Value of family involvement in substance use disorder treatment: Aligning clinical and financing priorities.

Community Reinforcement and Family Training Evidence-based practices Family members Financial policy Financing strategies Implementation Social support Substance use disorder

Journal

Journal of substance abuse treatment
ISSN: 1873-6483
Titre abrégé: J Subst Abuse Treat
Pays: United States
ID NLM: 8500909

Informations de publication

Date de publication:
01 2022
Historique:
received: 04 06 2021
revised: 27 08 2021
accepted: 26 10 2021
pubmed: 8 11 2021
medline: 22 3 2022
entrez: 7 11 2021
Statut: ppublish

Résumé

Family members' support (e.g., informational, tangible, emotional) has important and lasting impacts on individuals' recovery from substance use disorders (SUDs). Unfortunately, SUD services in the United States do not consistently incorporate patients' family members effectively. One barrier to family involvement in SUD services is the mechanisms through which SUD services in the United States are commonly financed. Using our recent experiences with developing a group intervention for support persons of patients with opioid use disorder, we illustrate how gaps in feasible financing models limit SUD service systems from effectively implementing and sustaining family services for individuals receiving SUD treatment. Long-term availability of family-inclusive interventions will require collaboration with payors and health systems. We offer two sets of recommendations for funding family involvement in SUD services; one set of immediately implementable recommendations and other longer-term goals requiring structural changes in SUD service delivery and financing.

Sections du résumé

BACKGROUND
Family members' support (e.g., informational, tangible, emotional) has important and lasting impacts on individuals' recovery from substance use disorders (SUDs). Unfortunately, SUD services in the United States do not consistently incorporate patients' family members effectively. One barrier to family involvement in SUD services is the mechanisms through which SUD services in the United States are commonly financed.
METHOD
Using our recent experiences with developing a group intervention for support persons of patients with opioid use disorder, we illustrate how gaps in feasible financing models limit SUD service systems from effectively implementing and sustaining family services for individuals receiving SUD treatment.
DISCUSSION
Long-term availability of family-inclusive interventions will require collaboration with payors and health systems. We offer two sets of recommendations for funding family involvement in SUD services; one set of immediately implementable recommendations and other longer-term goals requiring structural changes in SUD service delivery and financing.

Identifiants

pubmed: 34742609
pii: S0740-5472(21)00378-0
doi: 10.1016/j.jsat.2021.108652
pii:
doi:

Types de publication

Letter Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

108652

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Alex R Dopp (AR)

RAND Corporation, 1776 Main Street, Santa Monica, CA, United States of America. Electronic address: adopp@rand.org.

Jennifer K Manuel (JK)

University of California, San Francisco, Department of Psychiatry and Behavioral Sciences, 401 Parnassus Ave, San Francisco, CA 94143, United States of America; San Francisco Veterans Affairs Health Care System, 4150 Clement St., San Francisco, CA 94121, United States of America. Electronic address: Jennifer.Manuel@ucsf.edu.

Joshua Breslau (J)

RAND Corporation, 4570 Fifth Ave #600, Pittsburgh, PA 15213, United States of America. Electronic address: jbreslau@rand.org.

Barbara Lodge (B)

TruthTalks, United States of America.

Brian Hurley (B)

Los Angeles County Department of Health Services, 313 N. Figueroa St., Los Angeles, CA 90012, United States of America. Electronic address: bhurley@ucla.edu.

Courtney Kase (C)

RAND Corporation, 4570 Fifth Ave #600, Pittsburgh, PA 15213, United States of America. Electronic address: ckase@rand.org.

Karen Chan Osilla (KC)

Stanford University School of Medicine, 401 Quarry Road, Palo Alto, CA 94305, United States of America. Electronic address: kosilla@stanford.edu.

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Classifications MeSH