11/18/2014. Main Goal and Impact. Problem

Size: px
Start display at page:

Download "11/18/2014. Main Goal and Impact. Problem"

Transcription

1 Organizational Capacity to Eliminate Outcome Disparities under Health care Reform Erick Guerrero, Ph.D. (USC) Investigative Team Lawrence Palinkas, Ph.D. (USC) Thomas D Aunno (Columbia U.) Christine Grella, Ph.D. (UCLA) Gregory Aarons, Ph.D. (UCSD) Addiction Technology Transfer Center NIDA R21- DA (PI: Guerrero) Network Webinar November 14 th, Main Goal and Impact Main Goal: Identify how health care reform may impact the organizational capacity of community-based outpatient substance abuse treatment (SAT) to expand services and reduce disparities in care. Overall impact: Understand how health insurance expansion impacts SAT capacity to offer mental health and HIV prevention services and consequently improve access and retention among low-income African American and Latino clients. Program Level Client Level + = Low Treatment Access & Retention 2 Problem Less than 20 percent of individuals who need addiction treatment, access such treatment (SAMHSA, 2012). Health insurance coverage, available providers and quality of care issues are among the most common barriers to access and retention among low income and racial/ethnic minority groups. Uninsured Rate Among Latino Adults Between July-September 2013 and April-June 2014 by Age, Language Spoken, and Income Data source: The Commonwealth Fund Affordable Care Act Tracking Surveys. Michelle M. Doty, PhD, MPH 1 ; David Blumenthal, MD 2 ; Sara R. Collins, PhD 3 3 1

2 Geographic location and delivery of integrated care in minority communities (e.g. co-occurring substance use and mental health disorders) Limited availability of integrated care in Latino Communities - Travel to closest facility is at least 4 miles from Latino communities (Guerrero & Kao, Guerrero, G. E. & Kao, D. (2013). Racial/ethnic minority and low-income hotspots and their geographic proximity to integrated care providers. Substance Abuse Treatment, Prevention, and Policy 8 (34). doi: / / X-8-34 Smaller PROGRAMS Die Faster 5 From % of small programs closed every year, raising concerns about these programs ability to respond to the payment and service delivery expectations of ACA. (Guerrero, Alibrahim, Wu, & Kim, under review) These programs are also most likely to serve low-income and racial/ethnic minority communities Mortality Large 2.50 % Medium 3.35 % Small % Guerrero, G. E., Alibrahim, A., Wu, S., & Kim, T. (under review). System Performance in Addiction Health Services: Informing Health Care Reform Policy in the United States. Community-based providers are organizationally unprepared and ill equipped to contend with the billing management and co-occurring treatment services expected by health care reform (Rawson & McLellan, 2010; Chalk, 2010; Butler et al., 2008). Hence, it is critical to identify key capacity factors that may enable programs to provide integrated care, bill Medicaid and have an impact on client treatment outcomes, as proposed by ACA. 2

3 Conceptual Framework Insurance expansion is likely to have a differential impact on access to and retention in treatment among low income minorities, depending on the organizational capacty of programs to meet reimbursement/billing and service delivery expectations. Explained by neo-institutional, resource dependency and organizational development (leadership and readiness for change) theories, we posit the following: 1) Programs that are better able to respond to the expansion of Medi-Cal will improve staff training and motivation, as well as program billing and reporting technology and expanding service delivery, which may enroll clients faster and engage them longer in services. 2) Bifurcation in quality of care: High-capacity programs (leadership, readiness for change, Medicaid readiness) will expand services and implement benchmark for access and retention. 3) Client outcome disparities (low access and retention) will be seen in low capacity programs servicing mostly socially and health-related disadvantaged groups (e.g. low income, cultural minority, mental health and HIV risk). 3

4 Data was collected from publicly funded SAT programs. Sample was drawn from service areas covering more than 7 million residents (L.A. County). Baseline data - Program data collected in using random sampling. - Sample frame drawn from client administrative data with program identifiers to merge data - Provided by 92% of managers (key informant per program). - Sampling frame -408 programs random sample from 350 programs communities with more than 40% African American and Latino residents in LA county. - Final sample: 104 programs and 13, 328 clients 21% African Americans, 43% Latinos METHODS 7 Measures - Latent class Program capacity (leadership, readiness for change, Medi-Cal acceptance). Two classes were justified Low and High capacity consistent with Moms&Pops and Large Parent Org. - Leadership Two subscales: Transformational (seven items, α =.92) and Transactional (two items, α =.77) leadership (Edwards et al., 2010) - Organizational readiness for change Texas Christian University measure 6 scales, α >.89. (Simpson & Flynn, 2007) - Medi-Cal payment acceptance Program has a billing system for Medicaid billing and reporting. Analytic Approach - Multilevel negative binomial regressions (overdispersed count distribution - # of days) METHODS 7 RESULTS: Program capacity (leadership, readiness for change and Medi-Cal payment acceptance) strongly related to higher client access and retention. Program Capacity IRR= 0.021*** Wait time Program Capacity IRR= 1.295*** Duration 4

5 Findings: MediCal is strongly related to access and retention Wait time Organizational Characteristics Medi-Cal acceptance - IRR= 0.045*** Public Funding - IRR= 0.990*** Wait License - IRR= 0.402*** time Client Characteristics Client Medi-Cal eligible - IRR= 0.604*** Treatment Retention Organizational Characteristics Readiness for change Motivational readiness - IRR = 1.01* Staff Attributes for change IRR = 0.979** License IRR = 1.148* Client Characteristics Client Medi-Cal eligible IRR= 1.105*** Duration Conclusions Our conceptualization of organizational capacity using leadership, readiness for change and Medi-Cal payment acceptance was validated in the statistical significant associations with client outcomes. Program capacity differentiates programs on their ability to reduce client wait time and extend client duration in treatment. Key capacity factors for access were resource oriented (Medi-Cal payment acceptance, public funding, license) (Neo-institutional and Resource Dependency Theories) Key capacity factors for engagement (duration) were regulatory and service quality (culturally responsive care). Implication for Practice To develop capacity to improve client access and engagement in treatment: 1) Programs need to implement a new system of public insurance billing and reporting. 2) Programs need to invest in directorial leadership development to identify, guide and supervise program changes and evaluate client outcomes. 3) Programs need to implement policies and practices that are responsive to client s cultural and linguistic background are essential to engage Latino and African American clients. 4) Finding also inform health care policies to provide funding and training for providers to invest in the program development areas listed above. 5

