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Center for Substance Abuse
Treatment
I’ve been in the field since 1969. I was around
when Richard Nixon decided that he would fund
community-based treatment out of Law
Enforcement Assistance Administration money
and divert that. I was in Iowa at the time. I was a
street worker for the YMCA. I worked in the first
drug program created by that money at that time,
and I’ve been in the field ever since. !
****!
I’m on the board of a managed care company
that’s a not-for-profit in Colorado that is
capitated for mental health, Medicaid, and
substance use disorders.!
- Arthur Schut !
National Council for Behavioral Health!
San Francisco
So one of the efforts we’re doing now in
California is to turn all of the substance use
treatment in all the counties into a managed care
plan. It’s called the 1115 waiver, which is a
demonstration waiver.!
****!
One of the areas that I think throughout the
country probably is important is the
underutilization of medications for alcohol use
disorder, and also there is a very obvious and
well-documented racial disparity in deaths from
alcohol. Even though white people drink more,
black people proportionately die more from it.!
- Dr. Judith Martin, MD!
Medical Director of Substance Use Services!
San Francisco Department of Public Health
Substance Abuse
Mental Health Services Administration
And so we want to be sure that the mistrust
between the black community and medicine
doesn’t interfere with best practices for that
community, and so it’s one of the areas we’re
working on in the black and African-American
health initiative in our city.!
- Dr. Judith Martin, MD!
Medical Director of Substance Use Services!
San Francisco Department of Public Health!
U. S. Department of Health and Human
Services
And as has already been mentioned by Eva that
we have these State Targeted Response to
opioid grants, or STR grants, funded under the
21st Century Cures Act. And we have the
Medication- Assisted Prescription Drug and
Opioid Addiction Program, or the MAT-PDOA as
we call it, funded under the CARA, the
Comprehensive Addiction and Recovery Act.!
- Chair A. Kathryn Power!
Substance Abuse National Advisory Council
Substance
Abuse National
Advisory
Council
I’ve been in the field since alcohol was distilled.!
- Arthur Schut
Supplemental Notice
The second issue was with the changes made to
Section 2.31, which now requires that the name and
title of the individual or the name of the organization
to which disclosure is to be made, presents
significant challenges to criminal justice and other
social service agencies that may not know the name
of the provider, or the name of the provider may
change, or the name of the provider may change
frequently.!
Chair A. Kathryn Power
And it means that the light,
the light is coming or the
sunrise.
Director Eva Petosky!
Access to Recovery
February 14, 2018
And so when you start a
new endeavor, it’s always
best to express your
spiritual self first, and I
think many of you can
relate to that.!
Healing from Trauma
But so now I’ll talk about
my professional stuff,
which is part of me, but
not all of me.!
Eva Petosky!
Intertribal Council of
Michigan
42 CFR Part 2
The first was the
prohibitions against
redisclosure of
information under Section
2.32 seemed to some of
the listeners to be at
odds with healthcare
Proposed Rulemaking
providers’ increasing
use of electronic
records management
systems in an integrated
healthcare setting.!
Director’s Update
As of February 3rd, 4,432 nurse practitioners and
1,184 physician assistants are able now to treat up
to 30 patients. And then SAMHSA expects to
receive requests for waivers to treat up to 100
patients beginning in early March, which I hope will
be an opportunity, as it were, to really get, as Dr.
Martin has indicated, MAT out for a whole range of
substitution disorders. I hope, actually, Dr. Martin,
that’s going to be one of the effects here is that we
can spread the news about MAT for a whole range
of disorders, not just opioids.!