create positive safety nets, and lessen the risk factors that youth face every day. Studies have&nbsp;found that&nbsp;increased parental involvement can greatly impact the life-course outcomes of children by providing a solid foundation for positive behaviors,&nbsp;limiting mental health issues, and the onset of substance abuse&nbsp;<ref name="The association of parental involvement with adolescents’ well-being in Oman: evidence from the 2015 Global School Health Survey">https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-021-00677-5</ref> &nbsp;. Parental involvement is also a key factor in the lives of youth going through the recovery process.&nbsp; An article by Recovery First, an American Addiction Center treatment facility, states that “ Parents play an instrumental part in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab centers report that it is often the mother or father who initiates treatment for their minor” <ref name="The Role of Parents in Addiction Recovery">https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>.&nbsp;The parent’s support and involvement in treatment are potentially life-saving in the recovery process.<br />
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'''Consistency from Parents and Community Members is Key'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana is far less likely to have used it in the last month than youth who don’t receive such messages from their parents <ref name="Prevention Education: The Role of Parents">https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>. The difference is 4.3 percent versus 31 percent, respectively&nbsp;<ref>https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>. When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.<br />
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'''Parents Can&nbsp;Influence Use of Prescription&nbsp;Opioids'''<br />
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In many cases, doctors, dentists, and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents, especially parents of student-athletes, may not realize the risks. One way to mitigate this issue is to educate parents on the risks of prescription opioids and encourage parents to work with their medical providers to reduce the possibility of their children misusing prescription pain medications. Research shows found that youth who are prescribed opioids before graduating from high school are 33 percent more likely to misuse prescription opioids after graduation <ref name="Talking with Your Teen About Opioids">https://www.samhsa.gov/sites/default/files/TTHY-Opioid-Broch-2020.pdf</ref>. In 2016, 1 out of 5 deaths was related to opioid misuse <ref name="Talking with Your Teen About Opioids">https://www.samhsa.gov/sites/default/files/TTHY-Opioid-Broch-2020.pdf</ref>. Parents and caregivers can drastically reduce the risk of opioid misuse by having a strong, open relationship with their children. Many programs are available to the general public as well as youth and families with increased risks and vulnerabilities.&nbsp;<br />
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= Relevant Research =<br />
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Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
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= Impactful Federal, State, and Local Policies =<br />
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SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
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= Available Tools and Resources =<br />
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'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
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'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
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'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
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'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
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'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
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''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
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= Promising Practices =<br />
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'''Safe Homes Network and App'''<br />
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Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
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&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
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&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
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<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
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Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
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Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
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Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
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*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
<br />
'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
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= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=21033Empower Parents2021-12-14T16:35:58Z<p>K.castelo: </p>
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Brief Description<br />
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= Introductory Paragraph =<br />
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Parents have a significant influence on whether or not their children choose to use drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and possibly&nbsp;reduce the likelihood of children using&nbsp;substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future. Utilizing resources may assist parents in providing a hopeful future and eliminate risks that may be detrimental to kids' overall health and wellness <ref>https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>.&nbsp;<br />
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Characterizing “good” and “bad” parenting styles can be challenging and subjective depending on a number of factors. Parents can inadvertently send messages to their children that may confuse them about the family stance and view on drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children and put them at a greater risk of using in the future <ref name="The Role of Parents in Addiction & Recovery">https://recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach <ref name="Prevention Education: The Role of Parents">https://www.rivermendhealth.com/resources/prevention-education-the-role-of-parents/</ref>.<br />
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= Key Information =<br />
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'''Parents have a large role in the prevention and recovery'''<br />
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Parental influence is one of the most important factors of a child’s development. Parents have the ability to instill powerful values, create positive safety nets, and lessen the risk factors that youth face every day. A study from the Journal of Adolescent Health found that early childhood education and increased parental involvement can greatly impact the life-course outcomes of children by providing a solid foundation for positive behaviors [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-1 [1]]. Parental involvement is also a key factor in the lives of youth going through the recovery process.&nbsp; An article by Recovery First, an American Addiction Center treatment facility, states that “ Parents play an instrumental part in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab centers report that it is often the mother or father who initiates treatment for their minor.” [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-2 [2]].&nbsp;The parent’s support and involvement in treatment are potentially life-saving in the recovery process.<br />
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'''Consistency from parents and community members is key'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents. The difference is 4.3 percent versus 31 percent, respectively&nbsp;[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-3 [3]]. When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people&nbsp;[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-4 [4]].<br />
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'''Parents Can&nbsp;Influence Use of Prescription&nbsp;Opioids'''<br />
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In many cases, doctors, dentists, and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents, especially parents of student-athletes, may not realize the risks. One way to mitigate this issue is to educate parents on the risks of prescription opioids and encourage parents to work with their medical providers to reduce the possibility of their children misusing prescription pain medications. Research shows found that youth who are prescribed opioids before graduating from high school are 33 percent more likely to misuse prescription opioids after graduation. In 2016, 1 out of 5 deaths was related to opioid misuse. Parents and caregivers can drastically reduce the risk of opioid misuse by having a strong, open relationship with their children. Many programs are available to the general public as well as youth and families with increased risks and vulnerabilities.&nbsp;<br />
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= Relevant Research =<br />
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Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
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= Impactful Federal, State, and Local Policies =<br />
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SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
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= Available Tools and Resources =<br />
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'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
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'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
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'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
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'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
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'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
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''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
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= Promising Practices =<br />
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'''Safe Homes Network and App'''<br />
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Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
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&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
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&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
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<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
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Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
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Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
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Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
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*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
<br />
'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
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= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21032Improve Access to Quality Treatment Programs2021-12-14T16:26:39Z<p>K.castelo: </p>
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Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
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= Introductory Paragraph =<br />
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<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Over 20 million Americans ages 12 and old are&nbsp;addicted to drugs or alcohol&nbsp;yet only about 11% received treatment&nbsp;<ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref>. There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs.&nbsp;</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals to receive the care they need. The small population in rural communities, for example, can not support the specialized treatment or trained primary care practitioners who are willing to treat individuals living with addiction. This leads to many individuals either going without care or joining waitlists for treatment<ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.&nbsp;&nbsp;<br />
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This particular population, those living with substance use disorders, are among the highest cost of healthcare users <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
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= Key Information =<br />
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Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
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'''Available Treatment Options'''<br />
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Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
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Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
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'''Implementing treatment in the Primary Care Setting'''<br />
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Primary care providers are highly likely to come in contact with individuals who are struggling with substance use disorders however, only about 3,600 physicians are board-certified in treating addiction. About 4% of all physicians nationwide are certified to prescribe medication for opioid use disorder. A majority of individuals must obtain their medication from methadone clinics. While methadone clinics are helpful in assisting people in getting their medication, it is difficult for specialty clinics to meet the demand for services. This calls for more primary care providers to obtain the training and certifications to treat complex cases of substance use disorders. One possible solution for getting more primary care physicians to assist in this issue is to incentivize the screening and treatment of addiction <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. There are many challenges that primary care providers may face when choosing to treat addiction patients; there is a stigma and concern for the complexity of this population and the reimbursement for services typically does not compensate the providers and staff for the additional time and frustrations that come with this population <ref name="Common Wealth Fund - Expanding Access to Addiction Treatment Through Primary Care">https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.&nbsp;<br />
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&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
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Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
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MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
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The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
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= Relevant Research =<br />
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'''Cost of Rehab'''<br />
