TY - JOUR
KW - Veterans
KW - homelessness
KW - patient-aligned care teams
KW - primary care
KW - substance use disorders
AU - N. Codell
AU - A. T. Kelley
AU - A. L. Jones
AU - M. T. Dungan
AU - N. Valentino
AU - A. I. Holtey
AU - T. J. Knight
AU - A. Butz
AU - C. Gallop
AU - S. Erickson
AU - J. Patton
AU - L. J. Hyte-Richins
AU - B. Z. Rollins
AU - A. J. Gordon
A1 - 
AB - Addressing substance use disorders and social determinants of poor health at a population level is a major national healthcare priority. One promising model to improve healthcare outcomes for patients with these conditions is the Vulnerable Veteran Innovative Patient-Aligned Care Team (PACT) Initiative, or VIP - an interdisciplinary, team-based primary care delivery model designed to address the needs of vulnerable patients in the Veterans Health Administration. VIP establishes a single, integrated primary care environment for the management of substance use disorders, mental illness, social determinants of poor health, and complexities in care resulting from the co-occurrence of these conditions. We describe the origination, goals, and evolution of VIP to provide an example of how clinics and health systems can address vulnerable patient populations within a primary care clinic framework. While ongoing evaluation will be essential to understand its impact on patient outcomes and its sustainability and scalability in the future, VIP holds promise as a novel model to improve care for patients with addiction and other vulnerabilities.
AD - Vulnerable Veteran Innovative PACT (VIP) Initiative; Informatics, Decision-Enhancement and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System , Salt Lake City, UT, USA.; Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), University of Utah School of Medicine, Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine , Salt Lake City, UT, USA.; Vulnerable Veteran Innovative PACT (VIP) Initiative; Informatics, Decision-Enhancement and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System , Salt Lake City, UT, USA.; Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), University of Utah School of Medicine, Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine , Salt Lake City, UT, USA.; Division of General Internal Medicine, Department of Internal Medicine, University of Utah School of Medicine , Salt Lake City, UT, USA.; Vulnerable Veteran Innovative PACT (VIP) Initiative; Informatics, Decision-Enhancement and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System , Salt Lake City, UT, USA.; Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), University of Utah School of Medicine, Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine , Salt Lake City, UT, USA.; Vulnerable Veteran Innovative PACT (VIP) Initiative; Informatics, Decision-Enhancement and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System , Salt Lake City, UT, USA.; Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), University of Utah School of Medicine, Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine , Salt Lake City, UT, USA.; Vulnerable Veteran Innovative PACT (VIP) Initiative; Inform(TRUNCATED)
BT - The American Journal of Drug and Alcohol Abuse
C5 - Healthcare Disparities; Opioids & Substance Use
CY - England
DO - 10.1080/00952990.2020.1832507
JF - The American Journal of Drug and Alcohol Abuse
LA - eng
M1 - Journal Article
N2 - Addressing substance use disorders and social determinants of poor health at a population level is a major national healthcare priority. One promising model to improve healthcare outcomes for patients with these conditions is the Vulnerable Veteran Innovative Patient-Aligned Care Team (PACT) Initiative, or VIP - an interdisciplinary, team-based primary care delivery model designed to address the needs of vulnerable patients in the Veterans Health Administration. VIP establishes a single, integrated primary care environment for the management of substance use disorders, mental illness, social determinants of poor health, and complexities in care resulting from the co-occurrence of these conditions. We describe the origination, goals, and evolution of VIP to provide an example of how clinics and health systems can address vulnerable patient populations within a primary care clinic framework. While ongoing evaluation will be essential to understand its impact on patient outcomes and its sustainability and scalability in the future, VIP holds promise as a novel model to improve care for patients with addiction and other vulnerabilities.
PP - England
PY - 2020
SN - 1097-9891; 0095-2990
SP - 1
EP - 10
EP - 
T1 - Aims, development, and early results of an interdisciplinary primary care initiative to address patient vulnerabilities
T2 - The American Journal of Drug and Alcohol Abuse
TI - Aims, development, and early results of an interdisciplinary primary care initiative to address patient vulnerabilities
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 33301347
U3 - 10.1080/00952990.2020.1832507
VO - 1097-9891; 0095-2990
Y1 - 2020
Y2 - Dec 10
ER -