Treatment for substance use disorder: Opportunities and challenges under the affordable care act
Open accessAbstract
Addiction is a chronic brain disease with consequences that remain problematic years after discontinuation of use. Despite this, treatment models focus on acute interventions and are carved out from the main health care system. The Patient Protection and Affordable Care Act (2010) brings the opportunity to change the way substance use disorder (SUD) is treated in the United States. The treatment of SUD must adapt to a chronic care model offered in an integrated care system that screens for at-risk patients and includes services needed to prevent relapses. The partnering of the health care system with substance abuse treatment programs could dramatically expand the benefits of prevention and treatment of SUD. Expanding roles of health information technology and nonphysician workforces, such as social workers, are essential to the success of a chronic care model.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Improving Primary Care for Patients With Chronic Illness
Bodenheimer, T. (2002) · JAMA · doi:10.1001/jama.288.14.1775 · Cited by 2,961 · see citing works
Drug Dependence, a Chronic Medical Illness
McLellan, A. T., Lewis, D. C., O'Brien, C. P., & Kleber, H. D. (2000) · JAMA · doi:10.1001/jama.284.13.1689 · Cited by 2,622 · cited 1× · see citing works
“One major challenge in managing patients with chronic conditions is to engage patients in their treatment, increase their adherence to the treatment plan, and monitor their self-management (McLellan et al., 2000).”
BackgroundImproving Primary Care for Patients With Chronic Illness: The Chronic Care Model, Part 2
Bodenheimer, T., Wagner, E. H., & Grumbach, K. (2002) · JAMA · doi:10.1001/jama.288.15.1909 · Cited by 2,413 · see citing works
Renders, C. M., Valk, G. D., Griffin, S. J., Wagner, E. H., Eijk van, J. T., & Assendelft, W. J. J. (2001) · Diabetes Care · doi:10.2337/diacare.24.10.1821 · Cited by 1,066 · see citing works
Economic costs of excessive alcohol consumption in the U.S., 2006
Bouchery, E. E., Harwood, H. J., Sacks, J. J., Simon, C. J., & Brewer, R. D. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.06.045 · Cited by 1,041 · see citing works
Bertholet, N. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.9.986 · Cited by 710 · see citing works
Woltmann, E., Grogan-Kaylor, A., Perron, B., Georges, H., Kilbourne, A. M., & Bauer, M. S. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2012.11111616 · Cited by 603 · see citing works
Saitz, R. (2005) · New England Journal of Medicine · doi:10.1056/nejmcp042262 · Cited by 599 · see citing works
U.S. Preventive Services Task Force* (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-140-7-200404060-00016 · Cited by 387 · see citing works
Saitz, R., Alford, D. P., Bernstein, J., Cheng, D. M., Samet, J., & Palfai, T. (2010) · Journal of Addiction Medicine · doi:10.1097/adm.0b013e3181db6b67 · Cited by 95 · see citing works
Flagged first, then by citations
Research works printed but not linked: 47
- Anderson G Knickman JR Changing the chronic care system to meet people's needs. Health Affairs 2001 20 6 146 160 11816653
- Bernstein J Bernstein E Tassiopoulos K Heeren T Levenson S Hingson R Brief motivational intervention at a clinic visit reduces cocaine and heroin use. Drug and Alcohol Dependence 2005 77 1 49 59 15607841
- Blumenthal D Launching HITECH. New England Journal of Medicine 2010 362 5 382 385 20042745
- Blumenthal D Tavenner M The “meaningful use” regulation for electronic health records. New England Journal of Medicine 2010 363 6 501 504 20647183
- Bradley KA Williams EC Achtmeyer CE Volpp B Collins BJ Kivlahan DR Implementation of evidence-based alcohol screening in the Veterans Health Administration. American Journal of Managed Care 2006 12 10 597 606 17026414
- Carter BL Pharmacotherapy and the primary care physician. Primary Care: Clinics in Office Practice 1990 17 3 469 477 2236332
- Centers for Disease Control and Prevention [CDC] Vital signs: Overdoses of prescription opioid pain relievers—United States, 1999–2008. Morbidity and Mortality Weekly Report 2011 60 43 1487 1492 22048730
- Coleman K Austin BT Brach C Wagner EH Evidence on the chronic care model in the new millennium. Health Affairs 2009 28 1 75 85 19124857 PMC5091929
- Dennis ML Foss MA Scott CK An eight-year perspective on the relationship between the duration of abstinence and other aspects of recovery. Evaluation Review 2007 31 6 585 612 17986709
- Dennis ML Scott CK Four-year outcomes from the early re-intervention (ERI) experiment using recovery management checkups (RMCs). Drug and Alcohol Dependence 2012 121 1/2 10 17 21903347 PMC3277866
- Dorr DA Wilcox A Burns L Brunker CP Narus SP Clayton PD Implementing a multidisease chronic care model in primary care using people and technology. Disease Management 2006 9 1 1 15 16466338
