Substance abuse

Innovations

Removing Restrictions and Barriers to Supportive Housing for Late-Stage Alcoholics Reduces Alcohol Abuse, Alcohol-Related Symptoms, and Costs 06/20/12

A supportive housing program for late-stage alcoholics who frequently use crisis services features policies that reduce traditional barriers and restrictions to obtaining housing, leading to reductions in alcohol abuse, alcohol-related symptoms, and costs.

Multifaceted Program Featuring Guideline, Training, and Incentives Reduces Prescribing of High-Dose Opioid Therapy in Patients With Chronic Pain 05/25/12

A large health plan's multifaceted program promotes appropriate prescribing and monitoring of opioid therapy for patients with chronic pain not caused by cancer, leading to enhanced physician knowledge and confidence related to prescribing, greater use of care plans and drug screening, and fewer patients on high-dose therapy.

State Agency Promotes Integrated Mental Health and Addiction Treatment for Co-Occurring Disorders, Leading to Better Access and Positive Outcomes 05/17/12

A state mental health and addiction services agency implemented policies to promote integrated treatment for those with both mental health and substance use disorders, leading to enhanced access to high-quality services and positive patient outcomes.

Health System Offers Routine Tests Without Need for Physician Order, Enhancing Access for Small but Growing Number of Satisfied Patients 05/04/12

A health system allows patients to receive certain routine laboratory tests without a physician's order, enhancing access to these tests and generating positive feedback.

Care Management Protocols and User-Friendly Forms Embedded in Electronic Medical Record Improve Documentation, Coding Accuracy, and Readability of Visit Notes 03/15/12

Protocol-based care management tools and simplified documentation forms embedded in the electronic medical record improve documentation, the readability of notes, and coding accuracy in military health care facilities.

Care Coordination, Peer Support, and Discretionary Fund Improve Quality of Life and Reduce Costs for Adults with Serious Mental Illness 01/14/12

Intensive, person-centered case management, peer support, and a discretionary fund for adults with serious mental illness leads to better access to treatment, job training, and employment; fewer suicide/self-harm attempts, hospitalizations, incarcerations, and days of homelessness; and lower mental illness-related costs.

Intensive Counseling of Students by School Nurses Does Not Have Larger Impact on Long-Term Smoking Rates Than Briefer Sessions 01/04/12

Trained school nurses held four weekly, one-on-one sessions with high school students who smoke; the sessions did not have a larger impact on long-term smoking rates than did four shorter, information-focused sessions, but both types of counseling generated higher long-term quit rates than typical programs targeted at teen smokers.

Culturally Tailored Cessation Program Significantly Reduces Tobacco Use Among Members of American Indian Tribe 08/29/11

A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.

Comprehensive Wellness Program Improves Employees' Health-Related Behaviors and Risk Factors, Stems Rise in Employer Health Care Costs 08/23/11

A large employer offers a comprehensive wellness program combined with financial incentives to use its various components, leading to broad participation, improvements in health-related behaviors and risk factors, and a leveling off of overall health care costs.

Tobacco Cessation "Quitline" Staff Proactively Call Patients Referred by Trained Providers, Leading to Greater Satisfaction With Services and Higher Quit Rates 07/20/11

Trained health care providers educate patients who use tobacco about the state's free tobacco cessation phone counseling service (called a “quitline”) and then fax a referral form to quitline staff who proactively follow up with the patient; the program led to higher quit rates than among those simply informed about the quitline by their providers.

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