156637 Improving access to integrated treatment for adults with mental illnesses and substance abuse addictions

Monday, November 5, 2007

Thomas Glen Adams, MDiv , Missouri Foundation for Health, Saint Louis, MO
Kathryn DeForest, MSW, LCSW , Missouri Foundation for Health, Saint Louis, MO
Michael Renner, MSW , Missouri Foundation for Health, Saint Louis, MO
Alyse B. Sabina, MPH , Missouri Foundation for Health, Saint Louis, MO
Deena Lauver Scotti, MBA , Missouri Foundation for Health, Saint Louis, MO
Moira Cahan, MPH , Missouri Foundation for Health, Saint Louis, MO
Jenny Minelli , Missouri Foundation for Health, Saint Louis, MO
James R. Kimmey, MD, MPH , Missouri Foundation for Health, Saint Louis, MO
Background: National trends indicate that more than half of adults with co-occurring disorders receive neither mental health nor substance abuse treatment, and only 12% receive both treatments. Thus, the greatest need for those with co-occurring disorders is to improve the integration and coordination of treatment services to treat the whole person. Program: The Missouri Foundation for Health (MFH) has designed a funding program to support the implementation of integrated treatment services for adults with co-occurring disorders, using best practice models. Funding provides grantees to develop, improve and expand integrated treatment services; support the necessary collaborative partnerships that will guide the course of change, leverage resources to increase consistency in service delivery and sustain improvements; implement evidence-based best practices that maximize efficient, coordinated care and produce improved clinical outcomes; and provide the technical assistance and training to support the infrastructure changes needed to successfully implement and maintain integrated treatment. Grantees are also provided the tools and resources to be advocates for improving the service delivery system in Missouri. Progress to Date: In 2006, 11 organizations were awarded funding and a second RFA has been released with the expectation that a similar amount will be funded in 2007. Program evaluation will be conducted by an external contractor. Conclusion: The impact of this funding program has the potential to significantly improve the co-occurring care delivery system in Missouri, enabling mental health and substance abuse treatment providers to provide quality, evidence-based integrated treatment services to the adult population with co-occurring disorders.

Learning Objectives:
1) Identify the differences between co-occurring disorders (COD) and typical mental illness diagnoses and describe its severity and challenges to treatment. 2) Articulate and describe the service and system barriers involved with providing integrated services to those experiencing COD. 3) Recognize and articulate the difference between an integrated service system and your current service delivery system. 4) Identify and list what aspects of treatment services your agency needs to change to provide integrated mental illness and substance abuse treatment services. 5) Identify at least one new idea/concept from today that you can apply to your work and organization in helping it move toward integrated services.

Keywords: Foundations, Mental Health System

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.