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Improving Quality of Care for SUDS

Where Do We Go From Here?

Acevedo, Andrea, PhD

doi: 10.1097/ADM.0000000000000402

Initiation and engagement (IET), a process quality indicator for the treatment for substance use disorders (SUDs), has been associated with better treatment outcomes and has been part of the Healthcare Effectiveness Data and Information Set for over a decade. However, nationally, IET rates tend to be low and not improving. Integration may be a promising way to improve IET and quality of care, as suggested by the findings. To guarantee that integration is a truly effective mechanism for improving patient engagement and quality would likely require providing clinicians and other primary care providers with additional support and training on SUDs and treatment, and ensure that everyone, regardless of demographic characteristics, can equally benefit from these system level changes.

Department of Community Health, Tufts University, Medford, MA.

Send correspondence to Andrea Acevedo, PhD, Department of Community Health, Tufts University, 574 Boston Avenue, Suite 208, Medford, MA 02155. E-mail:

Received 6 February, 2018

Accepted 8 February, 2018

The authors report no conflicts of interest.

© 2018 American Society of Addiction Medicine