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

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

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

Transcription

1 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 under the Affordable Care Act March 11, 2013 Following are some thoughts on how Rhode Island could effectively translate Public Health Policy into Comprehensive and Equitable Tobacco Cessation Insurance Coverage. The focus of the tobacco cessation workgroup has been on provision of services to populations that are most marginalized and are disproportionately affected by tobacco use. These disparate populations demonstrate the highest prevalence of tobacco use and could benefit most from a well-defined, comprehensive tobacco cessation benefit within the Essential Health Benefit Benchmark. These goals are informed by clinical practice and evidence-based best practice guidelines identified by the United Stated Public Health Service, Clinical Guidelines for Tobacco Use and Dependence (Fiore, 2018). We feel it is essential that the Health Benefit Exchange Advisory Board of Rhode Island include provider knowledge and experience when defining the Rhode Island Benchmark plan and Exchanges. Our goals are as follows: 1. To create a comprehensive Benchmark plan that will assure maximum tobacco cessation coverage to all populations in Rhode Island: a. Persons on Medicaid and the uninsured average a smoking rate of 32.4% compared to the private insurance population rate of 15.7%; b. Marginalized populations (e.g. mental health, substance abuse and HIV) will create the greatest impact on the exchanges; c. Marginalized populations also represent the more hardened smokers and demonstrate the greatest need for a comprehensive tobacco cessation benefit; d. Requiring smokers to pay higher premiums is a regressive fee requirement that will directly impact the lower income and more vulnerable populations (mental health, substance abuse, elderly). 2. To address the disproportionate prevalence of tobacco use in disparate populations when identifying the state Benchmark and Essential Health Benefit: a. Within behavioral treatment facilities, approximately 80% to 90% of clients smoke (ATTUD Position Paper); b. There is a 25-year mortality gap between people with behavioral health conditions and the general population (ATTUD Position Paper); c. Nicotine dependence is the most prevalent substance abuse disorder among individuals with mental illness (American Psychiatric Associate 1994); d. Tobacco use is associated with worsened substance abuse treatment outcomes (Prochaska 2010); e. 80% of clients in substance abuse treatment express interest in tobacco treatment (Prochaska, 2004);

2 f. Tobacco use is the leading cause of death in patients with psychiatric illness and addictive disorders (Prochaska, 2010); g. Mental health population (41%) smokes at 2X the rate of normal population (23%) (Prochaska, 2009); h. Individuals with co-occurring mental illness or addictive disorders are now estimated to comprise 44% to 46% of United States cigarette use (Prochaska 2010); i. Persons with mental illness might smoke more frequently and heavily than the general population and they might lack access to cessation services (CDC Vital Signs, February, 12013); j. In the State of New York, the rate of smoking among those reporting poor mental health (32.5%) was 2X the rate of those reporting good mental health (15.7%). k. Persons with any mental illness (AMI) often lack financial resources, face unstable and stressful living situations, and have difficulty coping with withdrawal symptoms. THEY MIGHT ALSO LACK HEALTH INSURANCE, INFORMATION ON THE HEALTH EFFECTS OF SMOKING, AND ACCESS TO CESSATION TREATMENT (Schroeder, 2010). 3. To provide proven best-practice interventions to directly impact disease prevalence among people who use tobacco and within disparate populations: a. 60% of deaths among smokers are attributable to their tobacco use (JHA et al 2013); b. Cigarette smoking remains the most important health hazard (Schroeder, 2013); c. Because smoking has become a stigmatized behavior concentrated among persons of lower socio-economic status, it risks becoming invisible to those who set health policies (Schroeder, 2013); d. Certified Tobacco Treatment Specialists are strategically placed within medical and behavioral healthcare systems and meet professional standards to be compensated as Fee-For-Service providers. i. Recent observations found that tobacco treatment specialists (TTS) were associated with higher quit rates than non-specialist (McDermott et al, Nicotine and Tobacco Research) e. $2.5 trillion is spent annually in the United States on health care due to chronic disease (heart disease, cancer, diabetes), the most prevalent smoking related diseases (Tom Harkin, U.S. Senate, 2013); f. Health hazards due to smoking may undermine benefits of HIV treatment on morbidity and mortality (Lifson, AR and Lando, HA, 2012): i. Over 40% of persons with HIV are current smokers; ii. Health risks of smoking include increases in some HIV-associated infections, cardiovascular disease, some cancers, bacterial pneumonia and other lung disease, and overall mortality. iii. Smoking is a modifiable risk factor that may further reduce morbidity and mortality in persons living with HIV. iv. The health care setting offers a unique opportunity to screen patients for smoking and to counsel them about smoking cessation. g. We are killing people by not acting. Nicola Roxon, former Australian Health Minister.

