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

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.