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Drug treatment programs are known&nbsp;for being expensive and difficult to find for some individuals. When people are able to finally enroll in treatment, current research suggests that the benefits have an impact not only on individuals living with a substance use disorder but, also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement&nbsp;&nbsp;<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. This data and the overwhelming amount of research regarding the cost of healthcare costs due to&nbsp;substance use&nbsp;suggest taxpayer dollars and government resources can be spared. It also&nbsp;highlights&nbsp;the importance of implementing&nbsp;accessible,&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
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= Impactful Federal, State, and Local Policies =<br />
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In 2014, the state of California passed Prop 47: The Safe Neighborhoods and Schools Act. This act reclassified certain&nbsp;theft and drug charges from felonies to misdemeanors&nbsp;enabling focus on more violent crimes and serious offenses. This resulted in monetary savings being used for things such as school programs, victim services, mental health, and most importantly the creation and funding&nbsp;of new&nbsp;drug treatment programs in California<ref>https://www.courts.ca.gov/documents/prop47-report-Early-Impacts-of-Proposition-47-on-the-Courts.pdf</ref>.&nbsp;<br />
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= Available Tools and Resources =<br />
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'''Assistance navigating Insurance for Treatment'''<br />
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[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
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'''myStrength'''<br />
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[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
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'''Telepsychiatry'''<br />
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Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
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= Promising Practices =<br />
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'''Mobile App reSET-O'''<br />
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[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
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'''My Life Recovery Program'''<br />
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'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
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'''Baltimore, MD'''<br />
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*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
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'''Boston Medical Center'''<br />
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Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
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'''Using County Jails as Treatment Centers'''<br />
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In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
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= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21031Improve Access to Quality Treatment Programs2021-12-14T16:24:30Z<p>K.castelo: </p>
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<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
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= Introductory Paragraph =<br />
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<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Over 20 million Americans ages 12 and old are&nbsp;addicted to drugs or alcohol&nbsp;yet only about 11% received treatment&nbsp;<ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref>. There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs.&nbsp;</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals to receive the care they need. The small population in rural communities, for example, can not support the specialized treatment or trained primary care practitioners who are willing to treat individuals living with addiction. This leads to many individuals either going without care or joining waitlists for treatment<ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.&nbsp;&nbsp;<br />
<br />
This particular population, those living with substance use disorders, are among the highest cost of healthcare users <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
'''Implementing treatment in the Primary Care Setting'''<br />
<br />
Primary care providers are highly likely to come in contact with individuals who are struggling with substance use disorders however, only about 3,600 physicians are board-certified in treating addiction. About 4% of all physicians nationwide are certified to prescribe medication for opioid use disorder. A majority of individuals must obtain their medication from methadone clinics. While methadone clinics are helpful in assisting people in getting their medication, it is difficult for specialty clinics to meet the demand for services. This calls for more primary care providers to obtain the training and certifications to treat complex cases of substance use disorders. One possible solution for getting more primary care physicians to assist in this issue is to incentivize the screening and treatment of addiction <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. There are many challenges that primary care providers may face when choosing to treat addiction patients; there is a stigma and concern for the complexity of this population and the reimbursement for services typically does not compensate the providers and staff for the additional time and frustrations that come with this population <ref name="Common Wealth Fund - Expanding Access to Addiction Treatment Through Primary Care">https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.&nbsp;<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are known&nbsp;for being expensive and difficult to find for some individuals. When people are able to finally enroll in treatment, current research suggests that the benefits of&nbsp;have an impact not only on individuals living with a substance use disorder but, also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement&nbsp;&nbsp;<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared highlights&nbsp;the importance of implementing&nbsp;accessible,&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
In 2014, the state of California passed Prop 47: The Safe Neighborhoods and Schools Act. This act reclassified certain&nbsp;theft and drug charges from felonies to misdemeanors&nbsp;enabling focus on more violent crimes and serious offenses. This resulted in monetary savings being used for things such as school programs, victim services, mental health, and most importantly the creation and funding&nbsp;of new&nbsp;drug treatment programs in California<ref>https://www.courts.ca.gov/documents/prop47-report-Early-Impacts-of-Proposition-47-on-the-Courts.pdf</ref>.&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21030Improve Access to Quality Treatment Programs2021-12-14T16:21:18Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Over 20 million Americans ages 12 and old are&nbsp;addicted to drugs or alcohol&nbsp;yet only about 11% received treatment&nbsp;<ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref>. There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs.&nbsp;</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals to receive the care they need. The small population in rural communities, for example, can not support the specialized treatment or trained primary care practitioners who are willing to treat individuals living with addiction. This leads to many individuals either going without care or joining waitlists for treatment<ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.&nbsp;&nbsp;<br />
<br />
This particular population, those living with substance use disorders, are among the highest cost of healthcare users <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
'''Implementing treatment in the Primary Care Setting'''<br />
<br />
Primary care providers are highly likely to come in contact with individuals who are struggling with substance use disorders however, only about 3,600 physicians are board-certified in treating addiction. About 4% of all physicians nationwide are certified to prescribe medication for opioid use disorder. A majority of individuals must obtain their medication from methadone clinics. While methadone clinics are helpful in assisting people in getting their medication, it is difficult for specialty clinics to meet the demand for services. This calls for more primary care providers to obtain the training and certifications to treat complex cases of substance use disorders. One possible solution for getting more primary care physicians to assist in this issue is to incentivize the screening and treatment of addiction <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. There are many challenges that primary care providers may face when choosing to treat addiction patients; there is a stigma and concern for the complexity of this population and the reimbursement for services typically does not compensate the providers and staff for the additional time and frustrations that come with this population <ref name="Common Wealth Fund - Expanding Access to Addiction Treatment Through Primary Care">https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.&nbsp;<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are known&nbsp;for being expensive and difficult to find for some individuals. When people are able to finally enroll in treatment, current research suggests that the benefits of&nbsp;have an impact not only on individuals living with a substance use disorder but, also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement&nbsp;&nbsp;<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared highlights&nbsp;the importance of implementing&nbsp;accessible,&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
&nbsp;<br />
<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
In 2014, the state of California passed Prop 47: The Safe Neighborhoods and Schools Act. This act reclassified certain&nbsp;theft and drug charges from felonies to misdemeanors&nbsp;enabling focus on more violent crimes serious offenses. This resulted in monetary savings being used for things such as school programs, victim services, mental health, and most importantly the creation and funding&nbsp;of new&nbsp;drug treatment programs<ref>https://www.courts.ca.gov/documents/prop47-report-Early-Impacts-of-Proposition-47-on-the-Courts.pdf</ref>.&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21029Improve Access to Quality Treatment Programs2021-12-14T16:08:26Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Over 20 million Americans ages 12 and old are&nbsp;addicted to drugs or alcohol&nbsp;yet only about 11% received treatment&nbsp;<ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref>. There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs.&nbsp;</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals to receive the care they need. The small population in rural communities, for example, can not support the specialized treatment or trained primary care practitioners who are willing to treat individuals living with addiction. This leads to many individuals either going without care or joining waitlists for treatment<ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.&nbsp;&nbsp;<br />
<br />
This particular population, those living with substance use disorders, are among the highest cost of healthcare users <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
'''Implementing treatment in the Primary Care Setting'''<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are known&nbsp;for being expensive and difficult to find for some individuals. When people are able to finally enroll in treatment, current research suggests that the benefits of&nbsp;have an impact not only on individuals living with a substance use disorder but, also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement&nbsp;&nbsp;<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared highlights&nbsp;the importance of implementing&nbsp;accessible,&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
&nbsp;<br />
<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
In 2014, the state of California passed Prop 47: The Safe Neighborhoods and Schools Act. This act reclassified certain&nbsp;theft and drug charges from felonies to misdemeanors&nbsp;enabling focus on more violent crimes serious offenses. This resulted in monetary savings being used for things such as school programs, victim services, mental health, and most importantly the creation and funding&nbsp;of new&nbsp;drug treatment programs<ref>https://www.courts.ca.gov/documents/prop47-report-Early-Impacts-of-Proposition-47-on-the-Courts.pdf</ref>.&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21028Improve Access to Quality Treatment Programs2021-12-10T12:27:12Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Over 20 million Americans ages 12 and old are&nbsp;addicted to drugs or alcohol&nbsp;yet only about 11% received treatment&nbsp;<ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref>. There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs.&nbsp;</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals to receive the care they need. This particular population, those living with substance use disorders, is among the highest cost of healthcare users <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
'''Implementing treatment in the Primary Care Setting'''<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are known&nbsp;for being expensive and difficult to find for some individuals. When people are able to finally enroll in treatment, current research suggests that the benefits of&nbsp;have an impact not only on individuals living with a substance use disorder but, also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement&nbsp;&nbsp;<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared highlights&nbsp;the importance of implementing&nbsp;accessible,&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
&nbsp;<br />
<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
In 2014, the state of California passed Prop 47: The Safe Neighborhoods and Schools Act. This act reclassified certain&nbsp;theft and drug charges from felonies to misdemeanors&nbsp;enabling focus on more violent crimes serious offenses. This resulted in monetary savings being used for things such as school programs, victim services, mental health, and most importantly the creation and funding&nbsp;of new&nbsp;drug treatment programs<ref>https://www.courts.ca.gov/documents/prop47-report-Early-Impacts-of-Proposition-47-on-the-Courts.pdf</ref>.&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21027Improve Access to Quality Treatment Programs2021-12-10T12:16:18Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Over 20 million Americans ages 12 and old are&nbsp;addicted to drugs or alcohol&nbsp;yet only about 11% received treatment&nbsp;<ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref>. There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs.&nbsp;</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals to receive the care they need. This particular population, those living with substance use disorders, is among the highest cost of healthcare users <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
