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
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.
CDC Awards North Carolina with Grant to Combat Misuse of Prescription Drugs
Since 1999, the number of deaths from prescription drug overdoses has increased by more than 300 percent, from 297 to 1,140 in 2011. The vast majority of unintentional deaths are drug or medication-related, occurring when people misuse or abuse these drugs. Overdose Fact Sheet
The Centers for Disease Control and Prevention have recognized this growing problem, not only in North Carolina, but in the rest of the country. It has launched a new program, Prescription Drug Overdose: Prevention for States, which provides resources and expertise to help prevent overdose deaths related to prescription opioids.
North Carolina is one of 16 states selected to receive funds through a competitive application process.
Governor Appoints Members of Mental Health and Substance Use Task Force
Co-chaired by Supreme Court Chief Justice Mark Martin and Health and Human Services Secretary Rick Brajer, this 24-member task force will hold its inaugural meeting at the McKimmon Training and Education Center, North Carolina State University on September 15. The purpose of the multi-disciplinary task force is to reduce stigma and encourage individuals to seek early intervention and evidence-based treatment.