Contingency Management: Underutilized Evidence Based Treatment

Contingency Management: Underutilized Evidence Based Treatment

Contingency management is an evidence-based treatment plan for substance use disorder. This type of treatment, a major topic in media and public policy circles, promotes behavior change and reinforces positive behaviors. This short take video discusses contingency management treatment in more detail and how to increase its use in more practices.
Maximizing the Care Team During Virtual Visits

Maximizing the Care Team During Virtual Visits

This session focuses on learning and applying new virtual workflow strategies to engage your entire care team. The session was held live during Telehealth in a Post-Pandemic Era: Sustainable Approaches to Support Integrated Care – Part 2, held on September 29, 2021.

Evidence Based Practices Workshop 3 Problem Solving Therapy

Problem-Solving Therapy (PST) is a form of therapy that provides people with tools to identify and solve problems that arise from life stressors that can have a negative impact on their day-to-day lives. Its aim is to improve individuals’ overall quality of life and can be used to treat depression, among other conditions. It is based on a model that takes into account the importance of real-life problem-solving including how to manage real-life stressors when they arise. The presentation will cover key PST principles and tools that can be used in everyday life.

Evidence Based Practices Workshop 2 Behavioral Interventions for Stress Management

There are many evidence-based techniques that are easy to learn and practice, with good results in individuals struggling with physical and mental health challenges. This workshop with briefly introduce participants to some of the more common and effective practices including progressive muscle relaxation, guided imagery, diaphragmatic breathing, relaxation response, and mindfulness-based stress reduction. Speakers: Shannon Robinson, MD (HMA), Marsha Johnson, MSW, LCSW (HMA)

Problem Solving Worksheet

This worksheet guides the clinician and person receiving services in following the seven steps of problem-solving: Identifying the problem Describing the goal Brainstorming solutions Evaluating the pros and cons for each potential solution Choosing the preferred solution Creating a detailed action plan Evaluating the outcome.

Relaxation Handout

This patient-facing handout reviews basic steps for meditation, deep breathing, progressive muscle relaxation, and imagery. This can be used when explaining stress reduction techniques to patients.

Adapting Evidence Based Practices for Integrated Care

This webinar workshop series focuses on key elements of evidence-based practices/treatments to assist providers with achieving successful implementation and outcomes. HMA presenters discuss key components of EBPs including but not limited to training, indicated populations, fidelity assessments, tools, and other relevant topics. This webinar includes an interview with psychologist Jennifer Frey who discusses the ways in which she uses and adapts the EBP of Motivational Interviewing in her work as a behavioral health consultant at Unity. Following this webinar, there is a series of three EBP workshops that includes cognitive behavior therapy, behavioral interventions for stress management trauma-informed care, problem-solving therapy.

Integrated Care DC Provider Information Session

Integrated whole-person care has been shown to improve outcomes and increase Medicaid beneficiary satisfaction. We want to support you to enhance your practice’s capability to deliver person-centered care, use population health analytics, and engage leadership to support value-based care. Join us to learn more about provider engagement opportunities for year 2 of the Integrated Care DC Program.

Pregnancy and Substance Abuse: A Harm Reduction Toolkit

This toolkit was designed to help community providers care for pregnant and parenting people who use drugs in a holistic manner. The kit includes information about stigma reduction, trauma-informed care, and legal services. While the guide was developed IN NY, there are engagement and other information that is useful regardless of location.
Telehealth in a Post-Pandemic Era Sustainable Approaches to Support Integrated Care – Part 2

Telehealth in a Post-Pandemic Era Sustainable Approaches to Support Integrated Care – Part 2

This interactive virtual workshop is part two of a two-part series to support providers ongoing efforts to implement and sustain innovative models of telehealth following the COVID-19 public health emergency. Topics include best practices to support behavioral health care delivery through telehealth; improving patient engagement through telehealth and DC telehealth policy and priority updates.

Using Disease Registries to Improve Your Practice Population’s Health

This webinar focuses on effective strategies for engaging justice-involved populations and ways to support individuals transitioning to communities. The speakers shared case studies to illustrate the ways that providers have managed transitions of care and supported people. This session is approved by the American Academy of Family Physicians for up to 1 AMA Level 1 CME credit.

Common Comorbidities with Substance Use Disorders Research Report

When two disorders or illnesses occur in the same person, simultaneously or sequentially, they are described as comorbid. Comorbidity also implies that the illnesses interact, affecting the course and prognosis of both.1,2 This research report provides information on the state of the science in the comorbidity of substance use disorders with mental illness and physical health conditions.