'''Implementing treatment in the Primary Care Setting'''<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are known&nbsp;for being expensive and difficult to find for some individuals. When people are able to finally enroll in treatment, current research suggests that the benefits of&nbsp;have an impact not only on individuals living with a substance use disorder but, also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement&nbsp;&nbsp;<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared highlights&nbsp;the importance of implementing&nbsp;accessible,&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21026Improve Access to Quality Treatment Programs2021-12-04T23:51:21Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Over 20 million Americans 12 and old are&nbsp;addicted to drugs or alcohol&nbsp;yet only about 11% received treatment&nbsp;<ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref>. There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs.&nbsp;</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America which makes it difficult for individuals to receive the care they need. Unfortunately, this particular population, those living with substance use disorders, are among the highest cost of healthcare users <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
'''Implementing treatment in the Primary Care Setting'''<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are known&nbsp;for being expensive and difficult to find for some individuals. When people are able to finally enroll in treatment, current research suggests that the benefits of&nbsp;have an impact not only on individuals living with a substance use disorder but, also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement&nbsp;&nbsp;<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California<ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref>. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared highlights&nbsp;the importance of implementing&nbsp;accessible,&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21025Improve Access to Quality Treatment Programs2021-12-04T23:38:42Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Over 20 million Americans 12 and old are&nbsp;addicted to drugs or alcohol&nbsp;yet only about 11% received treatment&nbsp;<ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref>. There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs.&nbsp;</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America which makes it difficult for individuals to receive the care they need. Unfortunately, this particular population, those living with substance use disorders, are among the highest cost of healthcare users <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref>.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
'''Implementing treatment in the Primary Care Setting'''<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are notorious for being expensive and difficult to find. However, current research suggests that the benefits of treatment have an impact not only on individuals living with a substance use disorder but also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $&nbsp;in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared shows the importance of establishing accessible, &&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21024Improve Access to Quality Treatment Programs2021-12-04T23:29:49Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs.</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America which makes it difficult for individuals to receive the care they need. Unfortunately, this particular population, those living with substance use disorders, are among the highest cost of healthcare users. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Some available&nbsp;treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
'''Implementing treatment in the Primary Care Setting'''<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are notorious for being expensive and difficult to find. However, current research suggests that the benefits of treatment have an impact not only on individuals living with a substance use disorder but also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $&nbsp;in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared shows the importance of establishing accessible, &&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21023Improve Access to Quality Treatment Programs2021-12-04T23:28:35Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs.</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America which makes it difficult for individuals to receive the care they need. Unfortunately, this particular population, those living with substance use disorders, are among the highest cost of healthcare users. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are notorious for being expensive and difficult to find. However, current research suggests that the benefits of treatment have an impact not only on individuals living with a substance use disorder but also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $&nbsp;in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared shows the importance of establishing accessible, &&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21022Improve Access to Quality Treatment Programs2021-12-04T23:14:18Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs.</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America which makes it difficult for individuals to receive the care they need. Unfortunately, this particular population, those living with substance use disorders, are among the highest cost of healthcare users. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are notorious for being expensive and difficult to find. However, current research suggests that the benefits of treatment have an impact not only on individuals living with a substance use disorder but also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $&nbsp;in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared shows the importance of establishing accessible, &&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
'''Treatment in the Primary Care Setting'''<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21021Improve Access to Quality Treatment Programs2021-12-04T23:13:29Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs.</span></span></span>The demand for treatment is met with a shortage of quality recovery centers in America which makes it difficult for individuals to receive the care they need. Unfortunately, this particular population, those living with substance use disorders, are among the highest cost of healthcare users. Overdose patients in particular place a heavy burden on first responders, emergency departments, and the&nbsp;foster care system.<sup class="reference">&nbsp;</sup><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment,&nbsp;virtual reality, and more</span></span></span><span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are notorious for being expensive and difficult to find. However, current research suggests that the benefits of treatment have an impact not only on individuals living with a substance use disorder but also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $&nbsp;in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared shows the importance of establishing accessible, &&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21020Improve Access to Quality Treatment Programs2021-12-04T22:54:23Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref>&nbsp;<br/> <span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;">The demand for treatment is met with a shortage of treatment facilities in America which makes it difficult for individuals to receive the care they need. Unfortunately, this particular population of individuals, those living with substance use disorders, are among the highest cost of healthcare users.&nbsp;</span></span></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are notorious for being expensive and difficult to find. However, current research suggests that the benefits of treatment have an impact not only on individuals living with a substance use disorder but also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $&nbsp;in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared shows the importance of establishing accessible, &&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21019Improve Access to Quality Treatment Programs2021-12-04T22:31:27Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
Drug treatment programs are notorious for being expensive and difficult to find. However, current research suggests that the benefits of treatment have an impact not only on individuals living with a substance use disorder but also on healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $&nbsp;in health care costs and&nbsp;$7 in criminal justice and law enforcement involvement. Over $8,200 can be saved on health care and productivity costs if an individual spends at least 60 days in a quality substance abuse treatment program, according to one study out of California. This data and the overwhelming amount of research that suggests taxpayer dollars and government resources can be spared shows the importance of establishing accessible, &&nbsp;affordable, and quality treatment centers for individuals living with a substance use disorder regardless of access to&nbsp;insurance&nbsp;or financial status.<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21018Improve Access to Quality Treatment Programs2021-12-04T18:48:25Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)<br />
<br />
Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. Consequently, this information suggests that&nbsp;adding medication to treatment programs could be advantageous for opioid users. This is referred to as Medication-assisted treatment.&nbsp;<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
MAT is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge&nbsp;a person or loved one faces&nbsp;after&nbsp;deciding to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators may help those to&nbsp;find an appropriate center that is suitable for the individual&nbsp;based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.&nbsp;SAFE Project Treatment Locator&nbsp;has worked with the University of Maryland to create a platform&nbsp;that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21017Improve Access to Quality Treatment Programs2021-12-04T17:02:01Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.<br />
<br />
'''SAFE Project Treatment Locator'''<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br />
<br />
= <br/> Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21016Improve Access to Quality Treatment Programs2021-12-04T17:01:10Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challenge once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors.<br />
<br />
'''SAFE Project Treatment Locator'''<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21015Improve Access to Quality Treatment Programs2021-12-04T16:59:31Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
'''SAFE Project Treatment Locator'''<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
&nbsp;<br />
<br />
== &nbsp; ==<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
<br />
= Promising Practices =<br />
<br />
'''Mobile App reSET-O'''<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
'''My Life Recovery Program'''<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
'''Baltimore, MD'''<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
'''Boston Medical Center'''<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
'''Using County Jails as Treatment Centers'''<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21014Improve Access to Quality Treatment Programs2021-12-04T16:58:37Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
'''SAFE Project Treatment Locator'''<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
&nbsp;<br />
<br />
== &nbsp; ==<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
= Available Tools and Resources =<br />
<br />
'''Assistance navigating Insurance for Treatment'''<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has a site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
'''myStrength'''<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
'''Telepsychiatry'''<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21013Improve Access to Quality Treatment Programs2021-12-04T16:56:28Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
'''SAFE Project Treatment Locator'''<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
'''Cost of Rehab'''<br />
<br />
&nbsp;<br />
<br />
== &nbsp; ==<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
== Assistance navigating Insurance for Treatment ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21012Improve Access to Quality Treatment Programs2021-12-04T16:56:01Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
'''SAFE Project Treatment Locator'''<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
== Cost of Rehab ==<br />
<br />
&nbsp;<br />
<br />
== &nbsp; ==<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
== Assistance navigating Insurance for Treatment ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21011Improve Access to Quality Treatment Programs2021-12-04T16:55:19Z<p>K.castelo: </p>
<hr />
<div><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
== Cost of Rehab ==<br />
<br />
&nbsp;<br />
<br />
== &nbsp; ==<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
== Assistance navigating Insurance for Treatment ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
&nbsp;<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21010Improve Access to Quality Treatment Programs2021-12-02T16:32:17Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
<br />
== Cost of Rehab ==<br />
<br />
<br />
<br />
&nbsp;<br />
<br />
== &nbsp; ==<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
<br />
= Available Tools and Resources =<br />
<br />
== Assistance navigating Insurance for Treatment ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21009Improve Access to Quality Treatment Programs2021-12-02T16:31:52Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
<br />
== Cost of Rehab ==<br />
<br />
<br />
== Overview ==<br />
<br />
See&nbsp;[https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com]&nbsp;for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
<br />
== &nbsp; ==<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
<br />
= Available Tools and Resources =<br />
<br />
== Assistance navigating Insurance for Treatment ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21008Improve Access to Quality Treatment Programs2021-12-02T16:30:26Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
<br />
== Cost of Rehab ==<br />
<br />
<br />
== Overview ==<br />
<br />
See&nbsp;[https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com]&nbsp;for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
<br />
== &nbsp; ==<br />
<br />
&nbsp;<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21007Improve Access to Quality Treatment Programs2021-12-02T16:29:46Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:small;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="line-height:normal"><span style="caret-color:#000000"><span style="color:#000000">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
<br />
== Cost of Rehab ==<br />
<br />
<br />
== Overview ==<br />
<br />
See&nbsp;[https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com]&nbsp;for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
== Insurance ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21006Improve Access to Quality Treatment Programs2021-12-02T16:28:46Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:Cambria, serif"><span style="caret-color:#000000"><span style="color:#000000"><span style="font-size:13.5pt"><span style="font-family:-webkit-standard, serif">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
<br />
== Cost of Rehab ==<br />
<br />
<br />
== Overview ==<br />
<br />
See&nbsp;[https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com]&nbsp;for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
