Thursday, May 29, 2014: 1:15 PM-2:45 PM
Columbia C (Hyatt Regency Washington)
Theme: Large-scale Dissemination of Prevention Policies, Programs, and Practices
C. Hendricks Brown
Sheppard Gordon Kellam and Hilda Maria Pantin
Sixty-three million Americans are expected to receive increased services for mental health and drug abuse problems in January, 2014 through the Affordable Care Act and Parity legislation that mandates the delivery of evidence-based programs to address mental health and drug abuse. While there are approved interventions for depression, smoking, and alcohol abuse that can now be reimbursed through Medicaid, there are no programs that the U.S. Preventive Services Task Force have identified as evidence-based for either illicit drug abuse or suicide screening and early intervention. In this symposium, we address these challenges using two innovative approaches that begin with screening, followed by brief interventions and referrals. First, we will present recent findings from the NIDA funded QUIT randomized trial in five Federally Qualified Health Care settings. This program finds significant reduction in illicit drug use among those who screen positive for problem drug use using the ASSIST system, i.e. those who are most likely to benefit from a brief intervention. This confirms that evidence for the efficacy of an approach that has been identified as successful for alcohol abuse, is potentially valuable for drug use as well. Our second presenter will provide an implementation perspective from the point of view of the leadership of one of the country’s largest FQHC systems, AltaMed Health Services, which served as the sites for the QUIT efficacy trial. Factors in the decision making of AltaMed are presented that are necessary to lead to wide scale adoption. A third presentation discusses the use of a comprehensive system of screening and multistage intervention built especially around adolescent suicide that is now being administered in 5 emergency rooms and 25 primary care practices. Implications for the implementation of these and related systems will be addressed by our discussants, who will provide perspectives on how population based prevention can be linked to such services.
* noted as presenting author
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