3 4. To provide a meaningful and consistent definition of comprehensive tobacco treatment that is evidence-based (Fiore, 2008): a. More fact-to-face contact (intensive evidence based treatment) can yield longer term outcome with demonstrated quit rates of 26.47%at 3 months and 21.73% at 12 months, with 51.02% of patients completing treatment (Sheffer, et al, 2009); b. In-person treatment (group and individual) outperformed quit lines and internet using American Cancer Associate Fresh Start and American Lung Association Freedom from Smoking protocols, with longer retention of hardened smokers (Hughes, 2013); c. Covered benefits should be sufficient in amount, duration and scope to reasonably achieve their purpose (Medicaid regulations for pregnant women 42CFR (b); d. Individual in-person or phone counseling of at least 4 sessions was 1.3 times higher than that with medications alone with some evidence of greater quit rates with greater intensity of treatment (Hughes, 2013); e. There is evidence that hardening is occurring among smokers seeking treatment and it is important that clinicians be able to demonstrate that counseling is especially helpful to justify treatment to health agencies (Hughes, 2013). f. Compliance with evidence-based treatment is associated with improved treatment outcome, utilizing a 60-minute intake and six (6) weekly 90-minute group sessions. The overall quit rate of 31% at 6 months is higher than the mean overall abstinence rates for higher intensity counseling (22.1%) or treatment involving more than 8 person-to-person treatment sessions (24.7%) reported in the USPHS guideline (Foulds, J. et al, 2006). 5. To align the Essential Health Benefit with the Mental Health Parity and Addiction Equity Act of 2008: a. Charging higher premiums for smokers is in direct violation of the Mental Health Parity and Addiction Equity Act of 2008 by creating barriers to treatment based on stigma and the desire of health insurance companies to save short term dollars (Richter, Kimber, 2009); i. Nicotine dependence and withdrawal are well defined diagnoses in the DSM-IV; ii. Tobacco use is a form of drug dependence and mental illness; iii. Tobacco use is the top preventable cause of death in the United States; iv. 59% of people with mental health and substance abuse problems also smoke and will be required to pay higher premiums. This equates to 2/3 of all people who are supposed to be beneficiaries of the MHPAEA will pay higher insurance premiums. 6. To demonstrate the cost-effectiveness of comprehensive tobacco coverage: a. A study completed among Massachusetts Medicaid subscribers in 2010 found that use of a comprehensive tobacco cessation pharmacotherapy benefit was associated with a 46% DECREASE IN HOSPITALIZATIONS FOR HEART ATTACKS

4 AND A 49% DECREASE IN HOSPITALIZATIONS FOR CARDIOVASCULAR DISEASE AMONG BENEFIT USERS; b. The study s authors estimated that for every $1 in program costs, the Mass Health program received an estimated medical savings of $3.12, a return on investment of $2.12 for every dollar spent (Land, Thomas et al, 2010); c. For low-income smokers, removing the barriers to the use of smoking cessation pharmacotherapy has the potential to decrease short-term utilization of hospital services. References: ATTUD Policy Statement, Integrating Tobacco Treatment within Behavioral Health, Disparate Populations Committee. Foulds, J. et al. Factors Associated with Quitting Smoking at a Tobacco Dependence Treatment Clinic. Am. J. Health Behav. 2006; 30(4): Fiore, MJ. US Public Health Service Clinical Practice Guideline, Treating Tobacco Use and Dependence, Hall, SM and Prochaska, JJ. Treatment of Smokers with Co-occurring Disorders: Emphasis on Integration in Mental Health and Addiction Treatment Settings. Annual Review Clinical Psychology, 2009; 5:P Harkin, Thomas. U. S. Senate (Iowa), Healthier Lifestyles and Prevention America Act (2013). Hughes, J. Efficacy of Adding Counseling to Medications for Smoking Cessation: When is Counseling Justified.ATTUD Blog, Jha P, Ramasundarahettige C, Landsman V, et al. 21st Century hazards of smoking and benefits of cessation in the United States. New England Journal of Medicine 2013; 368: Land, Thomas, et al., Medicaid coverage for tobacco dependence treatments in Massachusetts and Associated decreases in smoking prevalence, PloS One 5(3) (March 5, 2010) Land, T. et al. A longitudinal study of Medicaid coverage for tobacco dependence treatments in Massachusetts and associated decreases in hospitalizations for cardiovascular disease. A Longitudinal Study of Medicaid Coverage for Tobacco.PLoS Medicine, December 2010, Vol. 7 (2). Lifson, Alan R and Lando, HA. Smoking and HIV: Prevalence, Health Risks, and Cessation Strategies. Curr HIV/AIDS Rep (2012) 9: McDermott, MS et al. Factors Associated with Differences in Quit Rates Between Specialist and Community Stop-Smoking Practioners in the English Stop-Smoking Services. Nicotine and Tobacco Research, (2012) The Mental Health Parity and Addiction Equity Act of 2008.

5 Prochaska, JJ. Failure to Treatment Tobacco Use in Mental Health and Addiction Treatment Settings: A form of harm reduction? Drug and Alcohol Dependence 110(2010) Schroeder, SA and Morris CD.Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illness and Substance Abuse Problems. Annual Review Public Health, 2010; 31: Schroeder, SA. New Evidence that Cigarette Smoking Remains the Most Important Health Hazard. New England Journal of Medicine 368; 4 (2013).

