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