CIN Resource Page: Behavioral Health Integration and Total Cost of Care
With a focus on substance use disorders
October 8, 2018
A key aspect of improving behavioral health integration and managing costs is more effective integration of substance use disorder treatment into primary care and other settings. This resource page from the California Improvement Network (CIN) consists of a short list of relevant resources, to help health organizations more effectively integrate medical, behavioral health, and substance use disorder care.
Resources are organized reverse-chronologically and cover the following topics:
Getting Started: Clinical and Care Coordination Frameworks
These resources will help providers and care teams better understand recommended frameworks for effective care coordination between behavioral health and medical care.
CHCF’s Behavioral Health Integration Collection
A constantly updated resource from CHCF that includes publications on addiction services supply and demand, sharing data between medical and substance abuse treatment providers, services for youth, workforce analysis, and other California issues.
Overcoming Data-Sharing Challenges in the Opioid Epidemic
Federal confidentiality rules, such as the “Part 2” rules, can be a stumbling block for primary care practices seeking to integrate substance use disorder treatment. This paper summarizes the rules and outlines steps that practices can take to coordinate care and stay within the law. (Robert Belfort and Alex Dworkowitz, California Health Care Foundation, July 18, 2018)
These resources detail how organizations are reversing opioid addiction using medication-assisted treatment in the emergency department, during primary care visits, while providing ambulatory care, and at the patient’s home.
Opioid Safety Video and Webinar Library
The California Opioid Safety Network’s library of videos and webinar recordings of best practices regarding opioid addiction treatment. Covers topics ranging from treating opioid addiction in the emergency department to treating opioid overdoses.
Approaches to Opioid Use Disorder Medication-Assisted Treatment Guideline (PDF)
San Francisco Department of Public Health offers prescribing assistance for providers, clients, and the interested general public to increase the effectiveness and safety of opioid use disorder medication-assisted treatment in the ambulatory care setting.
(San Francisco Department of Public Health, November 2, 2017)
Recommendations for Take-Home Naloxone (PDF)
San Francisco Department of Public Health’s info sheet on take-home naloxone, an overdose-reversing medication. Covers methods for clients to obtain naloxone, different factors that should be considering when selecting a naloxone product, and tips for client education. (San Francisco Department of Public Health, November 2, 2017)
Alcohol Use Disorder Treatment
These resources identify the different components of Screening, Brief Intervention, and Referral to Treatment (SBIRT) and offers guidance on approaching alcohol use disorder.