INTEGRATING SUBSTANCE USE DISORDER AND HEALTH CARE SERVICES IN AN ERA OF HEALTH REFORM: MODELS, INTERVENTIONS, AND IMPLEMENTATION STRATEGIES
INTEGRATING SUBSTANCE USE DISORDER AND HEALTH CARE SERVICES IN AN ERA OF HEALTH REFORM: MODELS, INTERVENTIONS, AND IMPLEMENTATION STRATEGIES

Summary/Abstract: The momentum for the integration of substance use disorder (SUD) and health care services is being driven by (a) a growing body of research evidence showing better patient outcomes from integrated services, and (b) policy changes resulting from health care reform. Unfortunately, early signs suggest that the integration of SUD treatment services is not receiving adequate attention in health care settings. After reviewing the impact of health care reform, this paper describes and reviews the research for selected models for integrated care, specific SUD treatment interventions that can be useful in health care settings, and several implementation strategies designed to assist in bringing SUD and health care services together. The article highlights the efforts of the Addiction Technology Transfer Center (ATTC) Network. Comprised of ten Regional Centers, four National Focus Area Centers and a National Coordinating Office, the ATTC Network is the Substance Abuse and Mental Health Services Administration’s (SAMHSA) most experienced program to provide workforce development and promote the use of research-based interventions for SUD. Expertise in implementation science/technology transfer strategies combined with a national and regional reach ideally situate the ATTC Network to promote and facilitate the much-needed integration of SUD services and health care.

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