TY - JOUR
T1 - Organizing Publicly Funded Substance Use Disorder Treatment in the United States
T2 - Moving Toward a Service System Approach
AU - Padwa, Howard
AU - Urada, Darren
AU - Gauthier, Patrick
AU - Rieckmann, Traci
AU - Hurley, Brian
AU - Crèvecouer-MacPhail, Desirée
AU - Rawson, Richard A.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Historically, publicly funded substance use disorder (SUD) treatment services in the United States have been disorganized and inefficient. By reconfiguring and linking services to create systems of care—services, structures, and processes that are purposively interconnected to treat SUD systematically—health systems can transform discrete service components into cohesive service systems that comprehensively and efficiently treat SUDs. In this article we: (1) articulate the potential benefits of organizing publicly funded SUD services into systems of care; (2) review basic principles underlying theories of SUD system organization; (3) describe the mix and configuration of services needed to create comprehensive, integrated systems of publicly funded SUD care; (4) elucidate how patients can flow through systems of SUD services in a clinically sound and cost-efficient manner, and; (5) propose eight steps that can be taken to create systems of care by identifying and leveraging the strengths, assets, and capacities of SUD service providers already operating within their health care systems. In July 2015, the Centers for Medicare and Medicaid Services (CMS) announced opportunities for states to redesign their Medicaid-funded SUD service systems. This paper provides considerations for SUD system design and development.
AB - Historically, publicly funded substance use disorder (SUD) treatment services in the United States have been disorganized and inefficient. By reconfiguring and linking services to create systems of care—services, structures, and processes that are purposively interconnected to treat SUD systematically—health systems can transform discrete service components into cohesive service systems that comprehensively and efficiently treat SUDs. In this article we: (1) articulate the potential benefits of organizing publicly funded SUD services into systems of care; (2) review basic principles underlying theories of SUD system organization; (3) describe the mix and configuration of services needed to create comprehensive, integrated systems of publicly funded SUD care; (4) elucidate how patients can flow through systems of SUD services in a clinically sound and cost-efficient manner, and; (5) propose eight steps that can be taken to create systems of care by identifying and leveraging the strengths, assets, and capacities of SUD service providers already operating within their health care systems. In July 2015, the Centers for Medicare and Medicaid Services (CMS) announced opportunities for states to redesign their Medicaid-funded SUD service systems. This paper provides considerations for SUD system design and development.
KW - Medicaid
KW - Organized delivery systems
KW - Public policy
KW - Substance use disorder services
UR - http://www.scopus.com/inward/record.url?scp=84978288348&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84978288348&partnerID=8YFLogxK
U2 - 10.1016/j.jsat.2016.06.010
DO - 10.1016/j.jsat.2016.06.010
M3 - Article
C2 - 27568505
AN - SCOPUS:84978288348
SN - 0740-5472
VL - 69
SP - 9
EP - 18
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
ER -