Gary Mendell, Founder and CEO The Substance Use Disorder Treatment Task Force National Principles of Care for SUD Treatment Gary Intros Gary Mendell, Founder and CEO

Substance use Disorder treatment task force

THE ISSUE…

result… More than 150,000 deaths in 2016 alone.

Our Solution: Substance Use Disorder Treatment Task Force organized by Shatterproof to take a business approach to ensure that every American has access to treatment based upon proven research without shame or stigma.

Action Plan: Action Plan Shatterproof Substance Use Disorder Treatment Task Force Action Plan Establish Measurable Objectives 1 Payer Based Reform 2 Provider Ratings 3 Provider Engagement 4 Consumer Education and Stigma Reduction 5 Treatment Infrastructure Improvement 6 Federal Policy Ongoing Evaluation, Continual Improvement

November 8th announcement: 16 Payers covering more than 248 million lives, agree to: identify, promote, and reward care that aligns with the Principles to work with the Task Force to monitor and evaluate implementation strategies to learn and share with other organizations for the greater goal of improving access to and quality.

evidence-based addiction treatment→ national principles of care Consistent with evidence-based best practices from The Surgeon General’s Report on Alcohol, Drugs, and Health. All findings are: Supported by multiple, rigorous research studies in multiple settings and with multiple populations. Have been reviewed and approved for accuracy by over 300 independent scientists. Accepted and endorsed by all five of the federal agencies most responsible for addiction policy (SAMHSA, NIDA, NIAAA, CDC, FDA, CMS). Gary The Task Force has worked with the Lead Editor of the Surgeon generals report to elevate key aspects of quality for the treatment of SUDs. These Principles are based on decades of research that has been reviewed by over 300 independent scientists, and endorsed by all five federal agencies involved in this space.

Principles of Care 1 Universal screening for SUDs across medical care settings 2 Rapid access to appropriate SUD care 3 Personalized diagnosis, assessment, and treatment 4 Continuing long-term outpatient care 5 Concurrent, coordinated care for physical and MH 6 Access to fully trained BH professionals 7 Access to FDA-approved medications 8 Access to non-medical recovery support services #1: Routine screenings in every medical setting During check-ups and in the ER, from pediatric to geriatric care—screenings for an SUD should be as common as measuring blood pressure. Sam Now we will go through the principles.

1 Principles of Care 2 3 4 5 6 7 8 #2: Fast access to treatment Universal screening for SUDs across medical care settings 2 Rapid access to appropriate SUD care 3 Personalized diagnosis, assessment, and treatment 4 Continuing long-term outpatient care 5 Concurrent, coordinated care for physical and MH 6 Access to fully trained BH professionals 7 Access to FDA-approved medications 8 Access to non-medical recovery support services #2: Fast access to treatment Addiction alters brain chemistry. So when an individual is able to seek treatment, that moment must be seized. Sam

Principles of Care 1 Universal screening for SUDs across medical care settings 2 Rapid access to appropriate SUD care 3 Personalized diagnosis, assessment, and treatment 4 Continuing long-term outpatient care 5 Concurrent, coordinated care for physical and MH 6 Access to fully trained BH professionals 7 Access to FDA-approved medications 8 Access to non-medical recovery support services #3: A personal plan for every patient One size doesn’t fit all. Treatment must consider unique social, mental, biological, and environmental needs—with frequent check-ins and adjustments Sam

Principles of Care 1 Universal screening for SUDs across medical care settings 2 Rapid access to appropriate SUD care 3 Personalized diagnosis, assessment, and treatment 4 Continuing long-term outpatient care 5 Concurrent, coordinated care for physical and MH 6 Access to fully trained BH professionals 7 Access to FDA-approved medications 8 Access to non-medical recovery support services #4: Disease management, rather than 28 days While inpatient treatment may be appropriate for some based on disease severity, this isn’t the best option for all. And it’s not enough for sustained success. Long-term outpatient care is key to recovery. Sam

Principles of Care 1 Universal screening for SUDs across medical care settings 2 Rapid access to appropriate SUD care 3 Personalized diagnosis, assessment, and treatment 4 Continuing long-term outpatient care 5 Concurrent, coordinated care for physical and MH 6 Access to fully trained BH professionals 7 Access to FDA-approved medications 8 Access to non-medical recovery support services #5: Coordinated care for every illness Many people with addiction also suffer from other mental or physical disorders. Treatment for all illnesses should be coordinated and integrated into the SUD treatment plan. Sam

Principles of Care 1 Universal screening for SUDs across medical care settings 2 Rapid access to appropriate SUD care 3 Personalized diagnosis, assessment, and treatment 4 Continuing long-term outpatient care 5 Concurrent, coordinated care for physical and MH 6 Access to fully trained BH professionals 7 Access to FDA-approved medications 8 Access to non-medical recovery support services #6: Behavioral health care from legitimate providers Behavioral interventions help individuals manage their disease and sustain recovery—and should be offered by properly trained, accredited, and well-supervised providers. Sam

1 Principles of Care 2 3 4 5 6 7 8 #7: Medication-assisted treatment Universal screening for SUDs across medical care settings 2 Rapid access to appropriate SUD care 3 Personalized diagnosis, assessment, and treatment 4 Continuing long-term outpatient care 5 Concurrent, coordinated care for physical and MH 6 Access to fully trained BH professionals 7 Access to FDA-approved medications 8 Access to non-medical recovery support services #7: Medication-assisted treatment Just like with any other chronic disease, medication is appropriate for treating some addictions. It should be destigmatized and easily accessible. Sam

Principles of Care 1 Universal screening for SUDs across medical care settings 2 Rapid access to appropriate SUD care 3 Personalized diagnosis, assessment, and treatment 4 Continuing long-term outpatient care 5 Concurrent, coordinated care for physical and MH 6 Access to fully trained BH professionals 7 Access to FDA-approved medications 8 Access to non-medical recovery support services #8: Support for recovery outside the doctor’s office Recovery requires emotional and practical support from family members, the community, and peer groups. Let’s spend time walking through the principles.

Priority working areas: Provider Ratings Payer-Based Reform Develop a system that rates the quality of care delivered by providers and make this information available to: Consumers to inform treatment selection Providers to improve quality and align with Principles Payers to incentivize high-quality care State Licensors to identify high-quality care. Facilitate the adoption of best practices by payers which: Reduce barriers to quality treatment, and Incentivize treatment consonant with the Principles of Care

Advancing this work: Provider Ratings Payer-Based Reform Work with quality experts to identify measures and gaps and publish Identify optimal framework for rating system Build infrastructure to make it happen Draft best practices Expert and constituency review Plan for implementation

Thank you Questions? FOR ADDITIONAL INFORMATION OR QUESTIONS, PLEASE CONTACT: Sam Arsenault Manager, National Treatment Quality Initiatives, Shatterproof Sarsenault@Shatterproof.org