Chris Farentinos, MD, MPH, CADC II Director of Adult Outpatient Services DePaul Treatment Centers & Rick Ralston, LCSW, Manager Psychiatric Consultation.

Chris Farentinos, MD, MPH, CADC IIDirector of Adult Outpatient Services

DePaul Treatment Centers&

Rick Ralston, LCSW, ManagerPsychiatric Consultation & Care Mgmt Services

Legacy Health

DePaul Treatment Centers Increase the number of SUD patients who receive care Increase % of referrals from Legacy Health

Legacy Health Increase identification of patients who could benefit from SUD services Provide increased holistic health care

Source 1990 2004

Criminal Justice 38% 59%

Employers/EAP 10% 6%

Welfare/CPS 8% 16%

Hosp/Phys 4% 3%

Introduced the focus of SUD into clinics

Changed clinic flow to include SUD screening & assessment

Physicians more readily pursue & address SUD with patients

Provided Education & Training on SBIRT for care managers

Physician & Mgmt buy-in Processes and Flow developed 3-Question Screening Tool & Mini-

Assessment Algorithm for clinic flow Clinician decision-making algorithm Designated spot in Legacy’s EMR Collaboration extended to two Legacy Specialty clinics Increased referrals from Legacy to De Paul

# of Referrals from Legacy Health to DePaul Treatment Centers 18

0

4

8

12

16

2009 2010(annualized)

800 % increase

Best chance for success: Implement in Oct

Additional education to 23 clinic’s care managers: increased awareness & motivation to address SUD in clinics

Excitement/buzz of conversations following 2nd training

Strong prep for Oct implementation

DePaul Treatment Centers Developed new referral stream Strong connection with major

community partner

Legacy Health Developed sustainable initiative First formal screening/assessment for

SUD in Legacy primary care & specialty clinics

Significant increase in awareness of SUD