6 Limitations and Next Steps Our data relied on a key Informant approach not fully capturing reports from more staff. Key management practices that enable change were not included in the data. Generalizability is limited to urban programs in low-income and racial/ethnic minority communities. Next step Next stage of grant (R33) will: 1. Rely on mixed methods and multiple informant approach to fully capture program context. 2. Provide qualitative data to identify pre-aca perspectives to respond to change. 3. We will identify service delivery and payment acceptance changes from 2011 to 2013 (pre-aca) and observe how these changes impact access and retention among minorities. Current Papers Under review 17 Guerrero, G., E., Aarons, A., Grella, C., Garner, B., Cook, B., & Vega, W. A. Organizational capacity to eliminate outcome disparities in addiction health services. Guerrero, G., E., Fenwick, K., Grella, C., & D Aunno, T. Comprehensive Services as a Mediator and Race and Ethnicity as a Moderator of Disparities in Access and Retention in Addiction Health Services. Guerrero, G., E., Harris, L.M., Padwa, H., Vega, W. A., & Palinkas, L. Health care reform and its anticipated impact on the organization and service delivery of publicly funded addiction health services. Thanks! Questions? 18 6

7 References Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), Bluthenthal, R. N., Jacobson, J. O., & Robinson, P. L. (2007). Are racial disparities in alcohol treatment completion associated with racial differences in treatment modality entry? Comparison of outpatient treatment and residential treatment in Los Angeles County, 1998 to Alcoholism: Clinical & Experimental Resesearch, 31(11), doi: /j x Butler, M., Kane, R. L., McAlpine, D., Kathol, R. G., Fu, S. S., Hagedorn, H., & Wilt, T. J. (2008). Integration of mental health/substance abuse and primary care. Rockville, MD: Agency for Healthcare Research and Quality Chaffin, M., & Friedrich, B. (2004). Evidence-based treatments in child abuse and neglect. Child and Youth Service Review 26, (11), Chalk, M. (2010, January). Healthcare reform and treatment: Changes in organization, financing, and standards of care. Presentation at the quarterly meeting of the County Alcohol and Drug Program Administrators Association of California, Sacramento, CA. Grella, C.E., and J.A. Stein Impact of Program Services on Treatment Outcomes of Patients with Comorbid Mental and Substance Use Disorders. Psychiatric Services 57(7): doi: /appi.ps Guerrero, G. E., (in press). Enhancing treatment access and retention: The role of public insurance acceptance and cultural competence. Drug and Alcohol Dependence. Guerrero, G. E., Campos, M., Urada, D., Yang, J. C. (2012). Do Cultural and linguistic competence matter in Latinos completion of mandated substance abuse treatment? Substance Abuse Treatment, Prevention, and Policy, 7:34, doi: / X-7-34 Guerrero, E.G., A. Cepeda, L. Duan, and T. Kim "Disparities in Completion of Substance Abuse Treatment among Latino Subgroups in Los Angeles County, CA." Addictive Behaviors 37(10): doi: /j.addbeh Guerrero, G. E. & Kim, A. (review and resubmit). Organizational Structure, Leadership, and Readiness for Change and the Implementation of Organizational Cultural Competence in Addiction Health Services Guerrero, G. E., Marsh, J. C., Duan, L., Oh, C, Perron, B., & Lee, B. (in press). Between and within racial and ethnic group disparities in completion of substance abuse treatment. Health Service Research, doi: / Hyde, P. S. (2011, June). Staying focused on the future: Drivers, challenges and opportunities. Presentation at the Faces and Voices of Recovery Annual Board Retreat, Washington, DC. MacMaster, S. A., Holleran, L. K., Chantus, D., & Kostyk, L. (2005). Documenting changes in the delivery of substance abuse services: The status of the 100 best treatment centers for alcoholism and drug abuse of Journal of Health & Social Policy, 20(3), doi: /j045v20n03_04 Morgenstern, J., and D.A. Bux, Jr Examining the Effects of Sex and Ethnicity on Substance Abuse Treatment and Mediational Pathways. Alcoholism: Clinical and Experimental Research 27(8): doi: /01.alc McLellan, A. T., Carise, D., & Kleber, H. D. (2003). Can the national addiction treatment infrastructure support the public's demand for quality care? Journal of Substance Abuse Treatment, 25(2), doi: /s (03) Weisner, C., Mertens, J., Parthasarathy, S., Moore, C., & Lu, Y. (2001). Integrating primary medical care with addiction treatment. A randomized controlled trial. Journal of the American Medical Association, 28 (14), Michelle M. Doty, PhD, MPH 1 ; David Blumenthal, MD 2 ; Sara R. Collins, PhD 3 (2014). Uninsured rates for Hispanics. JAMA online. 19 7

10/14/2014. + = Low Treatment Access & Retention. Main Goal and Impact

10/14/2014. + = Low Treatment Access & Retention. Main Goal and Impact Organizational Capacity to Eliminate Outcome Disparities under Health care Reform Erick Guerrero, Ph.D. (USC) Investigative Team Lawrence Palinkas, Ph.D. (USC) Thomas D Aunno (Columbia U.) Christine Grella,

More information

Erick G. Guerrero 1150 S. Olive Street, Office #1437. Los Angeles, California 90015 213-821-1385 erickgue@usc.edu

Erick G. Guerrero 1150 S. Olive Street, Office #1437. Los Angeles, California 90015 213-821-1385 erickgue@usc.edu Erick G. Guerrero 1150 S. Olive Street, Office #1437. Los Angeles, California 90015 213-821-1385 erickgue@usc.edu ACADEMIC POSITIONS 2010 - University of Southern California School of Social Work Assistant

More information

Curriculum Vitae Erick G. Guerrero, Ph.D.

Curriculum Vitae Erick G. Guerrero, Ph.D. Curriculum Vitae, Guerrero, Ph.D. 1 University of Southern California 1150 S. Olive Street, Office #1437 Los Angeles, California 90015 Phone: (213) 821-1385 erickgue@usc.edu EDUCATION Curriculum Vitae

More information

Disparities in Access and Use of Skilled Nursing Services by Income and Racial-Ethnic Status in California

Disparities in Access and Use of Skilled Nursing Services by Income and Racial-Ethnic Status in California Disparities in Access and Use of Skilled Nursing Services by Income and Racial-Ethnic Status in California Vivian Y. Wu Background Concerns about Disparities in Long-Term Care Services The baby boomer

More information

Attitudes toward evidence-based pharmacological treatments among community-based addiction treatment programs targeting vulnerable patient groups

Attitudes toward evidence-based pharmacological treatments among community-based addiction treatment programs targeting vulnerable patient groups Attitudes toward evidence-based pharmacological treatments among community-based addiction treatment programs targeting vulnerable patient groups Center for Addictions Research and Services, Boston University

More information

Racial and ethnic health disparities continue

Racial and ethnic health disparities continue From Families USA Minority Health Initiatives May 2010 Moving toward Health Equity: Health Reform Creates a Foundation for Eliminating Disparities Racial and ethnic health disparities continue to persist

More information

TRENDS IN INSURANCE COVERAGE AND TREATMENT UTILIZATION BY YOUNG ADULTS

TRENDS IN INSURANCE COVERAGE AND TREATMENT UTILIZATION BY YOUNG ADULTS Adults Young by Utilization Treatment and Coverage Insurance in Trends National Survey on Drug Use and Health Short Report January 29, 2015* TRENDS IN INSURANCE COVERAGE AND TREATMENT UTILIZATION BY YOUNG

More information

Predictors of Substance Abuse Treatment Engagement among Rural Appalachian Prescription Drug Users

Predictors of Substance Abuse Treatment Engagement among Rural Appalachian Prescription Drug Users Predictors of Substance Abuse Treatment Engagement among Rural Appalachian Prescription Drug Users Jennifer R. Havens, PhD, MPH Carrie B. Oser, PhD Carl G. Leukefeld, PhD Study Objective The objective

More information

Effects of Distance to Treatment and Treatment Type on Alcoholics Anonymous Attendance and Subsequent Alcohol Consumption. Presenter Disclosure

Effects of Distance to Treatment and Treatment Type on Alcoholics Anonymous Attendance and Subsequent Alcohol Consumption. Presenter Disclosure Effects of Distance to Treatment and Treatment Type on Alcoholics Anonymous Attendance and Subsequent Alcohol Consumption Jamie L. Heisey, MA Katherine J. Karriker-Jaffe, PhD Jane Witbrodt, PhD Lee Ann

More information

Using Washington Circle Measures in State Performance Management

Using Washington Circle Measures in State Performance Management Using Washington Circle Measures in State Performance Management Deborah Garnick Andrea Acevedo Margaret Lee Constance Horgan State Systems Development Conference August 20, 2008 Institute for Behavioral

More information

Florida Alcohol and Drug Abuse Association. Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014

Florida Alcohol and Drug Abuse Association. Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014 Florida Alcohol and Drug Abuse Association Presented to the Behavioral Health Quarterly Meeting Pensacola, Florida April 23, 2014 Florida Alcohol and Drug Abuse Association Founded in 1981 Currently has

More information

HEALTH CARE REFORM IMPLICATIONS & CONSIDERATIONS FOR MENTAL HEALTH

HEALTH CARE REFORM IMPLICATIONS & CONSIDERATIONS FOR MENTAL HEALTH HEALTH CARE REFORM IMPLICATIONS & CONSIDERATIONS FOR MENTAL HEALTH PRESENTATION TO CALIFORNIA WELFARE DIRECTORS ASSOCIATION 2013 CONFERENCE OCTOBER 3, 2013 Molly Brassil Associate Director, Public Policy

More information

Racial and Ethnic Disparities in Women s Health Coverage and Access To Care Findings from the 2001 Kaiser Women s Health Survey

Racial and Ethnic Disparities in Women s Health Coverage and Access To Care Findings from the 2001 Kaiser Women s Health Survey March 2004 Racial and Ethnic Disparities in Women s Health Coverage and Access To Care Findings from the 2001 Kaiser Women s Health Survey Attention to racial and ethnic differences in health status and

More information

PROFILE OF ADOLESCENT DISCHARGES FROM SUBSTANCE ABUSE TREATMENT

PROFILE OF ADOLESCENT DISCHARGES FROM SUBSTANCE ABUSE TREATMENT Treatment Abuse Substance from Discharges Adolescent of Profile Treatment Episode Data Set Short Report April 01, 2015 PROFILE OF ADOLESCENT DISCHARGES FROM SUBSTANCE ABUSE TREATMENT AUTHORS Ryan Mutter,

More information

Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services

Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services Maryland Integrative Learning Community Lynn H Albizo, Director of Public Affairs Maryland Addictions Directors

More information

Hortensia Amaro, Ph.D. Institute on Urban Health Research Northeastern University

Hortensia Amaro, Ph.D. Institute on Urban Health Research Northeastern University The Boston Consortium Model: Treatment of Trauma Among Women with Substance Use Disorders Hortensia Amaro, Ph.D. Institute on Urban Health Research Northeastern University 1. Background of the Problem

More information

Racial/Ethnic Differences in Uninsurance Rates under the ACA

Racial/Ethnic Differences in Uninsurance Rates under the ACA HEALTH POLICY CENTER BRIEF Racial/Ethnic Differences in Uninsurance Rates under the ACA Brief Lisa Clemans-Cope, Matthew Buettgens, Genevieve M. Kenney, and Hannah Recht December 14 The Affordable Care

More information

Racial/Ethnic Disparities in Access to Care Among Children: How Does Medicaid Do in Closing the Gaps?

Racial/Ethnic Disparities in Access to Care Among Children: How Does Medicaid Do in Closing the Gaps? Figure 0 Racial/Ethnic Disparities in Access to Care Among Children: How Does Medicaid Do in Closing the Gaps? Julia Paradise Associate Director Kaiser Commission on Medicaid and the Uninsured Henry J.