Addressing Burnout and Resilience

Burnout is common in healthcare and has increased during the Covid 19 pandemic. This brief presentation defines burnout and it's consequences. Building resilience is a strategy to reduce and prevent burnout. The presentation defines resilience and provides tips in increase personal resilience and organizational resilience.
Fentanyl Strip Testing

Fentanyl Strip Testing

This brief video provides an overview of fentanyl strip testing to identify the presence of fentanyl in unregulated drugs for people who use drugs (PWUD). It also includes a brief demo of how to use fentanyl test strip testing to detect the presence of fentanyl in their drug supply. Testing for fentanyl test strips can identify the presence of fentanyl in unregulated drugs. They can be used to test injectable drugs, powders, and pills. Being aware if fentanyl is present allows people to implement appropriate harm reduction strategies to reduce the risk of an overdose. Presented by Sari Frankel, DC Department of Behavioral Health.

Using Registries for Population Health

Registries are important population health tools that allow organizations to collect, organize, aggregate, and utilize the information for a variety of purposes. Maintaining registries for certain disease states such as depression or diabetes provides easy access to results, identification of care gaps, and level of improvement and can lead to adjustments in care as needed. This Short Take video provides an introduction to registries and how to use them.

Mother & Baby Substance Exposure Toolkit

An online resource to provide broad access to resources to clarify best practices to support and improve the care for substance-exposed mothers and newborns. The toolkit includes resources to support screening, assessment, and level of care determination; treatment; transitions of care; and education.

Addiction Free California

The California Department of Health Care Services (DHCS) has implemented the California Medications for Addiction Treatment (MAT) Expansion Project to address the opioid epidemic throughout the state. This website serves as a separate yet complementary resource to the DHCS MAT Expansion Website and provides resources and information related to the four MAT Expansion Project initiatives operated by Health Management Associates. The California MAT Expansion Project aims to increase access to MAT, reduce unmet treatment need, and reduce opioid overdose-related deaths through the provision of prevention, treatment, and recovery activities. The project focuses on individuals experiencing homelessness, youth, rural, and tribal populations with limited MAT access. The California MAT Expansion Project, composed of nearly 30 initiatives, is funded by grants from the Substance Abuse and Mental Health Services Administration (SAMHSA).

HMAedu – A Learning Management System for Treatment Teams

HMAedu.com is an educational resource specifically designed for training treatment teams about addiction, pain, and behavioral health. With over 25 hours of education through the lens of patient-centered care, users can explore topics of interest or follow the suggested curriculum path. Once a user signs in, the learning management system automatically loads modules that are pertinent to the user’s level of training. This automation allows for consistency in messaging to all providers without delivering information beyond the scope of practice. Each course starts with a TED Talks-style overview that is followed by patient-focused modules of 3-10 minutes each. Each module is traced for completion and can be reported back to the client and individual for tracking purposes.

Effective Strategies to Enhance Transitions of Care for Justice Involved Populations

This webinar focuses on effective strategies for engaging justice-involved populations and ways to support individuals transitioning to communities. The speakers shared case studies to illustrate the ways that providers have managed transitions of care and supported people. This session is approved by the American Academy of Family Physicians for up to 1 AMA Level 1 CME credit.

The Process of Enhanced Referral

This brief video explains the process of enhanced referral to improve patient engagement and completion of the referral and improve provider relationships with referrals. Presented by Dr. Lori Raney, Principal, Health Management Associates.

Quick Guide: Building Partnerships to Enhance Care Coordination

This is a short reference guide to developing a structure to enhance the referral experience for providers and service recipients. It covers setting standards for partnership starting with your value proposition. It outlines the continuum of provider relationships from informal agreements through forming a business entity and finally provides initial guidance and further resources for establishing care compacts.
Best Practices in Videoconferencing-Based Telemental Health

Best Practices in Videoconferencing-Based Telemental Health

This document represents a collaboration between the American Psychiatric Association (APA) and the American Telemedicine Association (ATA) to create a consolidated update of the previous APA and ATA official documents and resources in telemental health to provide a...

Dimensions: Tobacco Free Toolkit for Health Care

The toolkit contains a variety of information and resources including a step by step guide about: education about tobacco use skills for engaging people in tobacco cessation discussions efficient methods for assessing readiness to quit information and research on treatments

Peers Speak Out: Priority Outcomes for Substance Use Treatment & Services

The research presented by these three groups seeks to prioritize desired treatment outcomes as defined by diverse people with lived experience. From this information, the researchers crafted recommendations that could help policymakers, providers and researchers develop, implement, reimburse and evaluate more engaging and perhaps effective substance use services.

