Substance Use Disorder
A Qualitative Study of Expanded Methadone Take-Home Access in Opioid Use Disorder Treatment
UCSF, UC Davis
In March 2020, as the COVID-19 pandemic took hold, federal guidance permitted greater access to methadone "take-home doses" for people in treatment for opioid use disorder. This paper reviews the treatment experiences of patients and providers at an opioid treatment program in San Francisco.
Treating Stimulant Use Disorder: CalAIM’s Contingency Management Pilot
Contingency management is an effective treatment for people trying to reduce or stop their use of methamphetamine, cocaine, and other stimulants. California's Department of Health Care Services will soon launch a pilot program offering contingency management to Medi-Cal enrollees in several counties statewide.
Learning from COVID-19: How Pandemic-Era Policies for Methadone Prescribing Could Improve Opioid Treatment
Leslie Suen, Oanh Nguyen, Kelly Knight
Emergency regulations instituted as COVID-19 reached the US allowed patients who may not otherwise have qualified for methadone take-home doses to receive them.
Patience, Commitment Help Journalists Capture Harsh Realities of Fentanyl Addiction
April 1, 2022
A conversation with San Francisco Chronicle reporter Trisha Thadani and photojournalist Stephen Lam about how they approached a project that dug deep below the surface of the city's overdose crisis.
Expanding Substance Use Care: Health Plan Teams Up with Seven California Counties
In this regional Drug Medi-Cal Organized Delivery System program, the counties provide financial resources, and Partnership HealthPlan of California administers the program.
Mobile Crisis Teams: A State Planning Guide for Medicaid-Financed Crisis Response Services
This paper provides a review of the requirements of the American Rescue Plan Act as it pertains to community-based mobile crisis intervention services. It also highlights state considerations that will support a more robust crisis continuum, including 988 planning.
Federal Policy Recommendations to Support State Implementation of Medicaid-Funded Mobile Crisis Programs
In light of new federal funding policies and the upcoming launch of the 988 behavioral health crisis line, this paper identifies important issues in mobile crisis implementation and describes ways that federal agencies could support state and local efforts.
2022 Edition — Substance Use in California
Allison Valentine, Molly Brassil
California's health care system is moving toward acknowledging substance use disorders (SUDs) as chronic illnesses, yet only about 10% of people with an SUD in the last year received treatment. Substance Use in California: Prevalence and Treatment provides an overview of substance use and addiction in the state.
Bridging the Divide Between Mental Health Care and Addiction Treatment
September 21, 2021
In a Los Angeles Times op-ed, a CHCF senior program officer shares the heartbreaking story of her son’s death from mental illness and substance use, the result of being caught between two siloed health care systems. Her desire to prevent future tragedies inspires her work promoting integrated care in California.
In Their Own Words: How Fragmented Care Harms People with Both Mental Illness and Substance Use Disorder
Susan Anthony, Rebecca Catterson, Suzanne Campanella
Behavioral Health, Homelessness & Health Care
CHCF commissioned interviews with 54 people enrolled in Medi-Cal who are dually diagnosed with mental illness and substance use disorder. The paper and accompanying videos highlight what is working — and not working — for them in the health care system.
Sobering Centers Explained
Shannon Smith-Bernardin, Bonar Menninger
Sobering centers offer a cost-effective alternative for providing care to people with acute intoxication whose public alcohol or drug use puts themselves or others at risk. New interest in the decades-old approach has been sparked by recent CalAIM (California Advancing and Innovating Medi-Cal). Learn more about these programs through these two publications: a high-level issue brief and a detailed report.