With support from a statewide collaborative, primary care practices in Wisconsin proactively identify and address behavioral health issues in patients, leading to declines in binge drinking, marijuana use, and symptoms of depression, and to high levels of patient satisfaction.
Trained emergency medical technicians use a checklist to identify intoxicated individuals who can safely be transported directly to a local detoxification facility, thus avoiding expensive visits to crowded, resource-constrained emergency departments.
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.
A hospital partners with a residential alcohol treatment center to offer medically stable emergency department patients with acute alcohol intoxication an alternative treatment setting, leading to lower emergency department length of stay, cost savings of nearly $2,000,000, and anecdotal reports of improved patient outcomes.
Experienced substance abuse counselors offer periodic, telephone-based assessment and counseling to individuals who have attained initial stability in alcohol and/or cocaine dependence, leading to comparable and in some cases better outcomes than traditional, more time-consuming face-to-face interventions.
An algorithm-driven program combines hospital-wide inpatient screening for alcohol withdrawal risk, monitoring of at-risk patients, and medical treatment of symptoms, leading to more patients being diagnosed, fewer acute episodes of delirium, and improved care for patients experiencing such episodes.
A care “pathway” helps pregnant substance abusers obtain health insurance, obstetrics care, substance abuse counseling, and other services, allowing the vast majority of these women to give birth to babies with viable birth weight who are free of illicit substances.
A peer-led, community-based recovery center offers a wide array of nonmedical support to help individuals recover from mental health and substance abuse disorders; the program has significantly increased participation in employment/schooling, enhanced the ability to secure permanent housing, and helped to keep the vast majority of those served socially connected, drug- and alcohol-free, and out of the criminal justice system.
A community health educator referral liaison receives physician referrals of patients with risky health behaviors; the liaison links patients with community resources, offers counseling and encouragement over the telephone, and provides feedback to the physicians.
Automated clinician prompts and referrals facilitates access to behavior counseling, leading to improved behaviors related to diet and exercise and higher quit rates among smokers.