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E-raamat: Key Policy Challenges and Opportunities to Improve Care for People with Mental Health and Substance Use Disorders: Proceedings of a Workshop

  • Formaat: 116 pages
  • Ilmumisaeg: 14-Jul-2020
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309672238
  • Formaat - EPUB+DRM
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  • Formaat: 116 pages
  • Ilmumisaeg: 14-Jul-2020
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309672238

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Behavioral health and substance use disorders affect approximately 20 percent of the U.S. population. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. Together, these disorders account for a substantial burden of disability, have been associated with an increased risk of morbidity and mortality from other chronic illnesses, and can be risk factors for incarceration, homelessness, and death by suicide. In addition, they can compromise a person's ability to seek out and afford health care and adhere to treatment recommendations.



To explore data, policies, practices, and systems that affect the diagnosis and provision of care for mental health and substance use disorders, the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine created the Forum on Mental Health and Substance Use Disorders. The forum activities are expected to advance the discussion and generate potential ideas on ways to address many of the most persistent problems in delivering mental health and substance use services. The inaugural workshop, held October 15-16, 2019, in Washington, DC, explored the key policy challenges that impede efforts to improve care for those individuals with mental health and substance use disorders. This publication summarizes the presentations and discussion of the workshop.

Table of Contents



Front Matter Proceedings of a Workshop Appendix A: Workshop Agenda Appendix B: Statement of Task
Proceedings Of A Workshop
1(1)
Introduction
1(2)
Promoting Person-Centered Care, Shared Decision Making, And Patient And Family Engagement
3(18)
Flipping the Script: Advancing Patient-Centered Care and Supported Decision Making
3(7)
Trauma-Informed Care and the Ryan White Model of Delivery
10(7)
Creating Hope Through Person-Directed Care, Decision Negotiation, and Collaboration
17(2)
Discussion
19(2)
Identifying Essential Components Of Care By Defining What Minimally Adequate Care Would Be Across Diverse Care Settings
21(18)
The Veterans Affairs Integrated Care Experience
21(3)
Can We Provide Necessary Care for Substance Use and Mental Health Disorders in the United States?
24(7)
Considering Essential Components of Care While Maintaining a Focus on Behavioral Health Equity
31(4)
Implementation Science and Care for Mental Health and Substance Use Disorders
35(3)
Discussion
38(1)
Promising Strategies To Translate Knowledge Into Practice And Monitor Implementation
39(13)
Harnessing Implementation Science to Realize the Promise of Evidence-Based Practice
40(3)
Using Evidence to Support Healthier Families and Better Lives
43(2)
Medication-Assisted Treatment and Substance Use Disorder Treatment in Primary Care Settings: A Focus on Community Health Centers
45(3)
Integrating Primary Care and Behavioral Health Services in Coordinated Community Systems
48(4)
Discussion
52(1)
Luncheon Discussions
52(2)
Key Learnings From Day One Of The Workshop
54(2)
Using Data To Improve Care Service Delivery And Patient Outcomes
56(15)
Examining the Opioid Epidemic Using Linked Data in Massachusetts
57(3)
Advances in Mental Health Measurement
60(3)
Achieving Population Well-Being Through Mental Health Integration and Team-Based Care
63(3)
Adapting a Data Infrastructure to Address the Opioid Epidemic in Camden, New Jersey
66(2)
Discussion
68(3)
Developing The Workforce For Integrated Care
71(12)
The State of the Nations Behavioral Health Workforce
72(1)
Assessing and Expanding the Clinical Workforce for Treating Substance Use Disorder in Colorado
73(2)
Nurse Care Manager Model for Office-Based Addiction Treatment
75(4)
Social Work Workforce: Spanning Multi-Focused Care Delivery Systems
79(2)
Discussion
81(2)
References 83(8)
Appendix A Workshop Agenda 91(6)
Appendix B Statement of Task 97