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Table of contents
Introduction to the Medical System: Facilitating Coordinated Care by Understanding the Medical Issues of Clients with Substance Use Disorders
Overview
Per capita health care spending
Slide 4
What is “Primary Care Integration”?
Slide 6
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Slide 11
Is Integration Inevitable?
Many California Counties Are Involved in Integration Initiatives
Counties are at all Stages of Integration
Counties are Involved in a Variety of Integration Models
The Medical System
Managed and Fee-for-Service Care
Slide 18
Slide 19
Strategies for successful communication
Hypertension
Hypertension: Clinical Description
Consequences of Hypertension (HTN)
Blood Pressure Link to SUD
Hypertension & Your Clients
Endocarditis
Endocarditis: Basic Description
Risk factors
Signs & Symptoms
Endocarditis & Your Clients
Chronic Obstructive Pulmonary Disease (COPD)
COPD Overview (Chronic Obstructive Pulmonary Disease)
Slide 33
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Slide 35
Diabetes
Type 2 Diabetes Overview
Type 2 Diabetes
Sign & Symptoms
Type 2 Diabetes & Your Clients
Cellulitis
Cellulitis: Clinical Description
Symptoms of Cellulitis
Cellulitis Link to SUD
Cellulitis & Your Clients
Hetapatis C
Hepatitis C: Basic Description
Slide 48
Slide 49
HCV & Your Clients
HIV
HIV: Basic Description
Slide 53
Slide 54
HIV & Your Clients
Linking HIV & SUD Services
Dental Problems
Dental problems: Basic Description
Risk factors & Outcomes
Slide 60
Dental Problems & Your Clients
Arthritis
Arthritis: Clinical Description
Consequences & Types of Arthritis
Arthritis Link to SUD
Arthritis & Your Clients
Pain
Progress in the Management of Prescription Opiate Use Disorders
The Fateful Triangle
Slide 71
Prescription Drug Misuse
Opioids for Chronic Pain: The Two Faces of Janus
Risks of Becoming Addicted
Overview of Chronic Pain
Pain: “Define yourself, then we shall converse”--Voltaire
Reciprocal Nature: Depression-Pain Relationship
Nature of the Link Between Increasing Opioid Prescribing for Noncancer Pain and Abuse
Slide 79
Do users of regularly prescribed opioids have higher rates of substance use problems than nonusers?
Grief and Pain
Drug Use Disorders Among Seriously Injured Trauma Patients
Slide 83
History and Screening
Diagnosing Addiction Opioid-maintained Pain Patients
Opioid Risk Tool (ORT)
Aberrant Drug-Taking Behaviors
Early Intervention
Opioid Reward Effects
Slide 90
Hyperalgesia (Increased sensitivity to pain) can be opioid induced
Four A’s of Pain Management
Slide 93
Mountain Park Health Center Integrated Behavioral Health
Primary Care BH Phase 1 Goal: Established a Horizontal Platform
Primary Care BH Phase 2 Goal: Establish Vertical Programs
Key Successes
Pitfalls to Avoid
BEHAVIORAL HEALTH UTILIZATION Medical Diagnosis Behavioral Health Intervention
Slide 100
Improved Health Outcomes
Impact of Program on Providers
Patient Satisfaction
Hidden Benefits
Slide 105
Contact information