Showing posts with label rehabilitation. Show all posts
Showing posts with label rehabilitation. Show all posts

Sunday, April 5, 2020

Op-ed: Addiction recovery amid the covid-19 outbreak

By Tim Robinson

Tim Robinson is CEO of Addiction Recovery Care and a founding member of RECON KY, a consortium for recovery in Kentucky.

When grave new challenges emerge, it would be nice if existing ones would subside. Sadly, that is just not how the world works.

Tim Robinson
In communities across the commonwealth and throughout the U.S., mental-health and addiction-treatment providers are facing a new set of challenges as they continue to care for some of our population’s most vulnerable amid a global pandemic.

According to the National Institute on Drug Abuse, 67,367 Americans died from drug overdoses in 2018—more than 1,300 in Kentucky. While public-health officials and providers battle one crisis, we cannot afford to overlook another that has been impacting our communities for years—and one that will most certainly still be here even after the covid-19 outbreak subsides.

RECON KY was formed as a consortium for recovery in Kentucky, bringing together stakeholders from all parts of the treatment system to advocate for a more comprehensive, long-term approach to recovery. And, in light of current events, a statewide coalition focused on strengthening and expanding addiction and mental health services has never been more needed and important. RECON KY is focused not only on bolstering and expanding access to treatment services but on addressing the underlying factors that can lead to substance use disorders.

Addiction is a complex and multifaceted disease, affecting people of all ages, genders, races and backgrounds. However, numerous studies have shown that social determinants—socioeconomic status, education level and where you live, among others—can indeed indicate who in our communities is most at risk for developing substance-use disorders and other mental health conditions.

Now, with our country weathering the covid-19 outbreak, we anticipate an even greater influx of mental and behavioral health needs in the months ahead: exacerbated symptoms, increased substance use and relapses and higher rates of overdose.

Thankfully, Gov. Andy Beshear and the Cabinet for Health and Family Services have acted swiftly in recent days and weeks to protect, and even expand, access to proven forms of treatment and counseling for substance use disorders and behavioral health.

As efforts to address the outbreak continue, lawmakers at all levels must remember the crucial role that mental health and addiction treatment providers play—and will continue to play, moving forward—and include them as essential pieces of the health care system when making emergency policy decisions.

The mental-health system includes many moving, critically important pieces—residential treatment, detoxification, outpatient, medication-assisted treatment, recovery housing, advocacy, prevention, workforce training—that must be maintained during this crisis.

Beyond quality health care, long-term recovery requires a great deal of resources and support: employment and educational opportunities, safe and affordable housing, transportation, childcare to encourage workforce participation.

Great strides have been made in recent years to build up Kentucky’s recovery infrastructure, and we cannot let that progress fall to the wayside at a time when many Americans are facing greater strains on their mental health.

Like all public health crises, addiction is not something that one group alone can or should solve. Now more than ever, we must all do our part to support our fellow Kentuckians who are struggling with and recovering from substance use disorders and other mental health conditions.

Friday, June 7, 2019

1 in 5 hospital patients need care after discharge, but can have limited choices unless they know their options, columnist advises

Health columnist Trudy Lieberman
"One in five patients across the country needs further care after discharge from a hospital," Rural Health News Service columnist Trudy Lieberman writes. "Many times their families don’t know where to turn for help." The hospital can be a weak link, she warns: "Discharge planning is deficient, can be harmful, and sometimes results in a patient’s decline."

Discharging hospitals can limit patients' options, Lieberman writes: "If hospitals are hitting the limits of what Medicare will pay for a patient’s care, they have a great incentive for moving people out. To them it doesn’t matter if a patient is moved to another state, as I was, or to another town. Either one can make it difficult for family to visit and keep an eye on the care, which is all-important."

Patients and their families may not be aware of just what sub-acute-care facilities, home-care agencies or rehabilitation centers can do, and may not even know about a relatively new type of hospital, the long-term acute care facility (LTAC), which "treats sicker patients for an average of at least 25 days for recovery," Lieberman writes. "Neither had I, when I found myself transferred to one early in 2018 after a long hospital stay."

Kentucky has one freestanding LTAC, Kindred Hospital in Louisville, and eight that are inside or adjacent to another hospital: in the Baptist Health hospitals in Corbin, Madisonville and Paducah; St. Joseph Hospital in Lexington; UK HealthCare in Lexington; St. Elizabeth Fort Thomas; a Kindred facility in Jewish Hospital in Louisville; and the Commonwealth Regional Specialty Hospital in The Medical Center at Bowling Green.

The 32-bed ContinueCARE facility in the 273-bed Corbin hospital recently won a Respiratory Center of Excellence designation from the Center for Improvement in Healthcare Quality, making it "the first facility in the country to receive this specific CIHQ designation for respiratory therapy," Baptist Health said in a news release.

Lieberman has suggestions for dealing with care after discharge: "Medicare requires a discharge notice, which sets out a patient’s appeal rights and procedures, to be given no later than two days after a person is admitted to a hospital. Some are given at admission, usually a time of confusion, and the explanation of rights is likely to be overlooked. Be aware of it, though, and read it carefully. You may need to rely on it if you think a relative needs to stay longer in the hospital. And for all families who need more care after a hospital stay, the website of the Center for Medicare Advocacy has loads of information."

For Lieberman's full column, and her previous columns, click here.