== Insurance ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21005Improve Access to Quality Treatment Programs2021-12-02T16:28:12Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:Cambria, serif"><span style="caret-color:#000000"><span style="color:#000000"><span style="font-size:13.5pt"><span style="font-family:-webkit-standard, serif">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
<br />
== Cost of Rehab ==<br />
<br />
<br />
== Overview ==<br />
<br />
See&nbsp;[https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com]&nbsp;for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
== Insurance ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
<br />
= &nbsp; =<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21004Improve Access to Quality Treatment Programs2021-12-02T16:27:36Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:Cambria, serif"><span style="caret-color:#000000"><span style="color:#000000"><span style="font-size:13.5pt"><span style="font-family:-webkit-standard, serif">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
<br />
== Cost of Rehab ==<br />
<br />
<br />
== Overview ==<br />
<br />
See&nbsp;[https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com]&nbsp;for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
== Insurance ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
&nbsp;<br />
<br />
= Available Tools and Resources =<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an online and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br />
<br />
= Promising Practices =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or their loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education, and advocacy helpline will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new helpline in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
= Tools & Resources =<br />
<br />
[[TR_-_Improve_Access_to_Quality_Treatment_Programs|TR - Improve Access to Quality Treatment Programs]]<br />
<br />
<br/> <br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span></span><br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span></span><br />
<br />
{| class="wiki_table"<br />
|-<br />
| '''Reviewer'''<br />
| '''Date'''<br />
| '''Comments'''<br />
|-<br />
| &nbsp;<br />
| &nbsp;<br />
| &nbsp;<br />
|}<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21003Improve Access to Quality Treatment Programs2021-12-02T16:21:33Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:Cambria, serif"><span style="caret-color:#000000"><span style="color:#000000"><span style="font-size:13.5pt"><span style="font-family:-webkit-standard, serif">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
<br />
== Cost of Rehab ==<br />
<br />
<br />
== Overview ==<br />
<br />
See&nbsp;[https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com]&nbsp;for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
== Insurance ==<br />
<br />
[http://Drugrehab.com Drugrehab.com]&nbsp;has site that&nbsp;[https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
= Promising Programs =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program that has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an on-line and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education and advocacy help line will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new help line in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;:<br />
<br />
&nbsp;<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
= Tools & Resources =<br />
<br />
[[TR_-_Improve_Access_to_Quality_Treatment_Programs|TR - Improve Access to Quality Treatment Programs]]<br />
<br />
<br/> <br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span></span><br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span></span><br />
<br />
{| class="wiki_table"<br />
|-<br />
| '''Reviewer'''<br />
| '''Date'''<br />
| '''Comments'''<br />
|-<br />
| &nbsp;<br />
| &nbsp;<br />
| &nbsp;<br />
|}<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21002Improve Access to Quality Treatment Programs2021-12-02T16:21:05Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:Cambria, serif"><span style="caret-color:#000000"><span style="color:#000000"><span style="font-size:13.5pt"><span style="font-family:-webkit-standard, serif">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
<br />
== Cost of Rehab ==<br />
<br />
= &nbsp; =<br />
<br />
= Promising Programs =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program that has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an on-line and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education and advocacy help line will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new help line in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;:<br />
<br />
&nbsp;<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
= Tools & Resources =<br />
<br />
[[TR_-_Improve_Access_to_Quality_Treatment_Programs|TR - Improve Access to Quality Treatment Programs]]<br />
<br />
<br/> <br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span></span><br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span></span><br />
<br />
{| class="wiki_table"<br />
|-<br />
| '''Reviewer'''<br />
| '''Date'''<br />
| '''Comments'''<br />
|-<br />
| &nbsp;<br />
| &nbsp;<br />
| &nbsp;<br />
|}<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21001Improve Access to Quality Treatment Programs2021-12-02T16:20:44Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:Cambria, serif"><span style="caret-color:#000000"><span style="color:#000000"><span style="font-size:13.5pt"><span style="font-family:-webkit-standard, serif">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
== Cost of Rehab ==<br />
<br />
<br />
= &nbsp; =<br />
<br />
= Promising Programs =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program that has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an on-line and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education and advocacy help line will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new help line in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;:<br />
<br />
&nbsp;<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
= Tools & Resources =<br />
<br />
[[TR_-_Improve_Access_to_Quality_Treatment_Programs|TR - Improve Access to Quality Treatment Programs]]<br />
<br />
<br/> <br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span></span><br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span></span><br />
<br />
{| class="wiki_table"<br />
|-<br />
| '''Reviewer'''<br />
| '''Date'''<br />
| '''Comments'''<br />
|-<br />
| &nbsp;<br />
| &nbsp;<br />
| &nbsp;<br />
|}<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=21000Improve Access to Quality Treatment Programs2021-12-02T16:19:42Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:Cambria, serif"><span style="caret-color:#000000"><span style="color:#000000"><span style="font-size:13.5pt"><span style="font-family:-webkit-standard, serif">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
<br />
= Relevant Research =<br />
<br />
== Cost of Rehab ==<br />
<br />
= <span style="font-size: 13px;">Overview</span> =<br />
<br />
See [https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com] for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
== Insurance ==<br />
<br />
[http://Drugrehab.com Drugrehab.com] has site that [https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
= Promising Programs =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program that has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an on-line and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education and advocacy help line will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new help line in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;:<br />
<br />
&nbsp;<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
= Tools & Resources =<br />
<br />
[[TR_-_Improve_Access_to_Quality_Treatment_Programs|TR - Improve Access to Quality Treatment Programs]]<br />
<br />
<br/> <br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span></span><br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span></span><br />
<br />
{| class="wiki_table"<br />
|-<br />
| '''Reviewer'''<br />
| '''Date'''<br />
| '''Comments'''<br />
|-<br />
| &nbsp;<br />
| &nbsp;<br />
| &nbsp;<br />
|}<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=20999Improve Access to Quality Treatment Programs2021-12-02T16:18:06Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:Cambria, serif"><span style="caret-color:#000000"><span style="color:#000000"><span style="font-size:13.5pt"><span style="font-family:-webkit-standard, serif">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
<br />
= Key Information =<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery, as well as their families, have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care is based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups. They are meant to be culturally sensitive and easy to navigate.<sup><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp;<br />
<br />
'''Available Treatment Options'''<br />
<br />
Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary&nbsp;''The Business of Recovery''&nbsp;that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based on AA's 12-Step program, therefore, are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding medication to treatment programs could be advantageous for opioid users.<sup><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.<br />
<br />
&nbsp;'''Medication-assisted treatment'''&nbsp;(MAT) is available in accredited and certified private and public clinics across the United States. The&nbsp;[https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)]&nbsp;of the&nbsp;[https://www.samhsa.gov/ Substance Abuse and Mental Health Administration&nbsp;]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup>&nbsp;A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe and result in the reduction of the risk of overdose.<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
= Cost of Rehab =<br />
<br />
== Overview ==<br />
<br />
See [https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com] for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
== Insurance ==<br />
<br />
[http://Drugrehab.com Drugrehab.com] has site that [https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
= Promising Programs =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program that has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an on-line and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education and advocacy help line will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new help line in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;:<br />
<br />
&nbsp;<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
= Tools & Resources =<br />
<br />
[[TR_-_Improve_Access_to_Quality_Treatment_Programs|TR - Improve Access to Quality Treatment Programs]]<br />
<br />
<br/> <br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span></span><br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span></span><br />
<br />
{| class="wiki_table"<br />
|-<br />
| '''Reviewer'''<br />
| '''Date'''<br />
| '''Comments'''<br />
|-<br />
| &nbsp;<br />
| &nbsp;<br />
| &nbsp;<br />
|}<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=20998Improve Access to Quality Treatment Programs2021-12-02T16:15:31Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:Cambria, serif"><span style="caret-color:#000000"><span style="color:#000000"><span style="font-size:13.5pt"><span style="font-family:-webkit-standard, serif">In 2015, 25 million Americans were addicted to drugs or alcohol yet only about 11% received treatment (1). There is an increasingly important need to provide options for individuals who may benefit from the quality and affordable alcohol and drug treatment programs. Some options could include innovations such as expanded use of online tools and assessments, virtual reality, and more.</span></span></span></span></span></span></span><sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Treatment Locators =<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
= Cost of Rehab =<br />
<br />
== Overview ==<br />
<br />
See [https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com] for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
== Insurance ==<br />
<br />
[http://Drugrehab.com Drugrehab.com] has site that [https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
= Promising Programs =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program that has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an on-line and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education and advocacy help line will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new help line in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;:<br />
<br />
&nbsp;<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
= Tools & Resources =<br />
<br />
[[TR_-_Improve_Access_to_Quality_Treatment_Programs|TR - Improve Access to Quality Treatment Programs]]<br />
<br />
<br/> <br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span></span><br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span></span><br />
<br />
{| class="wiki_table"<br />
|-<br />
| '''Reviewer'''<br />
| '''Date'''<br />
| '''Comments'''<br />
|-<br />
| &nbsp;<br />
| &nbsp;<br />
| &nbsp;<br />
|}<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Access_to_Quality_Treatment_Programs&diff=20997Improve Access to Quality Treatment Programs2021-12-01T18:54:42Z<p>K.castelo: </p>
<hr />
<div><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><br />
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map or]] [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (Improve Treatment & Enable Recovery for People with SUDs)]]<br/> &nbsp; __TOC__<br />
<br />
<br />
= Background =<br />
<br />
With so many people needing treatment, it is important to find ways for more of them to get access to quality and affordable treatment. This could involve a variety of innovations, such as expanded use of online tools, Virtual Reality, and more.<br />
<br />
Most recovery support services fall under the Recover-Oriented Systems of Care (ROSC) umbrella which follows the recovery-related values and beliefs. These include concepts such as people who suffer from addiction have essential worth and dignity; the stigma related to addiction is something that prevents many people who are addicted from seeking help and this must be combated; there are many paths to recovery; access to treatment is a human right, even though recovery might mean something more; people who are in recovery as well as their families have valuable experiences and support to offer to those who are still struggling with substance abuse. Recovery-Oriented Systems of Care are based on the idea that severe substance use disorders are treated most effectively through a chronic care management model which involves outpatient care, recovery housing, recovery coaching, and management checkups.They are meant to be culturally sensitive and easy to navigate.<sup class="reference"><ref>[1]The Surgeon General’s Report on Alcohol, Drugs, and Health. (2016), Drug-Free Communities, Retrieved from: https://obamawhitehouse.archives.gov/sites/default/files/ondcp/dfc/AdministratorEnomotoMeetDFCTeamPresentation.pdf</ref></sup><br />
<br />
&nbsp; Current treatment programs are largely based on the 12-Steps of Alcoholics Anonymous (AA), but there is little to no scientific evidence showing that this process is effective. Dr. Lance Dodes stated in the documentary ''The Business of Recovery'' that 12-Step programs are typically only helpful for 5-10% of people who partake in them, meaning that they are largely ineffective for the vast majority of people. Treatment programs that are based off of AA's 12-Step program therefore are not necessarily providing effective treatment, but are still charging exorbitant prices, especially considering that AA is a fellowship that is free to participants outside of treatment programs.<ref> [2]Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9<br />
