Treatment for Members with Substance Use Disorders
Substance use disorders are a national problem. Providing treatment for individuals with substance use disorders helps decrease drug-related illnesses and deaths and reduces the economic and social costs associated with substance use.1 The first step is to properly identify a substance use disorder. Screening tools can be accessed at www.providerexpress.com > “Clinical Resources” > “Clinical Tools and Quality Initiatives.”
Brief and easy-to-administer assessment tools to help screen substance use disorders include:
APA DSM5 Level 2 Substance Use Adult
APA DSM5 Level 2 Substance Use Parent of Child Ages 6 – 17
After diagnosis, it is important to get treatment right away. Individuals who are newly diagnosed should be seen for follow-up within 14 days and then again two more times within 34 days.2
Focus on individualized treatment
Build on the individual’s motivations and strengths
Engage family and other supports in treatment
The COVID-19 national public emergency has created unprecedented changes to virtually every part of the health care system and most people’s lives. Those with Opioid Use Disorders (OUD) are a particularly vulnerable group. To assist with treatment opportunities, the Drug Enforcement
Administration (DEA) is allowing licensed providers to prescribe Medication-Assisted Treatment (MAT) through telehealth without requiring in-person clinical visits and waiving the requirement for video.3 To help avoid adverse events and deaths related to opioids, please reach out to your patients. We want to help make a difference; however, we can’t do it alone. We need your help to keep our plan members safe.
Additional information on SUD and patient resources are available on the Behavioral Health for Medical Providers on providerexpress.com > “Clinical Resources”, which now contains PsychHub videos and on liveandworkwell.com, > “Mind & Body” > “Substance Use Disorder/Addiction.”
1 Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov. CHAPTER 1, INTRODUCTION AND OVERVIEW OF THE REPORT. Available from: https://www.ncbi.nlm.nih.gov/books/NBK424860/
2 National Committee for Quality Assurance (2019). Healthcare Effectiveness Data and Information Set (HEDIS) Technical Specifications.
3 US Department of Justice, Drug Enforcement Administration https://www.deadiversion.usdoj.gov/coronavirus.html