Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care

Effective treatments for opioid and alcohol use disorders (OAUD) are available, yet only a small percentage of those needing treatment receive it. This paper describes a collaborative planning and development process used by researchers and community providers to apply the chronic care model to the...

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Bibliographic Details
Published in:Progress in community health partnerships 2017-01, Vol.11 (4), p.397-407
Main Authors: Watkins, Katherine E, Ober, Allison J, Lamp, Karen, Lind, Mimi, Diamant, Allison, Osilla, Karen Chan, Heinzerling, Keith, Hunter, Sarah B, Pincus, Harold Alan
Format: Article
Language:English
Subjects:
Addictions
Alcohol
Alcohol use
Alcohol-Related Disorders - therapy
Alcoholism
Chronic illnesses
Clinical trials
Collaboration
Drug use
FDA approval
Focus Groups
Homeless people
Humans
Intervention
Low income groups
Meetings
Mental disorders
Mental health care
Models, Organizational
Narcotics
Opioid-Related Disorders - therapy
Opioids
Organizational change
Patient Protection & Affordable Care Act 2010-US
Patients
Primary care
Primary Health Care - organization & administration
Psychotherapy
Qualitative Research
Researchers
Social workers
Studies
Substance abuse treatment
Substance use
Treatment methods
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Summary:Effective treatments for opioid and alcohol use disorders (OAUD) are available, yet only a small percentage of those needing treatment receive it. This paper describes a collaborative planning and development process used by researchers and community providers to apply the chronic care model to the delivery of treatment for OAUD in primary care. The goal was to develop and implement an intervention that would support the delivery of brief psychotherapy and medication-assisted treatment (MAT). We used focus groups and interviews to identify barriers and facilitators, and organized the results using the chronic care model. We then identified implementation strategies, the intended organizational changes, and the materials necessary to carry out each strategy, and pilot-tested the process. We describe the methods and outcomes of the collaborative planning and development process, and discuss implications of the work for the integration of substance use treatment with primary care.
ISSN:1557-0541
1557-055X
1557-055X
DOI:10.1353/cpr.2017.0047