Filtering by: Integrative Care
Oct
13
12:00 PM12:00

C-DIAS Virtual Grand Rounds: Melanie Bennett

Integrating Effective Substance Use Disorder Treatment in the Psychiatry Treatment Setting

Melanie Bennett, PhD
University of Maryland, School of Medicine

ABSTRACT:
Patients with mental illness are diagnosed with tobacco and alcohol use disorders at rates 2-4 times higher than the general population and experience worse physical and mental health outcomes because of these comorbidities. FDA-approved medications and effective psychosocial interventions are available but underutilized in these patients, who are often referred to specialty SUD programs despite recommendations for integrated SUD/mental health care. In this presentation, Dr. Bennett will describe two research studies designed to increase the implementation of substance use disorder treatment in psychiatric treatment settings. Study 1 is a completed pilot clinical trial providing tobacco treatment to patients with mental illness who smoke during an inpatient psychiatric hospitalization. Study 2 is an ongoing exploratory project of Implementation Facilitation to increase prescribing of medications for alcohol use disorder in three community psychiatry treatment programs. Lessons learned and next steps for wider-scale implementation will be discussed.  

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Oct
21
12:00 PM12:00

CDIAS PSMG: Hannah Cheng and Todd Wagner

Pragmatic and Innovative Approaches to Evaluating Implementation Costs

Hannah Cheng, MS
Stanford University

Todd Wagner, PhD
Stanford University

ABSTRACT:
This presentation highlights practical and innovative approaches to economic evaluations in implementation endeavors. Part I provides an overview of Delivering Implementation Strategies Cost (DISCo), a pragmatic micro-costing tool that separates delivery and participation costs while outlining practical considerations for measuring implementation costs. Part II discusses economic evaluation approaches beyond traditional cost-effectiveness analysis, focusing on underused or novel approaches, such as data envelopment analysis, stochastic frontier analysis, budget impact analysis, and value-focused methods. The presentation equips researchers with a versatile economic toolkit to understand the value of implementation.

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Oct
14
12:00 PM12:00

CDIAS PSMG: Allison Carroll, Meredith Boyd, and Emily Fu

Implementing Collaborative Care at Scale: Insights from a Hybrid Trial and Rapid Expansion

Allison Carroll, PhD
Northwestern University

Meredith Boyd, PhD
Northwestern University

Emily Fu, PhD, MPH
University of Chicago

ABSTRACT:
The Collaborative Care Model (CoCM) is an evidence-based intervention to treat mild to moderate mental health conditions in primary care settings. Although the effectiveness of CoCM has been extensively researched, less is known about the strategies needed to successfully implement and sustain CoCM, particularly under pragmatic conditions. In this presentation, we will share findings from multiple phases of CoCM implementation. First, we conducted a randomized roll-out implementation optimization type 2 hybrid effectiveness-implementation trial of CoCM among 11 clinics within one region of the health system. Second, we will describe how learnings from this phase informed health system-wide implementation of CoCM across 74 clinics. Finally, we will describe novel, rapid approaches that are currently being piloted to increase the adoption and reach of CoCM.

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