Addiction Treatment Failing: New Study Reveals the Sad Truth

Addiction Treatment Failing: New Study Reveals the Sad Truth

According to an article on PsychCentral (10/22/14) a new study from Columbia University’s National Center on Addiction and Substance Abuse, the researchers found what has long been known. There are no national standards for addiction care, and that the acute care model still directs treatment. In a previous blog, the issue of acute care versus chronic care was raised. The underlying realities of the acute care model remain. Here are the known facts:  Addiction is a chronic disease Continual care and status check-ups are needed Addressing real-time issues are crucial to maintaining sobriety (drugs and alcohol) Mental health issues must be addressed simultaneously and for the long term Known scientific therapies do work and need to be utilized Professional staffing with expertise in drug and alcohol addiction is needed Separate programs for men and women along with specialty treatments (religions, sexual preference) Comprehensive family programs need to be integrated into the treatment program Strong support systems need to be established Clinical groups for aftercare must be part of the treatment program Aftercare programs help maintain early sobriety and solidify the tools for recovery Use technology to help support those in recovery Columbia University launches new interactive website In keeping with the times, Columbia University has launched a new interactive website that allows providers and patients access to recovery information and tools. Does this sound familiar? Recovery Passport Solutions is dedicated to shifting the failure of drug and alcohol treatment programs by utilizing web based tools. Where Columbia University’s interactive website offers people tools to determine whether addiction is a problem, we offer treatment facilities the tools to “shore up” client...
Technology: Give Your Clients an Edge on Addiction Recovery

Technology: Give Your Clients an Edge on Addiction Recovery

If handled carefully, ethically, and in an informed manner, technology can boost aftercare outcomes, stabilize patient recovery, and create a standard for addiction aftercare. Recovery Passport Solutions offers Providers tools to help extend retention in treatment or the Aftercare phase of treatment. It does not replace face-to-face substance abuse treatment. Providers should understand that technology is not a substitute for primary addiction care. Rather, its place should be as a solid tool that can reach clients anywhere, anytime after they leave the treatment facility. Aftercare and Technology: Increase and Track Outcomes in Real Time  There is a tendency in the health care industry to approach issues in a patch work manner. Serious mistakes are made when careful analysis of a problem does not occur nor a global view of the problem taken. For the furtherance of this discussion, it is accepted that Addiction Aftercare programs need standardization. Turning to social media as the sole answer to clients’ Aftercare needs is doomed to failure. Recovery Passport Solutions offers Providers and clients a comprehensive approach. A range of tools within the RPS model address issues attending to aftercare and long term sobriety (drugs and alcohol). Our comprehensive approach to Aftercare includes interconnected electronic tools that can help to maintain and boost client’s readiness to change (crucial for recovery) while supporting proactive interventions; and these tools can enhance motivation. Further, RPS tools offer Providers real data for frequent assessments on both clients’ progress and program successes or failures. Electronic-based Addiction Aftercare Tools Strengthen Self-Care Electronic-based aftercare treatment tools reinforce the role of self-care in recovery and recovery management. Such tools enable clients to...
Technology, Behavioral Health and Positive Addiction Treatment Outcomes

