scholarly journals Can Substance Use Disorders be Managed Using the Chronic Care Model? Review and Recommendations from a NIDA Consensus Group

2013 ◽  
Vol 35 (2) ◽  
Author(s):  
A. Thomas McLellan ◽  
Joanna L. Starrels ◽  
Betty Tai ◽  
Adam J. Gordon ◽  
Richard Brown ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Care Model ◽  
Consensus Group ◽  
Model Review

scholarly journals Coordinating across correctional, community, and VA systems: applying the Collaborative Chronic Care Model to post-incarceration healthcare and reentry support for veterans with mental health and substance use disorders

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Bo Kim ◽  
Rendelle E. Bolton ◽  
Justeen Hyde ◽  
B. Graeme Fincke ◽  
Mari-Lynn Drainoni ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Federal State ◽  
Care Model ◽  
Increased Risk ◽  
Correctional Community

Abstract Background Between 12,000 and 16,000 veterans leave incarceration annually. As is known to be the case for justice-involved populations in general, mental health disorders (MHDs) and substance use disorders (SUDs) are highly prevalent among incarcerated veterans, and individuals with MHDs and SUDs reentering the community are at increased risk of deteriorating health and recidivism. We sought to identify opportunities to better coordinate care/services across correctional, community, and VA systems for reentry veterans with MHDs and SUDs. Methods We interviewed 16 veterans post-incarceration and 22 stakeholders from reentry-involved federal/state/community organizations. We performed a grounded thematic analysis, and recognizing consistencies between the emergent themes and the evidence-based Collaborative Chronic Care Model (CCM), we mapped findings to the CCM’s elements – work role redesign (WRR), patient self-management support (PSS), provider decision support (PDS), clinical information systems (CIS), linkages to community resources (LCR), and organizational/leadership support (OLS). Results Emergent themes included (i) WRR – coordination challenges among organizations involved in veterans’ reentry; (ii) PSS – veterans’ fear of reentering society; (iii) PDS – uneven knowledge by reentry support providers regarding available services when deciding which services to connect a reentry veteran to and whether he/she is ready and/or willing to receive services; (iv) CIS – lapses in MHD/SUD medications between release and a first scheduled health care appointment, as well as challenges in transfer of medical records; (v) LCR – inconsistent awareness of existing services and resources available across a disparate reentry system; and (vi) OLS – reentry plans designed to address only immediate transitional needs upon release, which do not always prioritize MHD/SUD needs. Conclusions Applying the CCM to coordinating cross-system health care and reentry support may contribute to reductions in mental health crises and overdoses in the precarious first weeks of the reentry period.

Vernetzte Betreuung von Patientinnen und Patienten mit Herzinsuffizienz

2011 ◽  
Vol 68 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Cornelia Bläuer ◽  
Otmar Pfister ◽  
Christa Bächtold ◽  
Therese Junker ◽  
Rebecca Spirig
Keyword(s):  
Chronic Care Model ◽  
Chronic Care ◽  
Care Model

Patienten mit Herzinsuffizienz (HI) sind in ihrer Lebensqualität stark eingeschränkt, haben eine schlechte Prognose und müssen häufig hospitalisiert werden. Die Forschung hat gezeigt, dass die Gesundheitsresultate dieser Patientengruppe durch ein gutes Selbstmanagement verbessert werden können. Eine Möglichkeit zur Verbesserung des Selbstmanagements sind ambulante Diseasemangementprogramme, welche die Lebensqualität verbessern und Kosten reduzieren helfen. Solchen Programmen liegt meist das von der WHO entwickelte Chronic Care Model zu Grunde, welches auf die Betreuung chronisch Kranker mit einem hohen Selbstmanagementbedarf ausgerichtet ist. Um ein gutes Selbstmanagement entwickeln zu können braucht es bedürfnissorientierte Patientenschulung und -beratung, denn die Betroffenen benötigen nicht nur Wissen zur Krankheit sondern müssen handlungsfähig werden. In der Schweiz fehlt es an etablierten Modellen und Programmen zur Betreuung von chronisch Kranken, insbesondere HI-Betroffenen. Aus diesem Grund hat eine schweizerische Expertengruppe für HI eine Modell zur „vernetzten Betreuung“ erstellt. In Anlehnung daran bietet die Schweizerische Herzstiftung seit 2009 ein Schulungsprogramm zur Unterstützung von Ärzten, Betroffenen und deren Angehörige an. Eine erste Evaluation hat unterschiedliche Resultate von Seiten der Ärzte gezeigt. Von den Betroffenen waren die Rückmeldungen äußerst positiv. Sie beurteilten die Schulungen als bedürfnissorientiert und unterstützend. (Geschlechtsbestimmende Begriffe stehen immer stellvertretend für beide Geschlechter)

scholarly journals Care production for tuberculosis cases:analysis according to the elements of the Chronic Care Model

2016 ◽  
Vol 50 (2) ◽  
pp. 239-246 ◽  
Author(s):  
Daiane Medeiros da Silva ◽  
Hérika Brito Gomes de Farias ◽  
Tereza Cristina Scatena Villa ◽  
Lenilde Duarte de Sá ◽  
Maria Eugênia Firmino Brunello ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Chronic Care Model ◽  
Health Care Services ◽  
Chronic Care ◽  
Capital City ◽  
Care Model ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Abstract OBJECTIVE: To analyze the care provided to tuberculosis cases in primary health care services according to the elements of the Chronic Care Model. METHOD: Cross-sectional study conducted in a capital city of the northeastern region of Brazil involving 83 Family Health Strategy professionals.A structured tool adapted to tuberculosis-related care in Brazil was applied.Analysis was based on the development of indicators with capacity to produce care varying between limited and optimum. RESULTS: The organization of care for tuberculosis and supported self-care presented reasonable capacity.In the coordination with the community, the presence of the community agent presented optimum capacity.Partnership with organizations of the community and involvement of experts presented limited capacity.The qualification of professionals, the system for scheduling and monitoring tuberculosis in the community, and the clinical information system presented basic capacity. CONCLUSION: The capacity of the primary health care services to produce tuberculosis-related care according to the elements of the Chronic Care Model is still limited.Overcoming the fragmentation of care and prioritizing a systemic operation between actions and services of the health care network remains as a major challenge.

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