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XI. Recommendations and Next Steps .....................................................................................
Reform Health Care Practice ...........................................................................................
Incorporate Screening and Intervention for Risky Substance Use,
and Diagnosis, Treatment and Disease Management for Addiction
into Routine Medical Practice ..............................................................................
All Medical Schools and Residency Training Programs Should Educate and
Train Physicians to Address Risky Substance Use and Addiction ......................
Require Non-Physician Health Professionals to Be Educated and Trained to
Address Risky Substance Use and Addiction ......................................................
Develop Improved Screening and Assessment Instruments ......................................
Establish National Accreditation Standards for All Addiction Treatment
Facilities and Programs that Reflect Evidence-Based Care .................................
Standardize Language Used to Describe the Full Spectrum of Substance Use and
Addiction..............................................................................................................
Use the Leverage of Public Policy to Speed Reform in Health Care Practice ................
Condition Grants and Contracts for Addiction Services on the Provision of
Quality Care .........................................................................................................
Educate Non-Health Professionals about Risky Substance Use and Addiction ........
Identify Patients at Risk in Government Programs and Services where Costs of
Risky Use and Addiction Are High .....................................................................
Develop Tools to Improve Service Quality ...............................................................
License Addiction Treatment Facilities as Health Care Providers ............................
Require Adherence to National Accreditation Standards that
Reflect Evidence-Based Care ..............................................................................
Require that All Insurers Provide Coverage for Comprehensive Addiction Care .....
Expand the Addiction Medicine Workforce ..............................................................
Implement a National Public Health Campaign ........................................................
Invest in Research and Data Collection to Improve and Track Progress in Addiction
Prevention, Treatment and Disease Management ................................................
Implement the National Institutes of Health’s (NIH) Recommendation to Create a
Single Institute Addressing Substance Use and Addiction ..................................
Appendix A-Methodology .........................................................................................................
Appendix B-Key Informant Interview Guide and List of Key Informants ..........................
Appendix C-National Addiction Belief and Attitude Survey (NABAS) ...............................
Appendix D-Survey of New York State Addiction Treatment Directors .............................
Appendix E-Survey of New York State Addiction Treatment Staff .....................................
Appendix F- National Panel and National Online Survey of Members of Professional
Associations Involved in Addiction Care ...........................................................................
Appendix G-Survey of Participants in Recovery ....................................................................
Appendix H-Screening and Assessment Instruments .............................................................
Notes ............................................................................................................................................
Bibliography ...............................................................................................................................
