Addiction Rehab: HIT: Time to End Behavioral Health Discrimination.
HIT: Time to End Behavioral Health Discrimination.
Filed under: Addiction Rehab
J Behav Health Serv Res. 2012 Sep 7;
Rosenberg L
While the Health Information Technology for Economic and Clinical Health Act, enacted as part of the American Recovery and Reinvestment Act of 2009, provided $ 20.6 billion for incentive payments to support the adoption and meaningful use of health information technology (HIT), behavioral health organizations were not eligible to receive facility payments. The consequences of excluding behavioral health from HIT incentive payments are found in the results of the “HIT Adoption and Meaningful Use Readiness in Community Behavioral Health” survey. The survey found that only 2% of community behavioral health organizations are able to meet federal meaningful use (MU) requirements-compare this to the 27% of Federally Qualified Health Centers and 20% of hospitals that already meet some level of MU requirements. Behavioral health organizations, serving more than eight million adults, children, and families with mental illnesses and addiction disorders, are ready and eager to adopt HIT to meet the goals of better healthcare, better health, and lower costs. But reaching these goals may prove impossible unless behavioral health achieves “parity” within healthcare and receives resources for the adoption of HIT.
HubMed – addiction
Who responds better? Factors influencing a positive response to brief alcohol interventions for individuals with traumatic brain injury.
Filed under: Addiction Rehab
J Head Trauma Rehabil. 2012 Sep; 27(5): 342-8
Ponsford J, Tweedly L, Lee N, Taffe J
: To investigate variables associated with the frequency and quantity of alcohol consumption following a brief alcohol intervention in individuals with traumatic brain injury.: Initial sample of 60 participants with traumatic brain injury (mean age = 35 years) with preinjury history of alcohol use; of whom, 50 were evaluated at follow-up.: Randomized controlled trial, stratified for gender, which used a random-effects regression model to examine the association of predictor variables with the frequency and quantity of alcohol use 6 months following a brief alcohol intervention.: Alcohol Use Disorders Identification Test; Time Line Follow Back; California Verbal Learning Test-II; Modified Six Elements Test; Readiness to Change Questionnaire; and Hospital Anxiety and Depression Scale.: Participants received one of the following treatments: informal discussion; discussion plus information; and brief motivational interview plus information.: While both intervention groups showed less drinking, the intervention group membership effect was not significant. Being in the action stage of readiness to change was associated with lower drinking frequency and quantity. Higher education and higher levels of depression were associated with increased drinking. Memory and executive function, and heavy preinjury alcohol use, were not significant predictors.: These findings support a focus on readiness to change behavior and treatment of depression in addressing alcohol use issues following traumatic brain injury. Treatment efficacy studies in larger samples are needed.
HubMed – addiction
Investigation of the effectiveness of brief interventions to reduce alcohol consumption following traumatic brain injury.
Filed under: Addiction Rehab
J Head Trauma Rehabil. 2012 Sep; 27(5): 331-41
Tweedly L, Ponsford J, Lee N
: To examine the relative effectiveness of brief interventions comprising an information booklet with and without a brief motivational interview and an informal discussion in reducing alcohol use following traumatic brain injury.: Sample of 60 participants with traumatic brain injury (mean age = 35 years) with preinjury history of alcohol use.: Randomized controlled trial, using block randomization, stratified for gender.: Following collection of demographic information and alcohol consumption data using the Time Line Follow-Back, participants were randomly allocated to 1 of 3 groups (informal discussion, information only, or motivational interview) and given appropriate treatment. Follow-up assessments were completed by an independent researcher 6 months later.: Nonparametric significance testing was used to compare differences in frequency and quantity of alcohol consumption at preintervention (6-9 months postinjury) and follow-up (12-15 months postinjury) sessions. There was a positive trend showing participants in both the intervention groups to be drinking less frequently and consuming fewer alcoholic drinks than those in the informal discussion (control) group. However, group differences did not reach statistical significance.: Further randomized controlled trials with larger samples are needed to establish whether brief educational and motivational interview interventions targeting alcohol use are efficacious in the traumatic brain injury population.
HubMed – addiction
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