Technology, Behavioral Health and Positive Addiction Treatment Outcomes

“Technology offers the opportunity to target numerous issues concurrently and…tailoring…the profile of needs of a given individual. Indeed, a technology-based system could…conduct a comprehensive assessment of an individual’s health behavior and then offer access to system components grounded in science-based approaches to promote health behavior…Such a tool could offer a comprehensive and coordinated approach to the constellation of issues a given individual may be experiencing.” (NIHPA Author Manuscripts. 2012; 31(3)313) In just a short period, these concepts are now a reality that treatment providers can successfully utilize in their inpatient, outpatient, and aftercare programs. The ramifications of these tools are profound. Indeed, Recovery Passport Solutions’ 365 comprehensive approach helps shifts outcome results away from the abysmal state of treatment failure. This past summer, SAMHSA-HRSA’s Center for Integrated Health Solutions held a webinar reviewing the topic of technology and behavioral health. The works cited included Bickel, Marsch et. al., 2008, and Marsch, 2013, funded by NIDA. These significant studies revealed results that were impressive: Technologically based programs were useful and acceptable to diverse populations They had a large impact on behavior and health outcomes They increased quality of care, reach, and the ability to personalize are They were cost-effective Furthermore, the studies found that these technologies allowed clinicians to spend more time with patients requiring intensive care by replacing hours spent in typical client-clinician interactions. Other patients continued to have contact with clinicians through the programs making contact more efficient. Technology-based programs offered therapeutic tools known as TES that: Provided clients who had lower cognitive functioning, anxiety, heavy alcohol use at time of admission, and ambivalence about treatment with better...
Are You Ready to Meet the Criteria for Pay-for-Performance?

Are You Ready to Meet the Criteria for Pay-for-Performance?

Everyone knows the business of Addiction Treatment needs to change for the good of the clients, the community at large and the nation. The latest trend for insurers is the pay-for-performance model. Are you ready to meet this challenge? We know that: Recidivism rates are too high Treatment facilities need to have quality trained and licensed staff Implementation of Best Practices is uniformly needed Aftercare programs must be designed using best practices Clients need access to aftercare for an extended period Collection, analysis, and changes based upon real time data can improve outcomes Licensed sober living homes utilizing best practices in aftercare are needed to stabilize early recovery. The last few decades have demonstrated that the acute care model is not applicable in treating addiction. In a 2011 study, published by the Journal of Substance Abuse Treatment (Sept:41 (2):193-200) the researchers found that the pay-for-performance including bonuses altered counselor behavior, and increased client retention. Indeed the retention ratio went from 40% to 53% in a 90-day period. The issues raised in pay-for-performance are indeed complex. A special meeting of the Washington Circle, (supported by NIDA and SAMHSA-ascpjournal.org/content/7/1/18) comprised of a multidisciplinary group of experts convened to examine research gaps in performance measures for substance use disorders. Reforms in health care have heightened the need for accountability in performance measures regarding patients suffering from mental health and substance use disorders. While many best practices already exist that address biology, behavior and social issues related to substance use disorders, many facilities do not incorporate these effective treatment protocols. Members of the review panel questioned organizational readiness, resources and leadership as obstacles...
Ethics, Addiction Treatment and Technology

Ethics, Addiction Treatment and Technology

Ethics, morality, legalities, best practices are words one might logically associate with any medical treatment for a disease or a condition. Sadly, when it comes to addiction private treatment providers, rules of decency and concern may be left behind. Addiction treatment is BIG business, as is its close relative Sober Living Environments. Devious practices are everywhere, and though they may be close to the letter of the law and legal in the strictest sense, they are far from ethical. The addiction treatment industry is rife with not so professional practices. • Dubious marketing practices • False statistics • Questionable insurance billing practices • Paying for referrals • Feeder websites • Questionable treatment practices • Billing patients for procedures that have not be proven to be successful • Paying gifts to interventionists • Sharing patient information • Taking in clients that cannot be treated • Taking in patients whose insurance will not cover the treatment The November 17th article in Addiction Magazine by Bob Ferguson dealt with this issue. In this article, Ferguson discusses the move by panelists in NCAD’s last Augusts’ conference. Panelists raised the bar on the issue of ethics by posting a draft of what they considered ethical precepts for addiction treatment providers. The challenge was picked up by Bob Ferguson of Jaywalker Lodge whose administration posted its own attempt at transparency and ethics. Below is a brief summary of some of the Jaywalker Code of Ethics. (The list below includes only a few of many of the items listed in the article) • Jaywalker does not engage in …misleading or deceptive practices • We do not...
Top

Welcome to Recovery Passport

Login with Local Account


Lost your password?

 

Registration is closed

Sorry, you are not allowed to register by yourself on this site!

You must either be invited by one of our team member or request an invitation by emailing the site administrator at rob@rhust.com.