Meet Jane – A Center of Excellence Patient

first_img July 18, 2016   SHARE  TWEET Meet Jane – A Center of Excellence Patient Like Governor Tom Wolf on Facebook: Substance Use Disorder,  The Blog Centers of Excellence help ensure that people with opioid-related substance use disorder stay in treatment to receive follow-up care and are supported within their communities. Care management teams coordinate care and provide warm transitions to new parts of the treatment process.A common misconception about the Centers of Excellence is that they are only physical locations where people can walk in and receive treatment. While most of the centers will provide direct treatment, in reality when we use the term “center” we are referring to a central, efficient hub around which treatment revolves. These centers will have navigators to assist people with opioid-related substance use disorders though the medical system, and ensure they receive behavioral and physical health care, as well as any evidence-based medication-assisted treatment needed.To better explain how Centers of Excellence work, let’s use an example.Meet Jane. Jane is suffering from opioid use disorder. When she decided to get treatment for her illness, she sought initial help at a health care facility – like a hospital, her primary care physician, or with a behavioral health specialist. Let’s say Jane went to her primary care physician – Dr. Smith.With informed consent, Dr. Smith notifies the Center of Excellence team that Jane is seeking treatment. A Center of Excellence health team professional – let’s call this person Tim – arrives on site and completes an assessment of Jane to determine her specific needs. Tim then develops a treatment plan for Jane that recommends the appropriate level of care.Tim then ensures coordination of Jane’s care with a Center of Excellence team. If Jane consents, her family can also be involved in Jane’s care. Other members of her Center of Excellence team may include behavioral and physical health care providers, community-based care navigators, and community-based resources that can help Jane obtain food, housing, and apply for jobs.Tim sets Jane up with Dr. Mansfield – a drug and alcohol (D&A) provider that will help Jane with her opioid use disorder. But in addition to her opioid use disorder, Jane also has anxiety and asthma. In order to help treat Jane as a whole person, Tim connects Jane with Dr. Boyer, a mental health provider that can help treat Jane’s anxiety, and Dr. Nolan, a physical health provider that can help treat Jane’s asthma.Behavioral health providers include mental health providers as well as D&A providers. D&A providers – like Dr. Mansfield – help provide evidence-based treatment which would include recovery supports, cognitive behavioral therapy, drug and alcohol counseling, rehabilitation services, and detoxification. Mental health providers – like Dr. Boyer – would provide evidence based treatment consisting of counseling or talking therapies and medications for conditions such as anxiety, severe depression, bipolar disorder, and schizophrenia.Physical health providers – like Dr. Nolan – would provide treatment for conditions such as diabetes, high blood pressure, asthma, heart attack, and seizures but could also treat anxiety and depression.Both physical health and behavioral health physicians that have specific training can provide medication assisted treatment for opioid use disorder with medications such as methadone and buprenorphine.Jane will receive all available supports coordinated by her Centers for Excellence team such as referral to employment services, housing support, legal support, and faith based resources. The care team, which is led and coordinated by Tim, oversees everything from the evaluation to the referral process, through follow-up care.This is how Jane receives the treatment she needs and starts on the path to recovery through the Centers of Excellence. Working with Tim, her family, Dr. Smith, Dr. Mansfield, Dr. Boyer, and Dr. Nolan, Jane is able to get the care that she needs.Investing in Addiction TreatmentGovernor Wolf’s 2016-2017 budget included $10 million in behavioral health funding and $5 million in Medical Assistance funding, totaling $15 million. This will allow DHS to draw down $5.4 million in federal funding for an overall total of $20.4 million.This critical funding will enable the Department of Human Services, during phase one, to implement 20 Opioid Use Disorder (OUD) Centers of Excellence that will treat approximately 4,500 people like Jane that currently are not able to access treatment.The Department is also working with its actuaries to determine the number of additional centers that can be funded with the $5 million in state Medical Assistance funds and $5.4 million in federal funds by analyzing the impact they will have on Medicaid managed care rates. The Department of Human Services will announce any additional Medicaid-funded OUD Centers of Excellence in August. By: Sarah Galbally, Secretary of Policy and Planning SHARE Email Facebook Twitterlast_img read more

