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

Wiconsin ‘hungry’ for win versus Minnesota

first_imgBEN CLASSON/Herald photoThe Badgers do things last-minute. They exchanged ?SecretSanta? gifts following practice Wednesday ? just days shy of a month after theChristmas holiday itself. They?ve won or tied five games this year whentrailing heading into the third period. And they?ve put together a nice stretchof games in WCHA play ? more than two months after the conference slate began.Of course, that?s just how they roll, says forward KyleTurris.?I think it just shows the team character that we have. Itshows that we?re not going to give up,? Turris said. ?The game?s never over,and we?re going to compete until the final buzzer sounds.?While head coach Mike Eaves agrees it?s better late thannever, he also believes that isn?t always the best approach.Despite the team?s uncanny ability to come from behind,Eaves understands that the formula for winning doesn?t have to live up to theteam?s ?never say die? mantra. Instead, it?s about getting off to fast starts.?All things taken equally, I?d rather have and establish thelead early in the game,? Eaves said.At 10-10-4 (6-8-2 WCHA), the Wisconsin men?s hockey team iscomfortably saddled right in the thick of the conference standings. But theramifications of leveling with WCHA-leading Colorado College hold much to bedesired.Like Oliver Twist, the Badgers are hungry for more; theywant to be among the league?s elite.If years past held any sway, Wisconsin would have gottenthat chance this weekend against Minnesota. Alas, the Gophers are having anuncharacteristically down season (12-10-4) ? they were predicted to finishsecond in the standings ? and are, in fact, tied with the Badgers.Still, this first of two meetings between the two teams willgive the Badgers a chance to slingshot themselves up in the WCHA standings andPairwise rankings as the season heads to a close. Given Minnesota?s tendency togive up leads in the third period ? the Gophers have allowed 24 third periodgoals in WCHA play while scoring just seven times ? Wisconsin may also get afew more opportunities to put its come-from-behind nature to the test.?It?s a big opportunity for us; we can?t let it slip away,?UW forward Ben Street said.?Because of the position we?re in, every weekend representssomething significant,? Eaves added. ?It?s almost like every game will becomethe most important game of the season because we don?t have a lot of wiggleroom, and we have to get points here in order to be where we want to be.?Despite being riddled with inconsistencies throughout, bothWisconsin and Minnesota are playing well of late. Minnesota is currently ridinga three-game unbeaten streak and has just one loss during the month of January,going 3-1-2 over that time.Meanwhile, the Badgers, thanks to a two-goal effort bysophomore Michael Davies against Alaska-Anchorage last Saturday, capped a 2-1-1road stretch ? their first road win this season ? and are riding a three gameunbeaten streak of their own.?You can certainly be encouraged by the way that we playedand the points that we got in two tough environments,? Eaves said.However, to Eaves, nothing signifies that his team is comingtogether more than its performance over the past two weekends.?The best team-building experience you can have is going onthe road and winning together,? he said. ?You can climb ropes courses or campout together, but winning on the road together brings you as close together asanything that you can do.?What?s more, the power play finally paid off with theBadgers scoring three times in six opportunities after a 15-game stretch inwhich the main advantage netted a mere three goals in 59 chances.?We made a couple of adjustments and got a little morefreedom in what we can do, and I think that?s helped us a lot,? Street said.But the team doesn?t want to get too comfortable. Turris isapproaching the series with the mentality that Wisconsin lost its last timeout.?We don?t want to overdo ourselves so that we?re makingstupid plays,? he said. ?We need to play within our system.?Contrary to the offensive-minded hockey both teams havegrown accustomed to playing ? Wisconsin this year and Minnesota historically ?the games between these two border rivals have been low scoring. In their fivecontests last year UW and Minnesota combined for a mere 17 goals ? meaning thisseries could come down to goaltending.Shane Connelly has been rocky at times in the net forWisconsin but nothing compared to Minnesota?s opening day starter Jeff Frazeewho, after allowing nearly three goals per game, was benched in favor offreshman Alex Kangas.In order for Wisconsin to continue its recent success, Eavesstressed the importance of putting pressure on the young goalie.?Like all young goaltenders it?s aboutrebounds. It?s about getting used to the pace of the game,? he said. ?So one ofour tasks will be to get a lot of pucks on this young man and see how hehandles them.?last_img read more

Syracuse forwards struggle to generate offense in loss to Clarkson

first_img Facebook Twitter Google+ Published on October 25, 2014 at 9:35 pm Contact Chris: | @ChrisLibonati A pass came to the right circle on the ice in the first period, Stephanie Grossi held the puck on her stick and snapped a quick wrist shot, lifting the puck. The puck landed right in Clarkson goalie Shea Tiley’s midsection, ending Syracuse’s scoring chance.The rest of the game went much the same way as Clarkson (5-3-0) stifled SU’s offense. The Golden Knights beat SU (1-2-4) for the second straight day, 4-1. SU’s only goal came off the stick of Larissa Martyniuk, a defender. The Orange’s forwards struggled to threaten Tiley all game and SU’s defense produced the Orange’s quality opportunities.Near the net, Clarkson players battened down the hatches, making it tough for the Orange to get anything down low. Clarkson’s defense played tight to the net limiting puck movement and forcing difficult shots for SU. Grossi and other forwards were reduced to taking shots early in possessions, shortening SU’s scoring chances.“We talked about (getting better shots) on the bench. Just get your eyes up, take a look. People on the backside need to be talking,” said head coach Paul Flanagan.While some players took shots too early in possessions, others were caught in one-on-one situations, having a shot and trying to work the puck closer to the net. Flanagan was hesitant to talk to his players too much about keeping the puck, he said, fearing players wouldn’t take a shot when they had one.AdvertisementThis is placeholder textWith Clarkson’s defense packed in, SU was limited moving the puck. In set possessions, Clarkson’s defense prevented forwards from making passes to each other, forcing passes to the point.“(Clarkson) were pretty hard on us down low which means it was opening up the points and we were just calling for it,” Martyniuk said. Martyniuk made the best of her only opportunity. She slammed home an Alysha Burris pass from between the circles, the shot finding its way under Tiley’s pads. Other SU players weren’t so fortunate.Kailie Goodnough, a defender, supplied SU’s offensive chances from the point. In the first period, Goodnough fired a shot from the point, but forward Melissa Piacentini couldn’t tip the shot past Tiley.In a third period possession for the Orange, Goodnough took a shot from the point to begin the possession, but Tiley deflected the shot wide to the right corner. Grossi came away with the puck and fed Goodnough again, who moved between the circles and fired a slap shot. Again the tipped shot couldn’t find the net as Tiley stopped it.The shots from the point were the Orange’s best opportunities, but none found the back of the net. Tiley saved a few and others were just tipped wide. The Orange had another 12 shots blocked by Clarkson before they even reached the net.“We just have to find a way to bury it,” said Goodnough.Flanagan credited Clarkson’s defensive effort, but thought the Orange could have worked for better shots.“That’s a classic road game. Just bend a little bit and don’t break. We didn’t really get very many great, grade-A chances,” said Flanagan. “We had some shots, I don’t think enough threatening shots. They kept it to the perimeter.” Commentslast_img read more