More information

Health Care Reform: Connecting Early Learners and Families to Coverage

Health Care Reform: Connecting Early Learners and Families to Coverage Health Care Reform: Connecting Early Learners and Families to Coverage Presenters Astrid Campos The Children s Partnership Wesley Samms California Coverage & Health Initiatives What We Will Cover ALL IN

More information

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003 REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY The New York Community Trust April 2003 1 I. INTRODUCTION Substance Abuse is defined as the excessive use of addictive substances, especially narcotic drugs,

More information

Alcohol and Drug Counseling Certificate Program

Alcohol and Drug Counseling Certificate Program Alcohol and Drug Counseling Certificate Program ALCOHOL AND DRUG COUNSELING CERTIFICATE PROGRAM The Program The Alcohol and Drug Counseling Certificate Program is designed to help individuals acquire the

More information

Early Findings on ACA Awareness and. Implications for Outreach and Enrollment Among Latinos and African Americans

Early Findings on ACA Awareness and. Implications for Outreach and Enrollment Among Latinos and African Americans Early Findings on ACA Awareness and Marketplace Visitors: it Implications for Outreach and Enrollment Among Latinos and African Americans Petra W. Rasmussen, MPH Senior Research Associate, Health Care

More information

Drug Abuse Treatment Policy A Report to the Little Hoover Commission

Drug Abuse Treatment Policy A Report to the Little Hoover Commission Drug Abuse Treatment Policy A Report to the Little Hoover Commission Gary Jaeger, MD President, California Society of Addiction Medicine Sacramento, California May 23, 2002 Introduction As President of

More information

Co-Occurring Disorder-Related Quick Facts: ELDERLY

Co-Occurring Disorder-Related Quick Facts: ELDERLY Co-Occurring Disorder-Related Quick Facts: ELDERLY Elderly: In 2004, persons over the age of 65 reached a total of 36.3 million in the United States, an increase of approximately nine percent over the

More information

From Mental Health and Substance Abuse to Behavioral Health Services: Opportunities and Challenges with the Affordable Care Act.

From Mental Health and Substance Abuse to Behavioral Health Services: Opportunities and Challenges with the Affordable Care Act. From Mental Health and Substance Abuse to Behavioral Health Services: Opportunities and Challenges with the Affordable Care Act. Ron Manderscheid, Ph.D. Exec Dir, National Association of County Behavioral

More information

YOUNG ADULTS IN THE JUSTICE SYSTEM

YOUNG ADULTS IN THE JUSTICE SYSTEM HEALTH CARE OPTIONS FOR YOUNG ADULTS IN THE JUSTICE SYSTEM December 2014 Young adults entering and leaving incarceration face unique challenges accessing health care. 1 These young adults are more likely

More information

Leveraging National Health Reform to Reduce Recidivism & Build Recovery

Leveraging National Health Reform to Reduce Recidivism & Build Recovery Leveraging National Health Reform to Reduce Recidivism & Build Recovery Presented to the National TASC Conference May 2013 1 What We ll Cover Today Why should you pay attention to health care reform? Urgency

More information

Best Practices for Meaningful Consumer Input in New Health Care Delivery Models

Best Practices for Meaningful Consumer Input in New Health Care Delivery Models Best Practices for Meaningful Consumer Input in New Health Care Delivery Models Background Consumer engagement is important for the success of all models of health care delivery. Ensuring the presence

More information

Commission on Criminal Justice and Sentencing Reform. Wednesday, June 3 rd, 2015 1:00pm to 5:00pm

Commission on Criminal Justice and Sentencing Reform. Wednesday, June 3 rd, 2015 1:00pm to 5:00pm Treatment Capacity in Illinois Commission on Criminal Justice and Sentencing Reform Wednesday, June 3 rd, 2015 1:00pm to 5:00pm Introduction What is the treatment capacity in Illinois? For mental health?

More information

Alcoholism and Substance Abuse

Alcoholism and Substance Abuse State of Illinois Department of Human Services Division of Alcoholism and Substance Abuse OVERVIEW The Illinois Department of Human Services, Division of Alcoholism and Substance Abuse (IDHS/DASA) is the

More information

The Affordable Care Act & The Role of Substance Abuse Research

The Affordable Care Act & The Role of Substance Abuse Research The Affordable Care Act & The Role of Substance Abuse Research Slingshot Solutions, LLC CPDD 2014 Annual Meeting San Juan, PR June 2014 Andrew Kessler, J.D. Slingshot Solutions, LLC 15 years in public

More information

SOCIAL WORK RESEARCH ON INTERVENTIONS FOR ADOLESCENT SUBSTANCE MISUSE: A SYSTEMATIC REVIEW OF THE LITERATURE

SOCIAL WORK RESEARCH ON INTERVENTIONS FOR ADOLESCENT SUBSTANCE MISUSE: A SYSTEMATIC REVIEW OF THE LITERATURE SOCIAL WORK RESEARCH ON INTERVENTIONS FOR ADOLESCENT SUBSTANCE MISUSE: A SYSTEMATIC REVIEW OF THE LITERATURE By: Christine Kim Cal State University, Long Beach May 2014 INTRODUCTION Substance use among

More information

Anticipating the Health Insurance Marketplace in Texas

Anticipating the Health Insurance Marketplace in Texas Anticipating the Health Insurance Marketplace in Texas HFMA Lone Star Chapter Fall Institute September 16, 2013 1 About Community Health Choice Non-profit Health Maintenance Organization licensed by the

More information

PERFORMANCE MEASURES FOR SUBSTANCE USE DISORDERS: CURRENT KNOWLEDGE AND KEY QUESTIONS

PERFORMANCE MEASURES FOR SUBSTANCE USE DISORDERS: CURRENT KNOWLEDGE AND KEY QUESTIONS PERFORMANCE MEASURES FOR SUBSTANCE USE DISORDERS: CURRENT KNOWLEDGE AND KEY QUESTIONS Deborah Garnick Constance Horgan Andrea Acevedo, The Heller School for Social Policy and Management, Brandeis University