TOBACCO CESSATION WORKS: AN OVERVIEW OF BEST PRACTICES AND STATE EXPERIENCES

TOBACCO CESSATION WORKS: AN OVERVIEW OF BEST PRACTICES AND STATE EXPERIENCES TOBACCO CESSATION WORKS: AN OVERVIEW OF BEST PRACTICES AND STATE EXPERIENCES Despite reductions in smoking prevalence since the first Surgeon General s report on smoking in 1964, approximately 46 million

More information

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD)

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Learning Objectives Upon completion of this module, you should be able to: Describe how

More information

Tobacco Cessation in Substance Use Disorder Treatment Facilities: Single State Agency (or SSA) Tobacco Policies

Tobacco Cessation in Substance Use Disorder Treatment Facilities: Single State Agency (or SSA) Tobacco Policies Tobacco Cessation in Substance Use Disorder Treatment Facilities: Single State Agency (or SSA) Tobacco Policies by The National Association of State Alcohol and Drug Abuse Directors (NASADAD) With Support

More information

A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers

A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers in Utah Claudia Bohner, MPH Tobacco Prevention and Control Program (TPCP) Utah Department of Health Background:

More information

Never Quit Quitting Training Healthcare Providers to Integrate Cessation Counseling and Referral into Office Practice Lisa Krugman, MPH, MSW Washtenaw County Public Health Washtenaw County Smokers (HIP

More information

World Health Organization

World Health Organization myths and facts for policy makers responsible for substance dependence prevention, treatment and support programs World Health Organization Myth 1. Drug dependence is simply a failure of will or of strength

More information

Tobacco Cessation and the Affordable Care Act. Jennifer Singleterry Director, National Health Policy American Lung Association

Tobacco Cessation and the Affordable Care Act. Jennifer Singleterry Director, National Health Policy American Lung Association Tobacco Cessation and the Affordable Care Act Jennifer Singleterry Director, National Health Policy American Lung Association Background on ACA Acronyms ACA = Affordable Care Act (healthcare reform) HHS

More information

Health Profile for St. Louis City

Health Profile for St. Louis City Health Profile for St. Louis City The health indicators of St. Louis City show that the city has many health problems. To highlight a few, the city s rates of sexually transmitted diseases (i.e., HIV/AIDS,

More information

Prevention and Public Health Fund: Community Transformation Grants to Reduce Chronic Disease

Prevention and Public Health Fund: Community Transformation Grants to Reduce Chronic Disease Prevention and Public Health Fund: Community Transformation Grants to Reduce Chronic Disease The Affordable Care Act created Community Transformation Grants aimed at helping communities implement projects

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

Disseminating Smoking Cessation Treatment in Community Substance Abuse Programs

Disseminating Smoking Cessation Treatment in Community Substance Abuse Programs Disseminating Smoking Cessation Treatment in Community Substance Abuse Programs Therese Killeen APRN PhD Department of Psychiatry and Behavioral Sciences, MUSC Substance Abuse and Tobacco Use Are Co-Occurring

More information

Tobacco-Free. Policies & Procedures for. Facilities & Services in Wisconsin s. Substance Abuse & Mental Health Treatment Programs

Tobacco-Free. Policies & Procedures for. Facilities & Services in Wisconsin s. Substance Abuse & Mental Health Treatment Programs Tobacco-Free Policies & Procedures for Facilities & Services in Wisconsin s Substance Abuse & Mental Health Treatment Programs Developed by WiNTiP sponsored by the Wisconsin Department of Health Services

More information

Recommendations and Guidelines for Policies & Procedures in. Tobacco-Free

Recommendations and Guidelines for Policies & Procedures in. Tobacco-Free Recommendations and Guidelines for Policies & Procedures in Tobacco-Free Facilities & Services in Wisconsin s Substance Use & Mental Health Treatment Programs Developed by WiNTiP (Wisconsin Nicotine Treatment

More information

WHAT S IN THE PROPOSED FY 2016 BUDGET FOR HEALTH CARE?

WHAT S IN THE PROPOSED FY 2016 BUDGET FOR HEALTH CARE? An Affiliate of the Center on Budget and Policy Priorities 820 First Street NE, Suite 460 Washington, DC 20002 (202) 408-1080 Fax (202) 408-1073 www.dcfpi.org April 16, 2015 WHAT S IN THE PROPOSED FY 2016

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information

Health Care Affordability Act Catamount Health. Senator James Leddy, Chair Vermont Senate Health & Welfare Committee

Health Care Affordability Act Catamount Health. Senator James Leddy, Chair Vermont Senate Health & Welfare Committee Health Care Affordability Act Catamount Health Senator James Leddy, Chair Vermont Senate Health & Welfare Committee Principles of Health Care Reform in Vermont Established by Coalition 21 (January 2005)

More information

I. Insurance Reforms and Expansion of Coverage. Implementation Date Plan years beginning on or after six months after passage of the Act.

