Presbyterian Centennial Care. Substance Use Disorder Services and Supports

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1 Presbyterian Centennial Care Substance Use Disorder Services and Supports

2 National Comparison Data National Survey on Drug Use and Health: Comparison of and Model-Based Prevalence Estimates (50 States and the District of Columbia) SAMHSA (2013). Link to follow. 2

3 Illicit Drug Dependence or Abuse in the past year: New Mexico Prevalence Age Total US Alabama Alaska AZ Arkansas CA CO Connecticut Delaware 0.5 District of Columbia 0 Florida GA Hawaii Idaho 3

4 Illicit Drug Dependence or Abuse in the Past Year: New Mexico to 17 years of age 6.22 Total US Alabama Alaska AZ Arkansas CA CO Connecticut Delaware District of Columbia Florida GA Hawaii Idaho Illinois Indiana Iowa 4

5 Illicit Drug Dependence or Abuse in the Past Year: New Mexico to 25 years of age 8.15 Total US Alabama Alaska AZ Arkansas CA CO Connecticut Delaware District of Columbia Florida GA Hawaii Idaho Illinois Indiana Iowa 5

6 Illicit Drug Dependence or Abuse in the Past Year: New Mexico years of age 1.82 Total US Alabama Alaska AZ Arkansas CA CO Connecticut Delaware District of Columbia Florida GA Hawaii Idaho Illinois Indiana Iowa 6

7 Alcohol-Related Deaths New Mexico New Mexico's Indicator-Based Information System (NM-IBIS), NM DOH New Mexico's total alcohol-related death rate has consistently been nearly twice the national rate for the past two+ decades. The alcohol-related death rate in New Mexico has increased from 1990 through By contrast, the U.S. alcohol-related death rate has decreased. 7

8 By County New Mexico Substance Abuse Epidemiology Profile Substance Abuse Epidemiology Section Injury and Behavioral Epidemiology Bureau Epidemiology and Response Division NM DOH 8

9 Deaths due to Drug Overdose by County New Mexico's Indicator-Based Information System (NM-IBIS), NM DOH 9

10 New Mexico Substance Abuse Epidemiology Profile 2013 New Mexico's Indicator-Based Information System (NM-IBIS), NM DOH The highest drug-induced death rate was among Hispanic males, followed by White males. American Indians have higher alcohol-related death rates than other race/ethnicities. Male rates are substantially higher than female rates. 10

11 Impact of Substance Use Disorders Incarceration Quality of life Productivity Family/social Sense of meaning, self-worth Medical Worsening of comorbid mental illness Mortality/fatality Etc. etc. 11

12 Centennial Care Covered Services Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services Individual, family, group psychotherapy Medication Assisted Treatment for Opioid Addiction (buprenorphine, methadone) Suboxone, Methadone clinic services and medical exam specialized fees Naloxone (specialized fees) Medication management Day Treatment (to age 21) IOP 12

13 Centennial Care Covered Services Telehealth Services Residential treatment (to age 21) Partial hospitalization Hospitalization Emergency and Crisis Services Medical Detox School Based Health Services Crisis Services Other specialized services for comorbid conditions 13

14 Other Areas of Focus and Assistance Prevention and Early Intervention As part of EPSDT Services, Recommended Anticipatory Guidance: o Counseling children about alcohol, tobacco, and drugs o Beginning at age 8 o Recommendations change with age group Partnership with community stakeholders Prescription Drug Abuse Summits and Task Forces Governor s Prescription Drug Misuse and Overdose Prevention and Pain Management Advisory New Mexico Screening, Brief Intervention and Referral to Treatment (SBIRT) Program 14

15 Other Areas of Focus and Assistance Presbyterian Healthcare Services Continuum of care Expertise in SUD s BH professionals in 15 primary care and specialty clinics Care NM; Community Health Workers (contract), Community Addictions Recovery Care Coordination Peer Support Focus on Recovery 15

16 Care Coordination and Peer Support Thorough identification of member needs Identification of community resources Match needs to community supports Housing, supplies, resources Treatment Support groups Focus on resiliency and recovery 16

17 Care Coordination and Peer Support Peer Support Disease management Motivational Interviewing 17

18 Value Added Services Individualized Member/patient focused Specialized services for members with specialized/high needs Identified and referred via care coordination 18

19 Challenges and Opportunities Social, cultural, environmental, geographic Biopsychosocial influences Addiction is complex Readiness to Change Comorbidity Cognitive Mental disability/illness Medical Cultural Workforce 19