Post on 21-Oct-2020
Highland Hospital Primary Care Addiction Treatment Team
Shift and Share Presentation
ATSH:PC, 9/18/2019
Our Team Abio-psycho-socialapproachtotreatment
Biological Psychological Social
Physician LicensedClinicalSocial
Worker
CommunityHealthWorker
Addressing Social Needs • Universalsocialneedsscreeningatintake• Domainsscreenedinclude:
• Housingsecurity• Foodinsecurity• Energyandheatinsecurity• Transportationinsecurity• Childcareneeds• Employmentneeds
• BasedonHealthLeadsevidence-basedscreeningtools
Social Needs Follow-up • CommunityHealthWorkerinter-visitcheck-ins• DiscussionofcomplexvisitsatweeklyTeamMeeting
• Ongoingdiscussionwithprovidersandprimarycareprovider
Examples
Addressing Levels of Mental Health Complexity
IncreasingComple
xityorNeed
RefillGroupPsychoeducation
IndividualVisitwithLCSW
ReferraltoSpecialty
SubstanceUseorMentalHealth
Care
Groupvs.Individual
PrimaryCarevs.Specialty
Principles of Treatment
NoWrongDoor
AWindingPath(Chronic,RelapsingCondition)
MedicationsFirst
A Low-Barrier, Medication-First “Hub and Spokes” Model
BICandBridgeClinics
MedicalHome
EmergencyRoom
InpatientAdmissions
Self-Referral
Linking to Outpatient Care
EmergencyDepartment Inpatient,AcuteCare
Outpatient,AmbulatoryCare
ConsultCareAlgorithmsContactSubstanceUseNavigator(SUN)
ConsultCareAlgorithmsBehavioralHealthWarmHandoffor
RefertoBuprenorphineInductionClinic
Ifapersoninthecommunityisreadytomakeachangenow,theycanalwaysshowuptotheHighlandEmergencyDepartment.ASubstanceUseNavigatorcanlinkthemtotheBridgeClinic,theBuprenorphineInductionClinic,or
helpthemstartmedicationsimmediatelyintheED.
Whatweteachourresidents
Signs Posted Around Hospital
Summary Abio-psycho-socialapproachtotreatment
Biological Psychological Social
Physician LicensedClinicalSocial
Worker
CommunityHealthWorker