I. Insurance Reforms and Expansion of Coverage. Implementation Date Plan years beginning on or after six months after passage of the Act. University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI) Summary of Selected Tobacco, Prevention, and Public Health Provisions from H.R. 3590, the Patient Protection and Affordable

More information

Health Care Access to Vulnerable Populations

Health Care Access to Vulnerable Populations Health Care Access to Vulnerable Populations Closing the Gap: Reducing Racial and Ethnic Disparities in Florida Rosebud L. Foster, ED.D. Access to Health Care The timely use of personal health services

More information

How Will Health Reform Help People with Mental Illnesses?

How Will Health Reform Help People with Mental Illnesses? Judge David L. BAZELON CENTER for Mental Health Law How Will Health Reform Help People with Mental Illnesses? An analysis of the Affordable Care Act passed by Congress in 2010 and how it will affect people

More information

Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions

Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions This lesson is part of an overall curriculum based program developed by the New York State Office of Alcoholism and

More information

Preventing 3 Million Premature Deaths Helping 5 Million Smokers Quit:

Preventing 3 Million Premature Deaths Helping 5 Million Smokers Quit: Preventing 3 Million Premature Deaths Helping 5 Million Smokers Quit: Prepared by the Subcommittee on Cessation Michael C. Fiore, M.D., M.P.H., Chair Interagency Committee on Smoking and Health Final Draft

More information

Fact Sheet: The Affordable Care Act s New Rules on Preventive Care July 14, 2010

Fact Sheet: The Affordable Care Act s New Rules on Preventive Care July 14, 2010 Fact Sheet: The Affordable Care Act s New Rules on Preventive Care July 14, 2010 Chronic diseases, such as heart disease, cancer, and diabetes, are responsible for 7 of 10 deaths among Americans each year

More information

AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, PREVENTION AND INTERVENTION EXPANSION; MAKING APPROPRIATIONS; DECLARING AN EMERGENCY. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

More information

Katherine Record, JD, MPH, MA Senior Fellow, Center for Health Law & Policy Innovation Harvard Law School March 2013

Katherine Record, JD, MPH, MA Senior Fellow, Center for Health Law & Policy Innovation Harvard Law School March 2013 Extending Medicaid to Reduce HIV Transmission & Health Related Costs in Texas: Modeling the Transition of Ryan White Clients into Medicaid & Private Insurance in 2014 Katherine Record, JD, MPH, MA Senior

More information

IN THE GENERAL ASSEMBLY STATE OF. Ensuring Access to Medication Assisted Treatment Act

IN THE GENERAL ASSEMBLY STATE OF. Ensuring Access to Medication Assisted Treatment Act IN THE GENERAL ASSEMBLY STATE OF Ensuring Access to Medication Assisted Treatment Act 1 Be it enacted by the People of the State of Assembly:, represented in the General 1 1 1 1 Section 1. Title. This

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

American Society of Addiction Medicine

American Society of Addiction Medicine American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,

More information

Smoking Cessation Services in Addiction Treatment: Challenges for Organizations and the Counseling Workforce

Smoking Cessation Services in Addiction Treatment: Challenges for Organizations and the Counseling Workforce Knudsen, H.K. & White, W.L. (2012) Smoking cessation services in addiction treatment: Challenges for organizations and the counseling workforce. Counselor, 13(1), 10-14. Smoking Cessation Services in Addiction

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

WHY THE FDA SHOULD REGULATE TOBACCO PRODUCTS

WHY THE FDA SHOULD REGULATE TOBACCO PRODUCTS WHY THE FDA SHOULD REGULATE TOBACCO PRODUCTS WHAT IF a product consumed by nearly 50 million Americans every day killed one-third of those who became regular users and one-half of those who use it for

More information

Smoking Cessation Program

Smoking Cessation Program Smoking Cessation Program UHN Information for people who are ready to quit smoking Read this information to learn: why you should quit smoking how the Smoking Cessation Program works treatments to help

More information

Behavioral Health Services in Chicago The Current Landscape for Mental Health and Substance Use. June 13, 2012

Behavioral Health Services in Chicago The Current Landscape for Mental Health and Substance Use. June 13, 2012 + Behavioral Health Services in Chicago The Current Landscape for Mental Health and Substance Use June 13, 2012 + Eileen Durkin President & CEO Community Counseling Centers of Chicago (C4) C4 provides

More information

Who We Are We re a coalition of concerned Kentuckians, over 250 organizations and individuals, who believe that the best health care solutions are found when everyone works together to build them. Right

More information

Health Disparities in H.R. 3590 (Merged Senate Bill)

Health Disparities in H.R. 3590 (Merged Senate Bill) Health Disparities in H.R. 3590 (Merged Senate Bill) Definitions: Health disparity population is defined in the bill as defined in Section 485E (Sec. 931) Current Law: a population is a health disparity

More information

New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare Plus and Medicaid

New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare Plus and Medicaid Update December 2009 No. 2009-96 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other Managed Care Programs New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare

More information

An Ounce of Prevention:

