Implementing a Patient-Centered, Rapid-Access Substance Use Treatment Pathway in Primary Care.

Psychiatr Serv

First Choice Community Healthcare, Albuquerque, New Mexico (Jeansonne, Cook); RAND, Santa Monica, California (Dopp, Watkins); Department of Internal Medicine, Health Sciences Center (Phillips, Page), and Center on Alcohol, Substance Use, and Addictions (Brown), University of New Mexico, Albuquerque;

Published: January 2025


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Article Abstract

Despite the effectiveness of treating substance use disorders in primary care, access to such services remains limited. In this project, quality improvement methods were used to create and evaluate a rapid-access pathway for substance use treatment services in community health clinics. A "secret shopper" test gathered information about wait times and requirements. Results informed the development of a patient-centered pathway, in which patients requesting substance use treatment services were offered an immediate telehealth appointment with a provider and then linked to ongoing care services. This treatment pathway was feasible to implement, resulted in high treatment access rates, and was minimally disruptive to clinic operations.

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http://dx.doi.org/10.1176/appi.ps.20240150DOI Listing

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