Resources

Medications for addiction treatment (MAT) is an effective tool for the treatment of opioid use disorder. MAT providers are increasingly embracing harm reduction strategies in their clinical practice in order to expand access to MAT and further improve patients’ quality of life. Harm reduction is a set of principles and strategies that seek to minimize the risks associated with drug use, including: Health and dignity of people who use drugs. Participant-centered services. Participant involvement in the programs and policies that serve the community. Participant autonomy. Consideration of...
The number of individuals living with dementia is steadily increasing, and family caregivers for individuals with dementia frequently experience challenges with maintaining their own physical...
Developing authentic healing relationships is critical to applying interventions that fully support patients in achieving their goals. The Camden Coalition’s patient engagement framework, COACH, focuses on building these relationships and empowering patients to take full control of their health. This practical play outlines how to use the COACH model and offers tips to providers who wish to enhance patient engagement. DOWNLOAD AS A PDF »
Mapping community resources is a good starting point for developing the system of care needed to interrupt the cycle of hospitalization and emergency department use and create a pathway to health for patients with complex needs. Effective complex care models rest on a foundation of services and supports that go beyond the traditional reach of the health care system. Community asset mapping offers a practical framework for locating and cataloguing a full array of services and for identifying critical care gaps and potential partners. The goal of this play is to help you get started with asset...
In an environment where social determinants are playing more of a role in conversations about improving health outcomes, it is critical for the health care and social sectors (which often take the form of local community-based organizations, referred to as CBOs) to build mutually beneficial partnerships. This play outlines steps to help health systems and CBOs build relationships that draw on each other’s strengths, put patients first, and support ecosystem development in local communities. DOWNLOAD AS A PDF »
Access to a health care data-sharing platform can help social service providers better understand and address issues that lie at the intersection of their clients’ social and medical wellbeing. It can: (1) provide insight into relevant details of the medical situation that their client is facing; (2) help the social service organization identify clinicians who may be valuable partners in the individual’s care; and (3) enable them to access documentation that can help them better advocate for the client. The goal of this play is to help health systems provide access to health-related data to...
Transitional care programs — where a multidisciplinary team comprehensively assesses a patient’s medical and psychosocial needs, addresses modifiable barriers, and links them to primary care — can help address critical gaps in care for people with complex needs moving between locations of care, such as from hospital to home. These programs vary widely, both in terms of what services they provide, and whether services are delivered before hospital discharge, after discharge, or as part of a “bridging” intervention with both pre- and post-discharge components. A comparative effectiveness trial...
This resource curates resources from experts across the country in the field of trauma-informed care. Health care stakeholders are increasingly recognizing the impact of trauma on health and the value...
This play was produced by the Institute for Healthcare Improvement (IHI) and authored by Rush University Medical Center's Center for Health and Social Care Integration. Integrating social workers into primary care teams can help improve patients’ health by proactively addressing their social determinants of health and mental health needs. This integration also reduces the burden on providers and helps organizations to reach their institutional quality goals. By using patient and family engagement techniques, leveraging community-based supports, and coordinating care, social workers can improve...
This play was produced by the Institute for Healthcare Improvement (IHI) and authored by Corey Waller, MD. Substance use disorder, commonly called addiction, is a treatable chronic disease that is a significant contributor to health care utilization and poor health outcomes in the United States. Even though it is estimated that up to 60 percent of patients in the US Level 1 Trauma Centers meet the criteria for a substance use disorder, few hospital emergency departments have a service line for these patients. This Play can help you treat substance use disorder in the emergency department as...
This resource offers tools that can support the efforts of behavioral health providers to deliver integrated and coordinated care. Areas of focus include: Peer supports (individuals in recovery from a...
Substance abuse disorder, commonly called addiction, is a treatable chronic disease that is a significant contributor to health care utilization and poor health outcomes. It’s estimated that up to 60 percent of patients in U.S. Level 1 Trauma Centers meet the criteria for a substance use disorder. Inpatient treatment for substance use disorder can improve recovery time and decrease length of stay, escalations of behavior, and 30-day readmissions. But few hospitals have a service line for these patients that goes from hospital admission, including through the emergency department, to discharge...