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Introducing care management to Brazil's alcohol and substance use disorder population
Pinsky, Ilana; Bernal, Camila; Vuolo, Lindsey; Neighbors, Charles.
  • Pinsky, Ilana; National Center on Addiction and Substance Abuse. New York. US
  • Bernal, Camila; National Center on Addiction and Substance Abuse. New York. US
  • Vuolo, Lindsey; National Center on Addiction and Substance Abuse. New York. US
  • Neighbors, Charles; National Center on Addiction and Substance Abuse. New York. US
Rev. bras. psiquiatr ; 40(3): 320-324, July-Sept. 2018.
Article in English | LILACS | ID: biblio-959244
ABSTRACT
Brazil has a sizable alcohol and substance use disorder (ASUD) population, yet there are considerable gaps in treatment access and retention. ASUD, a chronic medical condition, is highly comorbid with medical and behavioral health disorders. This indicates a need for more targeted interventions in order to achieve health care integration (a major goal of Brazil's health care system). Care management - that is, the organization of patient care by an institution - is a viable strategy to engage individuals with ASUD who might benefit from treatment but are not aware of or do not use the available resources, as well as to help maintain patients in treatment. Care management is considered an essential supplement to the treatment of chronic disease. The objective of this article is to discuss the applicability of care management for the treatment of ASUD within the public health care system in Brazil. We describe models of care management that have been adopted internationally and identify the feasibility and advantages for its adoption in Brazil.
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Full text: Available Index: LILACS (Americas) Main subject: Patient Care Management / Delivery of Health Care, Integrated / Substance-Related Disorders / Mental Health Services Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. psiquiatr Year: 2018 Type: Article Affiliation country: United States Institution/Affiliation country: National Center on Addiction and Substance Abuse/US

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Full text: Available Index: LILACS (Americas) Main subject: Patient Care Management / Delivery of Health Care, Integrated / Substance-Related Disorders / Mental Health Services Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. psiquiatr Year: 2018 Type: Article Affiliation country: United States Institution/Affiliation country: National Center on Addiction and Substance Abuse/US