</ref><br />
<br />
&nbsp; Studies conducted on patients with Alcohol Use Disorders (AUD) have found that pharmaceutical interventions, when used with psychosocial co-interventions, resulted in better alcohol consumption outcomes. This demonstrates that looking into adding in medication to treatment programs could be advantageous for opioid users.<sup class="reference"><ref>[3]Pharmacotherapy for Adults With Alcohol Use Disorders in Outpatient Settings: A Systematic Review and Meta-analysis | Research, Methods, Statistics | JAMA | JAMA Network. (n.d.). Retrieved December 5, 2019, from https://jamanetwork.com/journals/jama/fullarticle/1869208<br />
</ref></sup><br />
<br />
&nbsp; Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based eduaction.<br />
<br />
&nbsp;'''Medication-assisted treatment''' (MAT) is available in accredited and certified private and public clinics across the United States. The [https://www.samhsa.gov/medication-assisted-treatment/about Division of Pharmacologic Therapies (DPT)] of the [https://www.samhsa.gov/ Substance Abuse and Mental Health Administration ]is responsible for overseeing the certification of opioid treatment programs (OTPs). Medication-assisted OTPs include using buprenorphine, methadone, and naltrexone.<sup class="reference"><ref>[4]Medication-Assisted Treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. (n.d.). Retrieved December 5, 2019, from https://www.samhsa.gov/medication-assisted-treatment<br />
</ref></sup> A combination of medication, counseling and behavioral therapy is regarded as the most effective in treating opioid dependency. According to an article in the New England Journal of Medicine MATs are both cost-effective and safe, and result in the reduction of the risk to overdose.<sup class="reference"><ref>[5]Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780<br />
</ref></sup><br />
<br />
= Treatment Locators =<br />
<br />
The first challange once a person or loved one is willing to accept treatment is finding an effective and affordable treatment center.&nbsp; Treatment locators should help those using them find an appropriate center that will work for the individual seeking treatment based on their insurance/ability to pay, type of addiction, ability to address co-occuring mental illness, distance from home, and other factors.<br />
<br />
== SAFE Project Treatment Locator ==<br />
<br />
SAFE Project has worked with the University of Maryland to create a treatment locator that is easy to navigate and provides the ability to search the SAMSHA database using more criteria to help find the best options available.&nbsp; The SAFE Treatment Locator can be accessed at&nbsp;&nbsp;[https://safetreatmentlocator.org/ https://safetreatmentlocator.org/]<br />
<br />
&nbsp;<br />
<br />
= Cost of Rehab =<br />
<br />
== Overview ==<br />
<br />
See [https://www.drugrehab.com/treatment/how-much-does-rehab-cost/ drugrehab.com] for overview of cost and it's contributing factors.<br />
<br />
&nbsp;<br />
<br />
== Insurance ==<br />
<br />
[http://Drugrehab.com Drugrehab.com] has site that [https://www.drugrehab.com/insurance-check/ checks if your insurance provider covers addiction care].<br />
<br />
= Promising Programs =<br />
<br />
== Mobile App reSET-O ==<br />
<br />
[https://peartherapeutics.com/ Pear Therapeutics] has developed an eFORMULATIONS treatment tool for opiate dependence called reSET-O. reSET-O is a mobile medical application that is used in conjunction with pharmaceutical therapies to treat opioid dependence. Clinical trials have shown reSET-O to be a promising solution to opiate dependence, showing that reSET-O plus pharmacotherapy achieved enhanced abstinence from opioids, reduced drop-outs in treatment, and reduced required clinical intervention when compared to traditional face-to-face therapy.<sup class="reference"><ref>[6]Page Not Found </ref></sup><br/> &nbsp;<br />
<br />
== My Life Recovery Program ==<br />
<br />
'''[http://myliferecoverycenters.com/ My Life Recovery Program]''' - This online program that has some good recognition. This might be an option for rural areas and/or during incarceration. The program is designed to last 3 to 6 months and consists of bi-weekly online video/audio workshops and practical tools, along with homework exercising, grounding techniques, and supportive emails. <sup class="reference"><ref>[7]LRP - Home. (n.d.). Retrieved December 5, 2019, from https://www.liferecoveryprogram.org/<br />
</ref></sup><br/> &nbsp;<br />
<br />
== myStrength ==<br />
<br />
[http://www.mystrength.com myStrength] is an on-line and smartphone platform that can enhance the capacity of mental health service providers by enabling them to serve more people more effectively. It can also provide valuable tools to support the people during the times between professional consultations. There is solid and growing research on the value and effectiveness of this innovative platform.<sup class="reference"><ref>[8]Inc, myStrength. (n.d.). MyStrength | Outcomes. Retrieved December 5, 2019, from http://mystrength.com/outcomes<br />
</ref></sup> Learn more about [[MyStrength|myStrength]].<br/> &nbsp;<br />
<br />
== Baltimore, MD ==<br />
<br />
*The County Health Department has created a dedicated phone line staffed with clinical social workers with specialized training in helping people with substance abuse issues move toward recovery for themselves or loved ones.<sup class="reference"><ref>[9]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*This resource, education and advocacy help line will operate during normal County business hours, from 8:30 a.m. to 4:30 p.m.<sup class="reference"><ref>[10]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*The County will advertise and extensively promote the new help line in order to connect families and substance users with the resources they need for recovery.<sup class="reference"><ref>[11]Baltimore County News. (n.d.). Retrieved December 5, 2019, from https://www.baltimorecountymd.gov/news/baltimorecountynow/Kamenetz_Announces_Significant_County_Substance_Abuse_Initiatives_<br />
</ref></sup> <br />
*In addition to connecting with County support by phone, individuals may go directly to the [http://baltimorecountymd.gov/41088REACH County website] for information. <br />
<br />
&nbsp;<br />
<br />
== Boston Medical Center ==<br />
<br />
Boston Medical Center opened its [https://www.bmc.org/programs/faster-paths-to-treatment Faster Paths to Treatment Opioid Urgent Care Center] in August 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits and transportation to detox.<br/> &nbsp;:<br />
<br />
&nbsp;<br />
<br />
== Telepsychiatry ==<br />
<br />
Innovative use of technology and new business models can bring access to quality mental health care to people for whom it has been frequently out of reach or not affordable.<br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
== Using County Jails as Treatment Centers ==<br />
<br />
In Kenton County in northern Kentucky, the prison has become an important treatment facility. Instead of focusing on punishing or just locking up people with substance abuse issues, the Kenton County Detention Center focuses on turning a time of incarceration into a time for much-needed treatment. Leaders in Kenton County believe that jail be the best place to initiate addict recovery. They often end up in jail for minor crimes, long before they commit more serious crimes that warrant a prison sentence. Kenton County is one of over 20 Kentucky county jails that have started full-time “therapeutic communities” that focus on rehabilitation within their walls, providing inmates the type of services that private treatment centers offer on the outside.<sup class="reference"><ref>[12]Opinion | Addicts Need Help. Jails Could Have the Answer. - The New York Times. (n.d.). Retrieved December 5, 2019, from https://www.nytimes.com/2017/06/16/opinion/sunday/opioid-epidemic-kentucky-jails.html<br />
</ref></sup><br/> <br/> &nbsp;<br />
<br />
&nbsp;<br />
<br />
= Tools & Resources =<br />
<br />
[[TR_-_Improve_Access_to_Quality_Treatment_Programs|TR - Improve Access to Quality Treatment Programs]]<br />
<br />
<br/> <br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span></span><br/> <span class="reference" style="background-color: #ffffff; font-size: 9.75px; vertical-align: baseline"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span></span><br />
<br />
{| class="wiki_table"<br />
|-<br />
| '''Reviewer'''<br />
| '''Date'''<br />
| '''Comments'''<br />
|-<br />
| &nbsp;<br />
| &nbsp;<br />
| &nbsp;<br />
|}<br />
<br />
&nbsp;<br />
<br />
= Sources =<br />
</div> </div> </div> </div> </div> </div> </div> </div> </div> <br />
[[Category:SAFE-Treatment and Recovery]]</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=20813Empower Parents2021-10-16T18:04:49Z<p>K.castelo: </p>
<hr />
<div><br />
Return to ...<br />
<br />
----<br />
<br />
Brief Description<br />
<br />
<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
Parents have a significant influence on whether or not their children choose to use drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and possibly&nbsp;reduce the likelihood of children using&nbsp;substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future. Utilizing resources may assist parents in providing a hopeful future and eliminate risks that may be detrimental to kids' overall health and wellness.&nbsp;<br />
<br />
Characterizing “good” and “bad” parenting styles can be challenging and subjective depending on a number of factors. Parents can inadvertently send messages to their children that may confuse them about the family stance and view on drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children and put them at a greater risk of using in the future. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach.<br />
<br />
<br />
= Key Information =<br />
<br />
'''Parents have a large role in the prevention and recovery'''<br />
<br />
Parental influence is one of the most important factors of a child’s development. Parents have the ability to instill powerful values, create positive safety nets, and lessen the risk factors that youth face every day. A study from the Journal of Adolescent Health found that early childhood education and increased parental involvement can greatly impact the life-course outcomes of children by providing a solid foundation for positive behaviors [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-1 [1]]. Parental involvement is also a key factor in the lives of youth going through the recovery process.&nbsp; An article by Recovery First, an American Addiction Center treatment facility, states that “ Parents play an instrumental part in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab centers report that it is often the mother or father who initiates treatment for their minor.” [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-2 [2]].&nbsp;The parent’s support and involvement in treatment are potentially life-saving in the recovery process.<br />
<br />
'''Consistency from parents and community members is key'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents. The difference is 4.3 percent versus 31 percent, respectively&nbsp;[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-3 [3]]. When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people&nbsp;[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-4 [4]].<br />
<br />
'''Parents Can&nbsp;Influence Use of Prescription&nbsp;Opioids'''<br />
<br />
In many cases, doctors, dentists, and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents, especially parents of student-athletes, may not realize the risks. One way to mitigate this issue is to educate parents on the risks of prescription opioids and encourage parents to work with their medical providers to reduce the possibility of their children misusing prescription pain medications. Research shows found that youth who are prescribed opioids before graduating from high school are 33 percent more likely to misuse prescription opioids after graduation. In 2016, 1 out of 5 deaths was related to opioid misuse. Parents and caregivers can drastically reduce the risk of opioid misuse by having a strong, open relationship with their children. Many programs are available to the general public as well as youth and families with increased risks and vulnerabilities.&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
<br />
= Available Tools and Resources =<br />
<br />
'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
<br />
'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
<br />
'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
<br />
'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
<br />
'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
<br />
''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Safe Homes Network and App'''<br />
<br />
Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
<br />
&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
<br />
&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
<br />
<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
<br />
Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
<br />
Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
<br />
Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
<br />
*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
<br />
'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
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= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Detection_and_Treatment_of_Mental_Health_Conditions&diff=20812Improve Detection and Treatment of Mental Health Conditions2021-10-16T17:57:10Z<p>K.castelo: </p>
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Brief Description<br />
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= Introductory Paragraph =<br />
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A national study shows that one in five Americans has a mental health issue. In this study, young adults between the ages of&nbsp;18 and&nbsp;24, indicated that&nbsp;more than 61 percent of respondents who had used opioids not prescribed to them had done so primarily to relieve anxiety and stress<ref>http://marychristiefoundation.org/core/uploads/2015/04/Youth-Opioid-Survey-Report.pdf</ref>.&nbsp; &nbsp;Early identification, screening, accurate diagnosis, and effective treatment of&nbsp;mental health and substance use conditions&nbsp;can alleviate suffering for individuals and their families dealing with behavioral health challenges. Early access and detection of mental health conditions can expedite recovery, enhance&nbsp;educational and employment opportunities, positively&nbsp;impact relationships, and ultimately improve&nbsp;quality of life.<ref>https://www.mhanational.org/issues/position-statement-41-early-identification-mental-health-issues-young-people</ref><br />
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Mandated screenings for physical&nbsp;health concerns are in place for issues such as vision and hearing. Similarly, early detection of mental health and substance use should occur for young people who may be vulnerable to these issues. These screenings should occur as they do for early detection of physical conditions in venues such as&nbsp;schools, primary health care providers, and other community areas.&nbsp; Communities should be given the tools and support necessary to identify signs of mental health or substance use issues at the earliest possible time. This position is endorsed by the American Academy of Pediatrics,&nbsp;<ref> AAP Schedule of Screenings and Assessments for Well-Child Assessments (February 24, 2014), https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/AAP-Updates-Schedule-of-Screening-and-Assessments-for-Well-Child-Visits.aspx?nfstatus=401&nftoken=00000000-0000-0000-0000-000000000000&nfstatusdescription=ERROR:+No+local+token</ref>&nbsp;specifically&nbsp;for depression in youth over age 11,&nbsp;and&nbsp;the United States Preventive Services Task Force&nbsp;<ref>PSPSTF Depression in Children and Adolescents: Screening (February 2016), http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/depression-in-children-and-adolescents-screening1</ref>.&nbsp;&nbsp;Early detection and screening&nbsp;will reduce the likelihood and consequences of delaying care.<br />
