Title

Inter-disciplinary Team Work with Substance Use and Recovery

Type of Submission

Poster

Keywords

Substance abuse, recovery

Proposal

Purpose. Homeless women who struggle with substance use disorder have a difficult time finding inpatient treatment. Her Story provides these women with housing, support and health care until they are connected to inpatient rehabilitation. Upon graduating from inpatient rehabilitation, continuity of care and support are lacking. The collaborative practice model aims to fill the gaps in health care coordination and community involvement before and after inpatient rehabilitation for women in recovery.

Methods. Multiple disciplines including social work, occupational therapy and pharmacy are working together to provide women with the opportunity to take control of their care. Through an innovative patient-centered electronic health record, providers take part in the intake, screening, and drafting of a care plan. When women graduate from inpatient rehabilitation, providers continue to coordinate healthcare and support. Social work provides connections to services such as ongoing case management for housing resources, support groups, outpatient therapy and employment opportunities. Occupational therapy provides educational materials to establish healthy performance patterns. Pharmacy acts as a patient care navigator to establish continuity of care. A pharmacist-pharmacy intern team interacts with patients monthly to discuss barriers to receiving care, medication adherence, and concerns.

Results. Patients self-report their progress at 3, 6 and 12 months from their intake at Her Story. This includes their recovery status, satisfaction of care, and level of community involvement. The electronic platform is assessed quarterly for technical improvement.

Conclusions. From inpatient rehabilitation to long-term sobriety, continuity of support and health care is lacking for women in recovery. The collaborative practice model aims to bridge the gap between women struggling from substance use disorder and continuity of care from multiple disciplines to increase long term sobriety and community engagement.

Start Date

4-8-2020 1:00 PM

End Date

4-22-2020 6:00 PM

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Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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Apr 8th, 1:00 PM Apr 22nd, 6:00 PM

Inter-disciplinary Team Work with Substance Use and Recovery

Purpose. Homeless women who struggle with substance use disorder have a difficult time finding inpatient treatment. Her Story provides these women with housing, support and health care until they are connected to inpatient rehabilitation. Upon graduating from inpatient rehabilitation, continuity of care and support are lacking. The collaborative practice model aims to fill the gaps in health care coordination and community involvement before and after inpatient rehabilitation for women in recovery.

Methods. Multiple disciplines including social work, occupational therapy and pharmacy are working together to provide women with the opportunity to take control of their care. Through an innovative patient-centered electronic health record, providers take part in the intake, screening, and drafting of a care plan. When women graduate from inpatient rehabilitation, providers continue to coordinate healthcare and support. Social work provides connections to services such as ongoing case management for housing resources, support groups, outpatient therapy and employment opportunities. Occupational therapy provides educational materials to establish healthy performance patterns. Pharmacy acts as a patient care navigator to establish continuity of care. A pharmacist-pharmacy intern team interacts with patients monthly to discuss barriers to receiving care, medication adherence, and concerns.

Results. Patients self-report their progress at 3, 6 and 12 months from their intake at Her Story. This includes their recovery status, satisfaction of care, and level of community involvement. The electronic platform is assessed quarterly for technical improvement.

Conclusions. From inpatient rehabilitation to long-term sobriety, continuity of support and health care is lacking for women in recovery. The collaborative practice model aims to bridge the gap between women struggling from substance use disorder and continuity of care from multiple disciplines to increase long term sobriety and community engagement.