scholarly journals How are Substance Use Disorder Treatment Programs Adjusting to Value-Based Payment? A Statewide Qualitative Study

2020 ◽  
Vol 14 ◽  
pp. 117822182092402
Author(s):  
Megan A. O’Grady ◽  
Patricia Lincourt ◽  
Evan Gilmer ◽  
Michael Kwan ◽  
Constance Burke ◽  
...  
Keyword(s):  
New York ◽  
Substance Use ◽  
Qualitative Study ◽  
Substance Use Disorder ◽  
Business Models ◽  
Cost Effective ◽  
Healthcare Systems ◽  
Business Practices ◽  
Clinical Practices ◽  
Treatment Providers

Healthcare systems are implementing value-based payment (VBP) arrangements in efforts to incentivize cost-effective, high quality of care. These arrangements represent a major shift for substance use disorder (SUD) treatment providers who may need to make changes to their clinical and business operations to meet new demands for quality under value-based contracts. This qualitative study was conducted in the context of New York State’s efforts to implement VBP among SUD treatment providers to understand their experiences, challenges, and needs. Five focus groups were conducted across the State with a total of 68 treatment professionals. Content analysis was conducted and five themes emerged. First, competing demands, limited workforce and technology infrastructure, and perceived lack of information were leading to overwhelmed administrators. Second, confusion and financial fear was being driven by the need for new clinical roles, business practices, and external partnerships. Third, providers were undertaking a number of measures to address workforce needs. Fourth, providers were building new business models and clinical practices. Fifth, providers desired more support and information. As VBP models are being adopted, healthcare systems should identify ways to mitigate challenges and support SUD treatment providers that may have limited resources to address complex workforce, client, and infrastructure needs.

scholarly journals PREVENTION OF PSYCHOACTIVE SUBSTANCE USE

2021 ◽  
Vol 11 (5) ◽  
pp. 59-61
Author(s):  
Abu Shehab Ala Hani Izzat ◽  
Lucretia Anghel ◽  
Bogdan Stefanescu ◽  
Cristina Kantor ◽  
Anamaria Ciubara
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
New Technologies ◽  
Cost Effective ◽  
Effective Prevention ◽  
Use Patterns ◽  
Literature Searches ◽  
Chronic Disorder ◽  
Evidence Based Treatments ◽  
Prevention Methods

Substance use disorder in a severe mode is called addiction, it is a chronic disorder of the brain determined by biological and social factors that have unhealthy consequences to individuals and to community. Understanding substance use disorder has improved our perspectives in the last thirty years due to major advancement in researches related to genetics and neuroscience. In addition to the evolution of new technologies and methods that helped us create advanced prevention techniques and interventions. Methods: PubMed was used to conduct the literature searches, observational and interventional studies focused on adult substance use were obtained. Findings were collected and arranged to cover the main points of epidemiology, neurobiology and prevention. Results: substance-related use patterns have evolved over time, which are informed via peer behaviors, environmental factors, messaging platforms, availability of various substances, and other different variables. Many risk factors in addition to resiliency factors contributed to individual differences in substance use and related results. Prevention methods have achieved mixed results, although many evidence-based treatments were developed for substance use disorder, the results are limited to a moderate level, suggesting the need for additional research to evolve prevention methods and treatment. Conclusion: It is necessary to mention that there is a high demand to identify cost effective prevention methods. The integration of prevention methods and techniques, including interventions at the school, family and society levels, is more likely to achieve the results needed.

Needs of Spouses of Patients with Substance Use Disorder: A Qualitative Study

2021 ◽  
Author(s):  
Shiva Soraya ◽  
Mandana Haghshenas ◽  
Hamid Reza Ahmadkhaniha ◽  
Somayeh Azarnik ◽  
Hossein MansourKiaei ◽  
...  
Keyword(s):  
Substance Use ◽  
Qualitative Study ◽  
Social Services ◽  
Substance Use Disorder ◽  
Substance Dependence ◽  
Wide Spectrum ◽  
Family Members ◽  
Purposeful Sampling ◽  
The Individual ◽  
Initial Interviews

Background: The skill of adjusting and regulating the needs and adaptation are the most fundamental abilities of family members. Since substance use related disorders create serious health threats and cost burdens for family, it is important to investigate the needs of spouses of these patients. Regarding the wide spectrum of needs based on previous researches, the psychiatric needs were the focus in this study. By evaluating the needs, the executives of social services can better determine the basic needs of patients and their family members. Methods: This is a qualitative study applying a content analysis approach. Based on the objectives of this research, purposeful sampling was done and continued until information saturation. In total, 16 spouses of patients using substance were interviewed. Initial interviews began with guiding questions and the probing questions were applied in the following interviews. Participants’ emotions were coded and codes with similar concepts were placed together in one category and subcategories were created. Results: After conducting 16 in-depth interviews, 38 initial codes were obtained and categorized into 6 key concepts (Neglecting the reciprocal roles and rights, lack of responsibility, lack of motivation, psychiatric changes due to substance use, feelings of insecurity, and defective communication). Conclusion: The present study paves the way in better understanding of the needs of the spouses of patients with substance use disorder, and enables the specialists in this area to adjust the treatment according to each individual patient and evaluate emerging patient related issues and challenges as well. Substance dependence, in addition to making problems for the individual and the society, leads to unsatisfied needs of close family members and acquaintances. In other words, treatment will be more effective if each patient is recognized individually, the family is educated, and family-level interventions are provided.

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