A PROJECT OF THE NORTH CAROLINA DIVISION OF MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES
Flo A. Stein, MPH
NC PIC Project Manager
Division of MH/DD/SAS
Evidence-based Programs and Practices
The mission for the NC PIC is to ensure that all North Carolinians will receive excellent care that is consistent with our scientific understanding of what works whenever they come into contact with the DMHDDSAS system.
To improve the lives of clients during the current era of system transformation, North Carolina must focus on the content and quality of services and supports that are offered. Research has found that even some of the most popular and well disseminated programs are not evidence based and in fact can be counterproductive. The provision of quality services and supports involve fidelity to proven intervention models.
To facilitate guidance in determining the future evidence-based services and supports that will be provided through our public system, the Director of the Division of Mental Health, Developmental Disabilities and Substance Abuse Services has developed the North Carolina Practice Improvement Collaborative (NC PIC). The NC PIC is comprised of representatives of all three disabilities and meets thrice yearly to review and discuss current and emerging best practices for adoption and implementation across the State.
NC PIC Updates
New Substance Abuse-Related Resources from SAMHSA
Recently, SAMHSA has issued two new publications. The first one, Brief Interventions and Brief Therapies for Substance Abuse, is a quick guide for clinicians based on TIP 34. It provides strategies for working with individuals who have abused alcohol and/or drugs, including brief cognitive-behavioral, strategic/interactional, humanistic and existential, psychodynamic, family, and time-limited group therapies. It can be downloaded for free from the link above.
Governor’s Task Force on Mental Health and Substance Use
On September 15, the inaugural meeting of the Task Force was held. Co-chaired by Supreme Court Justice Mark Martin and NC DHHS Secretary Rick Brajer, the Task Force has been charged with the identification and implementation of evidence-based behavioral health practices (see duties, as outlined in Executive Order 76).
Meetings are open to the public. NCPIC members are encouraged to attend as they will have the opportunity to share their expertise and experience at these meetings.
To meet the May 1, 2015 deadline for the final report, the Task Force will work in one of three workgroups—children, youth, and families co-chaired by Karen Ellis and William Lassiter; adults co-chaired by John Santopietro, MD and George Solomon; and prescription opioid use, the resurgence of heroin, and other specialty topics co-chaired by Sheriff Asa Buck III and Bruce Capehart, MD. Each workgroup will meet independently of the entire Task Force and will report at each of the four subsequent meetings. The Task Force will meet on October 29, 2015, January 19, 2016, March 8, 2016, and April 7, 2016 at the McKimmon Center on Education and Training at NC State University. Read more
Inventories of Evidence-Based Interventions for Children and Adults
Created by the Washington State legislature in 1983, the purpose of the Washington State Institute on Public Policy (WSIPP) is to conduct non-partisan research on policy questions asked by the legislature. WSIPP has conducted research on topics such as mental health, substance abuse, child welfare, criminal justice, and evidence-based interventions. Of particular interest are the inventories of evidence-based interventions for adults, Updated Inventory of Evidence-based, Research-based, and Promising Practices: Prevention and Intervention Services for Adult Behavioral Health, published in January 2015 and for children, Updated Inventory of Evidence-based, Research-based, and Promising Practices For Prevention and Intervention Services for Children and Juveniles in the Child Welfare, Juvenile Justice, and Mental Health Systems, published in July 2015. Each inventory contains a matrix which lists specific interventions and includes information such as level of evidence of effectiveness and benefits/costs associated with implementation.
SAMHSA Releases Results of National Survey on Drug Use and Health
In September 2015, the US Substance Abuse and Mental Health Services Administration issued the report, Receipt of Services for Behavioral Health Problems: Results from the 2014 National Survey on Drug Use and Health. Almost half (44.7 percent) of the 43.6 million American adults (aged 18 and older) who experienced a mental illness in the past year received mental health care in 2014. This is in sharp contrast to the percentage of the 22.5 million people aged 12 or older who needed help with a substance use disorder—only 2.6 million (11.6 percent) received specialty substance use treatment anytime in the prior year.
On September 29, 2015, the US Department of Health and Human Services awarded grants to 29 Practice Transformation Networks and 10 Support and Alignment Networks. Known as the Transforming Clinical Practice Initiative, it is designed to support physicians and other clinicians in all 50 states through collaborative and peer-based learning networks.
Community Care of North Carolina, Inc. (CCNC) is one of 29 Practice Transformation Networks that will provide technical assistance and peer-level support to assist clinicians in delivering care in a patient-centered and efficient manner. CCNC expects to engage 3,000 clinicians and address a range of physical and behavioral health needs for patients through this reformed health care model.
In addition, NC is one of eight states in the Consortium for Southeastern Hypertension Control that will use a distance-learning platform to train providers. Centralized resources will include data warehousing, analytics, transformation experts, care management strategies, evidence-based guideline development, and web-based educational tools.
NC is also one of three states in the VHS Valley Health Systems LLC. The network will enhance the practice outreach, educational offerings, analytic ability, and process improvement capabilities of physician practices.