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Resources&nbsp;such as access to comprehensive mental health and substance use evaluations should be available to parents and guardians whenever warning signs are observed.&nbsp;<ref>http://www.nmha.org/go/about-us/what-we-believe/position-statements/p-48-prevention-in-young-people/position-statement-48-prevention-of-mental-health-and-substance-use-disorders-in-young-people</ref>&nbsp;Access to adequate care can reduce barriers to learning and improve educational, behavioral, and health outcomes for our youth. The most effective&nbsp;services promote collaboration among all of the people available to help.&nbsp;Pertinent individuals&nbsp;including families, educators, child welfare caseworkers, health insurers,&nbsp;community mental health providers,&nbsp;and substance use treatment providers. Reducing barriers and creating incentives can improve collaboration across systems and funding sources.<br />
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In&nbsp;order to improve mental health detection and treatment outcomes, some barriers need to be addressed. Health disparities such as lack of health insurance,&nbsp;cultural factors that discourage mental health treatment, and socioeconomic status need to be addressed to ensure adequate care to all individuals.&nbsp; Disparities in communities may be a factor in the early diagnosis and treatment of mental health conditions and can increase mental illness challenges in already vulnerable and underserved&nbsp;individuals, families, and communities.&nbsp;<ref>https://www.nimh.nih.gov/about/director/messages/2020/addressing-disparities-advancing-mental-health-care-for-all-americans</ref><br />
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= Key Information =<br />
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'''Mental Health and Drug addiction'''<br/> Mental health and drug addiction are undeniably linked. According to the National Institute on Drug Abuse “Many individuals who develop substance use disorders (SUD) are also diagnosed with mental disorders, and vice versa. Multiple national population surveys have found that about half of those who experience a mental illness during their lives will also experience a substance use disorder and vice versa.”&nbsp;<ref>https://www.drugabuse.gov/publications/research-reports/common-comorbidities-substance-use-disorders/part-1-connection-between-substance-use-disorders-mental-illness<br />
</ref>&nbsp;Studies have shown that around 1 in 4 individuals that have a serious mental illness also have a substance abuse disorder.<ref>https://www.drugabuse.gov/publications/research-reports/common-comorbidities-substance-use-disorders/part-1-connection-between-substance-use-disorders-mental-illness</ref>&nbsp;Many people attempt to use drugs to self medicate their mental illness or escape their situation. Understanding mental health is essential to any prevention or recovery effort.<br/> <br/> The National Allinace of Mental Illness has indicated in conjunction with SAMHSA and CDC-<ref>https://www.nami.org/mhstats</ref><br />
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1-5 U.S. adults experience mental illness each year<ref>https://www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR1PDFW090120.pdf</ref><br/> 1-20 U.S. adults experience serious mental illness each year<ref>https://www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR1PDFW090120.pdf</ref><br/> 1-6 U.S. youth aged 6-17 experience a mental health disorder each year<ref>https://jamanetwork.com/journals/jamapediatrics/fullarticle/2724377?guestAccessKey=f689aa19-31f1-481d-878a-6bf83844536a</ref><br/> 50%of all lifetime mental illness begins by age 14, and 75% by age 24<ref>https://www.ncbi.nlm.nih.gov/pubmed/15939837</ref><br/> Suicide is the 2nd leading cause of death among people aged 10-34&nbsp;<ref>https://www.nimh.nih.gov/health/statistics/suicide.shtml</ref><br />
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'''Youth are Struggling with Mental Health Issues'''<br/> A nationwide U.S. survey of over 1,300 14&nbsp;to 22-year-olds conducted&nbsp;in February and March of 2018 shows evidence of a growing mental health crisis affecting young people. The survey, sponsored by Hopelab and Well Being Trust (WBT), found&nbsp;that many teens and young adults who&nbsp;were experiencing moderate to severe symptoms of depression&nbsp;utilized online resources for help. Common uses of the Internet included researching mental health issues online (90 percent), accessing other people’s health stories through blogs, podcasts, and videos (75 percent), using mobile apps related to well-being (38 percent), and connecting with health providers through digital tools such as texting and video chat (32 percent).<ref>https://www.theatlantic.com/health/archive/2017/05/is-depression-contributing-to-the-opioid-epidemic/526560/</ref><br />
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'''Co-Occurring Disorders'''<br/> Co-occurring disorders, or dual diagnosis, refers to having a simultaneous mental health disorder and substance use disorder. It is common for people with addictions to also suffer from depression, anxiety, or more severe mental illnesses such as schizophrenia or bipolar disorder. Research shows that people who use alcohol or other drugs early in life are more likely to have mental or emotional problems. It’s also true that many people with mental illnesses “self-medicate” with alcohol or other drugs to numb emotional pain, relieve anxiety, or quiet their thoughts. In the past, the medical profession treated one disorder first, typically the substance use disorder, before addressing the other. It is now understood that treating both simultaneously leads to better outcomes. Any successful addiction treatment program will include a mental health assessment and treat co-occurring disorders at the same time.<br />
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'''Depression'''<br />
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*Because depression is underdiagnosed and untreated, depression and opioid abuse are strongly concurrent.<ref>https://doi.org/10.1097/j.pain.0000000000000658</ref> <br />
*People with depression show abnormalities in the body’s release of its own opioid chemicals<ref>https://www.theatlantic.com/health/archive/2017/05/is-depression-contributing-to-the-opioid-epidemic/526560/</ref> <br />
*Depression tends to exacerbate pain—it makes chronic pain last longer and hurts the recovery process after surgery <br />
*Depression nearly doubles the risk that someone already using opioids will continue to use them long-term <br />
*Depression & Opioids <br />
*Depressed people are about twice as likely as non-depressed people to misuse their painkillers for non-pain symptoms <br />
*Depressed individuals were between two and three times more likely to ramp up their own doses of painkillers <br />
*Adolescents with depression are also more likely to use prescription painkillers for non-medical reasons and to become addicted <br />
*Depressed people are likely to keep using opioids, even when their pain has subsided and when they are more functional&nbsp; <br />
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<br/> '''Stigma & Depression'''<br/> Stigmatization of depression can reduce the likelihood of people reaching out to get the mental care they need. Instead, depressed people may ask for prescriptions to treat&nbsp;physical ailments, and use these&nbsp;prescription drugs to treat their emotional pain.&nbsp;<ref>https://www.crain.com/</ref><br />
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'''Rural Areas'''<br/> In particular, shortages of mental-health providers are prominent in rural areas where the opioid epidemic hit the hardest. Some have suggested that providing mental health care to those suffering from chronic pain may help detangle the relationship between pain and depression.<ref>https://vrphobia.com/about-us-old/</ref><br/> <br/> Overall, improving detection and treatment of mental health conditions includes improved early screening, assessment, and access to treatment as well as outreach and education in communities.&nbsp;&nbsp;<br />
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= Relevant Research =<br />
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'''Prevention and early intervention in youth mental health'''<ref>https://ijmhs.biomedcentral.com/articles/10.1186/s13033-020-00356-9</ref><br/> <br/> '''Early detection of bipolar disorders and treatment recommendations for help-seeking adolescents and young adults: Findings of the Early Detection and Intervention<ref>https://journalbipolardisorders.springeropen.com/articles/10.1186/s40345-021-00227-3</ref>'''<br/> &nbsp;<br />
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= Impactful Federal, State, and Local Policies =<br />
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'''SAMSHA Infant & Early Childhood Mental Health Grant<ref>https://www.samhsa.gov/grants/grant-announcements/sm-18-018</ref>'''<br/> <br/> '''Project AWARE (Advancing Wellness and Resiliency in Education) State Education Agency Grants<ref>https://www.samhsa.gov/grants/2021/project-aware</ref><br/> <br/> Policies surrouding'''&nbsp;'''Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)<ref>https://www.medicaid.gov/federal-policy-guidance/downloads/cib-01-26-2015.pdf</ref>'''<br/> &nbsp;<br />
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= Available Tools and Resources =<br />
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'''The National Institute of Mental Health<ref>https://www.nimh.nih.gov/about/director/messages/2020/addressing-disparities-advancing-mental-health-care-for-all-americans</ref>'''<br/> Provides resources on how to find immediate help, health care providers, how to decide if a provider is right for you, how to join a study, and resources to learn more about mental disorders.<br />
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'''The American Academy of Child and Adolescent Psychiatry<ref>https://www.aacap.org/</ref>'''<br/> Provides a service that helps find child and adolescent psychiatrist throughout America.<br />
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'''SAMHSA Resources for Suicide and Substance Use Prevention in Youth<ref>https://store.samhsa.gov/product/Preventing-Suicide-A-Toolkit-for-High-Schools/SMA12-4669</ref>'''<br/> 2017 SAMHSA Webinar on Suicide and Substance Abuse among Young People and includes best practices for prevention and intervention.<br />
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'''SAFE Project Wiki Site'''- Trauma informed Care<ref>http://ifi-wikis.com/IFI-OpioidCrisis/Become_a_Trauma-Informed_Community</ref><br/> <br/> '''Mental Health America-'''Mental Health America (MHA)'s work is driven by its commitment to promote mental health as a critical part of overall wellness, including prevention services for all; early identification and intervention for those at risk; integrated care, services, and supports for those who need them; with recovery as the goal.<ref>https://www.mhanational.org/issues/position-statement-41-early-identification-mental-health-issues-young-people</ref><br />
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'''National Alliance on Mental Illness -'''NAMI provides advocacy, education, support and public awareness so that all individuals and families affected by mental illness can build better lives.<ref>https://www.nami.org/Advocacy/Policy-Priorities/Improving-Health/Mental-Health-Screening</ref><br/> <br/> '''Mental Health by the Numbers-&nbsp;'''Mental health awarness<ref>https://www.nami.org/mhstats</ref><br/> <br/> '''Early Mental Health Screening and Intervention<ref>https://www.amhca.org/HigherLogic/System/DownloadDocumentFile.ashx?DocumentFileKey=2ca60afe-8be0-af27-2ad9-7100b61ad636&forceDialog=0</ref>'''-&nbsp;Intervention and screening across the lifespan<ref>https://www.amhca.org/viewdocument/the-need-for-early-mental-health-sc-2</ref><br/> <br/> '''Identifying Mental Health and Substance Use Problems of Children and Adolescents: A Guide for Child-Serving Organizations-'''This manual offers guidance and tools for identifying mental illness or substance use issues early in children and adolescents in various setting, such as in schools, the juvenile justice and child welfare system, and when receiving primary care.<ref>https://store.samhsa.gov/product/Identifying-Mental-Health-and-Substance-Use-Problems-of-Children-and-Adolescents-A-Guide-for-Child-Serving-Organizations/SMA12-4700</ref><br />
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= Promising Practices =<br />
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'''Promising Programs'''<br/> There are a growing number of promising programs for helping to identify and address mental health issues.<br />
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'''Virtual Reality Therapy'''<br/> Dr. Skip Rizzo has been working since the 1990s to use virtual reality to treat mental illness. [15]In an "early clinical trial of the software found that "after an average of seven sessions, 45 percent of those treated no longer screened positive for PTSD and 62 percent had reliably improved."[16]<br />
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The Virtual Reality Medical Center uses simulation technologies for:<ref>https://vrphobia.com/about-us-old/</ref><br />
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*Treating patients with anxiety disorders <br />
*Training for both military and civilian populations <br />
*Enhancing various educational programs <br />
*Benefits of VR Therapy <br />
*Faster than traditional therapy and desensitization <br />
*Practice these skills in situations in which you previously experienced anxiety, allowing the skills to generalize more easily to real world settings <br />
*Can do some sessions in between office session at home, cuts down on the number of sessions people need<br/> &nbsp; <br />
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'''M3 Checklist (Screening Tool)<ref>https://www.m3information.com/</ref>'''<br/> M3 Information developed a mental health screen that measures outcomes based on a 27-question diagnostic checklist and a related algorithm targeted for adults aged 18 and older. The M3 Checklist accurately measures outcomes based on question responses for major depression, bipolar disorder, anxiety disorder and posttraumatic stress disorder (PTSD).<br/> &nbsp;<br />
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'''Project Aware<ref>https://www.samhsa.gov/grants/grant-announcements/sm-20-016</ref>'''<br/> Project AWARE is a SAMHSA program that focuses on student mental health and wellness, While not specifically focused on opioid abuse prevention, much of the work that grantees are doing may also help prevent opioid misuse. Through Project AWARE, schools are implementing evidence-based, culturally appropriate prevention programs that support youth at the universal, selective, and indicated levels.<br/> &nbsp;<br />
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'''Communities that Care<ref>https://www.communitiesthatcare.net/</ref>'''<br/> Programs such as Communities That Care promote a range of youth mental and behavioral health outcomes, included reduced risk for opioid misuse and addiction. (Find Source)<br />
