Model

On January 18, 2024, the Centers for Medicare & Medicaid Services (CMS) announced the Innovation in Behavioral Health (IBH) Model. IBH is focused on improving quality of care and behavioral and physical health outcomes for Medicaid and Medicare populations with moderate to severe mental health conditions and substance use disorder (SUD).

Researchers interviewed 20 individuals – clinicians, peer support specialists, cultural practitioners, and others familiar with OUD treatment – in a Minnesota tribal community.  The Cascade of Care model measures the quality of outcomes at each stage of treatment, from diagnosis to long-term maintenance, and was first proposed in 1998 as an approach to care for HIV/AIDS. 

The University of Rochester Medicine Recovery Center of Excellence provides information on integrating behavioral health into primary care practices as there are many challenges patients face in the health care system. By highlighting the role of the Behavioral Health Care Manager in rural primary care practices, the hope is to increase access to improve outcomes.

OMNI Institute, in partnership with the JBS RCORP-TA team, created the 2022-2023 RCORP-TA Data Learning Collaborative (LC) for grantees to come together and share knowledge, talk through challenges, and build relationships with one another. This LC will build upon the foundation established in the prior 2022 RCORP-TA Data Learning Collaborative.

Dr. Brooklyn discussed the following topics: the implementation of a Hub and Spoke model can lead to a significant increase in number of people with OUD treated in rural areas by providing resources for small and rural medical and behavioral health practices and a novel program to increase dosing compliance and security through the use of secure medication dispensers and a Smartphone app can increase access to MOUD in rural areas.

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Creating and maintaining an open, safe, and inclusive setting that reflects warmth and promotes connection and belonging are essential elements of peer-led, peer-driven, social model recovery homes. Recovery housing and a social recovery approach offer a broad, holistic, multifaceted strategy for rural or urban communities. This presentation detailed the critical role of the Peer-Led, Peer-Driven Social Model of Recovery.

This Technical Briefing provides a description of Peer-to-Peer Distribution of Naloxone (P2PN). This is based on six case studies of pioneers of P2PN; three from the UK and three international examples that inform the guidance in this Technical Briefing. This document will inform and be extended following a pilot of P2PN in four sites in England in 2019. These will be supported by small grants from EuroNPUD. The learning from this pilot will help test the model and peer education approach promoted in this briefing.

Medication-assisted treatment (MAT) is the use of medications, combined with counseling, to treat substance use disorders. Research has proven the effectiveness of MAT and addiction treatment experts endorse it, but a variety of barriers have prevented the widespread use of MAT. These include a lack of financing for medication, insufficient organizational infrastructure to deliver medication, state and county funding and regulatory obstacles, physician training and certification, staff and client resistance, and community attitudes.

Building on Part I of the stigma webinar series and its introduction of a statewide collective impact model for addressing stigma, this webinar delivered the first part of the model that also served as its conceptual framework. This webinar introduced the stages of change and showed grantees how these apply to their target populations. We also discussed how those same principles applied to grantee engagement of community stakeholders and their openness to evidence-based practices that reduce morbidity and mortality related to SUD/OUD.