{"id":397,"date":"2018-03-23T11:18:56","date_gmt":"2018-03-23T11:18:56","guid":{"rendered":"https:\/\/www.depts.washington.edu\/fammed\/improvingopioidcare\/?page_id=397"},"modified":"2021-05-24T22:55:54","modified_gmt":"2021-05-24T22:55:54","slug":"caring-for-complex-patients","status":"publish","type":"page","link":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/self-assessment\/caring-for-complex-patients\/","title":{"rendered":"Caring for patients with complex needs"},"content":{"rendered":"<p><em>Develop policies and resources to ensure that patients who develop opioid use disorder and\/or who need mental\/behavioral health resources are identified and provided with appropriate care, either in the primary care setting or by outside referral.<\/em><\/p>\n<p><strong>Instructions:<\/strong> First, review each question and circle the description that best reflects your organization\u2019s current status. Then, select the number that best reflects where you are within that description. There are three number options for each answer to allow you to select how far along you are. The higher the number, the further along you are in that domain. A PDF of this section of the assessment is <a href=\"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-content\/uploads\/sites\/9\/2021\/05\/Complex-needs-self-assessment.pdf\">here<\/a>.<\/p>\n<div class=\"table-responsive\">\n<table class=\"table assessment-table table-striped-column\">\n<thead>\n<tr>\n<th scope=\"col\" width=\"20%\">Identifying patients with complex needs<\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">1<\/span><span class=\"spacer\">2<\/span><span class=\"spacer\">3<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">4<\/span><span class=\"spacer\">5<\/span><span class=\"spacer\">6<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">7<\/span><span class=\"spacer\">8<\/span><span class=\"spacer\">9<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">10<\/span><span class=\"spacer\">11<\/span><span class=\"spacer\">12<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td width=\"20%\">1. Policies, clinic-selected screening tools, and workflows to identify opioid misuse, diversion, addiction, and to recognize mental\/behavioral health needs\u2026<\/td>\n<td width=\"20%\">\u2026do not exist.<\/td>\n<td width=\"20%\">\u2026partially exist.<\/td>\n<td width=\"20%\">\u2026exist, but are only partially implemented.<\/td>\n<td width=\"20%\">\u2026exist and are consistently implemented.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"table-responsive\">\n<table class=\"table assessment-table table-striped-column\">\n<thead>\n<tr>\n<th scope=\"col\" width=\"20%\">\n<div>\n<p><span lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span data-ccp-parastyle=\"Table header\" data-ccp-parastyle-defn=\"{'ObjectId':'d91e414e-0eb7-46d5-9ddf-f8291c6fc8a9|22','Properties':[134224900,'true',134233614,'true',201340122,'2',201341983,'2',201342448,'1',268442635,'20',335551500,'16777215',335559739,'160',335559740,'240',469769226,'Corbel,Calibri',469775450,'Table header',469777841,'Corbel',469777842,'Corbel',469777843,'Calibri',469777844,'Corbel',469778129,'Tableheader',469778324,'Normal'],'ClassId':1179649}\">Opioid <\/span><span data-ccp-parastyle=\"Table header\">use<\/span><span data-ccp-parastyle=\"Table header\"> disorder resources<\/span><\/span><span data-ccp-props=\"{'201341983':2,'335559740':240}\">\u00a0<\/span><\/p>\n<\/div>\n<\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">1<\/span><span class=\"spacer\">2<\/span><span class=\"spacer\">3<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">4<\/span><span class=\"spacer\">5<\/span><span class=\"spacer\">6<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">7<\/span><span class=\"spacer\">8<\/span><span class=\"spacer\">9<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">10<\/span><span class=\"spacer\">11<\/span><span class=\"spacer\">12<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td width=\"20%\">2. Opioid use disorder treatment\u2026<\/td>\n<td width=\"20%\">\u2026is difficult to obtain reliably.<\/td>\n<td width=\"20%\">\u2026exists but isn\u2019t timely or convenient.<\/td>\n<td width=\"20%\">\u2026is available and is usually timely and convenient.<\/td>\n<td width=\"20%\">\u2026is readily onsite or available from an organization that has a referral protocol or agreement with our practice setting.