Navigation Links
New program successful in reducing service and substance use among frequent health care users
Date:5/14/2013

TORONTO, May 14, 2013A program co-led by St. Michael's Hospital could be the next widely used model to treat patients who are frequent users of the health care system and have severe addictions, often complicated by homelessness and mental health problems.

The Toronto Community Addiction Team (TCAT) was developed to improve health and social outcomes for people with addictions who are frequent users of health services by providing one-on-one intensive case management from a harm reduction approach. The team works with clients to provide services such as individual therapy, finding a physician, securing housing, managing budgets and care plans that are based on clients' strengths and choices.

"Developing interventions to engage these frequent users in community-based care and alleviate pressures from costly hospital-based services which are not designed to meet their needs is a system priority," said Dr. Vicky Stergiopoulos, psychiatrist-in-chief at St. Michael's Hospital and evaluation lead for the program. "The TCAT is a great example of a client-centred approach that works to do exactly this. It shows promise in reducing re-admission rates which can ultimately save money for the health care system."

The program provides city-wide mobile intensive case management for people with frequent re-admissions to a withdrawal management system 10 or more in a year and and/or hospital emergency departments 20 or more in a year.

"Many of these patients cycle between jail, the shelter system, withdrawl management and hospitals," Dr. Stergiopoulos said. "They can't access services, and the services are not helpful because many of them only accept patients who are at a different place in the recovery process. The TCAT works on strength-based principles and supports people from a harm reduction orientation. The program is uniquely focused on empowering the client by promoting respect and dignity so they can make their own choices."

Dr. Stergiopoulos led the program evaluation, published online in the journal Substance Use and Misuse this month.

Based on interviews with clients and a review of records from the Withdrawal Management System, the results found a statistically significant decreases in service use, alcohol and drug use. Clients also described increased access to primary and psychiatric care and increased collaboration with various stakeholders within the wider system of care.

Dr. Stergiopoulos said the goal is to divert care for these patients from a place like the emergency department to the community because it can improve outcomes for both the patients and the system.

"This model worked well in the city of Toronto, and may be considered in other large urban centres that face similar challenges with frequent service users who have alcohol and drug related problems, often complicated by homelessness and lack of support and resources," she said.


'/>"/>

Contact: Kate Taylor
TaylorKa@smh.ca
647-393-7527
St. Michael's Hospital
Source:Eurekalert

Related medicine news :

1. Screening programs detect cases of undiagnosed rheumatic heart disease in low-resource countries
2. Ivy Neurological Sciences Internship program funded at TGen
3. Brief training program improves resident physicians empathy with patients
4. Southeast program to fight diabetes awarded nearly $10 million by HHS
5. Program to coordinate regional systems to speed heart attack care
6. Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs
7. UC San Diego Superfund Research Program receives $15 million grant renewal
8. UCLA launches first face transplantation program in western US
9. Rutgers leads effort to replicate care management programs in 4 U.S. cities
10. Steffi Nossen School of Dance Gears Up for Summer with Exciting Programming for All Ages
11. Coronary rehabilitation programs in Europe are underused
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/11/2016)... ... February 11, 2016 , ... From March ... Academy of Dermatology Annual Meeting at the Walter E. Washington Convention Center in ... for both the condition of hyperhidrosis (excessive sweating) and its treatment options. Specifically, ...
(Date:2/11/2016)... ... February 11, 2016 , ... Husted Kicking has completed its Third ... February 6th & 7th, 2016 according to kicking coach Michael Husted. , “This event ... the NFL’s combine in Indianapolis,” says Husted. “The NFL uses a third party organization ...
(Date:2/11/2016)... ... February 11, 2016 , ... The book, “Computers Should ... services, what questions to ask your IT consultant before signing a contract and how ... computer network. , “With companies relying heavily on e-mail and technology, it’s more important ...
(Date:2/11/2016)... ... February 11, 2016 , ... As part of their 2015 end of ... Round Table Foundation (MDRTF), has gifted $10,000 to University of Chicago to support ovarian ... Billy Cundiff. , “We are honored to support a promising young investigator from Dr. ...
(Date:2/10/2016)... ... February 10, 2016 , ... ... as the World Molecular Imaging Congress (WMIC), will be held in New York ... meeting is “Imaging Biology…Improving Therapy.” The congress will highlight and emphasize how imaging ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... F ast access to ... at the point of need   ... and services, has launched a ClinicalKey mobile app that enables ... Elsevier designed the mobile app to allow users to select access to ... Android and iOS formats for mobile phone and tablet. ...
(Date:2/11/2016)... , Feb. 11, 2016 Scientists ... cell-isolation method that opens the door to genetic ... now have been impossible to isolate with 100 ... isolate specific tumor types in various stages of ... variants of these cells that are clinically relevant, ...
(Date:2/11/2016)... , Feb. 11, 2016  NanoViricides, Inc. ... it has entered into an agreement with the ... nanoviricides® drug candidates in standard animal models of ... , Research Director. Dr. Romanowski has extensive experience ... --> Eric Romanowski , Research ...
Breaking Medicine Technology: