Mindful Continuing Education

Innovations in Addiction Treatment

1. In addition to the crime, violence, and loss of productivity associated with drug use, individuals living with a substance abuse disorder often have one or more physical health problems and mental disorders such as depression, anxiety, bipolar disorder, and schizophrenia.

A. True B. False

Driving Force For Integration

2. According to the authors, driving forces to implement integrated addiction and primary care as a healthcare strategy include each of the following EXCEPT:

A. To provide affordable, cost-effective, geographically accessible, and comprehensive care for people living with addictions who often had comorbid chronic physical health conditions B. To expand access to prescribing physicians, nurses, or physician assistants to manage new medications indicated for addiction treatment C. To enable opportunity for transitions to occur so that accountability/responsibility for some aspect of a patient's care can be transferred between two or more health care entities D. To adhere to changes to the healthcare system such as passage of the Affordable care Act, which emphasizes care coordination and the use of multidisciplinary teams

Preparing for Integration

3. When an addiction provider decides to integrate primary care services, the first step is to prioritize a recovery-support approach in which care is centered around clinical expertise.

A. True B. False

Table 1-Six Levels of Collaboration/Integration

4. Characteristics of full collaboration in a transformed/merged integrated practice include:

A. Frequent in-person communication B. Roles or cultures that blur or blend C. Collaboration driven by the desire to be a member of the care team D. Regular meetings to discuss overall patient care and specific care needs

Successes, Barriers, and Lessons Learned

5. In order to build collaborating systems of care and facilitate fruitful partnerships, experts recommend looking for the best fit, finding an advocate, managing expectations of the process, establishing common goals, and aligning expectations.

A. True B. False

Workforce Development

6. Workforce factors that need attention to support integration include recruitment, retention, effective training, and:

A. Staff competency in integrated care, evidence-based practices, and recovery-oriented approaches B. Attitudes and skills in prevention and treatment of persons with mental and substance abuse conditions C. Workforce roles for persons in recovery and their family members D. All of the above

7. When redesigning substance abuse services delivery systems to support integrated primary care and/or integrated mental health services, mobilizing a staff with expertise in case management, care coordination, and wellness programming is recommended.

A. True B. False

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