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"table-responsive\">\n<table class=\"table assessment-table table-striped-column\">\n<thead>\n<tr>\n<th scope=\"col\" width=\"20%\">Opioid use disorder training<\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">1<\/span><span class=\"spacer\">2<\/span><span class=\"spacer\">3<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">4<\/span><span class=\"spacer\">5<\/span><span class=\"spacer\">6<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">7<\/span><span class=\"spacer\">8<\/span><span class=\"spacer\">9<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">10<\/span><span class=\"spacer\">11<\/span><span class=\"spacer\">12<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td width=\"20%\">3. Training on diagnosing opioid use disorder\u2026<\/td>\n<td width=\"20%\">\u2026has not been offered to clinicians.<\/td>\n<td width=\"20%\">\u2026has been offered to clinicians, but there was limited participation.<\/td>\n<td width=\"20%\">\u2026has been offered and the majority of clinicians participated.<\/td>\n<td width=\"20%\">\u2026is consistently offered with widespread, regular participation.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"table-responsive\">\n<table class=\"table assessment-table table-striped-column\">\n<thead>\n<tr>\n<th scope=\"col\" width=\"20%\">Behavioral health resources<\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">1<\/span><span class=\"spacer\">2<\/span><span class=\"spacer\">3<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">4<\/span><span class=\"spacer\">5<\/span><span class=\"spacer\">6<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">7<\/span><span class=\"spacer\">8<\/span><span class=\"spacer\">9<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">10<\/span><span class=\"spacer\">11<\/span><span class=\"spacer\">12<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td width=\"20%\">4. Mental\/behavioral health services\u2026<\/td>\n<td width=\"20%\">\u2026are difficult to obtain reliably.<\/td>\n<td width=\"20%\">\u2026are available from behavioral health specialists but aren\u2019t timely or convenient.<\/td>\n<td width=\"20%\">\u2026are available from behavioral health specialists and are usually timely and convenient.<\/td>\n<td width=\"20%\">\u2026are readily available from behavioral health specialists who are onsite or who work in an organization that has a referral protocol or agreement with our practice setting.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"table-responsive\">\n<table class=\"table assessment-table table-striped-column\">\n<thead>\n<tr>\n<th scope=\"col\" width=\"20%\">Stigma Training<\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">1<\/span><span class=\"spacer\">2<\/span><span class=\"spacer\">3<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">4<\/span><span class=\"spacer\">5<\/span><span class=\"spacer\">6<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">7<\/span><span class=\"spacer\">8<\/span><span class=\"spacer\">9<\/span><\/th>\n<th scope=\"col\" width=\"20%\"><span class=\"spacer\">10<\/span><span class=\"spacer\">11<\/span><span class=\"spacer\">12<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td width=\"20%\">5. Training on addressing stigma surrounding opioid use disorder and mental\/behavioral health needs\u2026<\/td>\n<td width=\"20%\">\u2026has not been offered to clinicians and staff.<\/td>\n<td width=\"20%\">\u2026has been offered to clinicians and staff, but there was limited participation.<\/td>\n<td width=\"20%\">\u2026has been offered and the majority of clinicians and staff participated.<\/td>\n<td width=\"20%\">\u2026is consistently offered with widespread, regular participation.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Develop policies and resources to ensure that patients who develop opioid use disorder and\/or who need mental\/behavioral health resources are identified and provided with appropriate care, either in the primary care setting or by outside referral. Instructions: First, review each question and circle the description that best reflects your organization\u2019s current status. Then, select the &hellip; <a href=\"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/self-assessment\/caring-for-complex-patients\/\">Continued<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":6,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-section.php","meta":{"footnotes":""},"class_list":["post-397","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages\/397","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/comments?post=397"}],"version-history":[{"count":6,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages\/397\/revisions"}],"predecessor-version":[{"id":1947,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages\/397\/revisions\/1947"}],"up":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages\/6"}],"wp:attachment":[{"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/media?parent=397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}