Description: Access to quality mental health and substance use treatment is suboptimal, particularly for individuals with co-occurring disorders. Collaborative care is an evidence-based model to improve outcomes for behavioral health conditions in primary care.
This presentation will describe how the model was adapted and tested for individuals with opioid use disorders co-occurring with depression and PTSD in low resource settings. While overall the model was not effective in increasing access and improving outcomes relative to enhanced primary care, participant characteristics and clinical complexity predicted treatment outcomes. We also found that while OUD can be effectively managed in individuals with co-occurring disorders in primary care, treatment for depression and PTSD may need to be more intensive than what is usually provided.
Results provide support for how to personalize clinical decision making and population health management for this complex population.
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