An Ounce of Prevention: An Ounce of Prevention: Tobacco Control Saves Lives, Saves Money Revised November 2003 This report was written with support from the Jessie B. Cox Charitable Trust and the American Cancer Society. Community

More information

Iowa s Maternal Health, Child Health and Family Planning Business Plan

Iowa s Maternal Health, Child Health and Family Planning Business Plan Iowa s Maternal Health, Child Health and Family Planning Business Plan CHILD HEALTH Who we are... A public-private partnership that... Promotes access to regular preventive health care services for children

More information

Health Care Reform in Massachusetts: The Role of Public Health. John Auerbach, Commissioner

Health Care Reform in Massachusetts: The Role of Public Health. John Auerbach, Commissioner Health Care Reform in Massachusetts: The Role of Public Health John Auerbach, Commissioner States Are the Laboratories for Health Care Reform Three states are implementing plans to achieve near universal

More information

National Strategy for Quality Improvement in Health Care 2015 Agency-Specific Plans

National Strategy for Quality Improvement in Health Care 2015 Agency-Specific Plans The U.S. Office of Personnel Management s Healthier Americans strategic goal powerfully aligns the health care portfolio with the aims of the National Quality Strategy. Through contracts with nearly 100

More information

Smoking prevalence among patients with psychiatric disorders in an integrated health care delivery system: A case-control study

Smoking prevalence among patients with psychiatric disorders in an integrated health care delivery system: A case-control study Smoking prevalence among patients with psychiatric disorders in an integrated health care delivery system: A case-control study Kelly C. Young-Wolff, PhD, MPH; Andrea H. Kline-Simon, MS; Constance Weisner,

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

Course Description. SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES

Course Description. SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES Course Description SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES At the end of this course participants will be able to: Define and distinguish between substance use, abuse and dependence

More information

Loss Control TIPS Technical Information Paper Series

Loss Control TIPS Technical Information Paper Series Loss Control TIPS Technical Information Paper Series Innovative Safety and Health Solutions SM Smoking Cessation: Worksite Programs Why Have a Smoking Cessation Program? The damaging health effects of

More information

Program Objectives 9/2/2014. Affordable Care Act: Smooth or White Waters Ahead? History of Healthcare Reform

Program Objectives 9/2/2014. Affordable Care Act: Smooth or White Waters Ahead? History of Healthcare Reform Affordable Care Act: Smooth or White Waters Ahead? Kathleen Bradbury-Golas, DNP, RN, NP-C, ACNS-BC Assistant Professor, Felician College Family Nurse Practitioner, Virtua Atlantic Shore Family Practice

More information

"Starting today, every doctor, nurse, health plan, purchaser, and medical school in America should make treating tobacco dependence a top priority.

Starting today, every doctor, nurse, health plan, purchaser, and medical school in America should make treating tobacco dependence a top priority. Encouraging Tobacco Cessation Through the Five A s: Ask, Advise, Assess, Assist, Arrange Mary Clare Champion, Ph.D. Tennessee Primary Care Clinical Conference April 14-15, 2011 Franklin, TN "Starting today,

More information

Senate Finance Committee Health Care Reform Bill

Senate Finance Committee Health Care Reform Bill Senate Finance Committee Health Care Reform Bill Below is a review of those measures contained in the Senate Finance Committee s draft on health care reform that correspond to issues contained in the NLN

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

TOBACCO CESSATION PILOT PROGRAM. Report to the Texas Legislature

TOBACCO CESSATION PILOT PROGRAM. Report to the Texas Legislature TOBACCO CESSATION PILOT PROGRAM Report to the Texas Legislature As Required by S.B. 10, 80 th Legislature, Regular Session, 2007 Texas Health and Human Services Commission September 2010 Table of Contents

More information

Tobacco Treatment Specialist Certification (CTTS) Program Workshop Manual

Tobacco Treatment Specialist Certification (CTTS) Program Workshop Manual Tobacco Treatment Specialist Certification (CTTS) Program Workshop Manual Accredited by: Council for Tobacco Treatment Training Programs (CTTTP) Association for the Treatment of Tobacco Use and Dependence

More information

Ass Professor Frances Kay-Lambkin. NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW

Ass Professor Frances Kay-Lambkin. NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW Ass Professor Frances Kay-Lambkin NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW Frances Kay-Lambkin PhD National Health and Medical Research Council Research Fellow Substance Use

More information

BARACK OBAMA S PLAN FOR A HEALTHY AMERICA:

BARACK OBAMA S PLAN FOR A HEALTHY AMERICA: BARACK OBAMA S PLAN FOR A HEALTHY AMERICA: Lowering health care costs and ensuring affordable, high-quality health care for all The U.S. spends $2 trillion on health care every year, and offers the best

More information

VISION MISSION GOAL AND OBJECTIVES

VISION MISSION GOAL AND OBJECTIVES VISION MISSION GOAL AND OBJECTIVES 3. Vision, Mission, Goal and Objectives 3.1. Vision To create a tobacco-free society 3.2. Mission 3.3. Goal To promote individual, community and government responsibility

