Author Biographical Info

Victoria Reis, BSN, RN, DNP Student

The University of Texas Health Science Center at Houston,

Cizik School of Nursing

Email: Victoria.Reis@uth.tmc.edu

Date of Doctor of Nursing Practice Project Completion

Spring 4-2025

Faculty Advisor

Dr. Linda Roussel

Abstract

Abstract

Integrating Mental Health and Substance Use Treatment using the Integrated Care Model: Policy Analysis

Purpose of Statement

Policy analysis evaluates the integration of mental health services into substance use treatment, particularly for co-occurring disorders. It identifies gaps in existing policies and offers recommendations to enhance access, coordination, and effectiveness of integrated care.

Background

Integrating mental health services is crucial due to the high prevalence of co-occurring disorders. However, the fragmented treatment landscape leads to poor patient outcomes and rising healthcare costs. Policies such as the 21st Century Cures Act and Texas House Bill 4 provide a framework for improvement, but significant gaps hinder effective integrated care.

Methodology

Using the Bardach Policy Analysis Framework, this analysis assessed legislation's impact on integrated care through literature reviews, stakeholder interviews, and government reports. It identified barriers, workforce challenges, and funding limitations while proposing expanded funding mechanisms and workforce development strategies.

Results Findings

Reveal persistent gaps in funding, provider availability, and infrastructure. Stakeholders emphasized the need for increased Medicaid reimbursement, workforce expansion, and policy alignment. Although integrated care models improve patient outcomes, reduce hospital readmissions, and save costs, challenges necessitate policy modifications.

Implications for Practice

Legislative and financial support are essential for advancing integrated care. Recommendations include increasing Medicaid funding, enhancing provider training, and utilizing tax-based funding for sustainability. Future efforts should focus on expanding treatment programs, strengthening collaboration, and refining policy frameworks to better serve patients with co-occurring disorders.

Keywords: Integrated care, mental health, substance use disorder, policy analysis, healthcare reform, quality improvement.

Keywords

Integrated care, mental health, substance use disorder, policy analysis, healthcare reform, quality improvement.

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