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The Changing Landscape of Children’s Behavioral Health in New York: Opportunities for Addiction Services
New York State has been engaged in an effort to re-design its Medicaid program to better meet the needs of the people it covers while managing costs more effectively. The goals have been to increase access, develop new services, improve outcomes and reduce use of expensive hospitalizations. As the...
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System Transformation: What Does the Future Hold?
We know that the mind and body are inseparable, so it’s no surprise that the evolution of behavioral health services will continue to be a story of convergence and consolidation, increasingly informed by science, financed by investments intentionally calibrated to drive progress, and guided by...
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Substance Use Disorder Measures and Preparing for Value-Based Purchasing
In a previous column, I wrote about the measures for value-based purchasing being developed together with the New York State Department of Health and the Center on Addictions, our partner on many projects. Our work to develop clear measures has set the foundation for insurance plans, providers and...
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A Performance Driven System of Care at NYS’s OASAS
The New York State Office of Alcoholism and Substance Abuse Services (OASAS) envisions a performance-driven system of care, one that is adaptable to the changing needs of individuals with substance use disorder (SUD) and their families. A learning system that is integrated with healthcare,...
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Why Not Harm Reduction for Problem Gambling?
Harmful gambling is a public health issue. As types of gambling products and accessibility to gambling have increased, so too have concerns as to the harm associated with this behavior. While there is evidence of the harm cause by some forms of land-based gambling such as electronic gambling...
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Compassionate Care for Substance Users in Traditional Settings
Like many other mental health treatments, substance use treatment has struggled with high dropout rates and problems with engaging clients. Only 0.9 percent of people who have some substance use issues engage in treatment. While some of this may be the client’s internal reluctance to get care,...
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Striving for Compassionate Recovery-Oriented Substance Use Care
Nationally, people with substance use disorders in the United States are often treated with an expensive acute care model that highlights inpatient treatment as the hallmark component of treatment. For many, recovery is a life-long process, and the focus on acute care is a missed opportunity for...
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Let’s Strengthen Sober Housing Resources
Imagine someone drowning at night in the middle of the ocean. Suddenly a ship appears! Spotlights pinpoint the poor swimmer. A floatation device is tossed into the sea, and words of encouragement float down from the deck of the boat. The swimmer is quickly brought on board and provided with warm...
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Maintaining Recovery as a Central Focus of Substance Use Disorder Services
For years, the health care system treated addiction as an acute condition: an individual battling addiction would be diagnosed, treated, guided to support and then left to their own devices on whether to succeed, or fail, in recovery. The good news is: for New York State, that is no longer the...
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Maintaining a Focus on Recovery for People Within the Supported Housing System
The changes that have taken place over the last few years in the behavioral health field are affecting the way staff view “clients” as well as the way these same “clients” are being helped to view themselves. There is a swirl of information and expectations, and government funding is...