More information

LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult

LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders of the American

More information

FLORIDA INTERNATIONAL UNIVERSITY PUBLIC HEALTH TRAINEESHIP (FIU PHT) Collaborative Community-Based Project Ideas

FLORIDA INTERNATIONAL UNIVERSITY PUBLIC HEALTH TRAINEESHIP (FIU PHT) Collaborative Community-Based Project Ideas FLORIDA INTERNATIONAL UNIVERSITY PUBLIC HEALTH TRAINEESHIP (FIU PHT) Collaborative Community-Based Project Ideas FLORIDA DEPARTMENT OF HEALTH IN MIAMI-DADE COUNTY Environmental Health One of the core Environmental

More information

Arkansas s Systems Training Outreach Program:

Arkansas s Systems Training Outreach Program: Arkansas s Systems Training Outreach Program: Using Academic Detailing to Reach Health Care Providers National Center for Chronic Disease Prevention and Health Promotion Office on Smoking and Health CS246699

More information

Future Service Directions

Future Service Directions Alcohol, Tobacco and Other Drug Services Tasmania Future Service Directions A five year plan 2008/09 2012/13 Department of Health and Human Services Contents Foreword... 5 Introduction... 6 Australian

More information

Grant ID: 044214, Organization: Institute for Health & Recovery Project Title: On-PAR (Promote Active Recovery) Online Training 4

Grant ID: 044214, Organization: Institute for Health & Recovery Project Title: On-PAR (Promote Active Recovery) Online Training 4 D1. Overall Aim & Objectives: The overall aim of our proposal is to increase tobacco education and smoking cessation training opportunities targeted to staff and administrators working with behavioral

More information

ACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO)

ACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO) ACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO) Introduction and background: Summarizes the essential benefit package

More information

Principles on Health Care Reform

Principles on Health Care Reform American Heart Association Principles on Health Care Reform The American Heart Association has a longstanding commitment to approaching health care reform from the patient s perspective. This focus including

More information

Smoking cessation programs in substance abuse treatment facilities: A closer look

Smoking cessation programs in substance abuse treatment facilities: A closer look Smoking cessation programs in substance abuse treatment facilities: A closer look Jessica Legge Muilenburg, PhD The University of Georgia College of Public Health This study was supported by Award Number

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

Smoking Cessation in People with Severe Mental Illness. Lisa Dixon, M.D., MPH and Melanie Bennett, Ph.D. University of Maryland School of Medicine

Smoking Cessation in People with Severe Mental Illness. Lisa Dixon, M.D., MPH and Melanie Bennett, Ph.D. University of Maryland School of Medicine Smoking Cessation in People with Severe Mental Illness Lisa Dixon, M.D., MPH and Melanie Bennett, Ph.D. University of Maryland School of Medicine Smoking and Severe Mental Illness Smoking is a MAJOR problem

More information

Terri White. Commissioner

Terri White. Commissioner Terri White. Commissioner As an agency, ODMHSAS is committed to delivery of evidence-based practices, and the use of technology to help us reach Oklahomans in need. Our use of telemedicine is part of that

More information

Frequently Asked Questions (FAQ) Phoenix House New England

Frequently Asked Questions (FAQ) Phoenix House New England About What is? Phoenix House is a nationally recognized and accredited behavioral healthcare provider, specializing in the treatment and prevention of substance use disorders and co-occurring substance

More information

Oklahoma county. Community Health Status Assessment

Oklahoma county. Community Health Status Assessment Oklahoma county Wellness Score 2014 Community Health Status Assessment Mental and Social Health Overall Mental Health score The World Health Organization defines mental health as a state of well-being

More information

3 Focus the Evaluation Design

3 Focus the Evaluation Design 3 Focus the Evaluation Design Now that you and your stakeholders have a clear understanding of your program, your evaluation team will need to focus the evaluation. The evaluation team must decide the

More information

Position Statement: Nicotine Dependence

Position Statement: Nicotine Dependence Position Statement: Nicotine Dependence I. Treatment and Prevention In accordance with the avowed purposes of NAADAC, The Association for Addiction Professionals prompting and supporting the most appropriate

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

VENTURA COUNTY ALCOHOL & DRUG PROGRAMS

VENTURA COUNTY ALCOHOL & DRUG PROGRAMS VENTURA COUNTY ALCOHOL & DRUG PROGRAMS women s services Helping women recover (805) 981-9200 1911 Williams Drive, Oxnard, CA 93036 www.venturacountylimits.org recovery VCBH ALCOHOL & DRUG PROGRAMS WOMEN

More information

Illinois Mental Health and Substance Abuse Services in Crisis

Illinois Mental Health and Substance Abuse Services in Crisis May 2011 Illinois Mental Health and Substance Abuse Services in Crisis Each year, hospitals in Illinois are encountering a steadily increasing number of persons with mental and substance use illnesses

More information

Prevention Agenda 2013 2017 is the state health improvement plan for the next five years.

