1. Chris Farentinos, MD, MPH, CADC II Director of Adult Outpatient Services DePaul Treatment Centers & Rick Ralston, LCSW, Manager Psychiatric Consultation & Care Mgmt Services Legacy Health

2. DePaul Treatment Centers  Increase the number of SUD patients who receive care  Increase % of referrals from Legacy Health Legacy Health  Increase identification of patients who could benefit from SUD services  Provide increased holistic health care Source 1990 2004 Criminal Justice 38% 59% Employers/EAP 10% 6% Welfare/CPS 8% 16% Hosp/Phys 4% 3%

3.  Introduced the focus of SUD into clinics  Changed clinic flow to include SUD screening & assessment  Physicians more readily pursue & address SUD with patients  Provided Education & Training on SBIRT for care managers

4.  Physician & Mgmt buy-in  Processes and Flow developed  3-Question Screening Tool & Mini- Assessment  Algorithm for clinic flow  Clinician decision-making algorithm  Designated spot in Legacy’s EMR  Collaboration extended to two Legacy Specialty clinics  Increased referrals from Legacy to De Paul

5.  Best chance for success: Implement in Oct  Additional education to 23 clinic’s care managers: increased awareness & motivation to address SUD in clinics  Excitement/buzz of conversations following 2 nd training  Strong prep for Oct implementation

6. DePaul Treatment Centers  Developed new referral stream  Strong connection with major community partner Legacy Health  Developed sustainable initiative  First formal screening/assessment for SUD in Legacy primary care & specialty clinics  Significant increase in awareness of SUD