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...

Full description

Saved in:
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
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c460t-974b792c165fb2a10a610110b6b87dc15e0ce6c84439154a3bbc81de04906b9d3
cites
container_end_page 407
container_issue 4
container_start_page 397
container_title Progress in community health partnerships
container_volume 11
creator Watkins, Katherine E
Ober, Allison J
Lamp, Karen
Lind, Mimi
Diamant, Allison
Osilla, Karen Chan
Heinzerling, Keith
Hunter, Sarah B
Pincus, Harold Alan
description 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.
doi_str_mv 10.1353/cpr.2017.0047
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6124482</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1994436801</sourcerecordid><originalsourceid>FETCH-LOGICAL-c460t-974b792c165fb2a10a610110b6b87dc15e0ce6c84439154a3bbc81de04906b9d3</originalsourceid><addsrcrecordid>eNpVkd1r2zAUxcVYWT-2x70OwZ6d3Wt92H4ZlHTtAi0ptIG-CVlWGgXb8iSnsP--ctNl7ZMu6Oico_sj5CvCDJlgP8wQZjlgMQPgxQdygkIUGQjx8PEwczwmpzFuIY2sEp_IcV4xlpeCnZCHRTe0trP96PpHOm4snW-C752hcx0svfGNbenaB7ocnHcN1X1Dz1vjN76lq2jphYs-NDZE6np6G1ynw9-Xp5_J0Vq30X55Pc_I6vLX_fx3dr28WszPrzPDJYxZVfC6qHKDUqzrXCNoiYAItazLojEoLBgrTclTcxRcs7o2JTYWeAWyrhp2Rn7ufYdd3dnGpJ8E3aphX0V57dT7m95t1KN_UhJzzss8GXx_NQj-z87GUW39LvSps8KqSrmyBEyqbK8ywccY7PqQgKAmECqBUBMINYFI-m9vax3U_zafBPwQu7Vm7HbR_k-WJUt7UHcTwQkmFhwACsmeAcTelBw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1994436801</pqid></control><display><type>article</type><title>Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care</title><source>Project Muse:Jisc Collections:Project MUSE Journals Agreement 2024:Premium Collection</source><source>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</source><source>Sociological Abstracts</source><creator>Watkins, Katherine E ; Ober, Allison J ; Lamp, Karen ; Lind, Mimi ; Diamant, Allison ; Osilla, Karen Chan ; Heinzerling, Keith ; Hunter, Sarah B ; Pincus, Harold Alan</creator><creatorcontrib>Watkins, Katherine E ; Ober, Allison J ; Lamp, Karen ; Lind, Mimi ; Diamant, Allison ; Osilla, Karen Chan ; Heinzerling, Keith ; Hunter, Sarah B ; Pincus, Harold Alan</creatorcontrib><description>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.</description><identifier>ISSN: 1557-0541</identifier><identifier>ISSN: 1557-055X</identifier><identifier>EISSN: 1557-055X</identifier><identifier>DOI: 10.1353/cpr.2017.0047</identifier><identifier>PMID: 29332853</identifier><language>eng</language><publisher>United States: Johns Hopkins University Press</publisher><subject>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 &amp; Affordable Care Act 2010-US ; Patients ; Primary care ; Primary Health Care - organization &amp; administration ; Psychotherapy ; Qualitative Research ; Researchers ; Social workers ; Studies ; Substance abuse treatment ; Substance use ; Treatment methods</subject><ispartof>Progress in community health partnerships, 2017-01, Vol.11 (4), p.397-407</ispartof><rights>Copyright © The Johns Hopkins University Press.</rights><rights>Copyright Johns Hopkins University Press Winter 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-974b792c165fb2a10a610110b6b87dc15e0ce6c84439154a3bbc81de04906b9d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1994436801/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1994436801?