Core Competencies Framework for Practice Transformation

The goal of the ICTA program is to improve care and Medicaid beneficiary outcomes within three practice transformation core competencies: Delivering person-centered care across the care continuum Using population health analytics to address complex medical, behavioral health, and social needs; and Engaging leadership to support value-based care. This document provides more detail, including sub-elements for each core competency.
Harm Reduction 101: Harm Reduction Basics and Lessons From the Field

Harm Reduction 101: Harm Reduction Basics and Lessons From the Field

People with substance use disorders are at particular risk for overdoses and developing one or more primary conditions or chronic diseases. During this webinar, presenters will discuss harm reduction as a public health approach that aims to reduce harms related to substance use. Presenters will discuss strategies, policies, programs, and practices that aim to minimize negative health, social and legal impacts associated with drug use, drug policies, and drug laws.

Early Recovery Tips for Patients

Patients can use this Early Recovery Handout to determine behaviors when cravings or urges arise or behaviors have changed. The document provides strategy to mitigate any behavioral outliers while keeping the patient on track from day to day.

The Next Stage of Buprenorphine Care for Opioid Use Disorder

This article reviews research findings in the following 7 areas: location of buprenorphine induction, combining buprenorphine with a benzodiazepine, relapse during buprenorphine treatment, requirements for counseling, uses of drug testing, use of other substances during buprenorphine treatment, and duration of buprenorphine treatment.

Pocket Guide: Medications for Addiction Treatment of Opioid Use Disorder SAMHSA

The Medication-Assisted Treatment Of Opioid Use Disorder pocket guide to provide guidance on how to assess the need for treatment, referring to higher levels of care if necessary and the approved frequency and route of administration for treatment of Opioid Use Disorder. In addition, a tool has been provided to determine clinical opiate withdrawal.

Providing Culturally Sensitive, Patient Centered Care

During the webinar, the presenter will focus on ways to address health equity issues and key considerations for providing linguistically effective services. The presenter will discuss best practices and models to support patients in these challenging times.

Understanding the Brain and Treatment for People with Opioid Use Disorders

Understanding the brain chemistry associated with opioid use disorder treatment is essential: Medications for Addiction Treatment (MAT) restores depleted dopamine in the brain so people impacted by OUD can regain functioning. Recognizing this, therapy and support services for OUD are most effective when provided in accordance with a person's healing process and readiness to engage in treatment.

Substance Use Disorders: Screening and Assessment

The American Society of Addiction Medicine (ASAM) has established specific criteria for patient assessments and level of care determinations pertaining to substance use disorder (SUD) – providing the underpinnings for effective treatment and recovery from addiction. This webinar will provide attendees with practical tools and tips for implementation of Screening Brief Intervention and Treatment (SBIRT) including assessments, workflows, and reimbursement.

Stigma, Myth Busters & Engagement Strategies

This webinar will describe how stigma impacts perceptions and resultant SUD care for patients and providers alike. Presenters will also share key concepts and case studies to illustrate ways to address stigma and tools that can be incorporated into their clinical practice.

Integrated Physical and Behavioral Healthcare 102

This webinar will focus on the benefits and outcomes of behavioral health integration and key implementation considerations. The presenters will discuss outcomes that include improving population health, patient experience and reduced costs. The webinar will also feature key integration tips such as building internal support, warm handoffs, establishing workflows among other topics.
Integrating Physical and Behavioral Healthcare 101

Integrating Physical and Behavioral Healthcare 101

This webinar will focus on the foundational concepts of health care integration – including physical and behavioral health – will be reviewed and discussed. The presenters will also focus on integrating substance use disorders and reverse integration.

Addiction Neuroscience 101

This module offers a 25-minute video of the neuroscience of addiction as a chronic brain disease presented by HMA’s Corey Waller, MD, MS, FACEP, DFASAM, with emphasis on Opioid Use Disorder (OUD). "This lecture was developed for audiences of all backgrounds to absorb. From patients to nonspecialist docs. The intent was to move people past the preconceived notion that addiction is a moral failing or choice, to the reality that it is a chronic brain disease that creates maladaptive connections in large swaths of the brain. Over the hundreds of lectures, I have given in my career, I have come to realize that running through 30+ articles in a 70 slide PPT does not move people emotionally. But a good story will. The lecture has coalesced into a story form that is much more compelling than digging through the dense science of voxel dysmorphology, BOLD fMRI technology, and all of the structures postulated to drive craving. If I need a custody officer to "get it" or an administrator to understand the concept, I cannot give them the same lecture I would give a psychiatrist, addiction psychologist, addiction doc, or a neurologist."