More information

L.A.Health. Recent Trends In Health Insurance Coverage Among Los Angeles County Children. Volume 3 Issue 1 October 2000

L.A.Health. Recent Trends In Health Insurance Coverage Among Los Angeles County Children. Volume 3 Issue 1 October 2000 L.A.Health A Publication of Los Angeles County Department of Services Volume 3 Issue 1 October 2000 The Los Angeles County Health Survey is a biennial, population-based telephone survey that collects information

More information

Substance Abuse Treatment and Child Welfare

Substance Abuse Treatment and Child Welfare Substance Abuse Treatment and Child Welfare Robert Morrison, Executive Director of the National Association of State Alcohol and Drug Abuse Directors (NASADAD) NASADAD Members Every state and territory

More information

Unforeseen Benefits: Addiction Treatment Reduces Health Care Costs CLOSING THE ADDICTION TREATMENT GAP

Unforeseen Benefits: Addiction Treatment Reduces Health Care Costs CLOSING THE ADDICTION TREATMENT GAP Unforeseen Benefits: Addiction Treatment Reduces Health Care Costs CLOSING THE ADDICTION TREATMENT GAP Executive Summary Improving America s health care system, creating a healthier country, and containing

More information

Current Models of Recovery Support Services: Where We Have Data and Where We Don t

Current Models of Recovery Support Services: Where We Have Data and Where We Don t Current Models of Recovery Support Services: Where We Have Data and Where We Don t Richard Rawson, Ph.D. Integrated Substance Abuse Programs University of California, Los Angeles 1. Define recovery Talk

More information

PHILADELPHIA DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL disability SERVICES

PHILADELPHIA DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL disability SERVICES PHILADELPHIA DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL disability SERVICES Program Description Guidelines I. Introduction A. Name of the Program Please give the name of the program you plan to operate.

More information

Program Plan for the Delivery of Treatment Services

Program Plan for the Delivery of Treatment Services Standardized Model for Delivery of Substance Use Services Attachment 5: Nebraska Registered Service Provider s Program Plan for the Delivery of Treatment Services Nebraska Registered Service Provider s

More information

Behavioral/Mental health

Behavioral/Mental health Access to Mental Health Care And Disparities in the United States Rahn Kennedy Bailey, M.D., F.A.P.A. Chairman Department of Psychiatry and Behavioral Sciences Meharry Medical College Nashville, TN Behavioral/Mental

More information

Presentation Overview

Presentation Overview Treatment and Self-help Availability in Disadvantaged and Minority Neighborhoods Katherine J. Karriker-Jaffe, PhD Deidre Patterson, MPH Lee Ann Kaskutas, DrPH R01AA020328 to K.J. Karriker-Jaffe Presentation

More information

VCBH CLINICAL TRAINING

VCBH CLINICAL TRAINING VCBH CLINICAL TRAINING Alcohol and Drug Counseling Internship VENTURA COUNTY BEHAVIORAL HEALTH (VCBH) FACT SHEET VCBH is part of the Ventura County Health Care Agency s integrated public health care system

More information

Kansas Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Kansas

Kansas Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Kansas Mental Health and Substance Abuse Services in Medicaid and SCHIP in Kansas As of July 2003, 262,791 people were covered under Kansas's Medicaid and SCHIP programs. There were 233,481 enrolled in the Medicaid

More information

Health Coverage for the Hispanic Population Today and Under the Affordable Care Act

Health Coverage for the Hispanic Population Today and Under the Affordable Care Act on on medicaid and and the the uninsured Health Coverage for the Population Today and Under the Affordable Care Act April 2013 Over 50 million s currently live in the United States, comprising 17 percent

More information

Treatment. Race. Adults. Ethnicity. Services. Racial/Ethnic Differences in Mental Health Service Use among Adults. Inpatient Services.

Treatment. Race. Adults. Ethnicity. Services. Racial/Ethnic Differences in Mental Health Service Use among Adults. Inpatient Services. CHAPTER 1 Introduction Racial/Ethnic Differences in Mental Health Service Use among Adults Treatment Ethnicity Outpatient Services Mental Health Adults Mental Health Care Prevalence Inpatient Services

More information

Translating Research To Practice: SOCIAL WORKERS AS LEADERS IN BEHAVIORAL HEALTH AND ADDICTION TREATMENT

Translating Research To Practice: SOCIAL WORKERS AS LEADERS IN BEHAVIORAL HEALTH AND ADDICTION TREATMENT Translating Research To Practice: SOCIAL WORKERS AS LEADERS IN BEHAVIORAL HEALTH AND ADDICTION TREATMENT Dr. Lena M. Lundgren, Presentation Prepared by: Dr. Ivy Krull. Post-Doctoral Fellow,. Thank You

More information

Substance Use Disorder Treatment: Challenges and the Future

Substance Use Disorder Treatment: Challenges and the Future County of Los Angeles-Department of Public Health Substance Abuse Prevention and Control Substance Use Disorder Treatment: Challenges and the Future Wesley L. Ford, MA, MPH Director 1 Outline Addiction-

More information

Access to Health Services

Access to Health Services Ah Access to Health Services Access to Health Services HP 2020 Goal Improve access to comprehensive, quality health care services. HP 2020 Objectives Increase the proportion of persons with a usual primary

More information

A Drug Policy for the 21st Century. Office of National Drug Control Policy

A Drug Policy for the 21st Century. Office of National Drug Control Policy A Drug Policy for the 21st Century October 18, 2014 International Nurses Society on Addictions Health Care Reform & Its Impact on Addictions Nursing: Navigating Change through the Rapids David K. Mineta,

More information

Substance Abuse and Child Maltreatment

Substance Abuse and Child Maltreatment National Clearinghouse on Child Abuse and Neglect Information National Adoption Information Clearinghouse Gateways to Information: Protecting Children and Strengthening Families Substance Abuse and Child