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,776,780,881,21374,27323,27903,27904,33590,33753,43712,73968</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29332853$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Watkins, Katherine E</creatorcontrib><creatorcontrib>Ober, Allison J</creatorcontrib><creatorcontrib>Lamp, Karen</creatorcontrib><creatorcontrib>Lind, Mimi</creatorcontrib><creatorcontrib>Diamant, Allison</creatorcontrib><creatorcontrib>Osilla, Karen Chan</creatorcontrib><creatorcontrib>Heinzerling, Keith</creatorcontrib><creatorcontrib>Hunter, Sarah B</creatorcontrib><creatorcontrib>Pincus, Harold Alan</creatorcontrib><title>Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care</title><title>Progress in community health partnerships</title><addtitle>Prog Community Health Partnersh</addtitle><description>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.</description><subject>Addictions</subject><subject>Alcohol</subject><subject>Alcohol use</subject><subject>Alcohol-Related Disorders - therapy</subject><subject>Alcoholism</subject><subject>Chronic illnesses</subject><subject>Clinical trials</subject><subject>Collaboration</subject><subject>Drug use</subject><subject>FDA approval</subject><subject>Focus Groups</subject><subject>Homeless people</subject><subject>Humans</subject><subject>Intervention</subject><subject>Low income groups</subject><subject>Meetings</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Models, Organizational</subject><subject>Narcotics</subject><subject>Opioid-Related Disorders - therapy</subject><subject>Opioids</subject><subject>Organizational change</subject><subject>Patient Protection &amp; Affordable Care Act 2010-US</subject><subject>Patients</subject><subject>Primary care</subject><subject>Primary Health Care - organization &amp; administration</subject><subject>Psychotherapy</subject><subject>Qualitative Research</subject><subject>Researchers</subject><subject>Social workers</subject><subject>Studies</subject><subject>Substance abuse treatment</subject><subject>Substance use</subject><subject>Treatment methods</subject><issn>1557-0541</issn><issn>1557-055X</issn><issn>1557-055X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>BHHNA</sourceid><sourceid>M2R</sourceid><recordid>eNpVkd1r2zAUxcVYWT-2x70OwZ6d3Wt92H4ZlHTtAi0ptIG-CVlWGgXb8iSnsP--ctNl7ZMu6Oico_sj5CvCDJlgP8wQZjlgMQPgxQdygkIUGQjx8PEwczwmpzFuIY2sEp_IcV4xlpeCnZCHRTe0trP96PpHOm4snW-C752hcx0svfGNbenaB7ocnHcN1X1Dz1vjN76lq2jphYs-NDZE6np6G1ynw9-Xp5_J0Vq30X55Pc_I6vLX_fx3dr28WszPrzPDJYxZVfC6qHKDUqzrXCNoiYAItazLojEoLBgrTclTcxRcs7o2JTYWeAWyrhp2Rn7ufYdd3dnGpJ8E3aphX0V57dT7m95t1KN_UhJzzss8GXx_NQj-z87GUW39LvSps8KqSrmyBEyqbK8ywccY7PqQgKAmECqBUBMINYFI-m9vax3U_zafBPwQu7Vm7HbR_k-WJUt7UHcTwQkmFhwACsmeAcTelBw</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Watkins, Katherine E</creator><creator>Ober, Allison J</creator><creator>Lamp, Karen</creator><creator>Lind, Mimi</creator><creator>Diamant, Allison</creator><creator>Osilla, Karen Chan</creator><creator>Heinzerling, Keith</creator><creator>Hunter, Sarah B</creator><creator>Pincus, Harold Alan</creator><general>Johns Hopkins University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>7U3</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>M1P</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>PADUT</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>5PM</scope></search><sort><creationdate>20170101</creationdate><title>Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care</title><author>Watkins, Katherine E ; Ober, Allison J ; Lamp, Karen ; Lind, Mimi ; Diamant, Allison ; Osilla, Karen Chan ; Heinzerling, Keith ; Hunter, Sarah B ; Pincus, Harold Alan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-974b792c165fb2a10a610110b6b87dc15e0ce6c84439154a3bbc81de04906b9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Addictions</topic><topic>Alcohol</topic><topic>Alcohol use</topic><topic>Alcohol-Related Disorders - therapy</topic><topic>Alcoholism</topic><topic>Chronic