Improve Access to Quality Treatment Programs - Revision history

K.castelo at 17:48, 17 December 2021

2021-12-17T17:48:43Z

K.castelo at 16:26, 14 December 2021

2021-12-14T16:26:39Z

K.castelo at 16:24, 14 December 2021

2021-12-14T16:24:30Z

K.castelo at 16:21, 14 December 2021

2021-12-14T16:21:18Z

K.castelo at 16:08, 14 December 2021

2021-12-14T16:08:26Z

K.castelo at 12:27, 10 December 2021

2021-12-10T12:27:12Z

K.castelo at 12:16, 10 December 2021

2021-12-10T12:16:18Z

K.castelo at 23:51, 4 December 2021

2021-12-04T23:51:21Z

K.castelo at 23:38, 4 December 2021

2021-12-04T23:38:42Z

K.castelo at 23:29, 4 December 2021

2021-12-04T23:29:49Z

@@ Line 56: / Line 56: @@
 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;
 = Available Tools and Resources =
@@ Line 66: / Line 67: @@
 [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
-</ref></sup> Learn more about [[MyStrength|myStrength]].
+</ref></sup>&nbsp;
 '''Telepsychiatry'''

@@ Line 43: / Line 43: @@
 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/]
 = Relevant Research =
@@ Line 48: / Line 49: @@
 '''Cost of Rehab'''
-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.
+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.
 &nbsp;
 = Impactful Federal, State, and Local Policies =

@@ Line 51: / Line 51: @@
 &nbsp;
 = Impactful Federal, State, and Local Policies =
-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;
+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;
 = Available Tools and Resources =

@@ Line 17: / Line 17: @@
 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
 </ref></sup>
 = Key Information =
@@ Line 30: / Line 31: @@
 '''Implementing treatment in the Primary Care Setting'''
 &nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)
@@ Line 40: / Line 43: @@
 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/]
 = Relevant Research =

@@ Line 5: / Line 5: @@
 &nbsp;
@@ Line 12: / Line 13: @@
 = Introductory Paragraph =
-<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
+<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;
 </ref></sup>

@@ Line 12: / Line 12: @@
 <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
 </ref></sup>
 = Key Information =
@@ Line 19: / Line 20: @@
 '''Available Treatment Options'''
-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
+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
 </ref>
 Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education.
 &nbsp;'''Medication-assisted treatment'''&nbsp;(MAT)
@@ Line 33: / Line 36: @@
 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/]
 = Relevant Research =