Substance Use Disorders "SUD"
In this section:
CA Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver (8-14-15) "The waiver gives the state flexibility to establish a continuum of care to help ensure that services and treatment are delivered in the right place at the right time in the right setting for the individual's needs... “Medi-Cal Moves Addiction Treatment into the Mainstream: Early Lessons from the DMC-ODS Pilots.” 2018, CA Health Care Foundation / “How Medi-Cal Expanded Substance Use Treatment and Access to Care” is a follow up to the 2018 paper and includes perspectives from additional counties representing various population sizes and geographic areas throughout the state. 2020, CA Health Care Foundation
Medication Assisted Treatment (MAT) means utilizing U.S. Food and Drug Administration (FDA)-approved medications, in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders. Medications commonly used include methadone, buprenorphine, and naltrexone, which reduce or prevent cravings and withdrawal symptoms, and reduce the risk of overdose. MAT is primarily used for the treatment of addiction to opioids (heroin and prescription pain relievers that contain opiates). Additionally, acamprosate may be used to reduce cravings for individuals with alcohol use disorder, and disulfiram deters drinking because combining it with alcohol causes physical illness. Naltrexone is also used for alcohol use disorder since it blocks the euphoric effects and feelings of intoxication.
SBIRT (Screening, Brief Intervention and Referral to Treatment) is an integrated, comprehensive, evidence-based approach to identify, reduce and prevent risky or unhealthy substance use and can be utilized in a variety of different settings. SBIRT & SBIRT for Youth, National Council for Mental Wellbeing, 2021
Naloxone Vending Machine Dispenser, San Diego County, See Page 26
Overdose Prevention & Response for community corrections, Course Series (free), National Council for Mental Wellbeing, 2023
CA Youth Peer Mentor Program 2021 Annual Report
Overdose Prevention Initiative, CA Department of Public Health
Sobering Centers Explained, CA Health Care Foundation, 2021
Best Practices in Managing Patients with Kratom Addiction, Recording - Providers Clinical Support System, November 2020
Fatal Opioid Overdose, HIV, and Hepatitis C Virus (HCV) Vulnerability Assessment, CA Department of Public Health, November 2020
Integrating SUD Services - Sustaining Progress in Challenging Times, National Council for Behavioral Health, October 2020
Nat'l Practice Guideline: Opioid Use Disorder Treatment (ASAM)
Recommendations: Care of Homeless Patients with OUD
Drug and Alcohol Screening Tools (SAMHSA)
Treatments for Substance Use Disorders (SAMHSA)
DMC‑ODS waiver evaluation reports External Quality Review Organization (EQRO) review of Drug Medi-Cal Organized Delivery System (DMC-ODS) in counties regarding access, timely access, and quality of care.
Optimal Utilization of psychosocial supports in medication-assisted treatment for opioid use disorder disorder, US Dept of Health & Human Services, July 2019
The MH and Substance Use Workforce for Older Adults... Institute of Medicine (2012)
1.5 Million Adults Have Serious Mental Illness & Misused Opioids: SAMHSA (1-25-17)
Temporal Patterns of ER Visits Related to Underage Drinking: SAMHSA (1-20-17)
Facing Addiction in America, Surgeon General's Report, Surgeon General, 2016
MAT & Drug Court Opportunity December 2022