- Elissen AM Steuten LM Lemmens LC Drewes HW Lemmens KM Meeuwissen JA Vrijhoef HJ Meta-analysis of the effectiveness of chronic care management for diabetes: Investigating heterogeneity in outcomes. Journal of Evaluation in Clinical Practice 2012 doi:10.1111/j.1365-2753.2012.01817.x 22372830 · DOI
- Estee S Wickizer T He L Shah MF Mancuso D Evaluation of the Washington state screening, brief intervention, and referral to treatment project: Cost outcomes for Medicaid patients screened in hospital emergency departments. Medical Care 2010 48 1 18 24 19927016
- Gallagher H de Lusignan S Harris K Cates C Quality-improvement strategies for the management of hypertension in chronic kidney disease in primary care: A systematic review. British Journal of General Practice: The Journal of the Royal College of General Practitioners 2010 60 575 e258 265 PMC2880767 20529489
- Green LA Cifuentes M Glasgow RE Stange KC Redesigning primary care practice to incorporate health behavior change: Prescription for health round-2 results. American Journal of Preventive Medicine 2008 35 5 Suppl S347 S349 18929980
- Hansen RN Oster G Edelsberg J Woody GE Sullivan SD Economic costs of nonmedical use of prescription opioids. Clinical Journal of Pain 2011 27 3 194 202 21178601
- Knight JR Harris SK Sherritt L Van Hook S Lawrence N Brooks T Kulig J Prevalence of positive substance abuse screen results among adolescent primary care patients. Archives of Pediatrics and Adolescent Medicine 2007 161 11 1035 1041 17984404
- Krupski A Sears JM Joesch JM Estee S He L Dunn C Ries R Impact of brief interventions and brief treatment on admissions to chemical dependency treatment. Drug and Alcohol Dependence 2010 110 1/2 126 136 20347234
- Kuo S Bryce CL Zgibor JC Wolf DL Roberts MS Smith KJ Cost-effectiveness of implementing the chronic care model for diabetes care in a military population. Journal of Diabetes Science and Technology 2011 5 3 501 513 21722566 PMC3192617
- Laine C Hauck WW Gourevitch MN Rothman J Cohen A Turner BJ Regular outpatient medical and drug abuse care and subsequent hospitalization of persons who use illicit drugs. Journal of the American Medical Association 2001 285 18 2355 2362 11343483
- Lundberg GD New winds blowing for American drug policies. Journal of the American Medical Association 1997 278 11 946 947 9302251
- Ma CA McGuire TG Costs and incentives in a behavioral health carve-out. Health Affairs 1998 17 2 53 69 9558785
- Madras BK Compton WM Avula D Stegbauer T Stein JB Clark HW Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and 6 months later. Drug and Alcohol Dependence 2009 99 1/3 280 295 18929451 PMC2760304
- Mangione-Smith R Schonlau M Chan KS Keesey J Rosen M Louis TA Keeler E Measuring the effectiveness of a collaborative for quality improvement in pediatric asthma care: Does implementing the chronic care model improve processes and outcomes of care? Ambulatory Pediatrics: The Official Journal of the Ambulatory Pediatric Association 2005 5 2 75 82 15780018
- Marchibroda JM The impact of health information technology on collaborative chronic care management. Journal of Managed Care Pharmacy 2008 14 2 Suppl S3 S11 18331114
- McKay JR Is there a case for extended interventions for alcohol and drug use disorders? Addiction 2005 100 11 1594 1610 16277622
- McLellan AT Have we evaluated addiction treatment correctly? Implications from a chronic care perspective. Addiction 2002 97 3 249 252 11964098
- McLellan AT Treatment given high priority in new White House drug control policy. Interview by Bridget Kuehn. Journal of the American Medical Association 2010 303 9 821 822 20197521
- McLellan AT McKay JR Forman R Cacciola J Kemp J Reconsidering the evaluation of addiction treatment: From retrospective follow-up to concurrent recovery monitoring. Addiction 2005 100 4 447 458 15784059
- O'Connor PG Samet JH Substance abuse: The expanding role of general internal medicine. Journal of General Internal Medicine 2002 17 5 398 399 12047739 PMC1495043
- Parthasarathy S Mertens J Moore C Weisner C Utilization and cost impact of integrating substance abuse treatment and primary care. Medical Care 2003 41 3 357 367 12618639
- Paulozzi LJ Drug-induced deaths—United States, 2003–2007. MMWR. Surveillance Summaries 2011 60 Suppl 60 61 21430623
- Pilowsky DJ Wu LT Screening for alcohol and drug use disorders among adults in primary care: A review. Substance Abuse and Rehabilitation 2012 3 1 25 34 22553426 PMC3339489
- Protti D Integrated care needs integrated information management and technology. Healthcare Quarterly 2009 13 Spec No 24 29 20057245
- Rosenthal MB Fernandopulle R Song HR Landon B Paying for quality: Providers' incentives for quality improvement. Health Affairs 2004 23 2 127 141 15046137
- Schonfeld L King-Kallimanis BL Duchene DM Etheridge RL Herrera JR Barry KL Lynn N Screening and brief intervention for substance misuse among older adults: The Florida BRITE project. American Journal of Public Health 2010 100 1 108 114 19443821 PMC2791238
- Serban G Serban G Social stress and drug abuse. The social and medical aspects of drug abuse 1984 125 133 Springer Netherlands New York, NY
- Stein MD Medical consequences of substance abuse. Psychiatric Clinics of North America 1999 22 2 351 370 10385938
- Sunaert P Bastiaens H Nobels F Feyen L Verbeke G Vermeire E De Sutter A Effectiveness of the introduction of a chronic care model-based program for type 2 diabetes in Belgium. BMC Health Services Research 2010 10 207 20630062 PMC2912901
- Tai B Wu L Clark H Electronic health records: Essential tools in integrating substance abuse treatment with primary care [Commentary]. Substance Abuse and Rehabilitation 2012 3 8 PMC3886649 24474861
- Topol E Mobile-izing healthcare. Wireless technologies will continue to revolutionize the industry. Modern Healthcare 2011 52 Suppl 21938791
- United States 111th Congress Stimulus: American Recovery and Reinvestment Act of 2009 Public Law 111-5 Official Text 2009 Government Institutes/Bernan Press Lanham, MD
- U.S. Department of the Treasury, U.S. Department of Labor, & U.S. Department of Health and Human Services Interim final rules under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. Interim final rules with request for comments. Federal Register 2010 75 21 5409 5451 20352665
- Volkow N Li TK The neuroscience of addiction. Nature Neuroscience 2005 8 11 1429 1430 16251981
- Wagner EH Chronic disease management: What will it take to improve care for chronic illness? Effective Clinical Practice 1998 1 1 2 4 10345255
- Whitlock EP Polen MR Green CA Orleans T Klein J Behavioral counseling interventions in primary care to reduce risky/harmful alcohol use by adults: A summary of the evidence for the U.S. Preventive Services Task Force. Annals of Internal Medicine 2004 140 7 557 568 15068985
- Williams JW Jr. Rost K Dietrich AJ Ciotti MC Zyzanski SJ Cornell J Primary care physicians' approach to depressive disorders. Effects of physician specialty and practice structure. Archives of Family Medicine 1999 8 1 58 67 9932074
Cited by
Sorted by citations
Development of a Cascade of Care for responding to the opioid epidemic.
Williams, A. R., Nunes, E. V., Bisaga, A., Levin, F. R., & Olfson, M. (2019) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2018.1546862 · Cited by 332 · see citing works
Ford II, J. H., Alagoz, E., Dinauer, S., Johnson, K. A., Pe-Romashko, K., & Gustafson, D. H. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3965 · Cited by 73 · see citing works
Kulesza, M., Watkins, K. E., Ober, A. J., Osilla, K. C., & Ewing, B. (2017) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2017.08.002 · Cited by 73 · see citing works
Patient predictors of substance use disorder treatment initiation in primary care
Ober, A. J., Watkins, K. E., McCullough, C. M., Setodji, C. M., Osilla, K., & Hunter, S. B. (2018) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2018.04.004 · Cited by 50 · see citing works
Loveland, D., & Driscoll, H. (2014) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/1747-597x-9-41 · Cited by 47 · see citing works
Satre, D. D., Palzes, V. A., Young-Wolff, K. C., Parthasarathy, S., Weisner, C., Guydish, J., & Campbell, C. I. (2020) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2020.108097 · Cited by 22 · see citing works
Han, B., Olfson, M., & Mojtabai, R. (2017) · Depression and Anxiety · doi:10.1002/da.22592 · Cited by 12 · see citing works
- Authors
- Tai, B., & Volkow, N. D.
- Affiliations
- National Institutes of Health (US)
- Venue
- Social Work in Public Health
- Publisher
- Informa UK Limited
- Published
- 2013-05
- Volume
- 28
- Issue
- 3-4
- Pages
- 165-174
- ISSN
- 1937-190X (ISSN-L)
- 1937-1918
- PMC
- PMC4827339
- OpenAlex
- W2007457315
- Cited by
- 81
- References
- 10
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 8 · 2023: 4 · 2022: 5 · 2021: 9 · 2020: 7 · 2019: 6 · 2018: 4 · 2017: 13 · 2016: 5 · 2015: 9 · 2014: 8 · 2013: 1
- FWCI
- 5.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Social Work in Public Health (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (Z99 DA999999)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- substance use disorders, Affordable Care Act, addiction treatment, Chronic Care Model, integrated care, healthcare system integration, relapse prevention, health information technology, social workers, health policy
- MeSH terms
- Workforce, Chronic Disease, Continuity of Patient Care, Decision Support Techniques, Humans, Organizational Innovation, Preventive Health Services, Primary Health Care, Quality Assurance, Health Care, Social Work, United States, Treatment Outcome, Substance-Related Disorders, Evidence-Based Practice, Patient Protection and Affordable Care Act
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