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'''myStrength<ref>https://mystrength.com/</ref>'''<br/> myStrength is a digital platform that integrates state-of-the-art technologies to support people in addressing mental and behavioral health issues. It can be integrated with a professional practice to allow them to see more patients more efficiently and better meet the needs of their patients between in-person visits. Learn more at this recorded Webinar.<br/> <br/> '''Medicaid Early and Periodic Screening, Diagnosis and Treatment (EPSDT)''' law requires states to provide Medicaid-eligible children regular mental health screenings.<ref>https://www.nami.org/Advocacy/Policy-Priorities/Improving-Health/Mental-Health-Screening</ref><br/> <br/> '''Pediatric Mental Health Access<ref>https://mchb.hrsa.gov/training/projects.asp?program=34</ref><br/> <br/> Comprehensive Case Management for Substance Abuse Treatment<ref>https://www.ncbi.nlm.nih.gov/books/NBK64863/pdf/Bookshelf_NBK64863.pdf</ref>'''<br />
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= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=20811Empower Parents2021-10-11T14:41:43Z<p>K.castelo: </p>
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Brief Description<br />
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= Introductory Paragraph =<br />
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Parents have a significant influence on whether or not their children choose to use drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and possibly&nbsp;reduce the likelihood of children using&nbsp;substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future. Utilizing resources may assist parents in providing a hopeful future and eliminate risks that may be detrimental to kids' overall health and wellness.&nbsp;<br />
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Characterizing “good” and “bad” parenting styles can be challenging and subjective depending on a number of factors. Parents can inadvertently send messages to their children that may confuse them about the family stance and view on drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children and put them at a greater risk of using in the future. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach.<br />
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= Key Information =<br />
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'''Parents have a large role in the prevention and recovery'''<br />
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Parental influence is one of the most important factors of a child’s development. Parents have the ability to instill powerful values, create positive safety nets, and lessen the risk factors that youth face every day. A study from the Journal of Adolescent Health found that early childhood education and increased parental involvement can greatly impact the life-course outcomes of children by providing a solid foundation for positive behaviors [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-1 [1]]. Parental involvement is also a key factor in the lives of youth going through the recovery process.&nbsp; An article by Recovery First, an American Addiction Center treatment facility, states that “ Parents play an instrumental part in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab centers report that it is often the mother or father who initiates treatment for their minor.” [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-2 [2]]&nbsp; The parent’s support and involvement in treatment are potentially life-saving in the recovery process.<br />
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'''Consistency from parents and community members is key'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents. The difference is 4.3 percent versus 31 percent, respectively.[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-3 [3]] When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-4 [4]]<br />
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'''Parents Can&nbsp;Influence Use of Prescription&nbsp;Opioids'''<br />
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In many cases, doctors, dentists, and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents, especially parents of student-athletes, may not realize the risks. One way to mitigate this issue is to educate parents on the risks of prescription opioids and encourage parents to work with their medical providers to reduce the possibility of their children misusing prescription pain medications. Research shows found that youth who are prescribed opioids before graduating from high school are 33 percent more likely to misuse prescription opioids after graduation. In 2016, 1 out of 5 deaths was related to opioid misuse. Parents and caregivers can drastically reduce the risk of opioid misuse by having a strong, open relationship with their children. Many programs are available to the general public as well as youth and families with increased risks and vulnerabilities.&nbsp;<br />
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= Relevant Research =<br />
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Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
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= Impactful Federal, State, and Local Policies =<br />
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SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
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= Available Tools and Resources =<br />
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'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
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'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
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'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
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'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
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'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
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''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
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= Promising Practices =<br />
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'''Safe Homes Network and App'''<br />
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Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
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&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
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&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
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<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
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Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
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Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
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Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
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*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
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'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
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= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=20810Empower Parents2021-10-11T14:39:19Z<p>K.castelo: </p>
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Brief Description<br />
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= Introductory Paragraph =<br />
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Parents have a significant influence on whether or not their children choose to use drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and possibly&nbsp;reduce the likelihood of children using&nbsp;substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future. Utilizing resources may assist parents in providing a hopeful future and eliminate risks that may be detrimental to kids' overall health and wellness.&nbsp;<br />
<br />
Characterizing “good” and “bad” parenting styles can be challenging and subjective depending on a number of factors. However, parents can inadvertently send messages to their children that may confuse children about drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach.<br />
<br />
= Key Information =<br />
<br />
'''Parents have a large role in the prevention and recovery'''<br />
<br />
Parental influence is one of the most important factors of a child’s development. Parents have the ability to instill powerful values, create positive safety nets, and lessen the risk factors that youth face every day. A study from the Journal of Adolescent Health found that early childhood education and increased parental involvement can greatly impact the life-course outcomes of children by providing a solid foundation for positive behaviors [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-1 [1]]. Parental involvement is also a key factor in the lives of youth going through the recovery process.&nbsp; An article by Recovery First, an American Addiction Center treatment facility, states that “ Parents play an instrumental part in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab centers report that it is often the mother or father who initiates treatment for their minor.” [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-2 [2]]&nbsp; The parent’s support and involvement in treatment are potentially life-saving in the recovery process.<br />
<br />
'''Consistency from parents and community members is key'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents. The difference is 4.3 percent versus 31 percent, respectively.[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-3 [3]] When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-4 [4]]<br />
<br />
'''Parents Can&nbsp;Influence Use of Prescription&nbsp;Opioids'''<br />
<br />
In many cases, doctors, dentists, and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents, especially parents of student-athletes, may not realize the risks. One way to mitigate this issue is to educate parents on the risks of prescription opioids and encourage parents to work with their medical providers to reduce the possibility of their children misusing prescription pain medications. Research shows found that youth who are prescribed opioids before graduating from high school are 33 percent more likely to misuse prescription opioids after graduation. In 2016, 1 out of 5 deaths was related to opioid misuse. Parents and caregivers can drastically reduce the risk of opioid misuse by having a strong, open relationship with their children. Many programs are available to the general public as well as youth and families with increased risks and vulnerabilities.&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
<br />
= Available Tools and Resources =<br />
<br />
'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
<br />
'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
<br />
'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
<br />
'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
<br />
'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
<br />
''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Safe Homes Network and App'''<br />
<br />
Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
<br />
&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
<br />
&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
<br />
<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
<br />
Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
<br />
Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
<br />
Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
<br />
*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
<br />
'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
<br />
&nbsp;<br />
<br />
= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=20809Empower Parents2021-10-11T14:37:22Z<p>K.castelo: </p>
<hr />
<div><br />
Return to ...<br />
<br />
----<br />
<br />
Brief Description<br />
<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
Parents have a significant influence on whether or not their children choose to use drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and consequently may reduce the likelihood of children using and substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future.<br />
<br />
Characterizing “good” and “bad” parenting styles can be challenging and subjective depending on a number of factors. However, parents can inadvertently send messages to their children that may confuse children about drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach.<br />
<br />
= Key Information =<br />
<br />
'''Parents have a large role in the prevention and recovery'''<br />
<br />
Parental influence is one of the most important factors of a child’s development. Parents have the ability to instill powerful values, create positive safety nets, and lessen the risk factors that youth face every day. A study from the Journal of Adolescent Health found that early childhood education and increased parental involvement can greatly impact the life-course outcomes of children by providing a solid foundation for positive behaviors [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-1 [1]]. Parental involvement is also a key factor in the lives of youth going through the recovery process.&nbsp; An article by Recovery First, an American Addiction Center treatment facility, states that “ Parents play an instrumental part in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab centers report that it is often the mother or father who initiates treatment for their minor.” [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-2 [2]]&nbsp; The parent’s support and involvement in treatment are potentially life-saving in the recovery process.<br />
<br />
'''Consistency from parents and community members is key'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents. The difference is 4.3 percent versus 31 percent, respectively.[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-3 [3]] When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-4 [4]]<br />
<br />
'''Parents Can&nbsp;Influence Use of Prescription&nbsp;Opioids'''<br />
<br />
In many cases, doctors, dentists, and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents, especially parents of student-athletes, may not realize the risks. One way to mitigate this issue is to educate parents on the risks of prescription opioids and encourage parents to work with their medical providers to reduce the possibility of their children misusing prescription pain medications. Research shows found that youth who are prescribed opioids before graduating from high school are 33 percent more likely to misuse prescription opioids after graduation. In 2016, 1 out of 5 deaths was related to opioid misuse. Parents and caregivers can drastically reduce the risk of opioid misuse by having a strong, open relationship with their children. Many programs are available to the general public as well as youth and families with increased risks and vulnerabilities.&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
<br />
= Available Tools and Resources =<br />
<br />
'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
<br />
'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
<br />
'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
<br />
'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
<br />
'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
<br />
''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Safe Homes Network and App'''<br />
<br />
Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
<br />
&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
<br />
&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
<br />
<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
<br />
Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
<br />
Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
<br />
Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
<br />
*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
<br />
'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
<br />
&nbsp;<br />
<br />
= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=20789Empower Parents2021-10-09T21:04:54Z<p>K.castelo: </p>
