Policy
Briefs
From the Treatment Research Institute
Downloadable summaries of issues and research findings in addiction, substance use and related fields.
Policy Briefs
Introduction to the Center for Policy Research and Analysis: a Center overview that makes the case for policy changes that foster quality improvement, particularly chronic care models of treatment.
Substance Use and Health Reform: a September 2009 fact sheet itemizing the medical costs of undiagnosed, untreated substance use disorders.
Federal Parity Reform: summary of Parity Act of 2008 with commentary.
Assessing MAT Readiness in States: a checklist for policy officials seeking to introduce medications into state substance use treatment systems.
Performance Based Contracting: a brief overview of novel experiments underway in several states, and ways the Center can help other states and municipalities design strategies for implanting contract-based incentives to foster evidence-based practice and improvement.
Treatment of Offenders with Substance Abuse Disorders: substance involved offenders have unique needs that, if not met, will unproductively drain public dollars. Many are diverted from prison/jail into alternative venues including drug and other problem-solving courts. This paper discusses ways to change policy to reduce recidivism and relapse, potentially saving scarce funding through improved service delivery.
Purchasing and Managing Coordinated Care: Increasingly, research shows that a broader continuum of services should be available to clients and that the level and intensity of services should adapt based on continuous, during-treatment monitoring of client status. TRI’s Policy Center can help officials draw upon the various federal and state sources of funding to create appropriate continuums – and coordinate patient movement between the levels.
Integrating Substance Use into Medical Care: with evidence increasing that substance use can compromise medical care for common disorders, engaging primary care providers is now critical to addiction policy. This document describes several approaches including the PRISM project, SBIRT, and the “medical homes” model.
PRISM (Program to Integrate Substance Use Issues into Mainstream Health Care): Initiated in 2002 by TRI and the University of Pennsylvania School of Medicine, and joined in 2006 by four of the nation’s most prestigious medical societies, by late 2008 this project had uncovered significant evidence that patient drinking and drug-taking, even at levels below the threshold of addiction, could affect the course, outcomes and treatment for common medical conditions.
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