TY - JOUR
KW - Humans
KW - Patient Care Team/organization & administration
KW - Primary Health Care/methods
KW - Program Evaluation
KW - Substance-Related Disorders/therapy
KW - United States
KW - United States Department of Veterans Affairs
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; Informatics, De(TRUNCATED)
BT - The American Journal of Drug and Alcohol Abuse
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 2
DO - 10.1080/00952990.2020.1832507
IS - 2
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.
PY - 2021
SN - 1097-9891; 0095-2990; 0095-2990
SP - 160
EP - 169
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 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 33301347
U3 - 10.1080/00952990.2020.1832507
VL - 47
VO - 1097-9891; 0095-2990; 0095-2990
Y1 - 2021
Y2 - Mar 4
ER -