More information

GOLNAZ AGAHI, MPH, LCSW. gagahi@usc.edu

GOLNAZ AGAHI, MPH, LCSW. gagahi@usc.edu GOLNAZ AGAHI, MPH, LCSW gagahi@usc.edu WORK EXPERIENCE: Clinical Program Manager, August 2003-Present Kaiser Permanente, Aliso Viejo CA Departments of Psychiatry Coordinate the planning, delivery and evaluation

More information

Strategic Initiative #1 - Prevention and Early Intervention GOALS OBJECTIVES METRICS

Strategic Initiative #1 - Prevention and Early Intervention GOALS OBJECTIVES METRICS Division of Substance Abuse and Mental Health Strategic Plan (DSAMH) Revised Jan. 14, 2016 *This is a working document, meant to be updated regularly. Other objectives not listed are being worked on by

More information

Summary of Evaluation Projects Conducted by The Measurement Group

Summary of Evaluation Projects Conducted by The Measurement Group Summary of Evaluation Projects Conducted by The Measurement Group Since 1988, The Measurement Group has conducted a number of major evaluations and related studies, including the following projects: Evaluation

More information

The Impact of Health Insurance Coverage on Health Disparities in the United States

The Impact of Health Insurance Coverage on Health Disparities in the United States Human Development Report Office OCCASIONAL PAPER The Impact of Health Insurance Coverage on Health Disparities in the United States Rowland, Diane and Catherine Hoffman. 2005. 2005/34 Inequality and health

More information

A Family-Based Substance Abuse, Delinquency and HIV Prevention Intervention for Detained Adolescents

A Family-Based Substance Abuse, Delinquency and HIV Prevention Intervention for Detained Adolescents A Family-Based Substance Abuse, Delinquency and HIV Prevention Intervention for Detained Adolescents CRAIG HENDERSON a, GAYLE DAKOF b, CINDY ROWE b CINDY MENA a, HYEMIN JEON a, SCHOLAR COLBOURN a, & HOWARD

More information

SUBSTANCE USE DISORDER (SUD)BENEFIT UNDER MEDICAID EXPANSION

SUBSTANCE USE DISORDER (SUD)BENEFIT UNDER MEDICAID EXPANSION A statewide coalition of consumers, providers, educators, and advocates representing the voice for alcohol and drug abuse services SUBSTANCE USE DISORDER (SUD)BENEFIT UNDER MEDICAID EXPANSION The Coalition

More information

Substance Use Disorder Treatment in Los Angeles: The Past, Present, and Future

Substance Use Disorder Treatment in Los Angeles: The Past, Present, and Future Substance Use Disorder Treatment in Los Angeles: The Past, Present, and Future Michael Ballue, CADC II, BSBA Chief Strategy Officer Behavioral Health Services Gary Tsai, MD Medical Director & Science Officer

More information

The Promise of Regional Data Aggregation

The Promise of Regional Data Aggregation The Promise of Regional Data Aggregation Lessons Learned by the Robert Wood Johnson Foundation s National Program Office for Aligning Forces for Quality 1 Background Measuring and reporting the quality

More information

Title: Opening Plenary Session Challenges and Opportunities to Impact the Opioid Dependence Crisis

Title: Opening Plenary Session Challenges and Opportunities to Impact the Opioid Dependence Crisis The American Association for the Treatment of Opioid Dependence, provider #1044, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org,

More information

Substance Abuse and Child Maltreatment

Substance Abuse and Child Maltreatment Bulletin for professionals December 2003 Substance Abuse and Child Maltreatment Substance abuse has a major impact on the child welfare system. It is estimated that 9 percent of children in this country

More information

ADDRESSING COLORADO S SUBSTANCE USE DISORDER MEDICAID BENEFIT

ADDRESSING COLORADO S SUBSTANCE USE DISORDER MEDICAID BENEFIT ADDRESSING COLORADO S SUBSTANCE USE DISORDER MEDICAID BENEFIT Recommendations for a Community-Based Approach PRESENTED TO: Colorado Department of Health Care Policy and Financing July 31, 2012 EXECUTIVE

More information

Partnering with Fathers Perspectives on Engaging Fathers in Your Family Treatment Drug Court

Partnering with Fathers Perspectives on Engaging Fathers in Your Family Treatment Drug Court Partnering with Fathers Perspectives on Engaging Fathers in Your Family Treatment Drug Court Monday 8:30-10:00 This workshop will explore the interpersonal, structural and environmental barriers that fathers

More information

Prepared by: Michael R. Cousineau, Dr.PH Gregory D. Stevens. Ph.D. With assistance from Jessica Van Gurt. USC Division of Community Health

Prepared by: Michael R. Cousineau, Dr.PH Gregory D. Stevens. Ph.D. With assistance from Jessica Van Gurt. USC Division of Community Health Disparities in Health in the United States A conceptual framework for a multi-disciplinary approach to understanding health disparities and proposing policy solutions towards their elimination First Draft

More information

Six-Month Outcomes from a Medical Care Coordination Program at Safety Net HIV Clinics in Los Angeles County (LAC)

Six-Month Outcomes from a Medical Care Coordination Program at Safety Net HIV Clinics in Los Angeles County (LAC) Six-Month Outcomes from a Medical Care Coordination Program at Safety Net HIV Clinics in Los Angeles County (LAC) Wendy H. Garland, MPH; Rhodri Dierst- Davies, MPH; Sonali P. Kulkarni, MD, MPH 9 th International

More information

Running the Numbers. A Periodic Feature to Inform North Carolina Health Care Professionals About Current Topics in Health Statistics

Running the Numbers. A Periodic Feature to Inform North Carolina Health Care Professionals About Current Topics in Health Statistics Running the Numbers A Periodic Feature to Inform North Carolina Health Care Professionals About Current Topics in Health Statistics A Snapshot of North Carolina s Public Mental Health, Developmental Disabilities,

More information

Roseann Myers, J.D., R.N. County of San Diego Health and Human Services Agency Child Welfare Services

Roseann Myers, J.D., R.N. County of San Diego Health and Human Services Agency Child Welfare Services Roseann Myers, J.D., R.N. County of San Diego Health and Human Services Agency Child Welfare Services 1 San Diego County Demographics Ethnicity 2010 % Hispanic 991,348 32% Non-Hispanic 2,103,965 68% White

