Emphasis Area Descriptions
Proposals for this year’s conference should demonstrate innovative, promising, or evidence based strategies or programs in the following emphasis areas, which will excite and inspire conference participants.
- Prevention under Health Care Reform
Under health care reform, prevention and early intervention will increasingly occur in clinical settings. Proposals may include presentations on screening and brief intervention for alcohol misuse and tobacco cessation services, as well as changes and opportunities for prevention in community services, community education and awareness that work toward achieving the Triple Aim goals of health care reform. We encourage different types of presentations, including research reviews.
- Cultural Competency and Preparing for Special Populations under Health Care Reform
IAs health care coverage expands through parity, the Medicaid expansion and the establishment of the Health Insurance Exchange, California must assure that its diverse populations have access to and receive their fair share of new resources. Workshop proposals should include programs for specific populations, including veterans, in the areas of policy making, administration, service delivery, involve consumers, key stakeholders and communities, and be aware of the opportunities and risk that special populations, stakeholders and communities will face and how the ACA could provide opportunities for expanded services.
- Criminal Justice and Health Care Reform: The Need for Cross-System Collaboration
In 2014, Medi-Cal will expand to include single, childless adults with incomes at or below 133 percent of the federal poverty level. The newly-eligible Medi-Cal population will likely include a sizeable subset with current and prior criminal justice involvement and significant unmet medical needs, mental illnesses and substance use disorders. Further cross-system collaboration, however, will be necessary to meet client needs. We are seeking presenters with experience in cross-system collaboration that includes: early identification of this population’s medical, mental health and SUD treatment needs; connections with appropriate community-based services; coordinated, case management services; and appropriate monitoring and follow-up with criminal justice partners.
- Improving Access and Outcomes in Prevention, Intervention, Treatment and Recovery Support Services and Providing a Full Continuum of Integrated Services
Incorporating the ADP Continuum of Services System Re-engineering model with the federal Substance Abuse and Mental Health Administration’s (SAMHSA) model for a Modern Addictions and Mental Health Service System provides a system framework. Proposals should address the SUD field’s preparation for providing a full continuum of integrated services, including, client engagement and person-centered/self-directed care planning, use of evidence-based practices and programs, care management for SUD consumers, and recovery support services.
- Health Care Reform: Forging Linkages between Substance Use Disorder, Mental Health and Primary Care
Health care reform envisions the SUD field working closely with community primary care partners to ensure that all SUD clients gain access to a healthcare/medical home that is person-centered and provides access to high quality MH and SU services. Proposals might include, developing the person-centered medical homes, establish linkages with Federally Qualified Health Centers (FQHC) and other community safety-net clinics, and identify best practices for integration in primary care.
- Necessary Adaptations for Business Operations under Health Care Reform
New service delivery models were developed to address the healthcare system’s problems with poor-quality and high-cost. Accountable Care Organizations (ACOs) are one such model that will serve as a foundational element of healthcare under the ACA. Proposals need to explore how SUD providers can adapt to provide new service delivery models, and continue providing SUD services.
- IT and Health Care Reform
Under health care reform SUD providers will need to assess/revisit whether their current IT structure and use of EHR will need to be updated, optimized, or newly established. Given the need to coordinate patient’s care among different systems of care the expectation is that SUD providers will have the IT and EHR infrastructure to handle and interact with a significant movement from paper to electronic record systems. While not directly benefiting from HITECH Act, SUD/behavioral health providers will increasingly need to be concerned about their involvement/ interaction with those systems impacted by HITECH Act and particularly performance based reimbursements associated with the meaningful use of EHR.
- Rural SUD Services
Health care reform includes important provisions for providers and communities living in rural communities. The Act encourages more health providers to work in rural communities and expands telehealth services. This should help address issues of access and real lack of SUD services in rural communities by allowing new health providers to be trained in SUD service delivery and facilitate the delivery of SUD services via telehealth by SUD providers residing in both rural/urban communities. This will require SUD providers to become familiar with use of telehealth as a means of delivering SUD prevention, treatment, and recovery oriented services.