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ABSTRACT. The momentum for the integration of substance use disorder (SUD) and health care services is being driven by (a) a growing body of research evidence showing better patient outcomes from integrated services, and (b) policy changes resulting from health care reform. Unfortunately, early signs suggest that the integration of SUD treatment services is not receiving adequate attention in health care settings. After reviewing the impact of health care reform, this paper describes and reviews the research for selected models for integrated care, specific SUD treatment interventions that can be useful in health care settings, and several implementation strategies designed to assist in bringing SUD and health care services together. The article highlights the efforts of the Addiction Technology Transfer Center (ATTC) Network. Comprised of ten Regional Centers, four National Focus Area Centers and a National Coordinating Office, the ATTC Network is the Substance Abuse and Mental Health Services Administration’s (SAMHSA) most experienced program to provide workforce development and promote the use of research-based interventions for SUD. Expertise in implementation science/technology transfer strategies combined with a national and regional reach ideally situate the ATTC Network to promote and facilitate the much-needed integration of SUD services and health care. pp. 75–124

Keywords: substance use disorder treatment; health care services; integration; implementation; medication assisted treatment; screening and brief intervention

How to cite: Sacks, Stanley, Heather J. Gotham, Kim Johnson, Howard Padwa, Deena M. Murphy, and Laurie Krom (2016), “Integrating Substance Use Disorder and Health Care Services in an Era of Health Reform: Models, Interventions, and Implementation Strategies,” American Journal of Medical Research 3(1): 75–124.

Received 16 October 2015 • Received in revised form 20 January 2016
Accepted 21 January 2016 • Available online 10 February 2016

doi:10.22381/AJMR3120163

STANLEY SACKS
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Center for the Integration of Research & Practice (CIRP),
National Development & Research Institutes, Inc. (NDRI),
Staten Island, NY
HEATHER J. GOTHAM
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Mid-America ATTC,
School of Nursing and Health Studies,
University of Missouri, Kansas City
(corresponding author)
KIM JOHNSON
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ATTC National Coordinating Office, NIATx,
University of Wisconsin, Madison
HOWARD PADWA
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UCLA Integrated Substance Abuse Programs,
Los Angeles, CA
DEENA M. MURPHY
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Triangle Research Associates, Raleigh, NC
LAURIE KROM
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ATTC National Coordinating Office,
School of Nursing and Health Studies,
University of Missouri, Kansas City

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