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Multigenerational Approaches to Fostering Children's Health and Well-Being The Opioid Crisis as a Case Study: Proceedings of a Workshop (2019) / Chapter Skim
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3 Drivers for Improvement and System Change
Pages 19-26

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From page 19...
... Some of these "drivers for change" as noted by David Willis, senior fellow at the Center for the Study of Social Policy, would be in such traditional areas as allocation of appropriate resources or policy changes, while others are likely less commonly discussed. These less discussed opportunities to drive change include changed mental models, examining power dynamics in a setting or community, and taking a hard look at the processes of certain practices to see if they can be packaged in different ways to better address the needs and improve outcomes.
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From page 20...
... In addition to adequate staffing, he also suggested standard assessment scores so there is a solid understanding of severity and protocols for treatment and discharge. Similarly, Kelleher suggested, simply packaging reproductive health and treatment services together could reduce the burden for the patient seeking care, as well as promote coordination and awareness of health issues and patient desires on the provider side.
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From page 21...
... Additionally, Medicaid does not share the treatment data for medications with the service providers in community health centers. And because his organization is a pediatric accountable care organization, it only receives pediatric claims even though prenatal services are billed through the state managed care programs.
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From page 22...
... Tied into resources, naturally, is policy, and Kelleher noted that policies at the state level could be very influential on this issue. In another example of blending resources and policy, and adding a third arm of communication, Thompson stressed how much flexibility states have related to Medicaid spending, but that many do not realize how much they are able to do using Medicaid resources.
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From page 23...
... David Hawkins, endowed professor of prevention in the School of ­ Social Work at the University of Washington, posed a question to the group: "How do you build assets and strengths in individuals, families, and communities in light of what we're seeing today? " Responses included focusing on building healthy coping skills in youth and thinking about prevention through team building and strengthening young people's identity.
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From page 24...
... Social Isolation Nathaniel Counts, assistant director at Montefiore Medical Group, stressed that one of the more difficult changes to overcome in addressing the opioid epidemic is that of social isolation of many people with serious health conditions. Even though well-established research shows that social isolation can be just as damaging for a person's health as smoking, there is less evidence for solutions.
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From page 25...
... "As a prosecutor, I have a duty to prosecute the law as it's written, but the criminal justice system can't just be black and white." He added that criminal justice reform includes electing smart and progressive prosecutors to make a difference in people's lives and understanding that each case is a person with a life and family. "We lose focus by getting hooked on mandatory minimums," Slemp said, and what the crime was and
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From page 26...
... He said that he and his colleagues engaged law enforcement officers, judges, and community groups and presented examples of cases and how they might handle them through an alternative approach. The approach will still hold people accountable for their actions but, one hopes, can also work to propel them to an improved state.
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Key Terms

  • social isolation
  • policy changes
  • drug treatment
  • policy change
  • power dynamics

  • treatment services
  • potential policy
  • change related
  • prenatal care
  • mental models

  • slemp acknowledged
  • preventive services
  • mental mindsets
  • criminal justice
  • ongoing challenge

  • kelleher suggested
  • treatment programs
  • practice changes
  • services task
  • substance abuse

  • social policy
  • colleagues engaged
  • senior fellow
  • central ohio
  • community health

  • considering policy
  • sutherland added
  • positive relationships
  • special committee
  • promote coordination


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