TY - JOUR
KW - Behavior, Addictive/economics/prevention & control/therapy
KW - Counseling
KW - Delivery of Health Care, Integrated/economics/organization & administration/trends
KW - Health Care Reform/organization & administration/trends
KW - Health Services Accessibility/trends
KW - Health Services Needs and Demand/statistics & numerical data
KW - Healthcare Disparities/statistics & numerical data
KW - Humans
KW - Insurance Coverage/legislation & jurisprudence/organization & administration
KW - Insurance, Health/economics/legislation & jurisprudence
KW - Mass Screening/organization & administration
KW - Medical Informatics/trends
KW - Outcome Assessment (Health Care)/standards
KW - Patient-Centered Care/organization & administration
KW - Primary Health Care/organization & administration/trends
KW - Substance-Related Disorders/economics/prevention & control/therapy
KW - United States
AU - D. R. Pating
AU - M. M. Miller
AU - E. Goplerud
AU - J. Martin
AU - D. M. Ziedonis
A1 - 
AB - This article outlined ways in which persons with addiction are currently underserved by our current health care system. However, with the coming broad scale reforms to our health care system, the access to and availability of high-quality care for substance use disorders will increase. Addiction treatments will continue to be offered through traditional substance abuse care systems, but these will be more integrated with primary care, and less separated as treatment facilities leverage opportunities to blend services, financing mechanisms, and health information systems under federally driven incentive programs. To further these reforms, vigilance will be needed by consumers, clinicians, and policy makers to assure that the unmet treatment needs of individuals with addiction are addressed. Embedded in this article are essential recommendations to facilitate the improvement of care for substance use disorders under health care reform. Ultimately, as addiction care acquires more of the "look and feel" of mainstream medicine, it is important to be mindful of preexisting trends in health care delivery overall that are reflected in recent health reform legislation. Within the world of addiction care, clinicians must move beyond their self-imposed "stigmatization" and sequestration of specialty addiction treatment. The problem for addiction care, as it becomes more "mainstream," is to not comfortably feel that general slogans like "Treatment Works," as promoted by Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Treatment during its annual Recovery Month celebrations, will meet the expectations of stakeholders outside the specialty addiction treatment community. Rather, the problem is to show exactly how addiction treatment works, and to what extent it works-there have to be metrics showing changes in symptom level or functional outcome, changes in health care utilization, improvements in workplace attendance and productivity, or other measures. At minimum, clinicians will be required to demonstrate that their new systems of care and future clinical activity are in conformance with overall standards of "best practice" in health care.
BT - The Psychiatric clinics of North America
C5 - HIT & Telehealth; Healthcare Policy
CP - 2
CY - United States
DO - 10.1016/j.psc.2012.03.004
IS - 2
JF - The Psychiatric clinics of North America
N2 - This article outlined ways in which persons with addiction are currently underserved by our current health care system. However, with the coming broad scale reforms to our health care system, the access to and availability of high-quality care for substance use disorders will increase. Addiction treatments will continue to be offered through traditional substance abuse care systems, but these will be more integrated with primary care, and less separated as treatment facilities leverage opportunities to blend services, financing mechanisms, and health information systems under federally driven incentive programs. To further these reforms, vigilance will be needed by consumers, clinicians, and policy makers to assure that the unmet treatment needs of individuals with addiction are addressed. Embedded in this article are essential recommendations to facilitate the improvement of care for substance use disorders under health care reform. Ultimately, as addiction care acquires more of the "look and feel" of mainstream medicine, it is important to be mindful of preexisting trends in health care delivery overall that are reflected in recent health reform legislation. Within the world of addiction care, clinicians must move beyond their self-imposed "stigmatization" and sequestration of specialty addiction treatment. The problem for addiction care, as it becomes more "mainstream," is to not comfortably feel that general slogans like "Treatment Works," as promoted by Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Treatment during its annual Recovery Month celebrations, will meet the expectations of stakeholders outside the specialty addiction treatment community. Rather, the problem is to show exactly how addiction treatment works, and to what extent it works-there have to be metrics showing changes in symptom level or functional outcome, changes in health care utilization, improvements in workplace attendance and productivity, or other measures. At minimum, clinicians will be required to demonstrate that their new systems of care and future clinical activity are in conformance with overall standards of "best practice" in health care.
PP - United States
PY - 2012
SN - 1558-3147; 0193-953X
SP - 327
EP - 356
EP - 
T1 - New systems of care for substance use disorders: treatment, finance, and technology under health care reform
T2 - The Psychiatric clinics of North America
TI - New systems of care for substance use disorders: treatment, finance, and technology under health care reform
U1 - HIT & Telehealth; Healthcare Policy
U2 - 22640759
U3 - 10.1016/j.psc.2012.03.004
VL - 35
VO - 1558-3147; 0193-953X
Y1 - 2012
ER -