illnesses</topic><topic>Clinical trials</topic><topic>Collaboration</topic><topic>Drug use</topic><topic>FDA approval</topic><topic>Focus Groups</topic><topic>Homeless people</topic><topic>Humans</topic><topic>Intervention</topic><topic>Low income groups</topic><topic>Meetings</topic><topic>Mental disorders</topic><topic>Mental health care</topic><topic>Models, Organizational</topic><topic>Narcotics</topic><topic>Opioid-Related Disorders - therapy</topic><topic>Opioids</topic><topic>Organizational change</topic><topic>Patient Protection &amp; Affordable Care Act 2010-US</topic><topic>Patients</topic><topic>Primary care</topic><topic>Primary Health Care - organization &amp; administration</topic><topic>Psychotherapy</topic><topic>Qualitative Research</topic><topic>Researchers</topic><topic>Social workers</topic><topic>Studies</topic><topic>Substance abuse treatment</topic><topic>Substance use</topic><topic>Treatment methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Watkins, Katherine E</creatorcontrib><creatorcontrib>Ober, Allison J</creatorcontrib><creatorcontrib>Lamp, Karen</creatorcontrib><creatorcontrib>Lind, Mimi</creatorcontrib><creatorcontrib>Diamant, Allison</creatorcontrib><creatorcontrib>Osilla, Karen Chan</creatorcontrib><creatorcontrib>Heinzerling, Keith</creatorcontrib><creatorcontrib>Hunter, Sarah B</creatorcontrib><creatorcontrib>Pincus, Harold Alan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>Social Services Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Research Library China</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Progress in community health partnerships</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Watkins, Katherine E</au><au>Ober, Allison J</au><au>Lamp, Karen</au><au>Lind, Mimi</au><au>Diamant, Allison</au><au>Osilla, Karen Chan</au><au>Heinzerling, Keith</au><au>Hunter, Sarah B</au><au>Pincus, Harold Alan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care</atitle><jtitle>Progress in community health partnerships</jtitle><addtitle>Prog Community Health Partnersh</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>11</volume><issue>4</issue><spage>397</spage><epage>407</epage><pages>397-407</pages><issn>1557-0541</issn><issn>1557-055X</issn><eissn>1557-055X</eissn><abstract>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.</abstract><cop>United States</cop><pub>Johns Hopkins University Press</pub><pmid>29332853</pmid><doi>10.1353/cpr.2017.0047</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1557-0541
ispartof Progress in community health partnerships, 2017-01, Vol.11 (4), p.397-407
issn 1557-0541
1557-055X
1557-055X
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6124482
source Project Muse:Jisc Collections:Project MUSE Journals Agreement 2024:Premium Collection; Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociological Abstracts
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
title Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T16%3A13%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Implementing%20the%20Chronic%20Care%20Model%20for%20Opioid%20and%20Alcohol%20Use%20Disorders%20in%20Primary%20Care&rft.jtitle=Progress%20in%20community%20health%20partnerships&rft.au=Watkins,%20Katherine%20E&rft.date=2017-01-01&rft.volume=11&rft.issue=4&rft.spage=397&rft.epage=407&rft.pages=397-407&rft.issn=1557-0541&rft.eissn=1557-055X&rft_id=info:doi/10.1353/cpr.2017.0047&rft_dat=%3Cproquest_pubme%3E1994436801%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c460t-974b792c165fb2a10a610110b6b87dc15e0ce6c84439154a3bbc81de04906b9d3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1994436801&rft_id=info:pmid/29332853&rfr_iscdi=true