More information

TRACKING TRENDS IN HEALTH SYSTEM PERFORMANCE

TRACKING TRENDS IN HEALTH SYSTEM PERFORMANCE TRACKING TRENDS IN HEALTH SYSTEM PERFORMANCE SEPTEMBER 2013 IN STATES HANDS How the Decision to Expand Medicaid Will Affect the Most Financially Vulnerable Americans Findings from the Commonwealth Fund

More information

AFFORDABLE CARE ACT UPDATE & EXPANSION OF MENTAL HEALTH SEMINAR

AFFORDABLE CARE ACT UPDATE & EXPANSION OF MENTAL HEALTH SEMINAR AFFORDABLE CARE ACT UPDATE & EXPANSION OF MENTAL HEALTH SEMINAR Paul Jaconette Chief Operating Officer CenCal Health Progress of Medi-Cal Expansion How is enrollment going? Approx. # of adults receiving

More information

System Transformation In Philadelphia: A Recovery Revolution

System Transformation In Philadelphia: A Recovery Revolution System Transformation In Philadelphia: A Recovery Revolution Philadelphia Department of Behavioral Health and Mental Retardation Implementation Strategies Roland Lamb, Director Office of Addiction Services

More information

LOCAL NEEDS LOCAL DECISI NS LOCAL BOARDS

LOCAL NEEDS LOCAL DECISI NS LOCAL BOARDS ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH BOARDS OF OHIO The Value of Ohio s Alcohol, Drug Addiction, and Mental Health Boards Providing hope and helping local communities thrive ++--------- LOCAL NEEDS

More information

THE MINORITY FELLOWSHIP PROGRAM AT AAMFT

THE MINORITY FELLOWSHIP PROGRAM AT AAMFT THE MINORITY FELLOWSHIP PROGRAM AT AAMFT [ HISTORY, STRUCTURE & SIGNIFICANCE MUDITA RASTOGI, PHD [ As the program director for the Minority Fellowship Program (MFP) at American Association for Marriage

More information

Impact of Medicaid Expansion on Maricopa County

Impact of Medicaid Expansion on Maricopa County Impact of Medicaid Expansion on Maricopa County The ACA provides that beginning January 1, 2014, or sooner at the State s option, states must expand Medicaid to certain adults who are under age 65 with

More information

Access to Care / Care Utilization for Nebraska s Women

Access to Care / Care Utilization for Nebraska s Women Access to Care / Care Utilization for Nebraska s Women According to the Current Population Survey (CPS), in 2013, 84.6% of Nebraska women ages 18-44 had health insurance coverage, however only 58.2% of

More information

ORIGINAL S Afr Psychiatry Rev 2005;8:15-19

ORIGINAL S Afr Psychiatry Rev 2005;8:15-19 Access to substance abuse treatment services for black South Africans: findings from audits of specialist treatment facilities in Cape Town and Gauteng Bronwyn Myers 1 & Charles DH Parry 1,2 Alcohol and

More information

Effectiveness of Case Management in Treating Substance Abusers Selected Results from a Metaanalysis Richard C. Rapp, M.S.W. Center for Interventions, Treatment, and Addictions Research Boonshoft School

More information

Issue Brief. The Adoption and Use of Health Information Technology by Community Health Centers, 2009 2013

Issue Brief. The Adoption and Use of Health Information Technology by Community Health Centers, 2009 2013 MaY 2014 Issue Brief The Adoption and Use of Health Information Technology by Community Health Centers, 2009 2013 Jamie Ryan, Michelle M. Doty, Melinda K. Abrams, and Pamela Riley The mission of The Commonwealth

More information

Tarzana Treatment Centers, Inc. Community Health Needs Assessment. TTC Acute Psychiatric Hospital SPA 2. Implementation Strategy

Tarzana Treatment Centers, Inc. Community Health Needs Assessment. TTC Acute Psychiatric Hospital SPA 2. Implementation Strategy Tarzana Treatment Centers, Inc Community Health Needs Assessment TTC Acute Psychiatric Hospital SPA 2 Implementation Strategy The implementation strategy for the Community Health Needs Assessment for TTC

More information

College on Problems of Drug Dependence San Diego, June 19, 2013

College on Problems of Drug Dependence San Diego, June 19, 2013 Michael Prendergast, University of California Los Angeles Michael Shafer, Arizona State University Umme Warda, University of California Los Angeles Wayne Welsh, Temple University Gerald Melnick, National

More information

Strategies For Improving Access To Mental Health Services In SCHIP Programs

Strategies For Improving Access To Mental Health Services In SCHIP Programs May 2006 Strategies For Improving Access To Mental Health Services In SCHIP Programs Prepared by: Jennifer May Children and adolescents experience substantial barriers to obtaining needed mental health

More information

By: Latarsha Chisholm, MSW, Ph.D. Department of Health Management & Informatics University of Central Florida

By: Latarsha Chisholm, MSW, Ph.D. Department of Health Management & Informatics University of Central Florida By: Latarsha Chisholm, MSW, Ph.D. Department of Health Management & Informatics University of Central Florida Health Disparities Health disparities refers to population-specific differences in the presence

More information

Profile of Rural Health Insurance Coverage

Profile of Rural Health Insurance Coverage Profile of Rural Health Insurance Coverage A Chartbook R H R C Rural Health Research & Policy Centers Funded by the Federal Office of Rural Health Policy www.ruralhealthresearch.org UNIVERSITY OF SOUTHERN

More information

Frequently Asked Questions (FAQ)

Frequently Asked Questions (FAQ) The Affordable Care Act (ACA) and Justice-Involved Populations 1. Can Medicaid pay for any health care services provided within jails or prisons? No. Under the ACA (and prior to the ACA), no health care

More information

Integrated Behavioral and Primary Care Services: An Introduction

Integrated Behavioral and Primary Care Services: An Introduction Integrated Behavioral and Primary Care Services: An Introduction Satellite Conference and Live Webcast Tuesday, June 28, 2016 10:00 11:30 a.m. Central Time Faculty Jeff Capobianco, PhD, LLP The National

