Online Program

Service integration challenges in behavioral health in the era of the affordable care act: Understanding responses from a statewide survey on the availability of substance use services in ny's community health centers

Monday, November 4, 2013

Sean J. Haley, Ph.D., MPH, Department of Health and Nutrition Sciences, Brooklyn College & CUNY School of Public Health, Brooklyn, NY
Table 1: Integration - This Roundtable will address how an SBIRT project was implemented in clinical settings, the response of the medical team and patients, model successes and challenges, and sustainability challenges for behavioral health service integration in a medical setting. In 2012 the PI collected survey data on adult and adolescent substance use screening, treatment and referral practices from 171 (60% response rate) primary care community health centers in NY State. Findings, suggested that less than half (46%) of NY health center sites required that all adults be screened for substance use disorders while 71% required screening for mental health disorders. Sixty two sites did not use a standard screening tool and just 18 offered on site structured treatment programs. During June and July of 2013, Dr. Haley will conduct telephone interviews with 12 NY FQHC Chief Medical Officers (CMOs) to better understand substance use service availability and barriers to implementation. Questions will focus on current site procedures, barriers to integration and plans for future integration. Directors will be asked to share their site's screening and SUD diagnosis rates. Qualitative data analysis using Atlas.ti software will be completed by September 15, 2013. Results will be triangulated with the previous survey findings and sites' administrative data to detect trends in service availability and barriers to substance abuse treatment integration.

Learning Areas:

Chronic disease management and prevention
Clinical medicine applied in public health
Conduct evaluation related to programs, research, and other areas of practice
Protection of the public in relation to communicable diseases including prevention or control
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Identify alcohol and drug use screening, treatment and referral rates at Federally Qualified Health Centers across NY state. Discuss structural and organizational barriers to SBIRT and strategies to facilitate adoption within community health centers.

Keyword(s): Substance Abuse Treatment, Community-Oriented Primary Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I am Assitant Professor at Cuny Brooklyn School of Public Health, and a former NIAAA trainee at the Heller School at Brandeis University. I completed a Post-doctorate at Treatment Research Institute in Philadelphia and was the Sr. Research Assosicate at the National Association of State Alcohol and Drug Directors.
Any relevant financial relationships? No

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.