Cody Bellinger’s first postseason hit comes at a critical time in Dodgers’ Game 2 win

first_img Newsroom GuidelinesNews TipsContact UsReport an Error MILWAUKEE — Cody Bellinger batted more times than any Dodger in 2018, yet he watched the first half of Game 2 of the National League Championship Series from the dugout.By now the Dodgers know not to rest their ambitions on performance in the distant past. Bellinger was 0 for 4 with two strikeouts in Game 1 Friday, and 0 for 15 this postseason prior to Saturday. A ground-ball single in July was Bellinger’s only career hit against the Milwaukee Brewers’ Game 2 starter, Wade Miley. That wasn’t enough to keep Dave Roberts from putting Chris Taylor, Matt Kemp and Yasiel Puig in his outfield.Besides that, Roberts said in the hours before Game 2, Bellinger’s frustration in the batter’s box was beginning to show.“There is a frustration where he wants to see results, and all players do,” Roberts said of Bellinger. “But I encourage him, even today, that where he’s at mechanically, I encourage him mentally to stay there in a positive way because he’s going to get some big hits for us.” The Dodgers continued to rally against right-hander Jeremy Jeffress, plating another run to pull within 3-2. The inning ended when Yasmani Grandal grounded into a double play, stranding Bellinger 90 feet from home plate.Bellinger was the latest Dodger to thwart a narrative that fomented in the days leading up to the NLCS: that the Brewers’ bullpen was the biggest obstacle standing in the Dodgers’ path to victory. So far, the Dodgers’ bench has had the upper hand in that matchup. Eight of the Dodgers’ nine runs in NLCS have scored in the seventh inning or later.Even though Miley was still on the mound when he replaced the right-handed hitting Kemp with the left-handed hitting Bellinger, Roberts liked the advantage that Bellinger presented.For one thing, he knew that left-handed reliever Josh Hader was unavailable to pitch in Game 2. Brewers manager Craig Counsell was likely to replace Miley with a right-handed reliever.For another, Bellinger is an above-average outfielder. Kemp is not. Getting the start in left field, Kemp misplayed a ground ball that caromed off a guard rail in foul territory in the third inning, allowing Miley to cruise into second base with a double.“After (Kemp’s) second at-bat, now you have two innings of defense in a tight ballgame,” Roberts said. “So to sandwich Cody, a left-handed hitter, around two right-handed hitters (Machado and Kiké Hernandez) – and you upgrade your defense – and again you don’t have to worry about Hader coming in.”Milwaukee led 3-2 with two outs in the seventh inning when Ryan Braun hit a fly ball to the right-center field gap. Bellinger went into a slide to haul in the catch 354 feet from home plate.That set the stage for Justin Turner’s go-ahead two-run home run in the eighth inning against Jeffress, which proved to be the game-winning hit in the Dodgers’ 4-3 victory.center_img That prediction came true in a hurry.Bellinger entered Game 2 as a defensive replacement in center field in the bottom of the fifth inning. After Max Muncy walked and Manny Machado singled to lead off the seventh inning, Bellinger drove in the Dodgers’ first run of the game with a single of his own. It was his first postseason hit since Game 5 of last year’s World Series.The hard-hit laser, through the Brewers’ shift into right field, proved to be the knockout blow for Brewers right-hander Corbin Burnes.“I think there’s always pressure in the playoffs to perform,” Bellinger said, “and obviously when you’re not performing it’s tough. But (Friday) I felt as good as I have in a long time. No results. I felt good in L.A. and Atlanta and no results.“It’s frustrating, but at the same time, I’ve got the support of the teammates that told me to keep going that have been there, that have struggled. And that kind of helps me understand that it’s a hard game. And I know that, but it’s hard to snap out of it sometimes. But I felt good yesterday and it was nice to get a hit today.”last_img read more