Prevention Agenda 2013 2017 is the state health improvement plan for the next five years. Prevention Agenda 2013 2017 is the state health improvement plan for the next five years. It builds on the current plan, the Prevention Agenda toward the Healthiest State. The Prevention Agenda (launched

More information

Affordable Care Act Policy and Implementation Briefing

Affordable Care Act Policy and Implementation Briefing HEALTHCARE.GOV Affordable Care Act Policy and Implementation Briefing Family Planning Council s Reproductive Health Conference April 27, 2012 Joanne Corte Grossi,, MIPP Regional Director U.S. Department

More information

Health & Dignity Results Team Strategies

Health & Dignity Results Team Strategies Health & Dignity Results Team Strategies Budgeting for Outcomes Presentation to City Council January 12, 2007 Health & Dignity Results Team Members Ray Africa City Manager s Office (returning) Pamè La

More information

The Impact of Alcohol

The Impact of Alcohol Alcohol and Tobacco Smoking cigarettes and drinking alcohol are behaviors that often begin in adolescence. Although tobacco companies are prohibited from advertising, promoting, or marketing their products

More information

A Plan to Include Detoxification Services as a Covered Medical Assistance Benefit

A Plan to Include Detoxification Services as a Covered Medical Assistance Benefit A Plan to Include Detoxification Services as a Covered Medical Assistance Benefit Alcohol and Drug Abuse Division Minnesota Department of Human Services December 2014 For more information contact: Minnesota

More information

University Hospital Community Health Needs Assessment FY 2014

University Hospital Community Health Needs Assessment FY 2014 FY 2014 Prepared by Kathy Opromollo Executive Director of Ambulatory Care Services Newark New Jersey is the State s largest city. In striving to identify and address Newark s most pressing health care

More information

Community Health Needs Assessment Implementation Plan FY 14-16

Community Health Needs Assessment Implementation Plan FY 14-16 Community Health Needs Assessment Implementation Plan FY 14-16 South Miami Hospital conducted a community health needs assessment in 2013 to better understand the healthcare needs of the community it serves

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

Clinical Trials Network

Clinical Trials Network National Drug Abuse Treatment Clinical Trials Network STOP SMOKING STUDY Should I Join? NATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Introduction Many people who abuse drugs

More information

Summary: Fiscal Year 2013 Labor, Health and Human Services, and Education, and Related Agencies Appropriations Bill Subcommittee Mark

Summary: Fiscal Year 2013 Labor, Health and Human Services, and Education, and Related Agencies Appropriations Bill Subcommittee Mark FOR IMMEDIATE RELEASE Contact: Kate Frischmann w/harkin (202) 224-3254 Tuesday, June 12, 2012 Rob Blumenthal w/inouye (202) 224-7363 Summary: Fiscal Year 2013 Labor, Health and Human Services, and Education,

More information

If I have a psychiatric disability. Will Health Reform Help Me?

If I have a psychiatric disability. Will Health Reform Help Me? If I have a psychiatric disability Will Health Reform Help Me? For consumers of mental health services, a review of the bills passed by Congress in 2009 This paper was written by Chris Koyanagi, policy

More information

Mental Health and Substance Abuse Services Under BadgerCare Plus

Mental Health and Substance Abuse Services Under BadgerCare Plus Update January 2008 No. 2008-05 BadgerCare Plus Information for Providers To: Advanced Practice Nurse Prescribers with Psychiatric Specialty, AODA Counselors, Community Support Programs, Comprehensive

More information

Perspective Implications of the Affordable Care Act for People With HIV Infection and the Ryan White HIV/AIDS Program: What Does the Future Hold?

Perspective Implications of the Affordable Care Act for People With HIV Infection and the Ryan White HIV/AIDS Program: What Does the Future Hold? Perspective Implications of the Affordable Care Act for People With HIV Infection and the Ryan White HIV/AIDS Program: What Does the Future Hold? There are numerous aspects of the Patient Protection and

More information

Division of Medical Assistance Programs

Division of Medical Assistance Programs January 23-24, 2007 CLIENTS WE SERVE Medicaid eligibility is limited to individuals who fall into specified categories and who are in financial need. The federal Medicaid statute identifies over 25 different

More information

Healthcare Reform: Impact on Care for Low-Income and Uninsured Patients

Healthcare Reform: Impact on Care for Low-Income and Uninsured Patients Competency 4 Healthcare Reform: Impact on Care for Low-Income and Uninsured Patients Updated June 2014. Presented by: Lewis Foxhall, MD VP for Health Policy Professor, Clinical Cancer Prevention UT MD

More information

Questions and Answers About Smoking Cessation

Questions and Answers About Smoking Cessation Questions and Answers About Smoking Cessation 1. How important is it to stop smoking? It is very important. Tobacco use remains the single most preventable cause of death in the United States. Cigarette

