Treatment for Substance Use Disorder Kaiser Permanente

Kaiser Permanente primary care physicians are trained to screen for possible alcohol misuse at every appointment and connect members who need support to addiction medicine specialists. For outpatient treatment to work well for you, it’s important to go to your sessions regularly and also get other support, such as Alcoholics Anonymous or Narcotics Anonymous meetings. Having support from friends or family, good transportation, and a stable place to live also are important. In standard outpatient treatment, you may have 1 or 2 group therapy sessions a week. Sessions may be in the evening or on weekends so you can go to work.

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Conclusions  In this secondary analysis of the PROUD cluster randomized trial, after an added year of the intervention, OUD treatment continued to increase in intervention clinics compared with usual care. The treatment increase over 3 years exceeded that of the first 2 years, suggesting that implementation of the Massachusetts OBAT model leads to ongoing increases in OUD treatment among primary care patients in the third year of implementation. Data were obtained from electronic health records and insurance claims. Eligible patients were those aged 16 to 90 years visiting intervention or usual care clinics from 3 years before to 2 years after randomization. Patients new to clinics during the third year after randomization could not be included because COVID-19–era transitions to virtual care precluded assignment of patients to clinics. Data analysis occurred from November 2023 to September 2024.

Patients who had outcomes measured in the third year postrandomization had a visit to a trial clinic in year 3 and at least 1 visit in the prior 5 years (ie, during 3 baseline years or 2 postrandomization years). If you have substance use disorder, your doctor may suggest treatment at an inpatient or outpatient facility. Whether you get inpatient or outpatient treatment, it’s important to stay committed to a drug-free or sober lifestyle. With treatment, you can make healthy changes and keep drugs or alcohol out of your life. Outpatient treatment happens in mental health clinics, counselors’ offices, hospital clinics, or local health department offices. If you have a substance use disorder, your doctor may suggest treatment at an inpatient or outpatient facility.

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When visiting a treatment center to see whether the program offered there meets your needs, ask these questions. Addiction medicine chief Sarah Leitz, MD, describes Kaiser Permanente’s care approach as patient centered and inclusive. You’ll return to your program for evening sessions and to sleep each night.

A combination of these treatments may be used in both inpatient and outpatient programs. Talk to your doctor or counselor to find out about online options. Objective  To compare OUD medication treatment in kaiser drug treatment intervention and usual care clinics over 3 years of implementation. Inpatient and outpatient treatment programs both usually involve the 12-step program used by Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). We offer inpatient and outpatient treatment programs for members with more severe problems with alcohol or drugs. Specific details can vary, but programs typically involve a combination of individual and group therapy, educational sessions, and self-help and peer support meetings.

1. Thus, there was a 15.1% absolute increase in proportion of patients with documented OUD who received treatment in intervention compared with usual care clinics.
2. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente.
3. Thus, the sample for this 3-year evaluation was the same as the main trial.
4. Also find out what insurance plans are accepted, what they cover, and what kinds of payment plans the program offers.
5. It’s just another way they’re looking after your health — no different than taking your blood pressure and sharing the results with you.

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In other cases, medication is used to help reduce cravings, ease withdrawal symptoms, and help prevent relapse. This is sometimes referred to as medication-assisted treatment (MAT), and is mostly used to treat addiction to opioids, heroin, prescription pain relievers, and alcohol. Medication is typically used in combination with other treatment approaches, like therapy and self-care. When people become physically dependent on alcohol or drugs, it’s not safe for them to stop drinking or using without medical supervision.

Outpatient programs can be a challenge because you may continue to face problems at work and home. But it will help you build the skills you need to handle everyday problems. Policy changes are crucial for better opioid addiction treatment. Participating in a chronic pain management program was the key for Tom, who had used Percocet to dull the back pain he experienced for decades.

Some residential programs use a therapeutic community (TC) model. These programs allow you to be more accountable, responsible, and active in your community as your treatment progresses. Residential treatment may be a good option if you have used drugs or alcohol for a long time, have had legal problems because of your use, or don’t have good support from other people. In residential treatment, you live in an alcohol-free and drug-free setting while recovering from substance use disorder. Psychologists specialize in the assessment, diagnosis, and treatment of mental health conditions, SUD, and addiction. They’re trained in a variety of evidence-based treatment methods designed to improve emotional and interpersonal well-being.