Arnold School of Public Health, University of South Carolina, Columbia.
Psychiatr Serv. 2021 Aug 1;72(8):951-954. doi: 10.1176/appi.ps.202000374. Epub 2021 May 7.
Coordinated care models, such as the Medicaid health home, may be well positioned to identify and address addiction, yet little is known about the strategies health home plans use to identify and treat this condition. This study examined state requirements of active Medicaid health home plans.
Content analyses of all 35 active Medicaid health home plans were conducted to identify state requirements related to enrollment eligibility; provision of addiction screening, treatment, and prevention services; inclusion of addiction treatment professionals within the health home provider care team; and outcomes monitoring.
Apart from health homes specifically focused on addiction, few states require health home plans to screen (44% of primary care-based and 33% of psychiatric health homes), treat (0% and 13%, respectively), and monitor treatment services for addiction (25% and 13%, respectively).
Limited screening and treatment of addiction within health homes may limit the model's effectiveness in improving overall health.
诸如医疗补助健康之家（Medicaid health home）等协调护理模式可能非常适合识别和解决成瘾问题，但对于健康之家计划用来识别和治疗这种疾病的策略，人们知之甚少。本研究考察了活跃的医疗补助健康之家计划的州要求。
对所有 35 个活跃的医疗补助健康之家计划进行内容分析，以确定与入组资格相关的州要求；提供成瘾筛查、治疗和预防服务；在健康之家提供者护理团队中纳入成瘾治疗专业人员；以及结果监测。
除了专门针对成瘾问题的健康之家外，很少有州要求健康之家计划进行筛查（44%的基础保健健康之家和 33%的精神健康之家）、治疗（分别为 0%和 13%）和监测成瘾治疗服务（分别为 25%和 13%）。
健康之家中对成瘾问题的有限筛查和治疗可能限制了该模式在改善整体健康方面的有效性。