More information

Affordable Care Act at 3: Strengthening Medicare

Affordable Care Act at 3: Strengthening Medicare Affordable Care Act at 3: Strengthening Medicare ISSUE BRIEF Fifth in a series May 22, 2013 Kyle Brown Senior Health Policy Analyst 789 Sherman St. Suite 300 Denver, CO 80203 www.cclponline.org 303-573-5669

More information

Free Additional Resources

Free Additional Resources Free Additional Resources Substance Abuse and Mental Health Services Administration Treatment Improvement Protocols The Substance Abuse and Mental Health Services Administration (SAMHSA) offers free Treatment

More information

CRITICAL SKILLS FOR OPTIMUM PATIENT CARE: Care Coordination and Health Literacy

CRITICAL SKILLS FOR OPTIMUM PATIENT CARE: Care Coordination and Health Literacy Thursday, August 20, 2015 CRITICAL SKILLS FOR OPTIMUM PATIENT CARE: Care Coordination and Health Literacy Contributors to the Presentation: Steven A. Estrine, PhD, President & CEO Loan Mai, PhD, Director

More information

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

Maryland Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Maryland Mental Health and Substance Abuse Services in Medicaid and SCHIP in Maryland As of July 2003, 638,662 people were covered under Maryland's Medicaid/SCHIP programs. There were 525,080 enrolled in the Medicaid

More information

Both mental illness and addiction are real medical conditions, just like diabetes, cardiovascular disease and heart disease. In terms of addiction,

Both mental illness and addiction are real medical conditions, just like diabetes, cardiovascular disease and heart disease. In terms of addiction, The State of Behavioral Health The State of Behavioral Health in Oklahoma Mental Illness and Addiction: Diseases of the Brain Both mental illness and addiction are real medical conditions, just like diabetes,

More information

1.1 WHAT IS A QUIT LINE?

1.1 WHAT IS A QUIT LINE? 1.Benefits and rationale for establishing quit-line services 1.1 WHAT IS A QUIT LINE? Quit lines provide a variety of tobacco cessation services predominately via telephones. These usually include: initial

More information

Minimum Insurance Benefits for Patients with Opioid Use Disorder The Opioid Use Disorder Epidemic: The Evidence for Opioid Treatment:

Minimum Insurance Benefits for Patients with Opioid Use Disorder The Opioid Use Disorder Epidemic: The Evidence for Opioid Treatment: Minimum Insurance Benefits for Patients with Opioid Use Disorder By David Kan, MD and Tauheed Zaman, MD Adopted by the California Society of Addiction Medicine Committee on Opioids and the California Society

More information

Redesigning the Publicly-Funded Mental Health System in Texas

Redesigning the Publicly-Funded Mental Health System in Texas Redesigning the Publicly-Funded Mental Health System in Texas Access to care when services are needed Choice in health plans for consumers and providers Integration of care at the plan and provider level

More information

2015: Your Guide to Health Care Reform and Medicare Changes

2015: Your Guide to Health Care Reform and Medicare Changes 2015: Your Guide to Health Care Reform and Medicare Changes Be Happy. Live Healthy. Health Care Reform The Affordable Care Act (ACA) passed in 2010 with three main goals: provide better access to health

More information

Fairfax-Falls Church Community Services Board. 106-11-Alcohol and Drug Adult Day Treatment Services

Fairfax-Falls Church Community Services Board. 106-11-Alcohol and Drug Adult Day Treatment Services 106-11-Alcohol and Drug Adult Day Treatment Services Fund/Agency: 106 Fairfax-Falls Church Community Services Board Personnel Services $1,480,282 Operating Expenses $288,147 Recovered Costs $0 Capital

More information

Medication-Assisted Addiction Treatment

Medication-Assisted Addiction Treatment Medication-Assisted Addiction Treatment Molly Carney, Ph.D., M.B.A. Executive Director Evergreen Treatment Services Seattle, WA What is MAT? MAT is the use of medications, in combination with counseling

More information

WHO Consultation on the Zero Draft Global Mental Health Action Plan 2013-2020 International Diabetes Federation (IDF) Submission

WHO Consultation on the Zero Draft Global Mental Health Action Plan 2013-2020 International Diabetes Federation (IDF) Submission WHO Consultation on the Zero Draft Global Mental Health Action Plan 2013-2020 International Diabetes Federation (IDF) Submission The International Diabetes Federation (IDF), an umbrella organisation of

More information

HEALTH INSURANCE COVERAGE FOR TOBACCO DEPENDENCE

HEALTH INSURANCE COVERAGE FOR TOBACCO DEPENDENCE HEALTH INSURANCE COVERAGE FOR TOBACCO DEPENDENCE Executive Summary Phyllis Gingiss, Dr.P.H. Ronald Scott, J.D., LL.M. February 2003 Prepared by the University of Houston Health Network for Evaluation and

More information

Alcohol and drugs prevention, treatment and recovery: why invest?

Alcohol and drugs prevention, treatment and recovery: why invest? Alcohol and drugs prevention, treatment and recovery: why invest? 1 Alcohol problems are widespread 9 million adults drink at levels that increase the risk of harm to their health 1.6 million adults show

More information