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Using Telehealth to Identify and Manage Health

Using Telehealth to Identify and Manage Health and Substance Use Disorder Conditions in Rural Areas

Access to services, particularly behavioral health and substance use disorder (SUD) treatment services, is challenging in rural and other underserved areas. Some of the reasons for these challenges include lack of specialty providers and local primary care providers without experience in behavioral health treatment as well as concerns over stigma
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Using Telehealth to Identify and Manage Health

Using Telehealth to Identify and Manage Health and Substance Use Disorder Conditions in Rural Areas

RTI International September 15, 2017 Printer Friendly Version in PDF Format (70 PDF pages)
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Using Telehealth to Support Opioid Use Disorder

Using Telehealth to Support Opioid Use Disorder Treatment Issue Brief

This Issue Brief was informed by an ASPE-funded study conducted by RTI International that assessed the use of telehealth to identify and manage SUDs in rural areas. The final research brief included an environmental scan and site visits with participants that represented a wide range of telehealth experiences throughout the country.
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Using Telehealth to Support Opioid Use Disorder

Using Telehealth to Support Opioid Use Disorder Treatment Issue Brief

Laura Dunlap, Saira Haque, and Erin Mallonee RTI International Joel Dubenitz, Laurel Fuller, and Daniel Schwartz U.S. Department of Health and Human Services Printer Friendly Version in PDF Format (5 PDF pages)
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State and Local Policy Levers for Increasing

State and Local Policy Levers for Increasing Treatment and Recovery Capacity to Address the Opioid Epidemic: Final Report

Jesse Hinde, PhD, Jennifer Hayes, BA, Tami Mark, PhD, Shampa Bernstein, JD, BA, and Sarita L. Karon, PhD RTI International September 29, 2017 Printer Friendly Version in PDF Format (76 PDF pages)
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State and Local Policy Levers for Increasing

State and Local Policy Levers for Increasing Treatment and Recovery Capacity to Address the Opioid Epidemic: Final Report

This report summarizes financing and workforce policies that can be used by states to expand treatment access and capacity for opioid use disorder (OUD), focusing especially on medication-assisted treatment (MAT). Our evaluation team used a case-study approach and conducted an environmental scan and stakeholder interviews for five states: Californ
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PROJECT AND REPORT INFORMATION

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. PROJECT AND REPORT INFORMATION

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System
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APPENDIX B: DETAILED TABLES

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. APPENDIX B: DETAILED TABLES

TABLE B.1 . Distribution of Specialty Treatment Receipt by Geographic Location and Type of Service, 2013 and 2015 Geographic Area Total Outpatient
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APPENDIX A: DATA SOURCES

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. APPENDIX A: DATA SOURCES

In this appendix, we provide a brief description of the three data sources we used to develop the analyses in this report.
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NOTES

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. NOTES

SAMHSA did not count positive responses to NSDUH questions regarding treatment at an emergency room, private doctor's office, self-help group, prison or jail, or hospital as an outpatient as specialty treatment.
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REFERENCES

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. REFERENCES

Barnett, J.C., and E.R. Berchick. "Health Insurance Coverage in the United States." Current Population Reports, P60-260. Washington, DC: U.S. Government Publishing Office, 2017. Baser, O., M. Chalk, D.A. Fiellin, and D.R. Gastfriend. "Cost and Utilization Outcomes of Opioid-Dependence Treatments." American Journal of Managed Care , vol. 17, Sup
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IV. DISCUSSION

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. IV. DISCUSSION

Policymakers at all levels of government have targeted increasing SUD treatment use to address escalating drug overdose deaths related to the opioid epidemic and improve societal welfare. Meanwhile, rates of SUD treatment use generally have been constant for more than a decade despite the substantial recent increase in insurance coverage for SUD t
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III. SUPPLY OF SUBSTANCE USE DISORDER TREATMENT

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. III. SUPPLY OF SUBSTANCE USE DISORDER TREATMENT

In this section, we present our findings on the supply of SUD treatment services. The primary data source for these analyses is the information collected on the workforce questions added to the 2016 N-SSATS. These data are supplemented with information from the N-SSATS on trends in facility acceptance of insurance and utilization rates in beds des
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II. DEMAND FOR SUBSTANCE USE DISORDER TREATMENT

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. II. DEMAND FOR SUBSTANCE USE DISORDER TREATMENT

In this section, we examine recent trends in receipt of SUD treatment services by service type and geography. Then we analyze the relationship between the prevalence of SUDs and use of treatment services by type of SUD and geographic area. Last, we look specifically at the relationship between Medicaid coverage expansion and receipt of SUD treatme
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I. INTRODUCTION

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. I. INTRODUCTION

A. Purpose of Report
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EXECUTIVE SUMMARY

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. EXECUTIVE SUMMARY

Despite federal policies enacted within the last decade aimed at promoting insurance coverage for substance use disorders (SUDs), the existing SUD treatment workforce may be insufficient to accommodate the potential increase in demand for care and other factors may be contributing to stagnant treatment utilization rates. To address this concern, i
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ACRONYMS

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. ACRONYMS

The following acronyms are mentioned in this report and/or appendices.
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Examining Substance Use Disorder Treatment Demand

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report

Ellen Bouchery Mathematica Policy Research December 5, 2017 Printer Friendly Version in PDF Format (101 PDF pages) ABSTRACT
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Examining Substance Use Disorder Treatment Demand

Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report

Federal policies implemented in the last decade, including the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act, have promoted insurance coverage for substance use disorders (SUDs). By providing funding for treatment services, these federal policies were intended to increase the proportion of individuals with SUDs wh
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Substance Use Disorder Workforce Issue Brief

Substance Use Disorder Workforce Issue Brief

Ellen Bouchery, Mathematica Policy Research Judith Dey, U.S. Department of Health and Human Services Printer Friendly Version in PDF Format (5 PDF pages)

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