<hr />
<div><br />
Return to ...<br />
<br />
----<br />
<br />
Brief Description<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
Parents have a significant influence on whether or not their children choose to use substances such as drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and consequently may reduce the likelihood of children using and substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future.<br />
<br />
Characterizing “good” and “bad” parenting styles can be challenging and subjective depending on a number of factors. However, parents can inadvertently send messages to their children that may confuse children about drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach.<br />
<br />
<br />
= Key Information =<br />
<br />
'''Parents have a large role in the prevention and recovery'''<br />
<br />
Parental influence is one of the most important factors of a child’s development. Parents have the ability to instill powerful values, create positive safety nets, and lessen the risk factors that youth face every day. A study from the Journal of Adolescent Health found that early childhood education and increased parental involvement can greatly impact the life-course outcomes of children by providing a solid foundation for positive behaviors [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-1 [1]]. Parental involvement is also a key factor in the lives of youth going through the recovery process.&nbsp; An article by Recovery First, an American Addiction Center treatment facility, states that “ Parents play an instrumental part in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab centers report that it is often the mother or father who initiates treatment for their minor.” [http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-2 [2]]&nbsp; The parent’s support and involvement in treatment are potentially life-saving in the recovery process.<br />
<br />
'''Consistency from parents and community members is key'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents. The difference is 4.3 percent versus 31 percent, respectively.[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-3 [3]] When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.[http://ifi-wikis.com/IFI-OpioidCrisis/Empower_Parents#cite_note-4 [4]]<br />
<br />
'''Parents Can&nbsp;Influence Use of Prescription&nbsp;Opioids'''<br />
<br />
In many cases, doctors, dentists, and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents, especially parents of student-athletes, may not realize the risks. One way to mitigate this issue is to educate parents on the risks of prescription opioids and encourage parents to work with their medical providers to reduce the possibility of their children misusing prescription pain medications. Research shows found that youth who are prescribed opioids before graduating from high school are 33 percent more likely to misuse prescription opioids after graduation. In 2016, 1 out of 5 deaths was related to opioid misuse. Parents and caregivers can drastically reduce the risk of opioid misuse by having a strong, open relationship with their children. Many programs are available to the general public as well as youth and families with increased risks and vulnerabilities.&nbsp;<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
<br />
= Available Tools and Resources =<br />
<br />
'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
<br />
'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
<br />
'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
<br />
'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
<br />
'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
<br />
''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Safe Homes Network and App'''<br />
<br />
Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
<br />
&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
<br />
&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
<br />
<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
<br />
Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
<br />
Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
<br />
Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
<br />
*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
<br />
'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
<br />
&nbsp;<br />
<br />
= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=20788Empower Parents2021-10-08T17:48:28Z<p>K.castelo: </p>
<hr />
<div><br />
Return to ...<br />
<br />
----<br />
<br />
Brief Description<br />
<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
Parents have a significant influence on whether or not their children choose to use substances such as drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and consequently may reduce the likelihood of children using and substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future.<br />
<br />
Characterizing “good” and “bad” parenting styles can be challenging and subjective depending on a number of factors. However, parents can inadvertently send messages to their children that may confuse children about drug use. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes detrimentally impact&nbsp;children. Parents can empower themselves and set clear expectations regarding drug use&nbsp;by engaging in programs and becoming proactive in their parenting approach.<br />
<br />
= Key Information =<br />
<br />
'''Parents have a large role in prevention and recovery'''<br />
<br />
Parental influence is one of the most powerful tools for any community prevention efforts. A youths parents have the ability to instill powerful values and create positive safety nets to help lessen the risk factors that youth face everyday throughout their lives. A study from the Journal of Adolescent Health “Through early childhood education, increasing early parental involvement and expectations can alter life-course outcomes by providing children with foundation for positive behaviors" <ref><br />
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808405/<br />
</ref>&nbsp; &nbsp;This holds true for any youth who is going through the recovery process as well, parental involvement is a key factor in that process. An article by Recovery First a American Addiction Center treatment facility states that “ Parents play an instrumental role in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab center report that it is often the mother or father who initiates treatment for their minor.” <ref> <br />
https://www.recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/<br />
</ref>&nbsp; Parents also have the opportunity to provide valuable support to any youth going through treatment.&nbsp; Parents can play a very crucial role and potentially life saving role in the recovery process.&nbsp;<br />
<br />
'''Parents have a big influence on youth behavior'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents (4.3 percent versus 31 percent).<ref>https://www.samhsa.gov/data/sites/default/files/NSDUHresults2012/NSDUHresults2012.pdf</ref><br />
<br />
When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.<ref>https://www.hazeldenbettyford.org/about-us/news-media/press-release/2014-hazelden-publishing-release-heroin-prescription-toolkit</ref><br/> &nbsp;<br />
<br />
'''Parents Influence Use of Opioid Pain Medication'''<br />
<br />
In many cases, doctors, dentists and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents may not realize the risks. Helping educate parents may result in some parents working with medical care providers to reduces the prescription of opioid pain medication and pursue other options. This resource is targeting parents of student athletes.<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
<br />
= Available Tools and Resources =<br />
<br />
'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
<br />
'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
<br />
'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
<br />
'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
<br />
'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
<br />
''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Safe Homes Network and App'''<br />
<br />
Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
<br />
&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
<br />
&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
<br />
<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
<br />
Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
<br />
Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
<br />
Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
<br />
*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
<br />
'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
<br />
&nbsp;<br />
<br />
= Sources =</div>K.castelohttp://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Empower_Parents&diff=20787Empower Parents2021-10-06T23:01:57Z<p>K.castelo: </p>
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<div><br />
Return to ...<br />
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<br />
Brief Description<br />
<br />
<br />
= Introductory Paragraph =<br />
<br />
Parents have a significant influence on whether or not their children choose to use substances such as drugs. There are a wide variety of resources and programs that are available to assist parents in building developmental assets and consequently may reduce the likelihood of children using and substances.&nbsp;Having children can be physically, financially, and emotionally challenging for many parents, especially when trying to ensure a drug-free future.<br />
<br />
Characterizing “good” and “bad” parenting styles can be challenging and subjective depending on a number of factors. However, parents can inadvertently send messages to their children that may confuse children about their stance on drug use or even influence children to use substances in the future. For example, not having clear communication about drug use, using substances with or around children, and watching television shows or movies that depict drug use can sometimes cause detrimental effects on children. Parents can empower themselves and set clear expectations regarding drug use and substance misuse by engaging in programs and becoming proactive in their parenting approach.<br />
<br />
= Key Information =<br />
<br />
'''Parents have a large role in prevention and recovery'''<br />
<br />
Parental influence is one of the most powerful tools for any community prevention efforts. A youths parents have the ability to instill powerful values and create positive safety nets to help lessen the risk factors that youth face everyday throughout their lives. A study from the Journal of Adolescent Health “Through early childhood education, increasing early parental involvement and expectations can alter life-course outcomes by providing children with foundation for positive behaviors" <ref><br />
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808405/<br />
</ref>&nbsp; &nbsp;This holds true for any youth who is going through the recovery process as well, parental involvement is a key factor in that process. An article by Recovery First a American Addiction Center treatment facility states that “ Parents play an instrumental role in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab center report that it is often the mother or father who initiates treatment for their minor.” <ref> <br />
https://www.recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/<br />
</ref>&nbsp; Parents also have the opportunity to provide valuable support to any youth going through treatment.&nbsp; Parents can play a very crucial role and potentially life saving role in the recovery process.&nbsp;<br />
<br />
'''Parents have a big influence on youth behavior'''<br/> Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents (4.3 percent versus 31 percent).<ref>https://www.samhsa.gov/data/sites/default/files/NSDUHresults2012/NSDUHresults2012.pdf</ref><br />
<br />
When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.<ref>https://www.hazeldenbettyford.org/about-us/news-media/press-release/2014-hazelden-publishing-release-heroin-prescription-toolkit</ref><br/> &nbsp;<br />
<br />
'''Parents Influence Use of Opioid Pain Medication'''<br />
<br />
In many cases, doctors, dentists and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents may not realize the risks. Helping educate parents may result in some parents working with medical care providers to reduces the prescription of opioid pain medication and pursue other options. This resource is targeting parents of student athletes.<br />
<br />
&nbsp;<br />
<br />
= Relevant Research =<br />
<br />
Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents<ref>https://www.tandfonline.com/doi/abs/10.1300/J274v18n01_07</ref><br />
<br />
= Impactful Federal, State, and Local Policies =<br />
<br />
SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.<br />
<br />
= Available Tools and Resources =<br />
<br />
'''SAMHSA National Hotline'''<br/> <br/> The SAMHSA national hotline&nbsp; is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.<br />
<br />
'''Parent Resources:'''<br/> This resource has many links on how to prevent teen drug use starting from home.<ref>https://teens.drugabuse.gov/parents</ref><br />
<br />
'''Drugfree.org'''<br/> This is a hotline that allows parents to speak to other trained parents about substance abuse issues.<ref>Drugfree.org</ref><br />
<br />
'''Drug Prevention Resources'''<br/> Drug Prevention Resources has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/> <br/> '''Fathers' Uplift'''<br/> Fathers' Uplift empowers fathers to overcome barriers and become positively engaged in their children's lives.<ref>http://fathersuplift.org/fathers/</ref><br />
<br />
'''Parent Education'''<br/> ''DEA Books''<br/> The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in Tools & Resources.<ref>https://www.dea.gov/resources</ref><br />
<br />
''Family Life's Art of Parenting''<br/> FamilyLife’s Art of Parenting FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.<ref>https://www.familylife.com/parenting/</ref><br />
<br />
&nbsp;<br />
<br />
= Promising Practices =<br />
<br />
'''Safe Homes Network and App'''<br />
<br />
Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.<br />
<br />
&nbsp; To become a Safe Homes member, you must:<br/> &nbsp; 1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/> &nbsp; 2. Parents' contact information is entered into the Safe Homes Network database.<br/> &nbsp; 3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.<br />
<br />
&nbsp;Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<ref>https://heartsforfamilies.org/safe-homes-campaign-and-pledge/</ref><br />
<br />
<br/> '''Gobi'''<br/> Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.<br />
<br />
Gobi is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).<br />
<br />
Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.<br />
<br />
Teens Using Gobi Report:<ref>https://www.gobi.support/</ref>&nbsp;<br />
<br />
*Improved relationship with their parents <br />
*A decrease in their use of drugs and alcohol <br />
*Better ability to manage stress <br />
*Increased awareness of their choices <br />
*Signing up for Gobi is free to use by both parents and youth. <br />
*More information on adopting the Gobi program <br />
<br />
'''Parent Partner Programs'''<br/> Parent partners, known by a number of different titles (e.g., parent mentors, parents for parents, veteran parents, parent allies), are parents with previous direct<br/> experience in the child welfare system who assist parents currently involved or at risk of becoming involved with the child welfare system. These programs can be court-based,within child welfare agencies, part of law offices, or independent.&nbsp;<ref>https://www.ncsc.org/__data/assets/pdf_file/0017/17900/parent-partner-programs-final.pdf</ref><br />
<br />
&nbsp;<br />
<br />
= Sources =</div>K.castelo