More information

Kathryn P. Jett Director

Kathryn P. Jett Director Kathryn P. Jett Director California Department of Alcohol and Drug Programs ADP Mission To lead efforts to reduce alcoholism, drug addiction and problem gambling in California by developing, administering

More information

The Health Impact of Substance Abuse: Accelerating Disease Progression and Death

The Health Impact of Substance Abuse: Accelerating Disease Progression and Death November 211 RDA Report 4.85 Olympia, Washington The Health Impact of Abuse: Accelerating Disease Progression and Death David Mancuso, PhD, Melissa Ford Shah, MPP, Alice Huber, PhD, and Barbara Felver,

More information

Denver s Village Diligent Recruitment Grant Evaluation University of Denver Graduate School of Social Work Butler Institute for Families

Denver s Village Diligent Recruitment Grant Evaluation University of Denver Graduate School of Social Work Butler Institute for Families Jessica Lynn Yang THE UNIVERSITY OF DENVER GRADUATE SCHOOL OF SOCIAL WORK PhD ROGRAM EDUCATION Graduate School of Social Work Doctor of Philosophy, June 2017 (expected) Appalachian State University Department

More information

Health Policy Brief. Nadereh Pourat, Ana E. Martinez and Gerald F. Kominski

Health Policy Brief. Nadereh Pourat, Ana E. Martinez and Gerald F. Kominski May 2011 Health Policy Brief Californians Newly Eligible for Medi-Cal under Health Care Reform Nadereh Pourat, Ana E. Martinez and Gerald F. Kominski S U M M A R Y: About 2.13 million nonelderly Californians

More information

People with serious mental illness

People with serious mental illness Integrating Primary Care Into Community Behavioral Health Settings: Programs and Early Implementation Experiences Deborah M. Scharf, Ph.D. Nicole K. Eberhart, Ph.D. Nicole Schmidt, M.A. Christine A. Vaughan,

More information

IMPLICATIONS OF IMPLEMENTATION THE AFFORDABLE CARE ACT AND CRIMINAL JUSTICE

IMPLICATIONS OF IMPLEMENTATION THE AFFORDABLE CARE ACT AND CRIMINAL JUSTICE THE AFFORDABLE CARE ACT AND CRIMINAL JUSTICE A FORUM PRESENTED BY CJCC S SATMHSIT IN PARTNERSHIP WITH THE PUBLIC WELFARE FOUNDATION AND THE LEGAL ACTION CENTER In July 2013, the Criminal Justice Coordinating

More information

Figure 2. Estimated Number of People Living with HIV/AIDS (PLWHA) in LAC, 2009. Unaware HIV/AIDS (1) Pending HIV Cases (2) Coded Living HIV

Figure 2. Estimated Number of People Living with HIV/AIDS (PLWHA) in LAC, 2009. Unaware HIV/AIDS (1) Pending HIV Cases (2) Coded Living HIV Overview of Los Angeles County Los Angeles County (LAC), at 4,084 square miles, 88 incorporated cities and over 10 million residents, is one of the largest counties in the US, with a population that is

More information

NIDA-AACAP Resident Training Award Application

NIDA-AACAP Resident Training Award Application NIDA-AACAP Resident Training Award Application NIDA-AACAP Resident Training Award in Substance Abuse and Addiction, supported by the National Institute on Drug Abuse The NIDA-AACAP Resident Training Award

More information

Establishing System-Wide Access to Community Treatment: Effective Justice Systems Change Initiatives

Establishing System-Wide Access to Community Treatment: Effective Justice Systems Change Initiatives Establishing System-Wide Access to Community Treatment: Effective Justice Systems Change Initiatives Center for Health and Justice at TASC Disclosure I have no actual or potential conflict of interest

More information

Substance Abuse and Mental Health Services Administration Reauthorization

Substance Abuse and Mental Health Services Administration Reauthorization Substance Abuse and Mental Health Services Administration Reauthorization 111 th Congress Introduction The American Psychological Association (APA) is the largest scientific and professional organization

More information

Wilder Research. Integration of mental health, substance use, and primary care: Opportunities and challenges

Wilder Research. Integration of mental health, substance use, and primary care: Opportunities and challenges Wilder Research Integration of mental health, substance use, and primary care: Opportunities and challenges Overview of mental health and substance use disorders Co-occurring disorders Individuals with

More information

Administration 15.3 FTE. Rosa Gomez Regional Operations & Children s Services 271.4 FTE

Administration 15.3 FTE. Rosa Gomez Regional Operations & Children s Services 271.4 FTE 70 ORGANIZATIONAL CHART BEHAVIORAL HEALTH Allan Rawland Director 1.0 FTE Allan Rawland Director Mission Statement Administration 15.3 FTE CaSonya Thomas Chief Deputy Director 1.0 FTE The County of San

More information

DEFINING THE ADDICTION TREATMENT GAP

DEFINING THE ADDICTION TREATMENT GAP EXECUTIVE Summary Our society and our health care system have been slow to recognize and respond to alcohol and drug addiction as a chronic but treatable condition, leaving millions of Americans without

More information

1. To create a comprehensive Benchmark plan that will assure maximum tobacco cessation coverage to all populations in Rhode Island:

1. To create a comprehensive Benchmark plan that will assure maximum tobacco cessation coverage to all populations in Rhode Island: POSTION STATEMENT Submitted to the Rhode Island Health Benefits Exchange Submitted By the Public Policy Workgroup of the Statewide Tobacco Cessation Committee on Tobacco Cessation Treatment Benchmarks

More information

The historic health reform law moves our nation toward a

The historic health reform law moves our nation toward a How Health Reform Helps Communities of Color In Colorado Minority Health Initiatives Families USA October 2010 The historic health reform law moves our nation toward a health care system that covers many

More information

Treatment Delivery Systems as a Public Health Approach to the Population Management of Substance Use Disorders

Treatment Delivery Systems as a Public Health Approach to the Population Management of Substance Use Disorders Treatment Delivery Systems as a Public Health Approach to the Population Management of Substance Use Disorders Thomas F. Babor, Ph.D., MPH Dept of Community Medicine & Health Care University of Connecticut

More information